Retirees
Personal Accident Insurance

An IU Retiree may convert their Personal Accident Insurance (PAI) to an individual policy if:

• the Retiree is under age 70, and
• conversion takes place within 31 days after the date on which group coverage terminates

Summary of actions the participant must take:

1. To convert to an individual policy, submit the application to the designated policy underwriter at the address on the application within 31 days after the date on which group coverage terminates. The employer portion of the application form must be completed by the campus HR office.
2. Pay the initial premium to the address on the application within 31 days after the date that group coverage terminates.
3. Pay subsequent premium payments on time.
4. Notify the policy underwriter if the need arises to change a beneficiary.
5. Notify the policy underwriter of address and name changes.