Application for benefits offerings - Coventry Health Care of Illinois 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling out the Company Name, Group Number, and Effective Date in the designated fields. Ensure all information is accurate to avoid processing delays.
  3. In the Eligibility Information section, specify the eligible employee categories by checking the appropriate boxes and providing necessary details such as hours worked.
  4. Select your desired Product and Plan from the options provided. Make sure to indicate any additional riders you wish to include.
  5. Complete the Dental Coverage section if applicable, ensuring that you provide prior coverage details and agree to contribution amounts.
  6. Finally, review all entries for accuracy before signing at the bottom of the form. This ensures a smooth submission process.

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States are required by federal law to approve or deny Medicaid applications within 45 days, or 90 days for applications that require a disability determination.
It can take up to 45 days to process Cash Assistance applications. The State strives to complete health care coverage applications within 45 days or, if eligibility is based on a disability, within 60 days.
Use the ABE Manage My Case portal to manage your Medical, SNAP and Cash benefits - online, anytime.
Apply for Benefits Portal (ABE.Illinois.gov) To apply for healthcare, food and cash assistance benefits, click the blue Apply for Benefits button. You will need to set up an account, log in and fill out the online application. Supporting documents can also be uploaded after the application is signed and submitted.
To check the status of your application, you can call the DHS help line at (800) 843-6154 (TTY: (800) 447-6404). In some cases, you may need to get SNAP benefits sooner. If you need your SNAP benefits sooner than 30 days, you can apply for emergency or expedited SNAP benefits.
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