There are several website links below that contain information for plan participants enrolled in the State Employees Group Insurance Program. For example, members can view information regarding the health, pharmacy, dental, vision and life insurance benefits by clicking on the Benefit Plans link. Members can view the Benefits Handbook, as well as the Benefit Choice Booklet for the current plan year by clicking on the appropriate link under Benefit Program Books. A list of current plan administrators for each benefit plan, as well as the contact information for the Group Insurance Division, is located under the Contact Information link. All benefit forms are listed under the Forms link and are grouped by benefit type. All optional benefit programs are listed under either the Optional Pretax Programs link or the Other Programs link. Rates for the current plan year are available under the Rates and Calculators link. Please scroll down to view a list of all available website links.
- Affordable Care Act tax Forms 1095-B and 1095-C - Per IRS guidance, Forms 1095-B and 1095-C are for record keeping purposes only and are not required to be filed with a participant’s 2016 tax return. You do not need this form to file your taxes. The forms are proof of the 2016 offer and enrollment in health insurance coverage. The information on these forms indicates that the participant and any spouse or dependent were offered coverage and the respective enrollments, if any, for each month during 2016. 02/03/2017
- The Affordable Care Act requires issuers of insurance and some employers to send Forms 1095-B and 1095-C to members. A list of Frequently Asked Questions has been compiled for those who are anticipating these forms. 02/06/17
- The 2016 Commuter Savings Program (CSP) pretax maximum amount for bus, train and vanpooling expenses incurred for work-related commuting costs has increased from $130 to $255 per month effective immediately for the February 2016 benefit month. 01/07/16
- FAQs regarding the impact of the budget impasse on State employee and retiree group insurance coverage. 09/25/15
- NOTICE REGARDING BUDGET IMPACT on Group Insurance. 09/18/15
- Effective July 1, 2015, CVS/caremark is the new prescription benefit manager (PBM) for the self-insured health plans of the Quality Care Health Plan (administered by Cigna), Coventry OAP and HealthLink OAP. 06/29/15
- Notice Regarding QCHP and QCDP Claim Payment Delay. Updated Daily
The State offers several health plan options that include prescription benefits. Other benefits included in the benefit plans are vision, dental, life insurance coverage and behavioral health coverage. Outside the Benefit Choice enrollment period, members may change coverage elections only when a qualifying change in status occurs.
All available benefit plans and programs are explained in detail in the Member Handbook and Benefit Choice Options Booklet. Also included are amendments that update the handbook and a summary document indicating the benefit levels of the Quality Care Health Plan (QCHP).
Members of the State of Illinois Group Insurance Program may now view their group insurance benefits information online. Online statements are updated the first Saturday of each month. The benefit information reflected is as of the first of the month.
Information regarding continuation of coverage.
Whenever questions arise, plan participants have various resources they can use. On the Contact Information page, members may view the phone number for the Group Insurance Division, a listing of agency/university group insurance representatives as well as links for all of the state insurance plan administrator websites.
Coverage elected during the annual Benefit Choice Period remains in effect throughout the entire plan year, unless the Member experiences a Qualifying Change in Status or a special enrollment event which would allow them to change their coverage elections.
Coverage is available for eligible dependents, including spouses, children and unrelated same-sex domestic partners.
Members not currently enrolled in the health, dental, vision and prescription coverage offered by the State due to waiving or opting out may enroll in the Program during the annual Benefit Choice Period or upon experiencing a qualifying change in status.
Employees who either go on or return from a leave of absence have certain rights and responsibilities regarding their insurance coverage. Employees should read the documents regarding leaves of absence in order to be aware of those rights and responsibilities and to prevent unwanted termination of coverage.
Members on a leave of absence may pay for their group insurance premiums electronically by using E-Pay. E-Pay is a system developed by CMS Group Insurance and the Illinois Treasurer's Office to provide a quick and convenient way for members of the State Employees Group Insurance Program to pay group insurance premiums online.
Information regarding Medicare and how it affects your group insurance coverage.
The State is required to provide certain federal notices regarding their privacy and insurance coverage.
The State allows for employee, annuitants and survivors who meet certain criteria to opt out or waive coverage.
The State offers three programs which save employees valuable tax dollars.
In addition to the insurance coverage and pretax programs the State offers, employees are offered additional benefits when adopting a child, when needing support and information during difficult times, when participating in an approved smoking cessation or weight loss program.
Members may view contact information, including phone numbers and addresses, for all plan administrators via these links.
Members can view health, dental and life coverage rates, as well as Quality Care Health Plan deductibles and family caps. Members interested in adding a non-IRS domestic partner, civil union partner, child of a civil union partner or an adult veteran child can view the premiums and imputed income associated with those types of dependent coverage. Full-time employees can calculate the applicable contributions for coverage. Part-time employees are responsible for a portion of the State’s contribution for their health, dental and dependent coverage. Part-time employees should contact the group insurance representative at their agency for rate information.
The State offers many valuable wellness programs to help keep our members healthy and help our members get healthier. The goal is for all State members to lead better, more satisfying lives. This Wellness Chart lists many of the wellness benefits currently available to members through their health plans, most free of charge.