Forms & Guides - College Insurance Plan

College Insurance Program

Benefit Choice Books

The following handbooks provide information regarding premiums, providers, and changes to the College Insurance Program (CIP). These resources are hosted on the Central Management Services(CMS) website.

Document	Date	Pages
FY 2014 CIP Benefits Choice Handbook This handbook contains information for the College Insurance Program (CIP) Benefit Choice period begins May 1, 2013. Benefit Choice is the only time, other than a qualifying change in status, that members can change plans or add/drop dependent coverage.	FY 2014	24
FY 2013 CIP Benefits Choice Handbook This handbook contains information for the College Insurance Program (CIP) Benefit Choice period begins May 1, 2012. Benefit Choice is the only time, other than a qualifying change in status, that members can change plans or add/drop dependent coverage.	FY 2013	23
CIP Benefits Handbook This Benefits Handbook is intended to assist Plan Participants in the Program understand and become familiar with the benefits available under the College Insurance Program(CIP).	11/11	58

College Insurance Program Forms

• Benefit Recipient Enrollment Form
• Delta Dental Claim Form
• Dependent Enrollment/Change Form
• Health Alliance Illinois Prescription Mail Order Form
• Healthlink OAP Prescription Mail Order Form
• Medco Prescription Claim Form
• Medco Prescription Mail Order Form