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Human Resources

Eligibility Requirements

Eligibility is defined by the State Employees Group Insurance Act of 1971 (5 ILCS 375/1 et seq.) or as hereafter amended (Act), and by such policies, rules and regulations as shall be promulgated thereunder.  For a detailed explanation of Eligibility regulations consult your State of Illinois Benefits Handbook.

A. Eligible As Members

In order to be eligible as an Employee the following criteria must be met:

  1. The employee must be able to participate in and contribute to the State Universities Retirement System (SURS); and

  2. Be paid salary through the Comptroller's Office or a local University payroll.

Employees

Full-Time Employees - Permanent Employees who work 100% of a normal work period are eligible to participate in the health, dental, vision and life plans under the State Employees Group Insurance Program.

  • Employees of the State - Employees (including part-time Employee hired prior to January 1, 1980 that have been continuously employed).

  • University Full-Time Faculty - Employees working greater than or equal to 9 months of the year.

  • University Full-Time Non Faculty - Employees hired to work an average of 37.5 hours or more per week on a permanent basis.

Part-Time Employees - Employees who work 50 - 99% of a normal work period are eligible to participate in the health, dental, vision and life plans under the Program.

  • Permanent Employees of the State/University Non Faculty - Persons employed on or after January 1, 1980 (does not apply to those eligible for the Program before January 1, 1980) and regularly scheduled to work at least 50% of the average weekly hours required of a full-time employee in a similar position, measured yearly.

  • University Part-Time Faculty - Employees working greater than or equal to 4.5 continuous months and not meeting requirements as full-time faculty member.

NOTE:

Although your employment status maybe classified as full-time, your eligibility for Group Insurance could be part-time based upon hours worked.

B. Eligible As Dependents

Eligible dependents of a Member may participate in the same health, dental and vision plans as the Member.  Eligible Dependents of the Member include:  

Spouse (does not include ex-spouses or common-law spouses or those not legally married).

Domestic Partner - See information on the Announcement page or contact the Benefits Office for more information.

Unmarried child from birth to age 19, including:

Natural Child

Adopted child

Stepchild who lives with the member in a parent-child relationship at least 50% of the time.

Child for whom Member has permanent legal guardianship

Unmarried child age 19 to 23 who meets ALL of the following conditions:

a) Enrolled as a full-time student in an accredited school;

b) Financially dependent upon the member; and

c) Eligible to be claimed as a dependent for income tax purposes by the Member

Unmarried child age l9 and older who is mentally or physically handicapped and meets ALL of the following conditions:

a) Financially dependent upon the member;

b) Eligible to be claimed as a dependent for income tax purposes by the Member; and

c) Continuously disabled from a cause originating prior to age 19 (age 23 if enrolled as a full-time student.

Unmarried child age 19 to 25 who meets ALL of the following conditions qualifies for additional eligibility equal to the amount of time spent in the U.S. Armed Services, including National Guard, up to a maximum age of 25:

a) Member of the U.S. Armed Services, including National Guard, on or after January 1, 2002;

b) Enrolled as a full-time student in an accredited school;

c) Financially dependent upon the Member; and

d) Eligible to be claimed as a dependent for income tax purposes by the member, and has either

1) received an organ transplant after June 30, 2000, or has

2) been continuously enrolled as a dependent in the state of Illinois Insurance Program (or CNA for universtiy staff) with no break in coverage, prior to February 11, 1983.

 

Other Dependents: A member's mother, father, son, daughter, grandmother, grandfather, brother, sister, grandchild, niece, or nephew who has been continuously enrolled as a Dependent prior to February 11, 1983, or a Dependent who has received an Organ Transplant after June 30, 2000, and is financially dependent upon the Member and eligible to be claimed as a Dependent for income tax purposes by the Member.

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