Indiana University
Benefits Change Connection
Medicaid or Medicare Eligibility
A change in eligibility for Medicaid, Medicare, or other federal/state agency benefits will allow you to make changes to your benefit plans outside of Open Enrollment. The eligibility change can be experienced by one of the following:
- Employee
- Spouse
- Dependent
To make changes to any of the plans listed immediately below, you will need to complete 
the Change of Status form and 
the subsequent personalized benefit enrollment form. Step-by-step instructions appear on the respective plan pages below. You must make the change within 30 days of becoming eligible for Medicaid
or Medicare.
- Add or discontinue coverage for the affected individual(s) (yourself, your spouse or your dependents).
- Enroll in or drop coverage if the employee had the change in eligibility.
- Add or discontinue coverage for the affected individual(s) (yourself, your spouse or your dependents).
- Enroll in or drop coverage if the employee had the change in eligibility.
Health Care:
- Add, increase or decrease coverage.
(Consistency rule is satisfied if change corresponds with change of status that affects either eligibility for coverage under Plan or eligibility of expenses under applicable IRS regulations.)
