Human Resources

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• If you are enrolling in LTD coverage within 30 days of becoming eligible, your enrollment can be processed by submitting a completed LTD Enroll/Change/Terminate form to the IU Human Resources office.
• If you are enrolling in LTD coverage more than 30 days after first becoming an eligible employee, your enrollment requires Evidence of Insurability. To enroll:
  1. Complete the appropriate Medical History Statement form according to your state of residence
  2. Complete the LTD Enroll/Change/Terminate form
  3. Mail both documents to Standard Insurance Company (address noted at the top left hand corner of the Medical History Statement) for review and determination of approval. Your coverage request will be processed after the university receives notification of approval from Standard Insurance.

• If you are electing a new coverage option which provides a shorter benefit waiting period and/or the addition of the Annuity Contribution Benefit, Evidence of Insurability is required. To make changes:
  1. Complete the appropriate Medical History Statement form according to your state of residence
  2. Complete the LTD Enroll/Change/Terminate form
  3. Mail both documents to Standard Insurance Company (address noted at the top left hand corner of the Medical History Statement) for review and determination of approval. Your change request will be processed after the university receives notification of approval from Standard Insurance.
• For all other changes, submit a completed LTD Enroll/Change/Terminate form to the IU Human Resources office.

• Terminate LTD coverage at any time by submitting a completed LTD Enroll/Change/Terminate form to the IU Human Resources office.

NOTE: Re-election of coverage is subject to Evidence of Insurability.