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Forms & Guides - State Employees

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The following handbooks provide information regarding premiums, providers, and changes to the State Employee insurance plan. These resources are hosted on the MyBenefits website.

Document Date Pages Download

State Insurance Participation Election Form

This version is for Traditional and Portable Members Only

Eligible members who have completed the vesting requirement of qualifying service as a Tier 1 or Tier 2 employee may elect to participate in the State of Illinois Group Insurance Program at the time of their retirement. Participation in the state health/dental program is optional. Eligible members not electing to enroll with health insurance on the MyBenefits will still be eligible for and enrolled in the state life insurance program.

06/17 6 pdf icon

State Insurance Participation Election Form

This version is Self-Managed Plan Members Only

Eligible members who have completed the vesting requirement of qualifying service as a Tier 1 or Tier 2 employee may elect to participate in the State of Illinois Group Insurance Program at the time of their retirement. Participation in the state health/dental program is optional. Eligible members not electing to enroll with health insurance on the MyBenefits will still be eligible for and enrolled in the state life insurance program.

06/17 7 pdf icon

FY 2020 State Benefits Choice Handbook

The State Employee Benefit Choice Period began May 1, 2019, with selections effective July 1, 2019, through June 30, 2020. Benefit Choice is the only time, other than a qualifying change in status, that members can change plans or dependent coverage. Open Enrollment Period is May 1- June 1, 2019.

FY 2020 20 pdf icon

FY 2019 State Benefits Choice Handbook

The State Employee Benefit Choice Period began May 1, 2018, with selections effective July 1, 2018, through June 30, 2019. Benefit Choice is the only time, other than a qualifying change in status, that members can change plans or dependent coverage. Open Enrollment Period is May 1- June 1, 2018.

FY 2019 20 pdf icon

State of Illinois Employees Benefits Handbook

The State Benefits Handbook is intended to help State of Illinois Employees understand the benefits available under various State-sponsored programs.

04/19 75 pdf icon

State of Illinois Retirees and Annuitants Benefits Handbook

The State Benefits Handbook is intended to help State of Illinois Retirees and Annuitants understand the benefits available under various State-sponsored programs.

07/18 63 pdf icon

Securian Life Insurance Summary of Retiree Benefits

This brochure explains what happens to your life insurance when you retire.

04/19 4 pdf icon

Securian Term Life Certificate

This certificate summarizes the principal provisions of the group policy. These provisions are subject in every respect to the group policy.

10/16 22 pdf icon