Vice President for Human Resources

When a new child is added to your household, it is considered a change in family status and allows you to add your dependent to your current plan mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

Step 2:

You will need to upload one of the following documents to verify the change:

• Hospital birth records, birth confirmation, or
• School records demonstrating that the parent of the child is the employee or spouse, or
• Naturalization certificate (if born outside of the US) or Consular report of birth abroad, or 
• Adoption certificate from your country of origin 

After changing your benefits you will receive a confirmation email. Please remember without proper documentation the benefits will not be effective. The staff benefits department must receive a copy of one of the above documents and the Social Security number of your new dependent must be entered in EBenefits within 31 days of the date of change; otherwise, you will have to wait until the next open enrollment to add the dependent to your benefits. If you do not have your Social Security number or records within 31 days, please contact the benefits department to request an extension.

You may add your new dependent to the following benefits:

• Health Plan (Social Security number required)
• Dental
• Life insurance (do not forget to change beneficiary, if needed)
• Accidental Death & Dismemberment
• Dependent Care FSA
• Legal Plan

When you get married, it is considered a change in family status and allows you to add your spouse to your current plan mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

Step 2:

You will need to upload one of the following documents to verify the change:

• Marriage Certificate 

After changing your benefits you will receive a confirmation email. Please remember without proper documentation the benefits will not be effective. The benefits department must receive a copy of one of the above documents and the Social Security number of your spouse must be entered in EBenefits within 31 days of the date of change; otherwise, you will have to wait until the next open enrollment to add the dependent to your benefits.

You may add your new spouse to the following benefits:

• Health Plan (Social Security number required)
• Dental
• Life insurance (do not forget to change beneficiary, if needed)
• Accidental Death & Dismemberment
• Legal Plan

Also, do not forget to update your name and/or address, if needed, in the Employee Self Service portal at OnePurdue Portal.

Beginning

After one year in a same-sex domestic partner relationship, you can add your partner and their dependents and it is considered a change in family status and allows you to make changes to and enroll in benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

Step 2:

You will need to upload the affidavit; both the University employee and same-sex domestic partner must sign, attesting that the employee and partner are:

• The same sex.
• Not legally married to anyone.
• Eighteen (18) years of age or older.
• Not related by blood closer than would bar marriage in the state of Indiana.
• Mentally competent to consent to contract.
• Each other’s sole same-sex domestic partner and intend to remain so indefinitely and are emotionally and financially responsible for each other’s common welfare.
• In a relationship that has been in existence for twelve (12) consecutive months or more, and have shared a residence for twelve (12) consecutive months or more.

This change allows you to add both the partner and their dependents to your coverage. The dependents cannot be added without adding the partner. To add your partner’s dependents, you will need to provide a copy of one of the following documents and enter the dependent’s Social Security number:

• Hospital birth records, birth confirmation, or
• School records demonstrating that the parent of the child is the employee or spouse, or
• Naturalization certificate (if born outside of the US) or Consular report of birth abroad, or 
• Adoption certificate from your country of origin 

After changing your benefits you will receive a confirmation email. Please remember without proper documentation the benefits will not be effective. The benefits department must receive a copy of one of the above documents and the Social Security number of your same-sex domestic partner must be entered in EBenefits within 31 days of the date of change; otherwise, you will have to wait until the next open enrollment to add the dependent to your benefits.

You may add your new dependents to the following benefits:

• Health Plan (Social Security number required)
• Dental
• Life insurance (do not forget to change beneficiary, if needed)
• Accidental Death & Dismemberment
• Legal Plan

Ending

If a same-sex domestic partnership ends, it is considered a change in family status and allows you to make changes to and enroll in benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

Step 2:

You will need to upload the termination form; both the University employee and same-sex domestic partner must sign the termination:

• Same-Sex Domestic Partnership Termination Form

The benefits department must receive a copy of the above document within 31 days of the date of change.
You should drop your dependents from the following benefits:

• Health Plan
• Dental
• Life insurance (do not forget to change beneficiary, if needed)
• Accidental Death & Dismemberment
• Legal Plan

Arrival

When one or more of your dependents arrive in the U.S.A, this is considered a change in family status and allows you to make changes to and enroll in benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

Step 2:

You will need to upload documentation showing date of arrival (i.e. visa) and one of the following documents to verify the change:

• Spouse
  • Marriage certificate, or
  • Tax return for prior or current year; must clearly list employee, spouse and Social Security number (black out financial info)
• Dependent
  • Hospital birth records, birth confirmation, or
  • School records demonstrating that the parent of the child is the employee or spouse, or
  • Naturalization certificate (if born outside of the US) or Consular report of birth abroad, or 
  • Adoption certificate from your country of origin 
  
  The benefits department must receive a copy of the above documents and dependent’s Social Security number within 31 days of the date of change; otherwise, you will have to wait until the next open enrollment to add your spouse to your benefits.
  
  You may add your new dependents to the following benefits:
  • Health Plan (Social Security number required)
  • Dental
  • Life insurance (do not forget to change beneficiary, if needed)
  • Accidental Death & Dismemberment
  • Legal Plan

Departure

When one or more of your dependents departs from the U.S.A, this is considered a change in family status and allows you to make changes to and enroll in benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

The benefits department must receive notification of the change within 31 days of the date of change.

You may drop your dependents from the following benefits:

• Health Plan (Social Security number required)
• Dental
• Life insurance (do not forget to change beneficiary, if needed)
• Accidental Death & Dismemberment
• Legal Plan

Death of a dependent is considered a change in family status and allows you to make changes to and drop benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

You should drop your dependent from the following benefits:

• Health Plan
• Dental
• Life insurance (do not forget to change beneficiary, if needed)
• Accidental Death & Dismemberment
• Legal Plan

Also, do not forget to update your name and/or address, if needed, in the Employee Self Service portal at OnePurdue Portal.

When your marriage ends in divorce or annulment, it is considered a change in family status and allows you to make changes to and enroll in benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

Step 2:

You will need to upload the following documents to verify the change:

• Copy of Divorce Decree/Court Documents

The benefits department must receive a copy of the above documents within 31 days of the date of change. If you do not receive a copy of the court documents within the 31 days, please contact Purdue Benefits for an extension.

You should drop your dependent from the following benefits:

• Health Plan
• Dental
• Life insurance (do not forget to change beneficiary, if needed)
• Accidental Death & Dismemberment
• Legal Plan

Also, do not forget to update your name and/or address, if needed, in the Employee Self Service portal at OnePurdue Portal.

When you receive a judgment/decree/court order for coverage, it is considered a change in family status and allows you to make changes to and enroll in benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

Step 2:

You will need to upload the following documents to verify the change:

• Copy of Judgment/Decree or Court Documents

The benefits department must receive a copy of the above documents and the dependent’s Social Security number within 31 days of the date of change. If you do not receive a copy of the court documents within the 31 days, please contact Purdue Benefits for an extension.

You may add your new dependents to the following benefits:

• Health Plan (Social Security number required)
• Dental
• Life insurance (do not forget to change beneficiary, if needed)
• Accidental Death & Dismemberment
• Legal Plan

When you, your spouse or dependents lose your coverage, it is considered a change in family status and allows you to make changes to and enroll in benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

Step 2:

You will need to upload one of the following documents to verify the change:

• You will need to provide proof that coverage was terminated
  AND
• Provide documentation to verify dependent eligibility from the list below. 

Spouse

• Marriage certificate, or 
• Tax return for prior or current year; must clearly list employee, spouse and Social Security number (black out financial info) 

SSDP

• Affidavit of same-sex domestic partnership.

Dependent

• Hospital birth records, birth confirmation, or
• School records demonstrating that the parent of the child is the employee or spouse, or
• Naturalization certificate (if born outside of the US) or Consular report of birth abroad, or 
• Adoption certificate from your country of origin 

The benefits department must receive a copy of the above documents and the dependent’s Social Security number within 31 days of the date of change; otherwise, you will have to wait until the next open enrollment to add your spouse and/or dependents to your benefits.

You may add your new dependents to the following benefits:

• Health Plan (Social Security number required)
• Dental
• Life insurance (do not forget to change beneficiary if needed)
• Accidental Death & Dismemberment
• Legal Plan

When you begin an unpaid leave, it is considered a change in family status and allows you to un-enroll in benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

You may drop the following benefits:

• Health Plan
• Dental
• Life insurance
• Accidental Death & Dismemberment
• Legal Plan

When you return from an unpaid leave, it is considered a change in family status and allows you to re-enroll in benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

When you and/or your dependents gain coverage under another plan, it is considered a change in family status and allows you to make changes to and drop benefits mid-year. To report this change, sign on to EBenefits, Purdue's online benefits system. Select the "My Life Event Changes" tab near the top of the screen or "Life Events" from the right-hand column. Please choose your life event and the date of the event and submit. Once you submit your life event, you will need to follow the two-step process that shows up on the right side of the screen.

Step 1:

You will need to be sure to change your benefits to reflect this change. Be sure to scroll to the bottom of the election form to initial and submit.

Step 2:

You may also drop yourself and/or your dependents from the following benefits:

• Health Plan
• Dental
• Life insurance (do not forget to change beneficiary, if needed)
• Accidental Death & Dismemberment
• Legal Plan

Also, do not forget to update your name and/or address, if needed, in the Employee Self Service portal at OnePurdue Portal.