To be eligible to participate in the State Employee Group Insurance Plan, members:
- Must meet vesting requirement of qualifying service as a Tier I (five years of service) or Tier II (10 years).
- Must elect to receive a lifetime monthly benefit from SURS.
The State Employee Group Insurance Plan (SEGIP) includes health, vision, dental, life and prescription insurance.
The Illinois Department of Central Management Services (CMS) determines the cost of this insurance. SURS has no information regarding the future costs for state of Illinois health insurance. Currently, the state covers 5 percent of the total insurance premium for each year of qualified service. Members who have 20 years or more of service credit receive premium-free health insurance.
Value of Benefit
CMS estimates the value of a retiree’s SEGIP coverage over their lifetime is approximately $250,000 (this assumes one dependent). If you meet eligibility requirements and do not take a lifetime monthly benefit, you will give up the opportunity to participate in this insurance plan.
- State Insurance Retiree Health Insurance Brochure
- Claims Appeal Process
- Forms and Guides
- Moving Out of State
- Responsibilities of SURS and CMS
List of Central Management Services (CMS) publications regarding claims, rates, and HIPPA guidelines.
The MMP allows Plan Participants to obtain a 61-90 day supply of maintenance medication for two retail co-payments. High blood pressure, high cholesterol, and birth control are examples of maintenance medication. CVS-Caremark is the new Prescription Benefit Manager (PBM) for participants enrolled in the Quality Care Health Plan (QCHP), Self-Insured Managed Care Health Plans - Coventry Health Care OAP and HealthLink OAP.
Click here for more information from Central Management Services.
Public Act 92-0600 (Opt Out) enables State of Illinois full-time employees, retirees/annuitants, and survivors to elect not to participate in the health, dental, and vision coverage of the Group Insurance Program if proof of other major medical coverage can be provided.
This document describes how your medical information may be used and disclosed and how you can get access to this information.