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   JRS Benefit Choice Period 

Benefit Choice Enrollment Period


The annual Benefit Choice Election Period will be held May 1, 2009 through June 15, 2009. During this time, you have the opportunity to make changes to your existing benefit plans. Changes submitted this enrollment period become effective July 1, 2009.

You should receive your new Benefit Choice Options Booklet in the mail by the first part of May. Please take the time to review the information carefully to ensure you understand the changes coming July 1, 2009. If you decide to make changes, please complete the Benefit Choice Election Form included in your Booklet. Read this form carefully as documentation is required for some changes. The new Benefits Choice Options Booklet is also available on our website.

You should complete the Benefit Choice Election form only if you are making changes. If you decide to make changes, complete, sign and date the election form and mail to the address below BEFORE the close of business June 15, 2009. Please include your telephone number on the form.

Judges'/General Assembly Retirement Systems
2101 South Veterans Parkway
P. O. Box 19255
Springfield, IL 62794-9255

Important Changes Effective July 1, 2009


Managed Care Plan (HMO/OAP)

• Prescription deductible of $50 per plan participant per plan year remains the same.
• Prescription co-payments for preferred brand and non-preferred brand increase from $22/$44 to $24/$48 (generic remains $10).
• Inpatient hospitalization co-payment increases from $250 to $275.
• Outpatient surgery co-payment increases from $150 to $175.
• Dependent health contributions have increased. Details are on page 19 of the Benefit Choice Options Booklet.
• Audiologist fee benefit increases from $100 to $150, available once every three plan years.
• Hearing aid benefit increases from $500 to $600, available once every three plan years.


Quality Care Health Plan (QCHP)

• Prescription deductible increases from $50 to $75 per plan participant per plan year.
• Prescription co-payments for preferred brand and non-preferred brand increase from $24/$48 to $26/$52 (generic remains $11).
• New in-network hospital admission deductible of $50 per plan participant.
• Out-of-network hospital admission deductible from $200 to $300 per plan participant.
• Dependent health contributions have increased. Details are on page 19 of the Benefit Choice Options Booklet.
• Audiologist fee benefit increases from $100 to $150, available once every three plan years.
• Hearing aid benefit increases from $500 to $600, available once every three plan years.


Quality Care Dental Plan (QCDP)

• Dental annual maximum benefit increases from $2,000 to $2,250.
• Orthodontia lifetime maximum increases from $1,500 to $1,750.
• Restorative Services have been enhanced.


OSF HealthPlans is Now a Part of Humana

The Humana Benefit Plan options will continue to provide the same benefits and same quality network of providers that you had available through OSF Health Plans. If you are a current OSF member, you do not need to complete a Benefit Choice Election form unless you are changing to a plan other than Humana. If you are a current OSF member and decide to stay enrolled with Humana you will receive a new ID card from Humana prior to starting your new plan year July 1, 2009.


Public Act 95-0958: Coverage for Adult Children

Special Enrollment for Adult Children is May 1, 2009 through July 31, 2009. This Public Act provides for the extension of health, dental, vision and prescription coverage for three new categories of dependents, referred to as ‘Adult Children’, who may or may not have previously had coverage under the State of Illinois Group Insurance Program.

These new categories are in addition to the current dependent categories of Student, Handicapped and Other. Adult children added under these new categories are presently not eligible for life insurance coverage. An information packet is available for members interested in enrolling their adult child. The Special Enrollment Period – Eligibility Certification Statement form will be available on our website May 1, 2009 through July 31, 2009.


Please don’t confuse this Special Enrollment Period for Adult Children with Benefit Choice.

• The enrollment period for an ‘Adult Child’ is May 1, 2009 through July 31, 2009.

• The Benefit Choice Enrollment Period is May 1 through May 31, 2009.

Transition of Services
If you choose a new health plan during the Benefit Choice Period, members or dependents involved in an ongoing course of treatment should contact the new plan to coordinate the transition of services and providers. If you or your dependents are hospitalized before July 1, 2009, contact both the current and future health plan administrators as soon as possible. If you need assistance, please call Robin Edgar, your JRS/GARS Insurance Representative, at 217-785-6966.


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