Benefits Change Connection

Change in Non-IU Coverage

The following circumstances will allow you to make changes to your benefit plans outside of Open Enrollment:

• You involuntary lose outside coverage
• Your spouse begins, loses, or changes employment or benefits at IU or elsewhere
• The premium cost of your spouse's coverage significantly increases (generally 10% or more)
• Your spouse has Open Enrollment opportunity elsewhere

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To make changes to any of the plans listed immediately below, you will need to complete the Change of Status form and 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. Changes must be consistent with the other employer's coverage change.

Dental plan
Change the number of people covered, discontinue a plan, or add a plan.

Medical plan
Change the number of people covered, discontinue a plan, or add a plan.

Personal Accident Insurance
Change the number of people covered, discontinue a plan, or add a plan.

Tax Saver Benefit
Change the amount of your allocation for health care and dependent care reimbursement accounts.

 

Forms and Publications

Change of Status form  

See Also: Selecting a Medical Plan