Delta 牙科 of Illinois

组# 20240

• Employees have the option to enroll in 牙科 Only coverage.
• 注意: If you enroll in both health & dental coverage, dependents 必须的镜子 coverage of the member.

For assistance call 800-323-1743

(HMO) 健康 Maintenance Organization

BlueAdvantage HMO (Group Number B06800)

HMO Illinois (Group Number H06800)

Blue Cross Blue Shield OAP (Group Number 263995) 

管理式医疗保健计划通过网络供应商系统提供医疗保健. 参与者必须从参与网络中选择初级保健医生(PCP) 供应商. All routine medical care, hospitalization, and referrals for specialized 医疗护理必须在初级保健医生的指导下进行协调. 综合医疗福利提供较低的自付费用 网络供应商. There are no annual 计划 deductibles for medical services; however 每个计划参与者每年都有150美元的处方免赔额. 只有通过PCP协调医疗服务时，才适用共同支付.

For assistance call 800-868-9520

 

(PPO) Preferred  Provider Organization

群组号码285658

由AETNA管理的质量保健健康计划(QCHP)是一种传统的赔偿 health 计划 which offers a comprehensive range of benefits. Under this 计划 participants 可以选择任何医生或医院接受医疗服务，可以选择任何药房开具处方吗 药物. 计划参与者将获得更高的福利，从而降低自付费用 costs if participant utilizes:

• PPO Hospitals for Inpatient and Outpatient 服务.
• CVS Caremark
  (An annual $150 deductible will be applied to each 计划 participant)

For assistance call 800-628-3323

基本 -定期人寿保险自动免费提供给雇员 through (CMS) Central Management 服务. Active, non-retired Employees are insured for an amount equal to their annual basic salary.

可选 – Additional life Insurance coverage is available up to 8X the basic salary.

意外死亡 & 解体  -雇员的保险范围等于他们的基本保险选择，或高达 combined amount of their basic & 可选的保险.

配偶 & 孩子 – Available at a flat rate.

For assistance call 800-880-6394

Provided at no additional cost to employees and their dependents.. 计划参与者 are eligible to receive the following benefits:

服务	Network Provider 好处	Out-of Network Provider 好处
Spectacle Lenses(single, bifocal and trifocal)	30美元费用	$30 allowance for single vision lenses
标准框架	$30自付(最多$175零售框架成本:会员负责余额 $175)	80美元的津贴
隐形眼镜(所有的隐形眼镜都是代替标准镜框和眼镜的)	120美元的津贴	120美元的津贴
For additional information contact the Plan administrator 眼部视力护理.

中央管理服务集团保险部提供免费保密咨询 通过麦哲伦行为管理的员工援助计划(EAP)提供服务 健康. 在职国家雇员及其家属参加的国家雇员 Group Insurance Program may access this benefit. This includes active employees who opt-out or waived health and dental coverage. The program offers professional guidance and assistance to help individuals going through difficulty times. 请致电(833) 955-3400和访问权限 Click here to access the website. 

根据国家协商，计划管理员可能会有变动:请 contact the Office of 人力资源 for assistance. 

 摩天观景轮

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Employees MUST Re-Enroll Each Year

伊利诺伊州中央管理服务部(CMS)提供两种灵活支出 账户的程序: 

• The Medical Care Assistants Plan (MCAP) - The MCAP maximum contribution limit is $3,050 for the FY24 计划 year period. Funds must be used within the 计划 year, July 1, 2023 – June 30, 2024, and all claims must be submitted by September 30, 2024. 翻转 of unused FY24 funds will be capped at $610.
  未重新参加新计划年度的参与者将丧失任何符合条件的金额 对翻转.
• Dependent Care Assistants Plan (DCAP). HSA类似于医疗保健方面的401(k)计划，但HSA的税收优惠要大得多.  HSA是一个税收优惠的计息账户，活跃的国家雇员可以使用 use to pay for qualified medical expenses now, or in the future.  (任何未使用的DCAP funds at the end of the 计划 year will be forfeited (June 30).

For assistance call 888-469-3363

Employees MUST Re-Enroll Each Year

HSA类似于医疗保健方面的401(k)计划，但HSA的税收优惠要大得多. 这是一种税收优惠的计息帐户，可供在职的国家雇员使用 to pay for quallfied medical expenses now, or in the future. Active State employees 谁符合资格(见下面的HSA资格)，可以储蓄或投资账户资金. 与消费者驱动的健康计划(CDHP)相结合，HSA是一个强大的金融工具 tool that gives you more control of your healthcare decisions. 

You cannot be enrolled in both an HSA and MCAP Flexible Spending Account.

 

For assistance call 888-469-3363

提供退休，残疾，死亡和幸存者福利，符合条件的社会保障计划的参与者 和领年金者. Eligible employees are automatically enrolled in 苏尔 when employment 开始. 在你工作期间，你不需要支付社保 如果你是雇主，那么你就没有资格享受社会保险.

作为新会员，您必须在前6个月内选择退休计划 关于你的工作. Your choice will depend on the types of benefits you wish to receive 在未来，以及你想要在决定的个人参与的程度 where and how your contributions are invested. 苏尔 members must choose one of three retirement options: Traditional Plan, Portable Plan or Self-Managed Plan.

注意:如果你在录用之日起六个月内没有做出决定，你将被解雇 will remain in the Traditional Plan. This default enrollment is also irrevocable. 

 

For assistance call 800-275-7877

中央管理事务部/风险管理处负责管理 the Workers’ 补偿 Program for State of Illinois employees. The Early Intervention 由CareSys管理的项目旨在确保受伤的州政府雇员 在工作中，接受高质量的医疗护理，并确保其完全康复. 芝加哥 州立大学员工因工受伤需要医疗 care should follow the steps listed below:

• Report the injury immediately to your supervisor.
• 联系校园警察局寻求帮助并提交警方报告(773) 995-2111.
• 联系人力资源部领取工人补偿包 以及申请索赔的程序说明:188bet金宝搏官网登录网址， Office of 人力资源, 9501 S. King Drive/ADM, 芝加哥 Illinois, 60628, phone (773) 995-2040 or fax (773) 995-2942.
• 位于ADM-103的校园健康中心可以为学生提供帮助 injured employee until outside medical care can be rendered.
• 如果受伤需要医疗护理，雇员可以选择在哪里获得医疗护理 治疗:
  (1)通过员工自己的初级保健医生(有账单和医疗费用) documentation submitted to CSU Office of 人力资源).
  -OR-
  (2)可在位于900 E的Concentra医疗中心接受治疗. 103圣. 芝加哥，伊利诺斯州60628(如果CMS发现索赔不可赔偿的雇员 will be responsible for the bills incurred).

要提出索赔，必须填写或提供必要的表格 由:1)员工，2)员工主管，3)证人，4)医疗文件， 5)医疗帐单，并由人力资源办公室收到，其中提出索赔 will be submitted to CMS for review. If the claim is compensable, CMS will pay the associated medical bills; however, if the claim is reviewed and determined non-compensable, the employee should file the bills with their own health insurance company.