Illinois Compiled Statutes 5 ILCS 375 — State Employees Group Insurance Act of 1971.

This Act shall be known and may be cited as the "State Employees Group Insurance Act of 1971"

This Act shall be known and may be cited as the "State Employees Group Insurance Act of 1971". (Source: P.A. 77-476.)

Purpose

Purpose. The purpose of this Act is to provide a program of group life insurance, a program of health benefits and other employee benefits for persons in the service of the State of Illinois and certain of their dependents. It is also the purpose of this Act to provide a program of health benefits (i) for certain benef…

Application to Northern Illinois Transit Authority Board members

Application to Northern Illinois Transit Authority Board members. Notwithstanding any other provision of this Act to the contrary, this Act does not apply to any member of the Northern Illinois Transit Authority Board who first becomes a member of that Board on or after July 23, 2013 (the effective date of Public Act 9…

Application to Suburban Bus Board members

Application to Suburban Bus Board members. Notwithstanding any other provision of this Act to the contrary, this Act does not apply to any member of the Suburban Bus Board who first becomes a member of that Board on or after the effective date of this amendatory Act of the 98th General Assembly with respect to service…

Application to Commuter Rail Board members

Application to Commuter Rail Board members. Notwithstanding any other provision of this Act to the contrary, this Act does not apply to any member of the Commuter Rail Board who first becomes a member of that Board on or after the effective date of this amendatory Act of the 98th General Assembly with respect to servic…

Application to Chicago Transit Authority Board members

Application to Chicago Transit Authority Board members. Notwithstanding any other provision of this Act to the contrary, this Act does not apply to any member of the Chicago Transit Authority Board who first becomes a member of that Board on or after the effective date of this amendatory Act of the 98th General Assembl…

State healthcare purchasing

State healthcare purchasing. On and after the date 6 months after August 16, 2013 (the effective date of Public Act 98-488), as provided in the Executive Order 1 (2012) Implementation Act, all of the powers, duties, rights, and responsibilities related to State healthcare purchasing under this Act that were transferred…

Definitions

Definitions. Unless the context otherwise requires, the following words and phrases as used in this Act shall have the following meanings. The Department may define these and other words and phrases separately for the purpose of implementing specific programs providing benefits under this Act. (a) "Administrative servi…

The Commission shall meet with the Department of Central Management Services and advise the Department of Central Management Services on all matters relating to policy and the administration of this Act. (Source: P.A. 85-848.)

Employee benefits; declaration of State policy

Employee benefits; declaration of State policy. The General Assembly declares that it is the policy of the State and in the best interest of the State to assure quality benefits to members and their dependents under this Act. The implementation of this policy depends upon, among other things, stability and continuity o…

Program of health benefits

Program of health benefits. (a) The program of health benefits shall provide for protection against the financial costs of health care expenses incurred in and out of hospital including basic hospital-surgical-medical coverages. The program may include, but shall not be limited to, such supplemental coverages as out-pa…

The program of health benefits may offer as an alternative, available on an optional basis, coverage through health maintenance organizations or other managed care programs

The program of health benefits may offer as an alternative, available on an optional basis, coverage through health maintenance organizations or other managed care programs. That part of the premium for such coverage which is in excess of the amount which would otherwise be paid by the State for the program of health b…

When the Director, with the advice and consent of the Commission, determines that it would be in the best interests of the State and its employees, any program of health benefits under this Act may be administered with the State as a self-insurer in whole or in part. The State assumes the risks of any such program. The…

Prescription drugs; cancer treatment

Prescription drugs; cancer treatment. If the program of health benefits provides coverage for prescribed drugs approved by the federal Food and Drug Administration for the treatment of certain types of cancer, it may not exclude coverage of any drug on the basis that the drug has been prescribed for the treatment of a…

Health benefits for TRS benefit recipients and TRS dependent beneficiaries

Health benefits for TRS benefit recipients and TRS dependent beneficiaries. (a) Purpose. It is the purpose of this amendatory Act of 1995 to transfer the administration of the program of health benefits established for benefit recipients and their dependent beneficiaries under Article 16 of the Illinois Pension Code to…

Contributions to the Teacher Health Insurance Security Fund

Contributions to the Teacher Health Insurance Security Fund. (a) Beginning July 1, 1995, all active contributors of the Teachers' Retirement System (established under Article 16 of the Illinois Pension Code) who are not employees of a department as defined in Section 3 of this Act shall make contributions toward the co…

Access to obstetrical and gynecological care

Access to obstetrical and gynecological care. The program of health benefits is subject to the provisions of Section 356r of the Illinois Insurance Code.(Source: P.A. 103-718, eff. 7-19-24.)

Post-parturition care

Post-parturition care. The program of health benefits shall provide the post-parturition care benefits required to be covered by a policy of accident and health insurance under Section 356s of the Illinois Insurance Code. (Source: P.A. 89-513, eff. 7-17-96; 90-14, eff. 7-1-97.)

Health benefits for community college benefit recipients and community college dependent beneficiaries

Health benefits for community college benefit recipients and community college dependent beneficiaries. (a) Purpose. It is the purpose of this amendatory Act of 1997 to establish a uniform program of health benefits for community college benefit recipients and their dependent beneficiaries under the administration of t…

Contributions to the Community College Health Insurance Security Fund

Contributions to the Community College Health Insurance Security Fund. (a) Beginning January 1, 1999 and through June 30, 2023, every active contributor of the State Universities Retirement System (established under Article 15 of the Illinois Pension Code) who (1) is a full-time employee of a community college district…

(Text of Section from P

(Text of Section from P.A. 104-1, 104-42, 104-68, 104-73, 104-289, 104-324, and 104-379) Sec. 6.11. Required health benefits; Illinois Insurance Code requirements. The program of health benefits shall provide the post-mastectomy care benefits required to be covered by a policy of accident and health insurance under Sec…

Physical therapy and occupational therapy

Physical therapy and occupational therapy. (a) The program of health benefits provided under this Act shall provide coverage for medically necessary physical therapy and occupational therapy when that therapy is ordered for the treatment of autoimmune diseases or referred for the same purpose by (i) a physician license…

Coverage for injectable medicines to improve glucose or weight loss

Coverage for injectable medicines to improve glucose or weight loss. Beginning on July 1, 2024, the State Employees Group Insurance Program shall provide coverage for all types of medically necessary, as determined by a physician licensed to practice medicine in all its branches, injectable medicines prescribed on-labe…

Joint mental health therapy services

Joint mental health therapy services. (a) The State Employees Group Insurance Program shall provide coverage for joint mental health therapy services for any Illinois State Police officer or police officer of an institution of higher education and any spouse or partner of the officer who resides with the officer. (b) T…

Payment for services

Payment for services. The program of health benefits is subject to the provisions of Sections 368a and 370a of the Illinois Insurance Code, provided that, if a covered member or covered dependent assigns payments to a health care professional for covered services, then the health care professional shall only collect at…