State Group Life Insurance

Overview

The State Group Life (SGL) Insurance plan offers term life insurance to employees and their spouse or domestic partner and eligible children. Coverage is based on an employee’s annual salary. An employee may elect coverage of up to five times his or her annual salary, and up to $20,000 of spouse or domestic partner coverage and up to $10,000 of child coverage.

In addition to benefits payable in the event of a death, this plan provides the following benefits:

  • Employee coverage is based on your annual earnings – if your annual earnings increase, your coverage automatically increases the following year.
  • If you are terminally ill with a life expectancy of 12 months or less, you may receive up to the full amount of your coverage prior to your death.
  • If your death is accidental, your death benefit will double.
  • If you have a dismemberment or experience loss of use, you will receive a portion of your benefit.
  • Continuation of coverage at retirement or termination with at least 20 years of WRS service (eligibility requirements must be met). No longer required to pay premium when you turn 65 and are retired.
  • Conversion of coverage to an individual policy at the end of employment.
  • Premiums may be waived if you become totally disabled.

Eligibility

Employee

You must meet the following requirements to be eligible for this plan:

  • Have at least six months of coverage under the Wisconsin Retirement System (WRS); and
  • Be under age 70 at the time of initial eligibility (if 70 or older when initially eligible, can only apply for coverage through Medical Evidence of Insurability); and
  • Are not receiving a Wisconsin Retirement System annuity.

Dependents

An eligible dependent includes:

  • Spouse
  • Domestic Partner
  • Children as defined as your or your spouse’s or domestic partner’s unmarried children who are:
    • At least 15 days old, and
    • Dependent upon you for at least 50% of their financial support.
  • Children remain eligible for coverage until the earliest of:
    • The end of the month in which he/she marries, or
    • The end of the year in which the child is no longer dependent upon you for at least 50% of their financial support, or
    • The end of the year in which the child turns 19, except
      • If child is a full-time student, he/she is eligible until the end of the year in which the child turns 25 or ceases to be full-time student, whichever is earlier.

Note: Your child may remain eligible beyond the age limit if he/she is incapable of self-support due to a long-term or permanent physical or mental disability.

Enrollment

Employee

  • It is recommended that you enroll via eBenefits or submit a paper application within the first 30 days of employment but you may submit a paper application at any time until 30 days after the first of the month following the completion of six months of WRS coverage.
  • If you have at least six months of coverage under the WRS when you start your position at the University, you have 30 days from your job begin date to enroll.
  • Once eligibility requirements are met, coverage is effective on the first of the month on or following receipt of your application, either through eBenefits or paper application.
  • Each time you gain a dependent, through marriage, birth, domestic partnership, etc., you may enroll in Basic coverage (if not enrolled) or add one level of employee coverage within 30 days of gaining a dependent.
  • If you do not enroll when first eligible, you may apply for coverage at any time through Medical Evidence of Insurability (acceptance not guaranteed). Coverage is effective on the first of the month on or following the approval of your application by the plan’s underwriter.

Note: You may decrease or cancel coverage at any time during the year.

Dependents

  • If you have eligible dependents when you initially enroll in coverage, you may enroll your dependents at the same time you enroll in coverage.
  • You may add Spouse/DP/Dependent coverage within 30 days of gaining an eligible dependent for the first time.

Premiums and Coverage Levels

You may select one to five units of employee coverage. Each unit of coverage is based on your annual salary. Your coverage level will automatically increase if your salary increases.

You may select one or two units of Spouse/Domestic Partner & Dependent coverage. Each unit insures your spouse or domestic partner for $10,000 and each dependent child for $5,000. All children will be covered under dependent coverage. You must enroll in Employee coverage in order to enroll in Spouse/Domestic Partner & Dependent coverage.

Monthly Premiums and Coverage Levels
Age as of April 1Basic and Supplemental
Rate per $1,000
Additional
Rate per $1,000
Spouse/Domestic Partner
& Dependent Coverage
Under age 40 $0.04 $0.06

One Unit of Coverage:
$2.50 for $10,000 Spouse/DP
and $5,000 for each child.

40-44 $0.06 $0.09
45-49 $0.10 $0.15
50-54 $0.16 $0.24 Two Units of Coverage:
$5.00 for $20,000 Spouse/DP
and $10,000 for each child.
55-59 $0.22 $0.33
60-64 $0.30 $0.45
65-69 $0.39 $0.59

Basic coverage – first unit of coverage
Supplemental coverage – second unit of coverage
Additional coverage – may choose one to three Additional units of coverage
Each unit of coverage is equal to your annual salary

Over Age 70 Additional Coverage
Age as of April 1Rate per $1,000
70 $1.00
71

1.15

72 1.25
73 1.45
74 1.60
75 1.80
76 1.95
77-89 2.06
90+ Available upon request

The University contributes toward the Basic and Supplemental premiums.

Beneficiary Information

You are strongly encouraged to submit a beneficiary designation to ensure benefits are paid according to your wishes. If there is no eligible beneficiary, or you do not name one, benefits will be paid in the following order:

  • Your surviving spouse or domestic partner, otherwise;
  • Your surviving children equally; if one of your children dies before you, that child’s share is divided between your deceased child’s children, otherwise;
  • Your surviving grandchildren equally; if one of your grandchildren dies before you, that grandchild’s share is divided between your deceased grandchild’s children, otherwise;
  • Your surviving parents equally, otherwise;
  • Your surviving siblings equally; if one of your siblings dies before you, that sibling’s share is divided between your deceased sibling’s children, otherwise;
  • Your estate.

All claims associated with a covered spouse, domestic partner or child will be paid to the employee.

Note: State Group Life (SGL) and the Wisconsin Retirement System (WRS) use the same beneficiary designation. If you would like to have your beneficiaries be the same for SGL and WRS, only one form is needed. If you would like to have your beneficiaries be different for SGL and WRS, two forms are needed and the plan needs to be indicated on the form.

Forms & Publications

  • Application - Complete and submit to your institution’s benefits office to enroll in the plan.
  • Beneficiary Designation - Complete and submit to Department of Employee Trust Funds (ETF) to name who you would like to receive benefits payable upon your death.
  • Living Benefit Brochure - If you are terminally ill with a life expectancy of 12 months or less, read the Living Benefits brochure to determine if you’d like to apply for living benefits.
  • Conversion Form - Complete and submit to Minnesota Life if you want to convert your coverage to an individual policy at end of employment. Your benefits office must complete the Employer Section before it is submitted to Minnesota Life.
  • Medical Evidence of Insurability Form - Complete and submit to Minnesota Life if you want to apply for coverage through Evidence of Insurability. Your benefits office must complete the Employer Section before it is submitted to Minnesota Life.
  • Continuation Form - Contact your benefits office if you need a continuation form. Continuation at retirement is automatic.

Plan Administration

The State Group Life Insurance plan is administered by the Department of Employee Trust Funds (ETF) and is underwritten by Minnesota Life Insurance.