Gain or Loss of Non-IU Medical Insurance

Accepted documentation for gain of non-IU coverage:

• Confirmation statement of benefits that outlines the coverages (i.e., medical/dental/vision), enrollee(s), and effective start date of coverage.
• Letter from employer’s human resources department or insurance company that outlines coverages (i.e., medical/dental/vision), covered person(s), and effective start date of coverage.

Accepted documentation for loss of non-IU coverage:

• COBRA letter from the former employer (please provide a full copy)
• Letter from employer’s human resources department or insurance company that indicates what coverage(s) are terminating (i.e., medical/dental/vision), covered person(s) and effective termination date of coverage(s).

In addition, when newly adding a spouse and/or dependent(s) due to loss of non-IU coverage, dependent documentation (i.e. marriage certificate, birth certificate, etc.) must be submitted.

You may take the following actions. The action must be consistent with the qualifying event.

• Change your level of coverage by adding or removing dependents.
• Cancel medical and/or dental coverage if you have enrolled in coverage elsewhere.
• Enroll in a medical and/or dental plan if you lost eligibility elsewhere.

You may take the following actions:

• Change the level of coverage, add coverage, or terminate coverage.

You may take the following actions:

• Change the amount of your allocation for health care and dependent care reimbursement accounts.

If you enroll in a high deductible health plan (HDHP) you are also eligible to enroll in a Health Savings Account (HSA). Once enrolled, you may change your contribution amount at any time by completing an HSA Enrollment/Change form.

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

NOTE: if you enroll in the HSA or change your HDHP coverage level on or after October 1, you will not receive IU’s contribution to your HSA for the remainder of the calendar year.