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Benefits
General Information by Provider for Current Employees
This information is applicable to positions with full benefits.
Medical PPO
BLUE CROSS/BLUE SHIELD
Claims are mailed to:
Claims Administration
2787 McFarland Road
Rockford, Illinois 61107
Customer Service: 800.458.6024
Plan Highlights
- $300 in-network deductible per person/year — $900 in-network deductible per family/year
- $500 out-of-network deductible per person/year — $1500 out-of-network deductible per family/year
- Co-Insurance employee responsibility — 10% for in-network services/30% out-of-network after deductible<
- $2200 maximum out of pocket, after deductible
Prescriptions: $0 generic/$30 non-formulary/$40 formulary
For a complete plan summary, click here.
Vision Benefits for PPO Participants:
Vision Service Plan
www.vsp.com
Customer Service: 800.877.7195
HMO Illinois and BlueAdvantage
www.bcbsil.com
Claims are mailed to:
Claims Administration
2787 McFarland Road
Rockford, Illinois 61107
Customer Service: 800.892.2803
Plan Highlights
- $20 Primary co-pay, $20 Specialist co-pay, $150 ER co-pay (waived if admitted)
- Prescriptions: $10 generic/$30 non-formulary/$40 formulary
Vision benefits through Davis Vision.
Customer Service: 877.393.8844
Visit Web site or contact bcbsil HMO Member Services at 800.892.2803.
Links
- Complete BlueAdvantage plan summary
- Complete HMO Illinois plan summary
- General summary of the HMO plans
Dental Plan
UMR
Claims are mailed to:
Claims Administration
PO Box 30533
Salt Lake City, UT 84130-0533
Customer Service: 800.533.6654
www.umr.com
Plan Highlights
- Six-month cleanings covered 100%
- $50 deductible
- Routine and Customary Work Covered 80%
- Major Work Covered 50%
- $1,500 Annual Max/Per Person
For a complete plan summary, click here.
Flexible Spending Section 125
UMR
Claims are mailed to:
Claims Administration
PO Box 2708
Dayton, OH 45401-2708
Customer Service: 877.310.3539
www.umr.com
State Universities Retirement System (SURS)
Consolidated Omnibus Budget Reconciliation Act of 1985
Public Law 99-272, Title X (COBRA)
General Information Sheet (PDF)
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