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Indiana University

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.

Dental plan

Medical plan

Tax Saver Benefit


You may also want to consider making changes to the plans listed below. Such changes empty do not require completion of a change of status form and empty 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.

 

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

Change of Status form  HTML PDF