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Enroll in or Change Supplemental Life Insurance

Supplemental Life Insurance is an elected benefit that is paid for by the employee. Basic Life Insurance coverage is provided to eligible employees without cost, courtesy of Indiana University. Before enrolling in or making changes to the plan, review the Supplemental Life Insurance site for important information on plan provisions, premiums, and eligibility.

Enroll in Supplemental Life Insurance

  • If you are enrolling in coverage within 30 days of becoming eligible, your enrollment can be processed by submitting a completed Enroll/Change/Terminate form (PDF) to the IU Human Resources office.
  • Evidence of Insurability is required if:
    • You are enrolling in coverage within 30 days of becoming eligible AND enrolling in the maximum coverage option, OR
    • You are enrolling in coverage more than 30 days after first becoming an eligible employee.

If Evidence of Insurability is required:

  1. Complete the appropriate Medical History Statement form according to your state of residence
  2. Complete the Enroll/Change/Terminate form (PDF)
  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.

Change Supplemental Life Insurance

  • To increase your level of coverage at any time after the initial 30 day period, Evidence of Insurability is required. To make a change:
    1. Complete the appropriate Medical History Statement form according to your state of residence
    2. Complete the Enroll/Change/Terminate form (PDF)
    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.

Terminate Supplemental Life Insurance

  • Terminate Supplemental Life Insurance at any time by submitting a completed Enroll/Change/Terminate form (PDF) to the IU Human Resources office.

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