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University Human Resource Services

Indiana University
Benefits Change Connection

Same-sex Domestic Partners

See also: Domestic Partner Benefits

The commencement of a domestic partnership will allow you to enroll a registered domestic partner and qualified children of the partner in IU benefit plans. Likewise, termination of a domestic partnership makes a partner and his or her child ineligible for benefits.

To enroll a domestic partner in IU benefit plans, you must first register the partnership.

Allowed and required changes correspond to those described for a spouse under Marriage and Divorce/legal separation.

To make changes to any of the plans listed immediately below, you will need to complete Step 1 the Change of Status form and Step 2 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.

Dental plan

Medical plan

Personal Accident Insurance plan

Tax Saver Benefit


You may also want to consider making changes to the plans listed below. Such changes 1 do not require completion of a change of status form and 2 can be done at any time.

Change Beneficiaries on Retirement and Insurance plans

IU Tuition Benefit (formerly Fee Courtesy)

Personal Data Change Form (PDF)



To register a same-sex domestic partnership:

  1. Print the Affidavit of Domestic Partnership.
  2. Consult an attorney and tax advisor concerning any legal or tax obligations that may be created by the affidavit.
  3. Submit the affidavit and required supporting documentation to University Human Resource Services (Attention: COBRA Specialist, Poplars E165, Bloomington) for review.

A copy of the approved affidavit will be returned to you.


To terminate your registration of a same-sex domestic partnership:

  1. Complete the Termination of Domestic Partnership form.
  2. Return the form to University Human Resource Services (Attention: COBRA Specialist, Poplars E165, Bloomington) within 30 days of the dissolution.

To certify a same-sex domestic partner and/or children of the partner as an IRS-defined tax dependent:

  1. Read the section, Tax Information on the University Human Resource Services Web site. This is important because both the university's and employee's cost of providing domestic partner benefits is considered taxable employee income by the IRS.
  2. If a domestic partner and/or a domestic partner's children are IRS-defined tax dependents of the employee, the employee should submit the Certification of Tax-Qualified Dependents form.
  3. Return the form to University Human Resource Services (Attention: COBRA Specialist, Poplars E165, Bloomington).