Processing a Death Claim in HRS

Overview

This document provides Benefit Administrators with the information required to make the necessary changes in HRS when an employee has passed away or the employee has experienced the death of a dependent. This document will also provide information and links to assist with counseling on potential benefit changes.

Process Considerations:

  • The death of an employee or their dependent can have significant impacts on wages, taxes, and benefits.  To ensure all potential impacts have been addressed on a timely basis, please open a ticket to UW Shared Services, Service Operations.
  • An employee death must be reported immediately to ensure that final payroll and WRS reportable hours are handled timely to uphold the State and Federal Guidelines.

  • Review ALL benefit plans with the employee and remind them to update their beneficiary forms. No action is needed in HRS for Tax Sheltered Annuities (TSA), Wisconsin Deferred Compensation (WDC), Wisconsin Retirement System (WRS), UW Employees Inc., or University Insurance Association.
  • There is no limitation on how long an employee has to report the death of a dependent. However, if death results in a coverage level change there may be premium refund limits.
  • If the employee wants to change their tax withholdings, you can download the form HERE.

  • Multiple ADM Events may be needed depending on the timing of the notice and forms submitted by the employee.  For information on how to add an Event, reference: Adding Events to the BAS Activity Table in HRS.

You may click on the links below to navigate directly to a section:


Instructions: Death of an Employee

1. Upon notification of the death of an employee, gather the following information:
a. Name of the deceased employee
b. Date of Death
c. Last 4 digits of the Social Security Number to identify the deceased employee, if possible.
d. Name and contact information of the primary contact person for the deceased employee including relationship, telephone number, address, and email address.
2. Send the First Contact Letter to the primary contact person.

3. Make sure the employee’s death is recorded in Job Data. Reference: Maintaining Employee Data - Death Record in HRS .

Note: Make sure that the employee’s death has been recorded on the employee’s Modify a Person screen correctly.  Workforce Administration > Personal Information > Modify a Person

4. Review employee benefit enrollments and level of coverage. Reference: Review Benefit Enrollments in HRS .

Note: Coverage for the deceased employee’s benefit plans ends at the end of the month in which the employee passes away. Once Job Data is updated, the termination rows will automatically update with the overnight process.

5. Submit a ticket to UW Shared Services, Service Operations to notify of the death of an employee.

6. Complete death processing letter for death of an employee.

Note: UW Shared Services, Service Operations will create a Deceased Employee checklist to notify all appropriate parties.

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Instructions: Death of a Dependent

1.  Upon notification of the death of a dependent, gather the following information:

a. Name of the employee and EMPLID

b. Name of the deceased dependent

c. Date of Birth of the deceased dependent

d. Date of Death of the deceased dependent

e. Verify the contact information of the employee

2. Send the First Contact Letter to the Employee

3. Review employee benefit enrollments and levels of coverage (Reference: Review Benefit Enrollments in HRS)

Note: Coverage for the deceased dependent for all benefit plans ends on the date of death. Deductions are continued until the employee takes action to remove the deceased dependent form the plan.

4.  Navigate to Benefits > Employee/Dependent Information > Update Dependent/Beneficiary.

5.  Locate the dependent's profile screen.

6.  Add a row to the Personal History section of the Personal Profile Tab.  Use an "Effective Date" equal to the first of the month following the date of death or the first of the month following when you were notified of the death if later.  If there are multiple effective dates for the change in coverage, use the latest date for the dependent screen.

7.  Enter the date of death in the "Date of Death" field.

8.  Change the relationship of the dependent as follows:  Spouse → Ex-Spouse or Child/Stepchild → Adult Child.  Change Beneficiary Type to "None."

Note: Changing the status of a Child/Stepchild to Adult Child will ensure that the dependent will not be enrolled into insurance plans in the future since there is not an Ex-Dependent option.

9. Click Save

10.  If the death of a dependent is a spouse:  Navigate to Benefits > Employee/Dependent Information > Benefits Personal Data.

11.  Add a row under the Marital Status section and change the value to "Widowed" with an Effective Date equal to the date of death.

12.  Click Save.

Note: Go out then back into this page to verify changes saved correctly. You might have to do this process twice.

13. Submit a ticket to the UW Shared Services, Service Operations to notify of the death of a dependent.

14. Complete death processing letter for death of dependent.

Note: UW Shared Services, Service Operations will create a Deceased Dependent chicklist to notify all appropriate parties.

Plan Specific Information

 BENEFIT PLAN
 COMMENTS DATE OF ADM EVENT
State Group Health








The employee must complete an application to report the deceased dependent.

If no change in coverage level the removal of the dependent should be effective back to the first of the month following the death.

Employee may keep family coverage if eligible dependents remain on plan.
Stepchildren may remain covered at the discretion of the employee.
ADM date is first of the month on or following date of death provided notice
is given timely.

If notice is not timely, use first of the month 6 months back. i.e. application processed 5/15/18, ADM date would be 11/1/2017. The employee is
responsible for paying family premiums associated with the delay in processing. The Institution will pay the employer share of the premium.


All Dental Plans







The employee must complete an application to report the deceased
dependent. If no change in coverage level, the removal of the
dependent should be effective back to the first of the month following
the death.

Employee may keep family \ Employee & Spouse \ Employee & Children
coverage if
eligible dependents remain on plan. (Preventive Dental has only Single and Family  coverage).
ADM date is first of the month on or following date of death provided notice
is given timely.

If notice is not timely, use first of the month 3 months back. i.e. application processed 5/15/18, ADM date would be 2/1/2018.
The employee is responsible for paying premiums associated with the delay in processing.


Vision Insurance Plan




The employee must complete an application to report the deceased dependent. If no change in coverage level the removal of the dependent should be effective back to the first of the month following the death



ADM date is first of the month on or following date of death provided notice is given timely.

If notice is not timely, use first of the month 3 months back.  i.e. application processed 5/15/18, ADM date would be 2/1/2018.
The employee is responsible for paying premiums associated with the delay in processing.
State Group Life
















Employee only needs to complete an application if they have no other eligible dependents to cover and they are cancelling the Spouse/Dependent coverage.














If terminating Spouse/Dependent coverage and the
application is received timely, ADM is first of the month on
or following the date of death.

If the application is not timely, and death is prior to the first of the
preceding calendar year, use the first of that preceding year. i.e.
application processed 5/15/2018, date of death was 11/2/2015. ADM is
dated 1/1/2017.

If the application is not timely, and death occurred within the calendar year, ADM is equal to January 1st of the current year.

The employee is responsible for paying premiums associated with the delay in processing.

Remind employee to review beneficiary designations.

Individual
& Family Life










Employee must complete an application for the death of a spouse.  If the death is of a dependent child, an application is only needed if this is the only child being covered.








If the application is timely, the ADM Event is first of the month on or following the date of death.

If the death is more than 12 months prior to the first of the preceding calendar year, the ADM Event is first of the preceding year. i.e. application processed 5/15/2018, death was 11/2/2015 ADM is dated 12/1/2016.

The employee is responsible for paying premiums associated with the
delay in processing.

Remind employee to review beneficiary designations.
Securian Accident
Insurance







Employee must complete an application if coverage level is change.

Employee may keep family \ Employee & Spouse \ Employee & Children coverage if eligible dependents remain on plan.




ADM date is first of the month on or following date of death provided notice is given timely.

If notice is not timely, use first of the month 3 months back. i.e. application processed 5/15/18, ADM date would be 2/1/2018. The employee is responsible for paying premiums associated with the delay in processing.

Remind employee to review beneficiary designation.
Accidental
Death &
Dismemberment


Employee must complete an application to change to a single plan if the dependent is the last eligible dependent.



The ADM Event is first of the month on or after the date of death regardless of whether it was reported timely.  Premiums will be refunded to the employee.

Remind employee to review beneficiary designations.
Flexible Spending Accounts



Employee must complete and submit a Change of Election Form within 30 days of the death to change elections for thecurrent year.

Employee may decrease or cease election amounts due to the loss of a dependent.  Employee may not increase elections.
ADM Event is dated first of the month on or after the date of death.




Health Savings Account





Employee may add/change/cancel election at any time during a calendar year.

Employee may claim the deceased dependent's medical claims.

Employee should be reminded to update beneficiaries if needed

FSA or ADM Event is dated first day of the payroll when the change becomes effective.







Additional Resources

Related KBs:

Related Links:

Get Help

  • Click HERE to contact UW Shared Services or HERE for the Office of Technology Services (OTS) Helpdesk if you have any issues with these instructions.


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Keywords:deceased, child, grandchild, beneficiary, beneficiaries, death of employee, death of dependent BN, Benefits BN, Benefits   Doc ID:88617
Owner:Christina S.Group:UW–Shared Services
Created:2018-12-20 10:56 CSTUpdated:2020-11-30 09:54 CST
Sites:Human Resource System (HRS), UW-La Crosse, UW–Shared Services
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