Benefits

Delta Dental of Illinois

Group# 20240

• 员工可以选择只参加牙科保险.
• Note: 如果你参加了两种健康保险 & 牙科保险，家属保险 must mirror coverage of the member.

咨询电话800-323-1743

(HMO)健康维护组织

蓝优健保组织(集团编号B06800)

伊利诺伊州HMO(组号H06800)

蓝十字蓝盾退休津贴计划(组别编号263995) 

Managed Care Health Plans provide health care through a system of network Providers. Participants must select a Primary Care Physician (PCP) from a network of participating providers. 所有的日常医疗护理，住院治疗，以及专科转诊 medical care must be coordinated under the direction of your primary care physician. Comprehensive medical benefits are offered at lower Out-of-Pocket cost by utilizing network Providers. There are no annual plan deductibles for medical services; however there is a $150 annual prescription deductible applicable for each plan participant. Only a co-payment applies when the medical services are coordinated through the PCP.

求助电话:800-868-9520

 

(PPO)优先供应商组织

Group Number 285658

The Quality Care Health Plan (QCHP) administered by AETNA is a traditional indemnity 提供全面福利的健康计划. 在这个计划下，参与者 can choose any physician or hospital for medical services and any pharmacy for prescription drugs. Plan participants receive enhanced benefits resulting in lower out-of-pocket 参与者使用的费用:

• PPO医院的住院和门诊服务.
• CVS Caremark
  (每位计划参与者每年可获$150免赔额)

咨询电话:800-628-3323

Basic – Term life insurance coverage is provided automatically at no cost to employees 通过(CMS)中央管理服务. 在职、非退休雇员投保 领取相当于基本年薪的津贴.

Optional -额外的人寿保险覆盖范围高达基本工资的8倍.

Accidental Death & Dismemberment  – Coverage for employees is equal to their basic insurance election, or up to the 它们的基本量之和 & optional insurance.

Spouse & Child – Available at a flat rate.

咨询电话:800-880-6394

向雇员及其家属免费提供.. Plan participants 有资格获得以下福利:

Services	Network Provider Benefits	网络外提供商利益
眼镜镜片(单焦点、双焦点和三焦点)	$30 co-payment	单视力镜片补贴30美元
Standard Frames	$30 co-payment (Up to $175 retail frame cost: member responsible for balance over $175)	$80 allowance
Contact  Lenses (All contact lenses are in lieu of standard frames and spectacle lenses)	$120 allowance	$120 allowance
有关其他信息，请与计划管理员联系 EyeMed Vision Care.

Central Management Services Group Insurance Division provides free confidential counseling services through the Employees Assistance Program (EAP) administered by Magellan Behavioral Health. Active State Employees and their Dependents participating in the State Employees 团体保险计划可以获得此福利. 这包括积极的员工 选择退出或放弃健康和牙科保险. 该项目提供专业指导 帮助个人度过困难时期. Please call (833) 955-3400 and access 点击这里进入网站. 

The plan administrator is subject to change based on the State negotiations: please 联系人力资源办公室寻求帮助. 

 Flyer

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雇员必须每年重新注册

The Illinois Department of Central Management Services (CMS) offers 2 Flexible Spending Accounts Programs: 

• T医疗护理助理计划(MCAP MCAP的最高供款限额为 $3,050 在24财年计划期间. 资金必须在2023年7月1日的计划年度内使用 - 2024年6月30日，所有索赔必须在2024年9月30日之前提交. The rollover 未使用的24财年资金的上限为 $610.
  Participants who do not re‐enroll for the new plan year will forfeit any amount eligible for rollover.
• 受供养照顾助理计划(DCAP). An HSA is like a 401(k) for healthcare, yet the HSA tax benefits are far greater.  The HSA is a tax‐favored, interest-bearing account that active State employees can 用于支付现在或将来的合格医疗费用.  (Any unused DCAP 计划年度结束时的资金将被没收(6月30日).

咨询电话888-469-3363

雇员必须每年重新注册

An HSA is like a 401(k) for healthcare, yet the HSA tax benefits are far greater. It is a tax-favored, interest-bearing account that active State employees can use 支付现在或将来的合格医疗费用. Active State employees who qualify (see Qualifying for an HSA below), can save or invest the account funds. Paired with the Consumer Driven Health Plan (CDHP), an HSA is a powerful financial 工具，让您更好地控制您的医疗保健决策. 

你不能同时注册HSA和MCAP灵活支出账户.

 

咨询电话888-469-3363

Enrollment & Beneficiairies

Provides retirement, disability, death, and survivor benefits to eligible SURS participants and annuitants. 符合条件的雇员在受雇时自动加入社保 begins. You will not pay into Social Security during your employment with a SURS-covered employer, so you are not eligible for Social Security coverage based on this employment.

As a new member of SURS, you must choose a retirement plan within the first 6 months of your employment. 您的选择将取决于您希望获得的福利类型 in the future, as well as the amount of personal involvement you want in determining 你的贡献投资在哪里，如何投资. 会员必须从三个中选择一个 退休选择:传统计划、便携计划或自我管理计划.

Note: If you do not make this decision within six months of your date of hire, you 会保留在传统计划内吗. 此默认注册也是不可撤销的. 

 

咨询电话800-275-7877

 

Check Balances

The Department of Central Management Services/Risk Management Division (CMS) administers 伊利诺伊州雇员的工人补偿计划. The Early Intervention Program Administered by CareSys is designed to ensure that State employees injured 在工作中，接受高质量的医疗护理，并确保其完全康复. Chicago State University employees experiencing a work related injury that requires medical 护理应遵循以下步骤:

• 立即向主管报告受伤情况.
• Contact the Campus Police Department for assistance and to file a police report (773) 995-2111.
• Contact the Human Resource Department to received the Workers’ Compensation packet and instructions on the procedure used in filing a claim: Chicago State University, 人力资源办公室，9501 S. 伊利诺斯州芝加哥市国王大道，电话60628 (773) 995-2040或传真(773)995-2942.
• The campus Wellness Health Center, located in ADM-103, is available to assist the 受伤的员工直到可以接受外部医疗救治.
• If the injury requires medical care, the employee chooses where to obtain their medical treatment:
  (1) Through the employee’s own primary care physician (having the bills and medical 提交给CSU人力资源办公室的文件).
  -OR-
  (2) Medical treatment can be obtained at Concentra Medical Center located at 900 E. 103rd St. Chicago, Illinois 60628 (If CMS finds the claim non-compensable the employee 将负责所产生的账单).

To file a claim, the necessary forms are required and shall be completed or provided by the: 1) employee, 2) employee’s supervisor, 3) witness, 4) medical documentation, and 5) medical bills, and received by the Office of Human Resources, where the claim 会提交CMS审核吗. 如果索赔是可赔偿的，CMS将支付 associated medical bills; however, if the claim is reviewed and determined non-compensable, 员工应该向自己的健康保险公司提交账单.