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State of Illinois - HealthLink

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GENERAL PLAN INFORMATION<br />

Plan Name<br />

<strong>State</strong> <strong>of</strong> <strong>Illinois</strong> Employee Health Benefits Plan<br />

Plan Numbers 160000<br />

Plan Effective Date July 1, 2013<br />

Plan Year Ends<br />

Plan Sponsor, Plan Administrator, Name Fiduciary and Agent for Legal Services<br />

<strong>State</strong> <strong>of</strong> <strong>Illinois</strong>, Department <strong>of</strong> Central Management Services<br />

Type <strong>of</strong> Funding<br />

Claims Administrator<br />

Self-Funded by the <strong>State</strong> <strong>of</strong> <strong>Illinois</strong><br />

<strong>HealthLink</strong> HMO, Inc.<br />

877-284-0101<br />

Network Administrator <strong>HealthLink</strong>, Inc. 800-624-2356<br />

Medical Management <strong>HealthLink</strong>, Inc. 877-284-0102<br />

Behavioral Health Management <strong>HealthLink</strong>, Inc. 877-284-0102, Option 3<br />

160000 Page 52

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