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State Employees' Group Insurance Program 

DEVA - Dependent Eligibility Verification AuditTo ensure that only eligible dependents are covered under the State Employees Group Insurance Program, CMS has retained the services of HMS Employer Solutions (HMS) to conduct a Dependent Eligibility Verification Audit.  (Important Update was added to the DEVA page regarding mailing dates for Active State Employees and University Employees 11/22/2013)



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.


LATEST NEWS

  • NEW!! The new TRAIL website has been launched and contains important information for retired members who are enrolled in Medicare Parts A and B. Medicare primary members should use the new website at www.cms.illinois.gov/thetrail to review information about these plans and the enrollment period as new information will be posted to that site as it comes available.  11/04/13
  • Effective with the November 2013 benefit, administration of the State of Illinois sponsored Commuter Savings Program (CSP) will move to a new system supported by WageWorks, Inc (WageWorks).  09/03/13
  • Notice Regarding QCHP and QCDP Claim Payment Delay. Updated Daily.

Archived Notices

At-a-Glance Charts

Benefit Plans

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.

Benefit Program Books

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).

Benefit Statements

Benefit Statements

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.

COBRA

Information regarding continuation of coverage.

Contact Information

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.

Changing Your Coverage

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.

Dependent Coverage

Coverage is available for eligible dependents, including spouses, children and unrelated same-sex domestic partners.

Enroll after Opting Out or Waiving Coverage

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.

Forms

Members can view all group insurance forms.

Leaves of Absence

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. E-Pay

Members on a leave of absence may pay for their group insurance preimums 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.

Medicare

Information regarding Medicare and how it affects your group insurance coverage.

Notices

The State is required to provide certain federal notices regarding their privacy and insurance coverage.

Opt Out/Waiver of Coverage

The State allows for employee, annuitants and survivors who meet certain criteria to opt out or waive coverage.

Optional Pretax Programs

The State offers three programs which save employees valuable tax dollars.

Other Programs

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 and when participating in an approved smoking cessation program.

Plan Administrators

Members may view contact information, including phone numbers and addresses, for all plan administrators via these links.

Rates and Calculators

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.