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Benefit Beneficiary Forms

Click here for Benefit Applications



Retirement and State Group Life Insurance


Tax Shelter Annuities (TSA)

Wisconsin Retirement System (WRS)
State Group Life Insurance (SGL)

Request beneficiary designation form directly from the vendor - www.uwsa.edu/hr/benefits/retsav/vendors.htm
NOTE:
The beneficiary form for WRS and SGL is the same.
Wisconsin Deferred Compensation (WDC)
If you wish to have different beneficiaries for WRS than SGL,
indicate which it is related to at the top of the form.
Change your beneficiary on line by logging into your WDC
account at www.wdc457.org or call the Madison Office at
877-457-9327, option 2 to obtain the form via mail or email.
Supplemental Health & Dental Insurance  
EPIC Dental & Excess Medical  

Life Insurances:
After printing & filling out forms, please mail to the
provider address listed on the form.

Individual and Family Group Life Insurance
State Group Life Insurance - see Retirement above
University Insurance Assocation (UIA)
..
(for Unclassified Staff only)
UW Employees, Inc
Accidental Death and Dismemberment

 
 
 

Questions about the website? Contact Becky Beahm at beahm@uwosh.edu

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