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| | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
SB3413 Introduced 2/4/2026, by Sen. Robert F. Martwick SYNOPSIS AS INTRODUCED:
| | | Amends the State Employees Group Insurance Act of 1971. Requires the Director of Central Management Services to designate one or more individuals who are employees of the Department of Central Management Services to serve as Health Care Ombudspersons. Requires the employees that are designated as Health Care Ombudspersons to monitor and respond to members' email and telephone questions to the Department of Central Management Services regarding the benefits that are available under the Act and the eligibility of members for those benefits. Requires contact information for the Health Care Ombudspersons to be included in any communications sent by the Department of Central Management Services regarding group health insurance benefits and to be readily available on the Department's website. Specifies that the primary goal of the Health Care Ombudspersons shall be to answer questions and generate information useful to participants in the program of group health benefits provided under the Act and, when possible, to resolve any issues between members and third-party providers of services established under this Act. |
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| | A BILL FOR |
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| | SB3413 | | LRB104 18769 BDA 32212 b |
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| 1 | | AN ACT concerning government.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The State Employees Group Insurance Act of 1971 |
| 5 | | is amended by adding Section 15.2 as follows:
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| 6 | | (5 ILCS 375/15.2 new) |
| 7 | | Sec. 15.2. The Director shall designate one or more |
| 8 | | individuals who are employees of the Department of Central |
| 9 | | Management Services to serve as Health Care Ombudspersons. |
| 10 | | Employees designated as Health Care Ombudspersons under this |
| 11 | | Section shall monitor and respond to members' email and |
| 12 | | telephone questions to the Department of Central Management |
| 13 | | Services regarding the benefits that are available under this |
| 14 | | Act and the eligibility of members for those benefits. Contact |
| 15 | | information for the Health Care Ombudspersons shall be |
| 16 | | included in any communications sent by the Department of |
| 17 | | Central Management Services regarding group health insurance |
| 18 | | benefits and shall be readily available on the Department's |
| 19 | | website. The primary goal of the Health Care Ombudspersons |
| 20 | | shall be to answer questions and generate information useful |
| 21 | | to participants in the program of group health benefits |
| 22 | | provided under this Act and, when possible, to resolve any |
| 23 | | issues between members and third-party providers of services |