State Employees Group Insurance Program

Contact MyBenefits Service Center (toll-free) 844-251-1777 or 844-251-1778 (TDD/TTY) with questions on how to enroll, or about navigating MyBenefits.illinois.gov. Representatives are available Monday - Friday, 8 AM - 6 PM CT.

Latest News

The Fall 2019 Flu Shot Schedule has now been posted.

Please check the links below to see where you can receive your Free Seasonal Flu Shot vaccinations for State Employees and Retirees

Beginning in September, the Department of Central Management Services will be providing free seasonal flu immunizations to State of Illinois employees, retirees and survivors enrolled in either the Quality Care Health Plan (QCHP), a State-sponsored managed care plan or one of the TRAIL MAPD plans.

To Receive the Seasonal Vaccination at No Charge

• Each employee must present his/her state health insurance card and his/her State ID card.

• Each retiree must present his/her state health insurance card and another form of ID.

NOTE: The following are NOT eligible for the free flu shot: dependents, spouses, contractual workers, consultants and students. Additionally, employees who have opted out of health insurance coverage through the state are NOT eligible for the free flu shot through this program.

Flu Shots Will Be Available at Multiple Locations

• 2019 City of Chicago Flu Schedule

• 2019 Chicago Metro Flu Schedule (Updated-All times and dates have been confirmed)

• 2019 Central and Southern IL Flu Schedule (Updated-All times and dates have been confirmed)

• 2019 Springfield Flu Schedule

Dates and times are subject to change, so check the schedule periodically.

In addition, many county health departments have partnered with the State to provide flu shots at no charge to eligible State of Illinois employees and retirees. Individuals interested in obtaining a flu shot from a health department should contact the appropriate county health department directly to learn the dates and times the shots are scheduled to be administered.

Updated: October 02, 2019

State of Illinois and AFSCME Agreement Ratified:

A new agreement between the State of Illinois and AFSCME was ratified on June 22, 2019.

The contract amends the group health insurance contribution amounts for Members and their Dependents effective January 1, 2020. Contribution amounts will vary based on the Member's salary band and the chosen health plan.

Due to these changes, CMS is planning to hold a limited Special Enrollment Period during the Fall to allow Members to change health carriers effective January 1, 2020. The timing and duration of the Special Enrollment Period has not yet been determined. Please continue to monitor the website for additional details regarding Member benefits and the Special Enrollment Period.

Posted: June 27, 2019

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 2018 tax return. The forms are currently being mailed through MyBenefits and should be received by March 4, 2019 per IRS requirements. Please note: You do not need this form to file your taxes. The forms are proof of the 2018 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 2018. 1095 FAQs

Archived Notices

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).

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.

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.

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.

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.

HIPAA Privacy Notice
Required Patient Protection and Affordable Care Act Notices
Preventive Services covered under the Affordable Care Act effective July 1, 2011.

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, when participating in an approved smoking cessation or weight loss 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. 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.

Wellness Program

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.

Last Updated 10/02/2019

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State Employees Group Insurance Program

Notices

Plan Administrators