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 or 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, payroll@cityofmadison.com, 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 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/Form | Completed By | Submit To |
|---|---|---|
| Personnel Action | Payroll Clerk or Human Resources | Central Payroll via entry in MUNIS |
| W-4 or update via Employee Self Service (ESS) online | Employee | Central Payroll/ESS |
| Wisconsin Withholding Agreement or update via Employee Self Service (ESS) online | Employee | Central Payroll/ESS |
| WRS Beneficiary Designation, Complex Designation Form | Employee | ETF |
| ETF (Health insurance) and/or WRS Address/Name/Sex Update Form | Employee | Human Resources |
| Dental Enrollment/Change/Waiver (English) | Dental (Spanish) | Employee | Human Resources |
| Vision Enrollment/Change/Waiver (English) | Vision (Spanish) | Employee | Human Resources |
| Life Insurance Enrollment Change Form | Employee | Human Resources |
| Wage Insurance (Short/Long Term Disability Insurance) Enrollment/Change Form | Employee | Human Resources |
Deferred Compensation: | Employee | Online or as form instructs |
| Flexible Spending: Permitted Election Change Form | Employee | Human Resources |
| Family Partner Designation Form | Employee | Human 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/Form | Completed By | Submit To |
|---|---|---|
| Self-Identification Form | Employee | Human Resources |
| ETF (Health insurance) and/or WRS Address/Name/Sex Update Form | Employee | Human Resources |
| Dental Enrollment/Change/Waiver (English) | Dental (Spanish) | Employee | Human Resources |
| Vision Enrollment/Change/Waiver (English) | Vision (Spanish) | Employee | Human Resources |
Address Change
| Task/Form | Completed By | Submit To |
|---|---|---|
| Personnel Action in ESS | Employee | Central Payroll via ESS |
ETF (Health insurance) and/or WRS *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. | Employee | Human Resources |
| Dental Enrollment/Change/Waiver (English) | Dental (Spanish) | Employee | Human Resources |
| Vision Enrollment/Change/Waiver (English) | Vision (Spanish) | Employee | Human Resources |
| Deferred Compensation: Fidelity | MissionSquare | Employee | Online where possible, otherwise via email to HR |
| Flexible Spending: Permitted Election Change Form | Employee | Online where possible via TASC portal, otherwise submit form to Human Resources |
| Family Partner Designation Form | Employee | Human 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/Form | Completed By | Submit To |
|---|---|---|
| WRS Beneficiary Designation, Complex Designation Form | Employee | ETF |
| Life Insurance Enrollment Change Form | Employee | Human Resources |
| Wage Insurance (Short/Long Term Disability Insurance) Enrollment/Change Form | Employee | Human Resources |
| Protective Services employees with Police and Fire only: Occupational Death Form | Employee | Human Resources |
| Deferred Compensation: Fidelity | MissionSquare | Employee | Online 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/Form | Stipulation | Completed By | Submit To |
|---|---|---|---|
| W-4 or update via Employee Self Service (ESS) online | May be needed | Employee | Central Payroll/ESS |
| Wisconsin Withholding Agreement or update via Employee Self Service (ESS) online | May be needed | Employee | Central Payroll/ESS |
| WRS Beneficiary Designation, Complex Designation Form | May be needed | Employee | ETF |
| Health Insurance Application | Time Limits Apply | Employee | Human Resources |
| Dental Enrollment/Change/Waiver (English) | Dental (Spanish) | Time Limits Apply | Employee | Human Resources |
| Vision Enrollment/Change/Waiver (English) | Vision (Spanish) | Time Limits Apply | Employee | Human Resources |
| Life Insurance Enrollment/Change Form | Time Limits Apply | Employee | Human Resources |
| Wage Insurance (Short/Long Term Disability Insurance) Enrollment/Change Form | May be needed | Employee | Human Resources |
| Deferred Compensation: Fidelity | MissionSquare | May be needed | Employee | Online or as form instructs |
| Flexible Spending: Permitted Election Change Form | Time Limits Apply | Employee | Human Resources |
| Family Partner Designation Form | Required if a designation is in force | Employee | Human 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 forms to Human Resources. If sufficient documentation is not immediately available, we recommend you submit any benefit change forms to HR first – as soon as possible after an eligible qualifying event – to ensure you do not miss the deadline. Although documentation can be brought to HR later, please note that in-person document verification still needs to be completed by HR staff no later than the deadline for the qualifying event.
If you believe you will not be able to present sufficient documentation by the qualifying event deadline (for example, if you need to order a new birth certificate and it will arrive after the deadline), you must notify HR at benefits@cityofmadison.com before the deadline and share your expected timeline to have documentation in hand.
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 after the divorce date, or ASAP if it has already been more than 30 calendar days after the divorce date.