PM 06-08-02-a

revised textFor Premium Level 2, families do not have to provide proof that their children are uninsured. HFS conducts post enrollment matching with most insurance companies to verify what families report at application about insurance. If there is a discrepancy with the match, families may have to provide proof of the coverage end date.

(FCRC/All Kids Unit)

  • Reviews clearances to confirm that a child lost Family Health Plan coverage within a year.
  • Accepts the family's statement regarding COBRA coverage and end date of insurance due to job loss or that the noncustodial parent canceled it as part of a divorce.
  • Requires proof from the insurance company if the family reports that the child reached the insurance plan's maximum lifetime benefit.

(FCRC/All Kids Unit)

  • Use TA 05/TAR 18 to deny a FamilyCare Rebate application for an adult who has access to a State-administered health insurance plan. See WAG 25-05-04 for a list of employers that have State-administered health insurance plans.
    • Enter '80' in Item 39 to suppress the central notice and issue a notice with the message, "The adult(s) have State of Illinois group health insurance available to them. PM 06-08" 
  • Use TA 05/TAR 19 to deny a person who is in a mental health or correctional facility.
  • Use TA 05/TAR 36 to deny a person with outstanding premiums who is otherwise eligible for All Kids Rebate.