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Dependent Becomes Ineligible

The information on this page is related to dependents aging off of your plan. If your dependent gained coverage due to another reason, choose that type of event from the home page.

Dependent Reaches Age 26

When a dependent child reaches age 26, they are no longer eligible for most IU-sponsored dependent benefits, unless they are fully disabled (see below). The university has an internal means of identifying when a child becomes ineligible due to age, therefore the termination of their medical and dental coverage and their COBRA offer are processed automatically.

This means you do not need to submit an online life event change for your medical or dental coverage. The child will be removed from your plan(s) at the end of the month when they turn age 26, and your coverage level will be automatically adjusted if needed (for example, moving you from employee with child to employee only coverage).

While your medical and dental coverage is automatically changed, there are other benefit changes you can make when your child turns age 26. To request these changes, you must submit a life event change request through the Employee Center. Review the list of benefits below for details.

Disabled Dependent Reaches Age 26

A fully disabled child who reaches age 26 must apply for disabled child eligibility to continue coverage under most plans. If the child does not meet the disabled child requirements, their medical and dental coverage will be discontinued at the end of the month in which they turn age 26, and COBRA will be offered. However, if they are certified as fully disabled, they will continue to be eligible as long as their disability continues and they remain financially dependent on you. The university will request recertification of disabled status periodically.

Note: If your child stops being your dependent under the IRS support test, you are responsible for notifying the university within 30 days of their loss of eligibility.

Benefits You Can Change

Supplemental Accidental Death & Dismemberment (AD&D) Insurance

You may take the following actions:

  • Decrease your coverage level.

Flexible Spending Accounts (FSA)

You may take the following actions. The change must be consistent with the life event.

  • Decrease your Healthcare FSA election (if already enrolled)  
  • Decrease your Dependent Care FSA election (if already enrolled).

Make this change within 30 days of the event by submitting a Life Event change through the Employee Center.

Health Savings Account (HSA)

Removing your ineligible dependent from your medical coverage mid-year may result in your coverage level changing (for example, from employee with child to employee only). This means that your annual HSA contribution limit may decrease, resulting in a situation where you may need to change or stop your HSA contributions, or remove excess contributions from your account, to remain under the annual limit.

You are responsible for tracking your contributions to ensure you don’t exceed the IRS annual contribution limits. If removing your dependent results in excessive contributions, you must work with Nyhart to resolve the issue. See the Instructions for IRS Form 8889 or contact a tax advisor for additional information.

Make this change within 30 days of the event by submitting a Life Event change through the Employee Center. If you enroll in the HSA or change your HDHP coverage level on or after September 1, you will not receive IU’s contribution to your HSA for the remainder of the calendar year.

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