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Vision Plan Administrator
Vision services, benefits, network providers, claim forms and filings. |
EyeMed Vision Care
Out-of-Network Claims
P.O. Box 8504
Mason, OH 45040-7111 |
www.eyemedvisioncare.com/stil
(866) 723-0512
(800) 526-0844 (TDD/TTY) |
Life Insurance Plan Administrator
Life insurance coverage and claim information. |
Minnesota Life Insurance Company
536 Bruns Ln, Unit 3
Springfield, IL 62702 |
http://web1.lifebenefits.com/lbwcm/pd/illinois
(888) 202-5525
(800) 526-0844 (TDD/TTY) |
Deferred Compensation Program
Long-term supplemental retirement savings program. Provides investment opportunities with payroll deducted, pretax dollars. |
CMS Deferred Compensation Division
801 S. 7th Street
P. O. Box 19208
Springfield, IL 62794-9208 |
www.state.il.us/cms/employee/defcom
(800) 442-1300
(800) 526-0844 (TDD/TTY) |
FSA Plan Administrator
Information on (MCAP/DCAP) and claim eligibility. |
Fringe Benefits Management Company,
A Division of WageWorks
P. O. Box 1810
Tallahassee, FL 32302-1810 |
www.myfbmc.com
(800) 342-8017
(800) 955-8771 (TDD/TTY)
(866) 440-7152 (toll-free fax) |
Commuter Savings Program (CSP)
Information on setting aside pretax dollars for transportation and parking expenses. |
Fringe Benefits Management Company,
A Division of WageWorks
P. O. Box 1810
Tallahassee, FL 32302-1810 |
www.myfbmc.com
(800) 342-8017
(800) 955-8771 (TDD/TTY)
(866) 440-7152 (toll-free fax) |
Health/Dental Plans, Medicare COB Unit, FSA Unit, COBRA Unit, Life Insurance, Adoption and Smoking Cessation Benefits
General information on the state health plans or other benefits. |
CMS Group Insurance Division
801 S. 7th Street
P. O. Box 19208
Springfield, IL 62794-9208 |
www.benefitschoice.il.gov
(217) 782-2548
(800) 442-1300
(800) 526-0844 (TDD/TTY) |
Quality Care Health Plan (QCHP) Medical Plan Administrator
Medical service information, claims forms, ID cards, claim filing/resolution, and pre-determination of benefits |
Cigna
Group Number 3181456
Cigna HealthCare
P. O. Box 182223
Chattanooga, TN 37422 |
www.cigna.com/stateofil
(800) 962-0051
(800) 526-0844 (TDD/TTY) |
QCHP Notification and Medical Case Management Administrator
Notification prior to hospital services. Noncompliance penalty of $800 applies. |
| Cigna |
(800) 962-0051
(800) 526-0844 (TDD/TTY) |
QCHP, HealthLink OAP and Coventry OAP
Prescription Drug Plan Administrator
Information on prescription drug coverage, pharmacy network, mail order drug, specialty pharmacy, ID cards and claim forms filing. |
Express Scripts
Group Number 1400SD3
Paper Claims:
Express Scripts
P.O. Box 14711
Lexington, KY 40512
Mail Order Prescriptions:
Medco Pharmacy
P.O. Box 30493
Tampa, FL 33630-3493 |
www.express-scripts.com
(800) 899-2587
(800) 759-1089 (TDD/TTY) |
QCHP Behavioral Health Administrator
Mental Health and Substance Abuse notification, authorization, claims forms and claim filing/resolution. |
Magellan Behavioral Health
Group Number 3181456
P. O. Box 2216
Maryland Heights, MO 63043 |
www.MagellanHealth.com
(800) 513-2611
(800) 526-0844 (TDD/TTY) |
Employee Assistance Program (EAP)
Confidential assistance and assessment services, ID cards. |
Magellan Behavioral Health
(for non-AFSCME represented employees) |
www.MagellanHealth.com
(866) 659-3848
(800) 456-4006 (TDD/TTY) |
| Personal Support Program (PSP-AFSCME EAP) |
AFSCME Council 31
(for AFSCME represented State employees)
No address required. |
www.afscme31.org
(800) 647-8776
(800) 526-0844 (TDD/TTY) |
Quality Care Dental Plan (QCDP) Administrator
Dental services, claim forms, ID cards and filing. |
Delta Dental of Illinois
Group Number 20240
P.O. Box 5402
Lisle, IL 60532 |
http://soi.deltadentalil.com
(800) 323-1743
(800) 526-0844 (TDD/TTY) |
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