Ill. Admin. Code tit. 80, pt. 2210

State Employees Group Health Insurance Program

AUTHORITY: Implementing and authorized by the State Employees Group Insurance Act of 1971 [5 ILCS 375]. SOURCE: Adopted at 47 Ill. Reg. 5329, effective April 3, 2023; amended at 48 Ill. Reg. 9547, effective June 20, 2024.DEPARTMENT OF CENTRAL MANAGEMENT SERVICES

2210.110Governing Authority 2210.120Purpose and Application 2210.130Definitions 2210.140Records and Certifications 2210.150Severability 2210.160Conflicting Provisions 2210.210Member Eligibility 2210.220Dependent Eligibility 2210.310Initial Enrollment for New Employees 2210.320Initial Enrollment for New Annuitants and New Survivors Who Are Not Medicare Eligible 2210.330Initial Enrollment for New Annuitants and New Survivors Who Are Medicare Eligible 2210.340Annual Open Enrollment Period for Non-TRAIL Program Members 2210.350Annual Open Enrollment Period for Medicare-primary Members eligible for the TRAIL Program 2210.360Special Enrollment Periods 2210.370Dependent Enrollment 2210.380Time Away From Work 2210.390Opt Out or Waiver of Coverage 2210.410Effective Date of Termination 2210.420Termination of Coverage for Non-Payment 2210.430Continuation of Coverage 2210.510Program Requirements 2210.520Covered Services 2210.530Coordination of Benefits 2210.540Determining Rates and Premiums 2210.550Appeals 2210.560Requirements to Enroll in Medicare 2210.570Member Responsibilities 2210.610Program Requirements 2210.620Covered Services 2210.630Determining Rates and Premiums 2210.640Premium Contributions 2210.650Appeals 2210.710Health Insurance Reserve Fund 2210.720Funds Outside the State Treasury