Get Il Medical Renewal Form

Filling out the Il Medical Renewal Form online is an essential process to ensure you maintain your medical coverage. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to access the Il Medical Renewal Form and open it for editing.
2. Begin by providing your personal information, including your name, address, city, state, and ZIP code, as requested at the top of the form.
3. Proceed to the first section and confirm whether the individuals listed still reside with you. For each member, provide their name and date of birth, followed by indicating 'Yes' or 'No' for residency.
4. In the next section, provide details for any other individuals living with you, including their names, dates of birth, and relationships to you.
5. Answer if anyone living with you is pregnant by providing their name, expected due date, and the anticipated number of babies.
6. Indicate whether you or anyone in your household obtained new health insurance in the last year, including the name of the insurance plan and policy number if applicable.
7. Provide details regarding upcoming federal income tax return filings, including the name of the person filing and any dependents they plan to claim.
8. Indicate if you or anyone else can be claimed as a dependent on someone else's tax return, providing their name and your relationship to them.
9. Report all sources of income for everyone in your household. Ensure to record the amounts and frequency of payments correctly. Verify accuracy by checking 'Yes' or 'No' where requested.
10. Check all applicable expenses paid and provide amounts and frequencies for each. Ensure to attach proof of these expenses where directed.
11. Submit the required proofs, such as social security cards, and any other documentation as outlined on the form.
12. Review the form to ensure all questions have been answered before signing at the bottom of the last page. Include today's date.
13. Finally, save your changes and submit the completed form along with any attached proofs by the specified due date. You can either fax, email, or mail the documents as directed.

Ensure your medical coverage continues by completing the Il Medical Renewal Form online today.