University of Wisconsin–Milwaukee

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Benefits Program Enrollment or Change

30 day enrollment or change deadline

Now that you have reviewed your plan options you are ready to enroll or make changes to your current enrollment with a qualifying life event. Below you will find links to the enrollment paperwork grouped by benefit type. Once you have completed the application(s), please bring them to Engelmann 125 during business hours or fax to 414-229-4102 to submit for enrollment or changes.


Program Type Application and Form (Submit to ENG125 or Fax 229-4102)
State Group Health Insurance
Program Type Application and Form (Submit to ENG125 or Fax 229-4102)
Life Insurances
Program Type Application and Form (Submit to ENG125 or Fax 229-4102)
Dental and Vision Insurances
Program Type Application and Form (Submit to ENG125 or Fax 229-4102)
Savings and Spending
Program Type Application and Form (Submit to ENG125 or Fax 229-4102)
Disability Insurances