ADMINISTRATIVE CODE

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  3. TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
  4. PART 2210 STATE EMPLOYEES GROUP HEALTH INSURANCE PROGRAM
TITLE 80: PUBLIC OFFICIALS AND EMPLOYEES
SUBTITLE F: EMPLOYEE BENEFITS
CHAPTER I: DEPARTMENT OF CENTRAL MANAGEMENT SERVICES
PART 2210 STATE EMPLOYEES GROUP HEALTH INSURANCE PROGRAM
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SUBPART A: PURPOSE AND DEFINITIONS

Section 2210.110 Governing Authority
Section 2210.120 Purpose and Application
Section 2210.130 Definitions
Section 2210.140 Records and Certifications
Section 2210.150 Severability
Section 2210.160 Conflicting Provisions

SUBPART B: ELIGIBILITY

Section 2210.210 Member Eligibility
Section 2210.220 Dependent Eligibility

SUBPART C: ENROLLMENT

Section 2210.310 Initial Enrollment for New Employees
Section 2210.320 Initial Enrollment for New Annuitants and New Survivors Who Are Not Medicare Eligible
Section 2210.330 Initial Enrollment for New Annuitants and New Survivors Who Are Medicare Eligible
Section 2210.340 Annual Open Enrollment Period for Non-TRAIL Program Members
Section 2210.350 Annual Open Enrollment Period for Medicare-primary Members eligible for the TRAIL Program
Section 2210.360 Special Enrollment Periods
Section 2210.370 Dependent Enrollment
Section 2210.380 Time Away From Work
Section 2210.390 Opt Out or Waiver of Coverage

SUBPART D: TERMINATION

Section 2210.410 Effective Date of Termination
Section 2210.420 Termination of Coverage for Non-Payment
Section 2210.430 Continuation of Coverage

SUBPART E: PROGRAM OF BENEFITS FOR EMPLOYEES AND NON-MEDICARE PRIMARY ANNUITANTS/SURVIVORS

Section 2210.510 Program Requirements
Section 2210.520 Covered Services
Section 2210.530 Coordination of Benefits
Section 2210.540 Determining Rates and Premiums
Section 2210.550 Appeals
Section 2210.560 Requirements to Enroll in Medicare
Section 2210.570 Member Responsibilities

SUBPART F: PROGRAM OF BENEFITS FOR MEDICARE PRIMARY ANNUITANTS/SURVIVORS (TRAIL PROGRAM)

Section 2210.610 Program Requirements
Section 2210.620 Covered Services
Section 2210.630 Determining Rates and Premiums
Section 2210.640 Premium Contributions
Section 2210.650 Appeals

SUBPART G: PROGRAM FUNDING

Section 2210.710 Health Insurance Reserve Fund
Section 2210.720 Funds Outside the State Treasury
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.