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  1. CMS
  2. Employee Services
  3. Benefits
  4. State Employee Benefits

FY2013 Rates 

 

Employee Health Contributions

While the state covers most of the cost of employee health coverage, employees also make monthly salary-based contributions. Employees who retire, accept a voluntary salary reduction, or return to State employment at a different salary may have their monthly contribution adjusted based upon the new salary (this applies to employees who return to work after having a 10-day or greater break in State service after terminating employment – this does not apply to employees who have a break in coverage due to a leave of absence). Employees who reside in Illinois but do not have access to a managed care plan may be eligible for a lower health plan contribution. Contact the CMS Group Insurance Division, Analysis and Resolution Unit at (800) 442-1300 or (217) 558-4671.

 

Employee Annual Salary Employee Monthly Health Contributions
$30,200 & below
Managed Care: $47.00
Quality Care: $72.00
$30,201 - $45,600
Managed Care: $52.00
Quality Care: $77.00
$45,601 - $60,700
Managed Care: $54.50
Quality Care: $79.50
$60,701 - $75,900
Managed Care: $57.00
Quality Care: $82.00
$75,901 & above
Managed Care: $59.50
Quality Care: $84.50

Monthly Optional Term Life Insurance Contributions

 

Member by Age Monthly Rate per $1,000
Under 30 $0.06
Ages 30 - 34 $0.08
Ages 35 - 39 $0.10
Ages 40 - 44 $0.10
Ages 45 - 49 $0.16
Ages 50 - 54 $0.24
Ages 55 - 59 $0.44
Ages 60 - 64 $0.66
Ages 65 - 69 $1.28
Ages 70 - 74 $2.06
Ages 75 - 79 $2.06
Ages 80 - 84 $2.06
Ages 85 - 89 $2.06
Age 90 and above $2.06
Accidental Death & Dismemberment $0.02
Spouse (for $10,000 coverage)* $6.00
Dependent Children (for $10,000 coverage) $0.70
* Spouse life coverage will reduce to $5,000 when an annuitant turns age 60.
However, child life coverage will remain at $10,000 for both active members and eligible annuitants.

Dependent Monthly Health Contributions

Monthly dependent contributions are in addition to employee health contributions. Dependents must be enrolled in the same plan as the Member. Medicare dependent contributions apply only if Medicare is PRIMARY for both Parts A and B. Members with questions regarding Medicare status may contact the CMS Group Insurance Division, Medicare Coordination of Benefits (COB) Unit at (800) 442-1300 or (217) 782-7007.

Health Plan Name and Code One Dependent Two or More Dependents One Medicare A and B Primary Dependent Two or More Medicare A and B Primary Dependents
BlueAdvantage HMO
(Code: CI)
$80
$110
$75
$110
Health Alliance HMO
(Code: AH)
$94
$133
$89
$133
HealthLink OAP
(Code: CF)
$105
$149
$102
$149
HMO Illinois
(Code: BY)
$83
$116
$79
$116
Coventry HMO
(Code: AS)

$92
$130
$88
$130
Coventry OAP
(Code: CH)

$92
$130
$88
$130
Quality Care
Health Plan
(Code: D3)
$196
$226
$142
$203

Quality Care Health Plan Deductible Amounts

 

Quality Care Health Plan (QCHP)
Employee's Annual Salary
(Based on each employee's annual salary as of April 1st)
Member Plan
Year Deductible
Family Plan
Year Deductible Cap
$60,700 or less
$300
$750
$60,701 - $75,900
$400
$1000
$75,901 and above
$450
$1125
Retiree/Annuitant/Survivor
$300
$750
Dependents
$300
NA

Member and Dependent Dental Contributions

 

Dental Plan Name Member Only Member Plus 1 Dependent Member Plus 2 or more Dependents
Quality Care $11.00 $17.00 $19.50