IU-Human Resources Service CentersearchcontactChange of Status form
life event changesenroll/change benefitsFee Courtesyretirees
Indiana University

Benefits Change Connection

Birth or Adoption of a Child

The birth or adoption of a child will allow you to make changes to your benefit plans outside of Open Enrollment.

To make changes to any of the plans listed immediately below, you will need to
complete Step 1 the Change of Status form and Step 2 the subsequent personalized benefit enrollment form. Step-by-step instructions appear on the respective plan pages below. You must make the change within 30 days of the birth or adoption.

Note regarding newborn coverage:

 

Dental plan

Medical plan

Personal Accident Insurance plan

Tax Saver Benefit

Health Care:

  • Add or increase election.

Dependent Care:

  • Add or increase coverage.

 


You may also want to consider making changes to the plans listed below. Such changes do not require completion of a change of status form and can be done at any time.

Change Beneficiaries on Retirement and Insurance plans

Fee Courtesy

IU Tax Deferred Account (formerly IU Tax Deferred Annuity Plan)

IU Retirement Savings Plan

 

HTML icon = complete online and print or submit. PDF icon = download PDF, print, and complete.Forms and Publications

Change of Status form  HTMLPDF