Department of Risk Management

Risk Management
Room 1072
County Building
118 North Clark Street
Chicago
Illinois 60602-1304
(312) 603-6422

Department Contact

Lisa M. Walik, CEBS
Director,
Risk Management

Send us an E-Mail

Risk Management
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Risk Management Services You are in the Employee Benefits Section Online Enrollnment Commonly Asked Questions

Cook County
Employee Benefits

2011 Benefits Year
The following provides information about your County-sponsored employee benefits.
Review these documents carefully and contact Risk Management or the benefit providers below for additional information as needed.



Watch our web site for updates and information regarding all new Federal guidelines

Adult Child Enrollment, Public Act 95-0958
Adult Child - Enrollment Information
(PDF)
Adult Child - Enrollment Form
(PDF)

Updated 2010 rates and information for extended benefit for dependents up to age 26
- Enrollment information
- Eligibility
- Documentation requirements
- Coverage and estimated cost

 

(For 2010 Year Benefits information, click here)

Guide to the 2010 Benefits Year
Log In to Review
Current Benefits Elections


2010 Open Enrollment Guide (PDF)
Benefits Enrollment/Change Form (PDF)

Log in to the Online Benefits area to review your current benefit elections.
Also shows your current deduction rate calculations.
- Dependents
- Medical Elections
- Dental Elections
- Life Insurance Elections
- Flexible Spending Accounts

2010 Benefits Overview (PDF)

- Medical Plans/Comparison of Medical Benefits
- Vision Plans
- Life Insurance
- Flexible Spending Accounts
- Opting Out

2010 Online Guide (PDF)

Guide to Online Benefits Information

2010 Questions & Answers (PDF) - Getting Started
- Emergency Care/ Hospitalization
- Dependent/ Family Coverage
- Prescriptions
Dental Benefits Overview (PDF)

- Dental Benefits Highlights
- Dental HMO Details
- Dental PPO Details

COBRA Overview (PDF)
Application Form (PDF)
2010 COBRA Rates (PDF)
Provides information on Continuation of Insurance Coverage After Termination for County Employees and their covered dependents.
- Updated COBRA Rates for FY2010
Notice of Privacy Practices (PDF) Notice of Cook County group health plans' privacy practices under the Health Insurance Portability and Accountability Act (HIPPA)
Benefit Eligibility Criteria (PDF) This document defines eligibility criteria for employees and their eligible dependents as well as provides information for family status changes. These guidelines apply to health, dental and vision benefits.
 

 

2011 Providers Information
NAME OF PLAN HOTLINE NUMBER RESOURCES
MEDICAL    
HMO Illinois,
a BlueCross BlueShield HMO Plan
1-800-892-2803

HMO Illinois Desc. of Coverage (PDF)
Summary of HMO benefits

BlueAccess Guide (PDF)
Members website guide

website:
www.bcbsil.com/cookcounty

Classic Blue,
a BlueCross BlueShield HMO Plan

- employees transitioned from
   Unicare effective 1/1/2010
- Classic Blue letter (PDF)
1-800-892-2803

website:
www.bcbsil.com/cookcounty/unicare

UniCare HMO 1-888-234-8855

website:
www.unicare.com

BlueCross BlueShield of Illinois PPO Plan 1-800-960-8809

PPO Benefits Highlights (PDF)
Summary of benefits

PPO Nationwide Program Overview (PDF)
Details the PPO program

BlueAccess Guide (PDF)
Members website guide

Provider Finder Card (PDF)
Assists users in finding a provider

PPO Claim Form (PDF)
To be used when submitting a claim

website:
www.bcbsil.com/cookcounty

DENTAL    
First Commonwealth HMO/PPO Plans
(Plan #397485)
HMO 1-866-494-4542
PPO 1-866-302-4542
website:
www.guardiananytime.com
PRESCRIPTION    
Caremark Prescription Plan
(for all employees enrolled in County health plans)
1-866-409-8522

CVS Caremark Plan Summary (PDF)

Caremark Rx Pharmacy ID Card (PDF)
To be used by all employees covered by health insurance provided by Cook County when purchasing prescriptions.

Caremark Rx Mail Order Form (PDF)
To be used when purchasing long-term prescriptions by mail.

Caremark Mail Order Form Instructions (PDF)

website:
www.caremark.com

VISION    
Eyemed Vision Care Advantage Plan
(Plan #9730961)
(Cobra Plan #9732520)
1-866-393-3401

Vision Benefits Summary (PDF)
Summary of benefits for vision care.

Link to provider finder

website:
www.eyemedvisioncare.com

FLEX SPENDING
Health Care & Dependent Care
   
WageWorks (FSA) 1-877-924-3967

FSA Program Information (PDF)

Health Care Claim Form (PDF)
Pay Me Back Claim Form for Health Care Account.

Dependent Care Claim Form (PDF)
Pay Me Back Claim Form for Dependent Care Account.

website:
www.wageworks.com

COMMUTER TRANSIT PROGRAM    
WageWorks 1-877-924-3967

Commuter Transit Program Information (PDF)

website:
www.wageworks.com

LIFE INSURANCE    

Dearborn National (Term Life)
NEW CARRIER AS OF 06/01/2010
- Beneficiary Management Services

1-800-348-4512

Welcome Letter to Employees (PDF)
Letter explaining the change to Dearborn National for Term Life Services.

Term Life Benefits Summary (PDF)

Beneficiary Form (PDF)
To be used to designate beneficiaries to your life policy.

Evidence of Insurability (PDF)
Used by employee to initiate the request for coverage outside of open enrollment - needs to be validated by the employer.

Supplemental Life Insurance Enrollment Form - for New Hires and Family Status Changes (PDF)

Portability Application Form (PDF)

Conversion Application Form (PDF)
Used to convert Group Life Insurance coverage to an Individual Whole Life Insurance policy.

Contact Information (PDF)

website:
www.dearbornnational.com

American General
(Universal Life)
1-800-231-2655
FOR EXISTING POLICYHOLDER INFORMATION

1-800-463-7420
FOR TOLL FREE ENROLLMENT

Universal Life Brochure (PDF)

Letter to Employees - 10/01/08 (PDF)
Letter to employees regarding the safety of their American General life insurance policy.

website:
www.aigag.com

PRE-PAID LEGAL SERVICES    
Pre-Paid Legal Services, Inc.  

website:
www.prepaidlegal.com/info/cookcounty