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Illinois divorce forms pdf 2026
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- Click ‘Get Form’ to open the Illinois Spousal/Dependent Continuation Election Form in the editor.
- Begin by entering the Policy Number at the top of the form. This is essential for identifying your specific insurance coverage.
- Fill in the Employer's name and the Employee's Name. Ensure that these details are accurate as they link to your health insurance policy.
- Next, provide your Spouse’s Name and Social Security Number. This information is crucial for processing your continuation election.
- Complete the Spouse’s Address section, including City, State, and Zip Code. If applicable, also include details for any dependent children.
- Sign and date the form at the bottom where indicated. This signature confirms your election to continue coverage.
- Finally, ensure you send this completed form along with your first premium payment within 30 days to avoid termination of benefits.
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