Ill. Admin. Code tit. 80 § 2170.210

Current through Register Vol. 48, No. 35, August 30, 2024

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.

Ill. Admin. Code tit. 80, § 2170.210

Amended at 34 Ill. Reg. 838, effective December 31, 2009