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
SECTION 2210.210 MEMBER ELIGIBILITY


 

Section 2210.210  Member Eligibility

 

a)         The following individuals are eligible to enroll in the Program as a Member:

 

1)         Employees

 

A)        Newly-hired Employees will be eligible as of the first day of active State service, and

 

B)        An Employee who would also otherwise be eligible as a Dependent must be enrolled as a Member.

 

2)         Retired Employees.  A Retired Employee who: 

 

A)        Is not Medicare-primary due to age or disability, and resides within the United States or a U.S. Territory, shall be eligible.

 

B)        Is Medicare-primary due to age or disability, and resides within the United States or a U.S. Territory, shall be eligible only for the TRAIL Program regardless of the Medicare eligibility status of an enrolled Dependent.

 

3)         Annuitants.  An Annuitant who: 

 

A)        Is not Medicare-primary due to age or disability, and resides within the United States or a U.S. Territory, shall be eligible.

 

B)        Is Medicare-primary due to age or disability, and resides within the United States or a U.S. Territory, shall be eligible only for the TRAIL Program regardless of the Medicare eligibility status of an enrolled Dependent.

 

4)         Survivors.  A Survivor who:  

 

A)        Is not Medicare-primary due to age or disability, and resides within the United States or a U.S. Territory, shall be eligible.

 

B)        Is Medicare-primary due to age or disability, and resides within the United States or a U.S. Territory, shall be eligible only for the TRAIL Program, regardless of the Medicare eligibility status of an enrolled Dependent.

 

(Source:  Amended at 48 Ill. Reg. 9547, effective June 20, 2024)