80 Ill. Adm. Code 2170.250
Other Responsibilities
Section 2170
Section 2170.250 Other
Responsibilities
a) CMS will offer an annual Benefit Choice Period for TRS Benefit
Recipients to:
1) Initially enroll into the Program;
2) Add a Dependent Beneficiary, pursuant to enrollment policies;
3) Change health plans.
b) CMS will provide information regarding benefits and
requirements of the Program in a TRIP Benefits Handbook and an annual Benefit
Choice Options booklet.
1) The TRIP Benefits Handbook shall embrace the
following topics:
A) Eligibility guidelines pursuant to the definitions of Benefit
Recipient and Dependent Beneficiary in Section 2170.130.
B) Enrollment opportunities pursuant to Section 2170.210.
C) Termination guidelines.
i) Coverage
for a Benefit Recipient terminates on the last day of the month when:
• eligibility
requirements are no longer met;
•
the TRIP program is terminated;
• a
written request is received by TRS that coverage should be terminated; or
• the
Benefit Recipient becomes eligible for and enrolls in the State of Illinois
Employees Group Insurance Program.
ii) Coverage
for a Benefit Recipient terminates on the date of death.
iii) Coverage
for a Dependent Beneficiary terminates:
• on the
last day of the month simultaneously with termination of a Benefit Recipient's
coverage;
• at the
end of the month in which the enrolled Dependent Beneficiary no longer meets
eligibility requirements;
• on the
date of death; or
• on the
first day of the month following receipt of the written request to terminate
Dependent Beneficiary coverage.
D) Covered Benefits under TCHP.
E) TCHP claims filing deadlines and procedures.
2) The Benefit Choice Options booklet shall detail information
not provided in the Benefits Handbook (e.g., premium amounts, coverage changes,
managed care plan availability and preferred provider information).
c)
CMS will provide training seminars for TRS regarding benefits under TRIP.