80 Ill. Adm. Code 2170.210
Determining Enrollment Policies
Section 2170
Section 2170.210 Determining
Enrollment Policies
a) Initial enrollment periods. Initial enrollment in TRIP is
limited to the following periods:
1) When a TRS Benefit Recipient applies for annuity benefits;
2) When a TRS Benefit Recipient or TRS Dependent Beneficiary
turns age 65;
3) When a TRS Benefit Recipient or TRS Dependent Beneficiary
becomes eligible for Medicare;
4) When coverage of a TRS Benefit Recipient or TRS Dependent
Beneficiary is involuntarily terminated by a former group plan;
5) During the Benefit Choice Period, if never previously enrolled.
b) Re-enrollment periods. Re-enrollment into the Program is
limited to the following periods:
1) When a TRS Benefit Recipient or TRS Dependent Beneficiary
turns age 65;
2) When a TRS Benefit Recipient or TRS Dependent Beneficiary
becomes eligible for Medicare; or
3) When coverage of a TRS Benefit Recipient or TRS Dependent
Beneficiary is involuntarily terminated by a former employer.
c) A TRS Benefit Recipient
may change health plans only:
1) When
the TRS Benefit Recipient has a permanent address change and the previously
selected managed care plan is not available at the new address;
2) When
the TRS Benefit Recipient's primary care physician leaves the managed care plan
selected by the TRS Benefit Recipient; or
3) During the Benefit
Choice Period.