Employee Health Plan Premiums
While the state covers most of the cost of employee health insurance, employees also make monthly salary-based contributions for healthcare coverage. Contribution amounts are based on the employee's salary; the higher their salary, the higher their contribution. Contributions remain in effect from July 1 until June 30, unless the member retires, accepts a voluntary salary reduction, or returns to state employment at a different salary. (This does not apply to members returning to work from a leave of absence.) Employees who enroll in a managed care plan will pay a lower monthly contribution. Employees who reside in Illinois who do not have managed care available in their county should contact the CMS Group Insurance Division at 1-800-442-1300 or 217-558-4671.
Quality Care Health Plan is a medical indemnity plan that offers a comprehensive range of benefits. Managed Care Plans vary from county to county. The managed care plans covered in the Jackson County area are Health Alliance HMO, Coventry HMO, Covernty OAP and HealthLink OAP. For a complete listing of insurance plans covered in the State of Illinois, go to www.benefitschoice.il.gov, click on 'State Employees', 'Benefit Plans'. The State offers managed care plans located throughout the State. To find out if a plan in in your location, see here for the FY20 Health Care Plan Map.
|Employee Annual Salary||Monthly Employee Contribution|
|$30,200 & below||Managed Care||$68.00||Quality Care||$93.00|
|$30,201 - $45,600||Managed Care||$86.00||Quality Care||$111.00|
|$45,601 - $60,700||Managed Care||$103.00||Quality Care||$127.00|
|$60,701 - $75,900||Managed Care||$119.00||Quality Care||$144.00|
|$75,901 - $100,000||Managed Care||$137.00||Quality Care||$162.00|
|$100,001 & above||Managed Care||$186.00||Quality Care||$211.00|
See the CMS website for Employee & Dependent Contributions. To calculate your cost, use the Premium Calculation Worksheet for Full-Time Employees on the CMS webpage.NOTE: Employees at 50 to 99% time must pay a prorated portion of the employer cost, in addition to the employee premiums shown above. Contact the Human Resource Benefits Office to get the applicable premiums at 618-453-6668.
Dependent Health Plan Premiums
Monthly dependent premiums are in addition to member contributions. Dependents must be enrolled in the same plan as the member under whom they are enrolled. Medicare dependent premiums apply only if Medicare is PRIMARY for both Parts A and B. Members with questions regarding Medicare status may contact the CMS Group Insurance Division, Medicare Coordination of Benefits (COB) Unit at 800-442-1300 or 217-782-7007. Employees who reside in Illinois who do not have managed care available and enroll dependents, should contact CMS Group Insurance Division.
FY2020 Monthly Dependent Health Care Plan Premiums
|Plan Name & Code||One Dependent||Two or more Dependents||One Medicare A & B Primary Dependent||Two or more Medicare A & B Primary Dependents|
|Blue Advantage HMO
|Aetna HMO(formerly Coventry HMO)(Code: AS)||$111.00||$156.00||$88.00||$130.00|
|Aetna OAP(formerly Coventry OAP)(Code CH)||$111.00||$156.00||$88.00||$130.00|
|Health Alliance HMO
|Quality Care Health Plan (Aetna PPO)
If you become a SERS/SURS annuitant/survivor on or after 1/1/98, or a TRS annuitant/survivor on or after 7/1/99, and have less than 20 years creditable service, call your retirement system for applicable premiums.
SERS: 217-785-7444, SURS: 800-275-7877,TRS: 800-877-7896.