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

Upcoming Benefit Choice Member Fairs - Mark Your Calendars: 

  • Session 1 (for State Employees & Retirees)
    Monday, May 3, 2021 10:00 AM CT


  • Session 2 (for State Employees & Retirees)
    Thursday, May 6, 2021 10:00 AM CT


  • TRIP/CIP Session (for Retirees of the Teachers' Retirement Insurance Program (TRIP) and College Insurance Program (CIP))
    Tuesday, May 11, 2021 10:00 AM CT


  • Session 3 (for State Employees & Retirees)
    Thursday, May 13, 2021 10:00 AM CT



  • Session 4 (for State Employees & Retirees)
    Thursday, May 20, 2021 10:00 AM CT


IRS Approves MCAP/DCAP Extensions for Enrollees

Per the guidance of Notice 2021-15, the IRS has extended and added to the temporary COVID-19 flexibility for MCAP and DCAP for both FY21 and FY22 plan years.

Summary of Changes Permitted by the State of Illinois Plan
(for a more detailed summary of the guidance, read IRS Notice 2021-15, and FSA Adopted Changes)

  1. Members will receive Election Flexibility
    • Members may enroll in MCAP or increase the amount of their election during the year without experiencing a qualifying event,
    • Members can make any changes to their DCAP election during the year without experiencing a qualifying event.
  2. Members will be allowed to carry over their full unused balances for both MCAP and DCAP for the FY21 and FY22 plan years.








7997de90-b95c-49a5-96be-a156d6dd7771.png

Welcome to Be Well Illinois, the State of Illinois' new comprehensive wellness program designed to help you be well, live well and stay well.  

As a wellness program member, you have direct access to resources to support your overall health and wellbeing on your terms and at your pace. Be Well Illinois was developed to help you create and maintain an active lifestyle, provide access to mental health awareness materials and treatment, financial services, nutritional information and group and individual exercise programs. These benefits, in addition to preventive care visits, health screenings and immunizations like the flu shot, are offered at no-cost to you.

Engaging with Be Well Illinois is quick and easy. Visit the Be Well Illinois website to access wellness webinars, the latest information from health plan partners, monthly health awareness education and much more.


Follow us on Facebook to join special wellness challenges, motivational messages and to engage with a community of your peers who are striving to live healthier in 2021 and beyond.




Please see below for a video message from CMS Director Janel Forde. 

12a27118-7088-440c-8d89-1e20ad35de36.png



Going forward, all wellness webinars will be stored on the new Be Well Illinois website.

Updated COVID-19 Information Available Here.



Coronavirus (COVID-19) Important Information

In response to COVID-19, the Illinois Department Central Management Services' (CMS) Bureau of Benefits (Benefits) is working to mitigate any adverse health and financial impacts to our members who may be affected, either directly or indirectly. We are committed to ensuring that our members do not experience any issues regarding access to care and have appropriate resources readily available.

Benefits continues to provide uninterrupted service to our members. We suggest you take advantage of MyBenefits.illinois.gov, or MyBenefits Service Center (toll-free) 844-251-1777 from 8:00 AM – 6:00 PM CT, Monday through Friday to address your benefit and enrollment questions. If you have a concern that cannot be addressed by MyBenefits, please contact CMS at (toll-free) 800-442-1300, select the appropriate option and leave a message. A representative will return your call within 24 hours Monday through Friday.

The State of Illinois' response to Coronavirus (COVID-19) can be found at the following sites, including new information on COVID-19 vaccination:

For more additional information related to COVID-19, we encourage members to refer to the US Centers for Disease Control and Prevention and World Health Organization websites for the most current information.



Click the links below for more information:



Employee Assistance and Support Programs

COVID-19 Benefit Update – All Benefit Choice and TRAIL MAPD Plans

Flexible Spending Accounts (FSAs)

Health Plan Administrators

Additional Plan Information

COVID-19 Benefit Update

  • COVID-19
    • COVID-19 diagnostic test and exam: Covered at 100%; no member cost share
    • COVID-19 vaccination: Covered at 100%; no member cost share
  • Visit a doctor from home
    • Many health plans are covering in-network Telehealth Services* (electronic or telephonic) at 100%; no member cost share

      *Consumer Driven Health Plan enrollees must first meet their deductible unless the service is deemed preventive, per IRS rules.
  • For specific questions related to your coverage, please contact your plan administrator directly. Plan administrator information, including links to COVID-19 information and resources, is listed below for your convenience.

 


 

Flexible Spending Accounts (FSAs)

In accordance with recent IRS guidance, CMS is updating Medical Care Assistance Program (MCAP) and Dependent Care Assistance Program (DCAP) rules.

  • The CARES Act expands the FSA eligible expense list to include over-the-counter medicines and menstrual products, retroactively to January 1, 2020.
  • Extension of FY20 MCAP and DCAP funds as of June 30, 2020 will not be forfeited. You may submit claims incurred through December 31, 2020.
  • Enrollment or increases to FY21 MCAP allowed through December 31, 2020 with no "qualifying change in status."
  • All changes to FY21 DCAP allowed through December 31, 2020 with no "qualifying change in status."
  • Rollover for unused FY21 MCAP funds into FY22 will increase to $550.00.
  • Dependent Care Assistance Program (DCAP) – A significant change in the cost of dependent care is a qualifying event to change your DCAP election. Visit MyBenefits.illinois.gov and utilize the Self-Service tools, or call MyBenefits Service Center (toll-free) at 844-251-1777 and request a Significant Change in Daycare Provider Costs event. You will be required to provide documentation or a written statement explaining the change for the event to be processed.

     

Flexible Spening Accounts (FSAs)

In accordance with recent IRS guidance, CMS is updating Medical Care Assistance Program (MCAP) and Dependent Care Assistance Program (DCAP) rules.

  • The CARES Act expands the FSA eligible expense list to include over-the-counter medicines and menstrual products, retroactively to January 1, 2020.
  • Extension of FY20 MCAP and DCAP funds as of June 30, 2020 will not be forfeited. You may submit claims incurred through December 31, 2020.
  • Enrollment or increases to FY21 MCAP will be allowed through December 31, 2020 with no "qualifying change in status."
  • All changes to FY21 DCAP will be allowed through December 31, 2020 with no "qualifying change in status."
  • Rollover for unused FY21 MCAP funds into FY22 will increase to $550.00.
  • Dependent Care Assistance Program (DCAP) – A significant change in the cost of dependent care is a qualifying event to change your DCAP election. Visit MyBenefits.illinois.gov and utilize the Self-Service tools, or call MyBenefits Service Center (toll-free) at 844-251-1777 and request a Significant Change in Daycare Provider Costs event. You will be required to provide documentation or a written statement explaining the change for the event to be processed.

 

View up to date information on how Illinois is handling the Coronavirus Disease 2019 (COVID-19) from the Illinois Department of Public Health


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 2019 tax return. The forms are currently being mailed through MyBenefits and should be received by March 2, 2020 per IRS requirements.  Please note: You do not need this form to file your taxes. The forms are proof of the 2019 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 2019.   1095 FAQs 


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 July 1, 2020.  Contribution amounts will vary based on the Member's salary band and the chosen health plan.
 Amended: January 13, 2020      

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. E-Pay

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.

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.