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Human Resources Office
University of Wisconsin-Superior
Old Main 201
Belknap and Catlin
P.O. Box 2000
Superior, WI 54880
ph. 715-394-8220
fax. 715-394-8171

Related Webpage: http://etf.wi.gov/employers/bulletins_state/ebs20120411.pdf .
This amendment allows an employee who gains a dependent to enroll in or increase group life insurance coverage by one level without
the need to provide satisfactory evidence of insurability, if the application is filed within 30 days of one of the following events:
Employees will be able to increase coverage on themselves by one level for each qualifying event, up to the plan maximum of 5 levels.
This policy amendment applies to Employee coverage only. The enrollment period for Spouse & Dependent coverage has not changed.