UW Employees Inc. Life Insurance

2023 Monthly Premiums and Coverage Levels

Age as of January 1	Benefit Amount	Premium
Under 35	$33,000	$0.74
35–39	$28,000	$0.96
40–44	$25,000	$1.20
45–49	$18,000	$1.50
50–54	$15,000	$1.80
55–59	$13,000	$2.86
60–64	$12,000	$3.26
65 and over	$7,000	$2.26

The employer does not contribute to the premium.

Eligibility

You must meet the following requirements to enroll in this plan:

• Eligible for State Group Health Insurance
• Not receiving a Wisconsin Retirement System (WRS) annuity

Enrollment

• You have 30 days from the date employment begins to enroll
• Coverage begins on the first day of the month following 30 days from the date of hire
• You may apply for coverage at any time through Evidence of Insurability (acceptance is not guaranteed)
• You may cancel coverage at any time

Additional Benefits

• 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.
• Conversion to an individual policy at the end of employment.

You should review and update your Beneficiary Designation with each qualifying life event.