University Human Resources
Eligibility and Enrollment Guidelines
Fellowship Recipients are those with an award of $3,470 or more each semester, Fall and/or Spring, and enrolled in a minimum of six credit hours each semester (summer excluded).
Dependents that are eligible for medical and dental care coverage are:
- The Fellowship Recipient’s spouse* or registered domestic partner** and/or
- Children who meet all of the following criteria:
- The child has one of the following relationships to the Fellowship Recipient, spouse, or registered domestic partner:
- A biological child; or
- A lawfully adopted child; or
- A stepchild of the Fellowship Recipient; or
- A child for whom the Fellowship Recipient or spouse has been legally appointed sole guardian for an indefinite period of time; and
- The child is age 25 or under (eligibility ends at the end of the month in which the child reaches age 26), or qualifies for Disabled Child Eligibility.
* A spouse means one by marriage, either opposite-sex or same-sex, legally entered into in one of the 50 states, the District of Columbia, or a U.S. territory or a foreign country. Spouses qualify for preferential federal tax treatment of health care benefits, but may not qualify for preferential state tax treatment depending on their state of residency. In order to correctly apply state taxes, a same-sex spouse must be registered with the University.
** While Domestic partners and their children are eligible for IU-sponsored health care plan coverage, registered domestic partnerships, civil unions or similar formal relationships recognized under state law are not recognized by the IRS for preferential tax treatment. The value of benefits provided to these individuals is added to the Fellowship Recipient’s taxable income unless they can also be claimed as a tax exemption by the Fellowship Recipient.
Disabled Child Eligibility
A Fellowship Recipient’s covered dependent child's medical coverage may be continued beyond the maximum age for coverage if the child meets the definition of "fully disabled." Proof that the child is fully disabled must be submitted in writing no later than 30 days prior to the date that dependent coverage would have ceased. The University has the right to require, at reasonable intervals, proof that the child remains fully disabled, is dependent on the Fellowship Recipient for financial support, and otherwise satisfies the IRS criteria as a dependent.
Domestic Partner Eligibility
IU-sponsored benefits are extended to same-sex domestic partners of Indiana University Fellowship Recipients and associated children. In order to be eligible for IU-sponsored medical and dental plan enrollment, the individual must meet IU's criteria for a domestic partner and be registered by the Fellowship Recipient with the University by submitting an Affidavit of Domestic Partnership and supporting documentation as is required by the Affidavit. Children (biological, adopted, or qualified legal wards) of a registered domestic partner are eligible if they meet the same eligibility requirement as children of the Fellowship Recipient or Fellowship Recipient’s spouse with regard to age, and/or disabled child eligibility.
Click here for additional information about eligibility requirements for domestic partners.
The newborn child of a covered Fellowship Recipient will be covered immediately from birth for the first 31 days if (1) the Fellowship Recipient was covered under the Plan on the child's date of birth, and (2) the newborn meets the definition of eligible dependent. Notice to the Plan Administrator does not add the newborn to the Fellowship Recipient’s medical or dental plan. In order for the newborn to have coverage beyond the first 31 days, the Fellowship Recipient must (1) enroll for dependent coverage, or add the dependent to existing coverage by submitting applicable forms to the Human Resources office within 30 days after the child's birth (even if the Fellowship Recipient is currently enrolled in Family or Fellowship Recipient/Child coverage) and (2) pay any contributions for the newborn child to continue as a covered dependent.
Adding and Dropping Dependents Mid-Year
Outside the announced annual enrollment period, a dependent can be dropped or added only if the Fellowship Recipient experiences an IRS-defined Change in Status, for example: marriage, divorce, or loss of coverage under the spouse's health plan. Changes must be made within 30 days of the date of the Change in Status.
No individual may be eligible for benefits under more than one IU-sponsored health plan. Ineligible coverage includes an individual covered as:
- the Employee/Fellowship Recipient on more than one plan, or
- as both an Employee/Fellowship Recipient and a Dependent, or
- a Dependent of more than one Employee/Fellowship Recipient.
Duty to Notify of Ineligibility
The Fellowship Recipient is responsible for notifying the University in writing of any change that affects the Fellowship Recipient’s dependent eligibility, for example, marriage or divorce. A medical or dental plan enrollee ceases to be a covered dependent on the date the enrollee no longer meets the definition of a dependent, regardless of when notice is given to the University. The Fellowship Recipient is responsible for notifying the University in writing within 30 days.
Coverage is not activated until the Fellowship Recipient’s award information has been approved in the system. Until health plan coverage is activated, the Fellowship Recipient may need to pay health care costs out-of-pocket and file claims once coverage is activated.
Fellowship Recipient coverage will terminate when:
- The Fellowship Recipient ceases to be a member of the eligible class for coverage.
Dependent coverage ends on the date the dependent no longer meets the criteria for dependent eligibility.
For information on continuation of coverage in the event of loss of health care coverage, please refer to the information on COBRA.