1428 - Employer Notification Requirements – Consumer Coverage Disclosure for Employees in the State of Illinois (Historical View)
** Effective: 12/16/2022 8:00:30 AM - 12/16/2022 9:02:23 AM **Status: Active
Change Notes
Resource updated: Updated link to 2023 plan document.
Category
Benefits and Insurance
Audience List
- Employee Relations Officers
- Personnel Officers
- Personnel Transactions Staff
- Personnel Transactions Supervisors
Synopsis
This policy:
Informs on the Illinois Consumer Coverage Disclosure Act (ICCDA) that requires employers to notify certain employees about the benefits provided under the employer’s group health plan compared to the essential health benefits (EHBs) required of individual health coverage regulated by the State of Illinois.
Introduction
The ICCDA requires employers, those who provide group health coverage to employees in the State of Illinois, to disclose a comparison of benefits provided under the employer-sponsored group health plan to the EHBs required by the State of Illinois.
The State of California has employees in the State of Illinois and may be subject to penalties for failing to comply with the notification requirements.
Statement
Employer Notification Requirements
Effective immediately, state departments and agencies who offer employer-sponsored health coverage to employees in the State of Illinois (e.g., Franchise Tax Board, California Department of Tax and Fee Administration) are required to provide the Illinois Consumer Coverage Disclosure (Disclosure) to employees who are newly eligible for state-sponsored health coverage. The Disclosure should be provided, along with the Health Benefits Plan Enrollment (CalPERS HBD-12) and Summary of Benefits and Coverage Notice, no later than the first day the employee is eligible to enroll in health coverage, and annually thereafter, during Open Enrollment. Additionally, the Disclosure must be provided to employees upon request.
The Disclosure provides information on the benefits provided under the state’s group health plan and the essential health insurance benefits required of individual health insurance coverage regulated by the State of Illinois (e.g., coverage available through Get Covered Illinois). The Disclosure identifies the EHBs that are covered and not covered by the state-sponsored health plans.
Departments may provide the Disclosure by interoffice mail, first-class mail, electronically (by email) or post it on a website that employees regularly access. Departments must track and retain disclosure records for post-audit by the Illinois Department of Labor.
The Disclosure can be found in the HR Net section of the CalHR website. Departments should copy and paste their departmental letterhead into the empty header of the Disclosure before distributing it to employees.
Application
Not applicable
Authorities
Resources
Forms
- CalPERS HBD-12: Health Benefit Plan Enrollment Form
- Summary of Benefits and Coverage Template: Summary of Benefits and Coverage Template
Web Pages
- CalPERS PERS Platinum Basic Health Plan: Evidence of Coverage
- Illinois Consumer Coverage Disclosure: Illinois Access to Care and Treatment Plan
- Illinois Consumer Coverage Disclosure: Frequently Asked Questions: Illinois Consumer Coverage Disclosure: Frequently Asked Questions
- Illinois Consumer Coverage Disclosure: Pediatric Dental Plan : Pediatric Dental Plan
Authorized By
Benefits Division
Benefits Division Inquires,
Benefits Division
Contact Person
Benefits Division Inquiries
Contact,
Phone: 916-324-0455
Email: BenefitsInquiries@calhr.ca.gov