Manage Benefits

Guidelines for managing your benefits

On this page, you can find information and instructions on managing your benefits as a qualifying IU resident, including:

You must enroll in your benefits within 30 days of your hire date, within 30 days of a qualifying life event, or during the annual open enrollment period each fall.

Not sure if you’re eligible? View the IU Residents page for details. Learn more about additional benefits on the Graduate Medical Education website.

Enroll or waive benefits outside the 30-day period

You can only enroll or waive your coverage outside of the 30-day new hire enrollment period if you or your eligible dependent experiences an IRS-qualifying life event (such as marriage, birth, loss of other coverage, or departure from/arrival to the U.S.).

Important notes:

  • You must make changes within 30 days of the event.
  • Pregnancy is not a qualifying life event.
  • Newborns are automatically covered for their first 31 days as long as you are covered under the plan on the child’s date of birth, and the newborn is an eligible dependent (see below).

How to make changes:

  1. Go to the Employee Center on One.IU.
  2. In Benefit Details, submit a Life Event Change.
  3. Provide any necessary documentation (e.g., marriage certificate, birth certificate).

View more dependent eligibility guidelines

You may make changes to your plan within 30 days of an IRS-qualified life event (after 30 days, you’ll need to wait until Open Enrollment). To submit your Life Event change, log in to the Employee Center through One.IU, select the Benefit Details tile, then the Life Events tile.

For each eligible dependent you add, you will need to provide:

  • Full name
  • Date of birth
  • Social Security Number

If you are adding a family member who has never been covered under your benefits, you will also need to submit the proper documentation to verify their relationship to you (e.g., marriage or birth certificate).

Your dependent child’s health coverage may continue beyond age 26 if they are fully disabled. For the purposes of determining eligibility for IU-sponsored health coverage, a child qualifies for disabled child eligibility if they are:

  • fully disabled, that is, incapable of engaging in self-sustaining employment because of a mental, intellectual, or physical impairment; and
  • primarily dependent on the resident for support and maintenance and does not have personal resources sufficient to be fully self-supporting (for example, trust funds or settlements); and
  • unmarried; and
  • covered under the resident’s IU-sponsored health plan at the time he/she reaches age 26.

You must provide written notification that your child meets the criteria for disabled child eligibility at least 30 days before their coverage would normally end because of their age (turning 26).

You’ll also need to provide additional written documentation and medical certification within 120 days after your child would typically lose eligibility. The university may ask for proof that your child still meets the requirements for disabled dependent coverage. If you don’t provide this information, your child’s coverage could end.

Contact askhr@iu.edu for questions or to request the form to certify your child as a disabled dependent.

Newborn children are covered automatically from the moment of birth for a period of 31 days if (1) you are covered under an IU-sponsored healthcare plan on the child's date of birth and (2) the newborn meets the definition of eligible dependent.

However, for claims to be processed for that 31-day period and for continued coverage beyond the first 31 days, you must enroll the child in your IU-sponsored coverage within 30 days after the child’s birth by (1) submitting a Life Event change through the Employee Center and (2) providing proof that the newborn is a qualified dependent (i.e., birth certificate, or hospital birth certification until birth certificate is available).

Add a child

An individual can’t receive benefits from more than one IU-sponsored health plan simultaneously. This includes being covered as a resident on multiple plans, being covered as both the resident and a dependent, or being the dependent of more than one resident or employee.

The resident must notify the university in writing of any change that affects their dependent’s eligibility, for example, marriage or divorce.

A medical or dental plan enrollee ceases to be a covered dependent on the date they no longer meet the definition of a dependent, regardless of when notice is given to the university.

The resident is responsible for notifying the university in writing within 30 days to initiate any reduction in premium contribution. Failure to provide timely notice to the university can jeopardize COBRA benefits and result in additional costs to the resident. There may also be tax consequences when coverage is provided for ineligible dependents.

Notify us of dependent ineligibility

Losing coverage? Learn about COBRA

If you’re worried about losing health care coverage due to a job change, or if your spouse or dependent loses IU-sponsored health coverage because of changes in your family situation, you can find information about continuing coverage under COBRA.

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