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IL SB3413

IL SB3413
CMS-HEALTH CARE OMBUDSPERSONS


summary

Introduced
02/04/2026
In Committee
02/17/2026
Crossed Over
Passed
Dead

Introduced Session

104th General Assembly

Bill Summary

Amends the State Employees Group Insurance Act of 1971. Requires the Director of Central Management Services to designate one or more individuals who are employees of the Department of Central Management Services to serve as Health Care Ombudspersons. Requires the employees that are designated as Health Care Ombudspersons to monitor and respond to members' email and telephone questions to the Department of Central Management Services regarding the benefits that are available under the Act and the eligibility of members for those benefits. Requires contact information for the Health Care Ombudspersons to be included in any communications sent by the Department of Central Management Services regarding group health insurance benefits and to be readily available on the Department's website. Specifies that the primary goal of the Health Care Ombudspersons shall be to answer questions and generate information useful to participants in the program of group health benefits provided under the Act and, when possible, to resolve any issues between members and third-party providers of services established under this Act.

AI Summary

This bill amends the State Employees Group Insurance Act of 1971 to require the Director of Central Management Services (CMS), a state agency that manages employee benefits, to appoint one or more employees of CMS to act as Health Care Ombudspersons. These individuals will be responsible for monitoring and responding to questions from members, who are state employees and their dependents enrolled in group health insurance, via email and phone regarding their available benefits and eligibility. Their contact information will be included in all CMS communications about group health insurance and prominently displayed on the CMS website. The main purpose of these Ombudspersons is to provide helpful information to participants in the group health benefits program and, when possible, to help resolve any problems that arise between members and the third-party companies that provide health services under the Act.

Committee Categories

Budget and Finance

Sponsors (1)

Last Action

Rule 2-10 Committee Deadline Established As April 24, 2026 (on 03/13/2026)

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