80 Ill. Adm. Code 2210.410
Effective Date of Termination
Section 2210.410 Effective
Date of Termination
a) Termination of Member
Coverage Other Than For Non-Payment.
1) An Employee’s coverage
will terminate on the date of termination of State employment, regardless of
whether the termination of employment was voluntary or involuntary;
2) An Employee’s coverage
will terminate on the date on which the Employee’s employment status changes to
a part-time status in which the Employee is not normally required to work at
least fifty percent (50%) of a Normal Work Period;
3) An Employee’s coverage
will terminate on the date that the maximum period allowed for a leave of
absence (see Section 10(a-10)(c) of the Act) is reached;
4) An Employee’s coverage
will terminate on the date that the maximum period allowed for premium-free
permanent layoff benefits, if any, (see Section 10(a-10)(e) of the Act) is
reached;
5) A Member’s coverage will
terminate on the date of the Member’s death, and
6) Coverage for a Member
who makes an election during an annual open enrollment period not to
participate in the Program will terminate on the date immediately preceding the
beginning of the Plan Year for which the open enrollment period was held.
b) Termination of Dependent
Coverage.
1) Notwithstanding any
other provision within this subsection, an enrolled Dependent’s coverage will
terminate simultaneous with termination of coverage for the Member;
2) Coverage for an enrolled
spouse, civil union partner, or domestic partner, and all applicable
stepchildren or children of the civil union partner or domestic partner, will
terminate on the date preceding a divorce, dissolution of partnership, or legal
separation from the primary Member;
3) Coverage for an enrolled
Dependent who becomes ineligible to participate in the Program, other than by
reason of a divorce or dissolution of a civil union partnership or domestic
partnership (e.g., a child who reaches age 26 or another limiting age), will
terminate on the last day of the month in which the Dependent loses
eligibility;
4) Coverage for an enrolled
Dependent will terminate on the date of the Dependent’s death;
5) Coverage for an enrolled
Dependent will terminate on the date immediately preceding the date on which
the Dependent becomes eligible to participate in the Program as a Member;
6) Coverage for an enrolled
Dependent whose enrollment is voluntarily terminated by the primary Member
during the annual open enrollment period will terminate on the date immediately
preceding the beginning of the Plan Year for which the open enrollment period
was held;
7) Coverage for an enrolled
Dependent whose enrollment is voluntarily terminated by the Member due to a Qualifying
Change in Status will terminate on the later of the date the voluntary
termination is requested by the Member or the date of the qualifying event; and
8) In the event that an
Employee, Annuitant, or Survivor is requested to provide certification of
continued eligibility for a Dependent and the Member fails to provide such
certification, coverage for the Dependent will terminate on the last day of the
month in which the Member fails to certify continued eligibility.
c) When coverage is
terminated due to the reasons identified in subsections (a) and (b), coverage
will no longer be effective as of 12:00 a.m. on the date immediately following
the applicable date of termination. For example, if an Employee terminates State
employment on June 15, coverage for the Employee will terminate at 11:59:59
p.m. on June 15 and will no longer be effective as of 12:00 a.m. on June 16.