End of Domestic Partnership

If you end your domestic partnership you need to take action to remove your former domestic partner and partner’s children from your benefit plans. You may also be able to enroll in certain benefit plans that offer an open enrollment due to the loss of comparable coverage under your former domestic partner’s benefit plans.

You must submit an application to remove your former domestic partner and partner’s children from your benefit plans and/or enroll in a benefit plan for the first time within 30 days of terminating of your domestic partnership. The information provided below assumes you have completed the proper paperwork to terminate your domestic partnership. See UWSA's Domestic Partner Benefits page, Ending a Domestic Partnership tab for more information.

If you are terminating your domestic partnership due to marriage, see Domestic Partner to Marriage.

Reminder: It’s important to notify your institution of any changes in your name, address, emergency contacts, and domestic partnership status.

Click on the benefit program below to see your options. Visit the Forms Page for all plan applications, forms, and brochures.

State Group Health Insurance

Coverage for your ex-domestic partner and partner’s children ends at the end of the month in which your domestic partnership is terminated. Your benefits office will send a Continuation-Conversion Notice to your ex-domestic partner, so it is important to let them know about the end of your domestic partnership and submit an application to remove your ex-domestic partner and partner’s children on or before the date the domestic partnership is terminated.

You have 30 days from the date your domestic partnership is terminated to remove your former domestic partner and partner’s children from your existing coverage. The change to your coverage will be effective the first of the month following the date your domestic partnership is terminated.

Your ex-domestic partner and partner’s children may continue coverage for 36 months by submitting a continuation form and application to the Department of Employee Trust Funds within 60 days of the coverage end date or the receipt of a continuation form, whichever is later. Contact your institution’s benefits office for a continuation form.

If you were covered by your ex-domestic partner’s health insurance, you may enroll (can only cover family members that lost coverage) within 30 days of losing your comparable coverage due to terminating your domestic partnership. Coverage is effective the date your other insurance terminates.

EPIC Benefits+

Coverage for your ex-domestic partner and partner’s children ends at the end of the month in which your domestic partnership is terminated.

You have 30 days from the date your domestic partnership is terminated to remove your ex-domestic partner and partner’s children from your existing coverage. The change to your coverage will be effective the first of the month following the date your domestic partnership is terminated.

Your ex-domestic partner and partner’s children may continue coverage for 36 months by submitting a continuation form and application to EPIC Life Insurance Company within 60 days of the coverage end date or the receipt of a continuation form, whichever is later. Contact your institution’s benefits office for a continuation form.

You should review your beneficiary designation and update, if necessary.

Dental Wisconsin

Coverage for your ex-domestic partner and partner’s children ends at the end of the month in which your domestic partnership is terminated.

You have 30 days from the date your domestic partnership is terminated to remove your ex-domestic partner and partner’s children from your existing coverage. The change to your coverage will be effective the first of the month following the date your domestic partnership is terminated.

Your ex-domestic partner and partner’s children may continue coverage for 36 months by submitting a continuation form and application to EPIC Life Insurance Company within 60 days of the coverage end date or the receipt of a continuation form, whichever is later. Contact your institution’s benefits office for a continuation form.

If you were covered by your ex-domestic partner’s comparable dental insurance, you may enroll (can only cover family members that lost coverage) within 30 days of losing your comparable coverage due to terminating your domestic partnership. Coverage is effective the date your other insurance terminates.

VSP Vision Insurance

Coverage for your ex-domestic partner and partner’s children ends at the end of the month in which your domestic partnership is terminated.

You have 30 days from the date your domestic partnership is terminated to remove your ex-domestic partner and partner’s children from your existing coverage. The change to your coverage will be effective the first of the month following the date your domestic partnership is terminated.

Your ex-domestic partner and partner’s children may continue coverage for 36 months by submitting a continuation form and application to VSP within 60 days of the coverage end date or the receipt of a continuation form, whichever is later. Contact your institution’s benefits office for a continuation form.

If you were covered by your ex-domestic partner’s comparable vision insurance, you may enroll (can only cover family members that lost coverage) within 30 days of losing your comparable coverage due to terminating your domestic partnership. Coverage is effective the date your other insurance terminates.

State Group Life Insurance

Coverage for your ex-domestic partner and partner’s children ends on the date your domestic partnership is terminated.

If you have Spouse/Domestic Partner/Dependent coverage, and your ex-domestic partner and partner’s children were your last eligible dependents (you do not have any other eligible children of your own), you should submit an application to cancel Spouse/Domestic Partner/Dependent coverage within 30 days of terminating your domestic partnership. The change to your coverage will be effective the first of the month following the date your domestic partnership is terminated.

Your ex-domestic partner and partner’s children may convert coverage to an individual policy by submitting a conversion form to Minnesota Life within 31 days of the coverage end date. Contact your institution’s benefits office for a conversion form.

You should review your beneficiary designation and update, if necessary.

Individual and Family Life Insurance

Coverage for your ex-domestic partner and partner’s children ends on the date your domestic partnership is terminated.

If enrolled in Spouse/Domestic Partner coverage, you should submit an application to cancel coverage within 30 days of terminating your domestic partnership. The change to your coverage will be effective the first of the month following the date your domestic partnership is terminated.

If enrolled in Child coverage, and your partner’s children are your last eligible children, you should submit an application to cancel Child coverage within 30 days of terminating your domestic partnership. The change to your coverage will be effective the first of the month following the date your domestic partnership is terminated.

Your ex-domestic partner and partner’s children may convert coverage to an individual policy by submitting a conversion form to Minnesota Life within 31 days of the coverage end date. Contact your institution’s benefits office for a conversion form.

You should review your beneficiary designation and update, if necessary.

UW Employee’s Inc. Life Insurance

This plan offers employee-only coverage and is not affected by terminating your domestic partnership.

You should review your beneficiary designation and update, if necessary.

University Insurance Association (UIA) Life Insurance

This plan offers employee-only coverage and is not affected by terminating your domestic partnership.

You should review your beneficiary designation and update, if necessary.

Accidental Death and Dismemberment

Coverage for your ex-domestic partner and partner’s children ends on the date your domestic partnership is terminated.

If you have Family coverage, and your ex-domestic partner and partner’s children were your last eligible dependents (you do not have any other eligible children of your own), you should submit an application to change to Employee Only Coverage. The change to your coverage will be effective the first of the month following the date your domestic partnership is terminated.

Your ex-domestic partner and partner’s children may convert coverage to an individual policy by contacting Zurich American Insurance Company at 1-800-834-1959 (reference UW System Policy # GTU-8364005) within 60 days of the coverage end date.

You should review your beneficiary designation and update, if necessary.

Income Continuation Insurance

This plan offers employee-only coverage and is not affected by terminating your domestic partnership.

Employee Reimbursement Account (ERA)

If expenses associated with your ex-domestic partner and partner’s children qualified under the Health Care or Dependent Care FSA program, you may take the following actions within 30 days of terminating your domestic partnership:

  • Enroll in a Health Care and/or Dependent Day Care FSA
  • Increase, decrease, or cancel your Health Care and/or Dependent Day Care FSA election (if already enrolled).

You must submit a Change in Status form directly to WageWorks to enroll in or change your election under one or both of the plans. If you enroll, coverage is effective on the first of the month on or following approval of your Change in Status form by WageWorks.

Tax-Sheltered Annuity 403(b) Program

Your TSA account can be included in a settlement if the court issues a Qualified Domestic Relations Order (QDRO) that is acceptable to your TSA investment company.

You can enroll in or make changes at any time.

You should review your beneficiary designation(s) and update, if necessary.

Wisconsin Deferred Compensation 457 Program

If you established a domestic partnership with the Department of Employee Trust Funds (ETF), a portion of your Wisconsin Deferred Compensation account can be granted to your ex-domestic partner if the court issues a Qualified Domestic Relations Order (QDRO) directing WDC to divide your account.

You can enroll in or make changes at any time.

You should review your beneficiary designation and update, if necessary.

Wisconsin Retirement System

If you established a domestic partnership with the Department of Employee Trust Funds (ETF), a portion of your WRS account can be granted to your ex-domestic partner if the court issues a Qualified Domestic Relations Order (QDRO) directing ETF to divide your account and your creditable service (up to 50%).

You should review your beneficiary designation and update, if necessary.

Tax Withholding

You should review your tax withholding exemptions and update, if necessary.

Every effort has been made to ensure this information is current and correct. This page does not guarantee enrollment or the ability to make changes to your benefits.