Department of Risk Management | Employee Benefits

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

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You are in the Employee Benefits Section


	Cook County Employee Benefits 2012 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.

Civil Unions and Insurance Benefits

Click here (PDF) for a Q&A from the Illinois Department of Insurance.

More information will be posted as it becomes available.

Guide to the 2012 Benefits Year
Log In to Review Current Elections 2012 Open Enrollment Calendar NEW Benefits Enrollment/Change Form NEW	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
2012 Benefits Overview NEW	- Medical Plans/Comparison of Medical Benefits - Vision Plans - Life Insurance - Flexible Spending Accounts - Opting Out
2012 Online Guide NEW	Guide to Online Benefits Information
Questions & Answers	- Getting Started - Emergency Care/ Hospitalization - Dependent/ Family Coverage - Prescriptions
Dental Benefits Overview NEW	- Dental Benefits Highlights - Dental HMO Details - Dental PPO Details
COBRA Overview COBRA Election Notice Application Form COBRA Rates NEW	Provides information on Continuation of Insurance Coverage After Termination for County Employees and their covered dependents. - Updated COBRA Rates for FY2012
Notice of Privacy Practices	Notice of Cook County group health plans' privacy practices under the Health Insurance Portability and Accountability Act (HIPPA)
Benefit Eligibility Criteria	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.

2012 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 Summary of HMO benefits. BlueAccess Guide 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	1-800-892-2803	List of the doctors at Northwestern website: www.bcbsil.com/cookcounty
BlueCross BlueShield of Illinois PPO Plan	1-800-960-8809	PPO Benefits Highlights Summary of benefits. PPO Nationwide Program Overview Details the PPO program. BlueAccess Guide Members website guide. Provider Finder Card Assists users in finding a provider. PPO Claim Form 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/CookCounty
PRESCRIPTION
Caremark Prescription Plan (for all employees enrolled in County health plans)	1-866-409-8522	CVS Caremark Plan Summary Caremark Rx Pharmacy ID Card To be used by all employees covered by health insurance provided by Cook County when purchasing prescriptions. Caremark Rx Mail Order Form To be used when purchasing long-term prescriptions by mail. Caremark Mail Order Form Instructions website: www.caremark.com
VISION
Eyemed Vision Care Advantage Plan (Plan #9730961) (Cobra Plan #9732520)	1-866-393-3401	Vision Benefits Summary 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 Information for OE 2012 NEW FSA Program Information New OTC Rule Fact Sheet for FSA Participants TC Purchases Change in the FSA Law Health Care Claim Form Pay Me Back Claim Form for Health Care Account. Dependent Care Claim Form 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 website: www.wageworks.com
LIFE INSURANCE
Dearborn National (Term Life) NEW CARRIER AS OF 06/01/2010 - Beneficiary Management Services (Policy number: F019008)	1-800-348-4512	Welcome Letter to Employees Letter explaining the change to Dearborn National for Term Life Services. Term Life Benefits Certificate Beneficiary Form To be used to designate beneficiaries to your life policy. Evidence of Insurability 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 Portability Application Form Conversion Application Form Used to convert Group Life Insurance coverage to an Individual Whole Life Insurance policy. Contact Information website: www.dearbornnational.com
American General (Universal Life)	1-800-231-3655 FOR EXISTING POLICYHOLDER INFORMATION 1-800-463-7420 FOR TOLL FREE ENROLLMENT	Universal Life Brochure Voluntary Universal Life Insurance Program - October 2011 NEW Letter to employees regarding enrollment in the Voluntary Universal Life Insurance Program. Letter to Employees - 10/01/08 Letter to employees regarding the safety of their American General life insurance policy. website: www.aigag.com
CHILD DAY CARE SERVICES
Bright Horizons Family Solutions	1-312-603-8585	Daycare Brochure website: www.brighthorizons.com
PRE-PAID LEGAL SERVICES
Pre-Paid Legal Services, Inc.		website: www.prepaidlegal.com/info/cookcounty