Get Links - State Of Illinois

This guide provides a comprehensive and user-friendly approach for individuals looking to complete the Links - State Of Illinois form online. It offers detailed instructions for navigating the various sections and fields of the form.

Follow the steps to complete the Links - State Of Illinois form online.

1. Click the ‘Get Form’ button to obtain the document and access the form in the online editor.
2. Begin by filling out Section A with your personal information, including your last name, first name, and social security number. Ensure all fields are complete.
3. In Section B, indicate your choice to opt out of or opt into health, dental, vision, and prescription coverage by selecting the appropriate option.
4. For Section C, select your health plan option. If choosing a Managed Care Plan, provide the required provider identifier and carrier code.
5. In Section D, choose whether to participate in the dental plan. Only select 'I choose to not participate' if you do not wish to have dental coverage.
6. Complete Section E if you are making changes to your optional life insurance. Indicate the level of coverage you wish to adjust.
7. Fill out Section F to add or drop any dependent information associated with your chosen coverage.
8. Sign and date the form in the space provided to validate your selections and ensure they are processed. Submit the completed form to your Group Insurance Representative by the deadline.

Complete your Links - State Of Illinois form online today to ensure your coverage options are selected and your benefits are secured.