Downloads and Plan Information
Availabile Plans - Schedules of Covered Expenses / Outline of Coverage
Resurrection Health Care Initiative Applications
Individual Coverage Applications
- Illinois Individual Application
- Individual Supplemental Application and Change Form
- Eligibility Verification Form
Small Group Coverage Applications (2-50)
- Employer Application and Agreement
- Illinois Group Employee Application
- Group Supplement Application and Change Form
- Eligibility Verification Form
Large Group Coverage Applications (50+)
Dental Protection Plan
Medicare Supplement Information
- Focused on Medicare - Newsletter to help you understand your medicare options.
- Medicap Guide
- Medicare Supplement Outline of Coverage Plans A and F
- Traditional Plan A Outline of Coverage
- Traditional Plan F Outline of Coverage
- Monthly Rates for Plans A and F
- Application - Members and Spouses turning 65
- Application - Members and Spouses over 65 or medically disabled.