Benefits Change Connection

Enroll in or Increase Supplemental Life Insurance

Supplemental Life Insurance is an elected benefit that is paid for by the employee. Basic Life Insurance coverage is provided to eligible employees without cost, courtesy of Indiana University.

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1. Review the Supplemental Life Insurance section of the Group Life Insurance Plan booklet and choose a level of coverage.
2. Complete the Supplemental Life Insurance enrollment form and return it to the Human Resources office.
   
   Note:
   1. Eligible employees can add supplemental coverage by completing a written election form within 30 days of becoming eligible for Basic Life Insurance (generally 30 days from date of hire).
   2. If an election for supplemental coverage is made after the initial 30 day period, a Medical History Statement form will be required. See below.
   3. If an increase in supplemental coverage is elected after the initial 30 day period, a Medical History Statement form will be required. See below.