Benefits Change Connection
Support Order
A court support order 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 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 60 days of the order and provide a copy of the court order showing the terms and date of the order.
Note regarding an eligible child:
In order to add a child to IU benefit plans, the support order must
be one that provides for a child to meet all IU eligibility requirements,
including age, marital status, and financial dependency.
- Add/drop the dependent to/from the dental plan.
- Add coverage.
- Add/drop the dependent to/from your medical plan.
- Add coverage.
- Increase/decrease the amount of your allocation for health care and dependent care reimbursement accounts.
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
Change the beneficiaries on your base retirement and life insurance,
as well as any other supplemental plans.
Forms and Publications



