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Participant Rights and Responsibilities
Upon Transfer or Termination

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Table of Contents
 

Page contents:

Summary

Eligibility

Discontinuation of Participation

Rights and Privileges after Participation Ends

Conversion of Personal Accident Insurance

Participant Responsibilities

Customer Service


 

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Indiana University

Participant Rights and Responsibilities Upon Transfer or Termination

Section I.
Insurance Plans

Personal Accident Insurance Coverage

Personal Accident Insurance Plan Summary

Indiana University provides the opportunity for employees to purchase optional Personal Accident Insurance from $30,000 to $500,000 of coverage. The plan covers employees and their eligible dependents. Premiums are based on the level of coverage selected and are deducted from the employee's salary on a pre-tax basis.

Eligibility

All full-time Academic and Staff employees may purchase Personal Accident Insurance for themselves and their eligible dependents. A dependent is a legal spouse, registered domestic partner, unmarried child through age 20, or age 24 if the child continues to be the employee's or employee's spouse's Federal income tax dependent. No one may be covered more than once under the plan. Those covered as an employee cannot also be covered as a spouse or dependent child. Coverage for disabled dependents may be kept in force beyond the age limit if proof of incapacity and dependence are provided within 31 days of the date when coverage would have ended due to the age limit.

Discontinuation of Participation

Participation by the employee in Personal Accident Insurance ends on the date that the employee:

A dependent's coverage terminates:

Rights and Privileges after Participation Ends

The employee, and dependents in some cases, have the right to convert Personal Accident Insurance to an individual policy without showing proof of good health.

Conversion of Personal Accident Insurance

Employee Conversion. When Personal Accident Insurance ceases under the group policy due to termination of employment with the university or transfer to an ineligible class, coverage may be converted to an individual policy without providing proof of good health. Conversion coverage is only available if the employee is under age 70.

Dependent Conversion. Dependents may also convert group coverage when they cease to be eligible for any reason except age. Dependents must apply for conversion within 31 days after their group coverage ends.

Participant Responsibilities

Summary of actions the participant must take to convert to an individual policy:

  • Obtain a conversion form from CIGNA or University Human Resource Services by calling the numbers listed below.
  • Return the application to the designated policy underwriter at the address on the application within 31 days after the date on which group coverage terminates.
  • Send the initial premium to the address on the application within 31 days after the date that group coverage terminates.
  • Pay subsequent premium payments on time.
  • Notify the policy underwriter of beneficiary changes.
  • Notify the policy underwriter of address and name changes.

Customer Service

To obtain an application to convert Personal Accident Insurance to an individual policy, contact University Human Resource Services at 1-812-855-2007 or call Cigna at 1-800-441-1832. The University Human Resource Services office will complete the employer portion of the application upon your request.

CIGNA can also assist with questions about:

 

Page updated: 11 May 2012
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