Forms & Guides - State Employees

State Employee Insurance Plan

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
State Insurance Program Participation Election Form - Traditional and Portable 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	6
State Insurance Program Participation Election Form - 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
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
FY 2018 State Benefits Choice Handbook The State Employee Benefit Choice Period began May 1, 2017, with selections effective July 1, 2017, through June 30, 2018. 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, 2017.	FY 2018	20
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.	11/11	81
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.	11/11	67
State of Illinois Group Life Insurance Program This certificate summarizes the principal provisions of the group policy. These provisions are subject in every respect to the group policy.	03/12	27