1. Resources for the Madison Community

    Madison stands with the families of Abundant Life community. This page is dedicated to connecting victims and the broader community to resources and accurate information about the tragic events that happened on December 16.

Changes to Employee Information

Employee Information

The City of Madison needs up to date employee home address and telephone numbers. All employees are required to provide their department/division heads or designees with up to date home addresses and telephone numbers within 10 working days of the change.

Employee information may also be changed in ESS.

Employees who wish to change their gender or racial identification with the City may fill out an Employee Self-Identification Form and submit it to Human Resources.

Central Payroll is located in Room 414 of the City-County Building, 210 Martin Luther King, Jr. Blvd.

Benefit Information

In addition, employees may have to update benefit information in the event of a change of Name, Gender, Address, Beneficiary, or Family Status. Please note that time limits may apply, and that most changes to family status and/or coverage have a 30 calendar day time limit. Human Resources recommends you reach out as soon as possible when a qualifying event will occur/has occurred to ensure your paperwork is received by the deadline.

Name Change

Task/FormCompleted BySubmit To
Personnel ActionPayroll Clerk or Human ResourcesCentral Payroll via entry in MUNIS
W-4 or update via Employee Self Service (ESS) onlineEmployeeCentral Payroll/ESS
Wisconsin Withholding Agreement or update via Employee Self Service (ESS) onlineEmployeeCentral Payroll/ESS
WRS Beneficiary Designation, Complex Designation FormEmployeeETF
ETF (Health insurance) and/or WRS
Address/Name/Gender Change Form
EmployeeHuman Resources
Health Insurance Application (ETF Instructions)EmployeeHuman Resources or ETF

Dental Enrollment/Change/Waiver:

English/Spanish

EmployeeHuman Resources

Vision Enrollment/Change/Waiver:

English/Spanish

EmployeeHuman Resources
Life Insurance Enrollment Change FormEmployeeHuman Resources
Disability Insurance Enrollment/Change FormEmployeeHuman Resources

Deferred Compensation:

Fidelity | MissionSquare

EmployeeOnline or as form instructs
Flexible Spending: Permitted Election Change FormEmployeeHuman Resources
Family Partner Designation FormEmployeeHuman Resources 

Gender Change

Please note that many systems, including payroll and health/retirement, only accept binary “male” and “female” options. The City continues to advocate for improvements to these systems. See the Gender-Inclusive Workplace Resource Guide for more information.

Task/FormCompleted BySubmit To
Self-Identification FormEmployeeHuman Resources
ETF (Health insurance) and/or WRS
Address/Name/Gender Change Form
EmployeeHuman Resources

Dental Enrollment/Change/Waiver:

English/Spanish

EmployeeHuman Resources

Vision Enrollment/Change/Waiver:

English/Spanish

EmployeeHuman Resources

Address Change

Task/FormCompleted BySubmit To
Personnel Action in ESSEmployeeCentral Payroll via ESS

ETF (Health insurance) and/or WRS
Address/Name/Gender Change Form*

*Only required if an immediate update is desired. Otherwise, this update will occur automatically for active employees enrolled in health insurance during intermittent reconciliation of payroll data and ETF data.

EmployeeHuman Resources

Dental Enrollment/Change/Waiver:

English/Spanish

EmployeeHuman Resources

Vision Enrollment/Change/Waiver:

English/Spanish

EmployeeHuman Resources

Deferred Compensation:

Fidelity | MissionSquare

EmployeeOnline where possible, otherwise via email to HR
Flexible Spending: Permitted Election Change FormEmployeeHuman Resources
Family Partner Designation FormEmployeeHuman Resources 

Beneficiary Change

A divorce, annulment, separation, or similar event will NOT invalidate a Beneficiary Designation which named a former spouse or domestic partner. To remove a former spouse or domestic partner as a beneficiary, the employee must file a new designation form. If a minor child is listed as a beneficiary, the benefit will not be distributed until a court-appointed guardian has been named. That guardian will be given limited discretion to manage the benefit proceeds.

Task/FormCompleted BySubmit To
WRS Beneficiary Designation, Complex Designation FormEmployeeETF
Life Insurance Enrollment Change FormEmployeeHuman Resources
Disability Insurance (Wage Insurance) Enrollment/Change FormEmployeeHuman Resources
Protective Services employees with Police and Fire only: Occupational Death FormEmployeeHuman Resources

Deferred Compensation:

Fidelity | MissionSquare

EmployeeOnline or as form instructs

Family Status Change

Family status changes may include marriage, divorce, the birth of a child, the adoption of a child, the pre-adoption placement of a child, the start of a permanent legal guardianship for a child under the age of 19, the death of a family member, or a dependent ceasing to be eligible for coverage due to age. Please note that legal separation is not a qualifying event to remove a spouse from health, dental, or vision insurance.

Loss of other comparable coverage and qualifying for other comparable coverage are considered qualifying events for health, dental, and/or vision insurance.

Task/FormStipulationCompleted BySubmit To
W-4 or update via Employee Self Service (ESS) onlineMay be neededEmployeeCentral Payroll/ESS
Wisconsin Withholding Agreement or update via Employee Self Service (ESS) onlineMay be neededEmployeeCentral Payroll/ESS
WRS Beneficiary Designation, Complex Designation FormMay be neededEmployeeETF
Health Insurance Application (ETF Instructions)Time Limits ApplyEmployeeHuman Resources or ETF

Dental Enrollment/Change/Waiver:

English/Spanish

Time Limits ApplyEmployeeHuman Resources

Vision Enrollment/Change/Waiver:

English/Spanish

Time Limits ApplyEmployeeHuman Resources
Life Insurance Enrollment Change FormTime Limits ApplyEmployeeHuman Resources
Disability Insurance Enrollment/Change FormMay be neededEmployeeHuman Resources

Deferred Compensation:

Fidelity | MissionSquare

May be neededEmployeeOnline or as form instructs
Flexible Spending: Permitted Election Change FormTime Limits ApplyEmployeeHuman Resources
Family Partner Designation FormRequired if a designation is in forceEmployeeHuman Resources 

Time Limits for Qualifying Events

There are time limits for form submittal due to family status changes. In order to make changes to insurance or other benefits, Human Resources must be in receipt of your benefit change form(s) by the deadline for the qualifying event. Most qualifying events have 30 calendar day deadlines to make changes to, enroll in, or cancel coverage, so HR recommends you submit any benefit change form(s) to HR as soon as possible following an eligible qualifying event to ensure you do not miss the deadline.

A limited number of qualifying events - including birth and adoption - have an extended 60 calendar day deadline to add a child to health insurance coverage. Please note that other changes to health insurance due to these qualifying events, such as changing health plans or cancelling coverage to go on a spouse's plan, still have a 30 calendar day deadline.

Documentation Requirement for Health Insurance

Effective January 1, 2025, the Department of Employee Trust Funds (ETF) will require in-person verification of legal proof of parenthood and/or marriage (e.g. birth certificate, marriage certificate, and/or court order for adoption) for all new enrollments and all enrollments or changes due to midyear qualifying events. This is in addition to existing documentation requirements for other qualifying events and benefits, such as proof of loss of coverage documentation or proof of divorce.

This expanded documentation requirement does not impact qualifying event deadlines to return benefits form(s) to Human Resources. Because of this, HR recommends you still submit any benefit change form(s) to HR as soon as possible following an eligible qualifying event to ensure you do not miss the deadline. Any required documentation can be presented for verification at a later date, as soon as it becomes available to you.

Once your documentation has been verified and ETF gives final approval to your change, health insurance coverage for you and/or your dependent(s) will backdate to the event date unless otherwise advised.

Open Enrollment Benefit Changes

During the annual Open Enrollment period, eligible employees may make changes to, enroll in, or cancel health, dental, and/or vision insurance without a qualifying event. Employees may also enroll in Flexible Spending Accounts (Healthcare Flex Spending and/or Dependent Care Assistance Program (DCAP) accounts) for the next Plan Year without a qualifying event.

Barring an eligible midyear qualifying event, the following family status changes may only be made during Open Enrollment in the fall (may not be an exhaustive list):

  • Enroll in coverage for employee, spouse, and/or dependent(s)
  • Add or drop* coverage for employee, spouse, and/or adult dependent(s), including changing coverage levels
    For health insurance only: if an employee is married and covering any dependent(s), then they must also cover their spouse per ETF regulations.
  • Spouse-to-spouse transfer of insurance coverage
  • Cancel coverage

    *Removing a former spouse and/or stepchild(ren) due to divorce must be done as soon as possible after the divorce, and cannot be done as Open Enrollment changes. Divorces must be reported to Human Resources within 30 calendar days of the divorce date, or ASAP if the divorce date has already passed.

Was this page helpful to you?