Get the free IL State Employee Continuation Election Form

ILLINOIS EMPLOYEE CONTINUATION ELECTION FORM What is the Illinois Employee Continuation Privilege? The Illinois employee continuation privilege protects a covered employee and dependents who lose

How to fill out il state employee continuation

How to fill out IL state employee continuation:

1. Gather all necessary information and documents, such as personal details, employment history, and any relevant medical or leave of absence records.
2. Begin by completing the top section of the form, providing your name, address, Social Security number, and employee identification number.
3. Fill in the following sections, providing detailed information about your previous state employment, including the name of the agency or department, your job title, and dates of employment.
4. If applicable, detail any prior periods of leave or time away from work, including medical leave, FMLA leave, or any other type of leave.
5. In the Benefits section, indicate the specific benefits you are seeking continuation for, such as health insurance, retirement benefits, or other relevant benefits.
6. If required, attach any supporting documents, such as medical certification forms or other documentation requested by the Illinois Department of Central Management Services.
7. Review the completed form for accuracy and ensure all required fields have been filled out.
8. Sign and date the form, certifying the information is true and accurate to the best of your knowledge.

Who needs IL state employee continuation?

1. State employees who are transitioning between jobs within Illinois state government.
2. Employees who are going on leave, such as medical leave or family medical leave, and wish to continue their state employee benefits during their absence.
3. Individuals who have recently resigned or retired from their state government position and wish to continue their benefits for a certain period of time.
4. Dependents or beneficiaries of deceased state employees who wish to continue receiving benefits.

Please note that specific eligibility criteria and requirements may vary, and it is recommended to consult the official guidelines or contact the Illinois Department of Central Management Services for further information.

For pdfFiller’s FAQs

What is il state employee continuation?

IL State Employee Continuation is a benefit program that provides continued health insurance coverage to state employees and their eligible dependents when their employment ends or their work hours are reduced.

Who is required to file il state employee continuation?

State employees who have experienced a reduction in work hours or a termination of employment are required to file for the IL State Employee Continuation program.

How to fill out il state employee continuation?

To fill out the IL State Employee Continuation form, state employees need to provide their personal information, such as name, address, social security number, and the reason for their eligibility, either reduction in work hours or termination. They will also need to indicate if they want to continue health insurance coverage for dependents.

What is the purpose of il state employee continuation?

The purpose of IL State Employee Continuation is to ensure that state employees and their eligible dependents have access to continued health insurance coverage after a reduction in work hours or employment termination.

What information must be reported on il state employee continuation?

On the IL State Employee Continuation form, state employees need to report their personal information, reason for eligibility, and whether they want to continue health insurance coverage for dependents.

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