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Reinstatement of Coverage Terminated Due to Non-Payment of Premium

When an employee has not been paying a premium for insurance because of a leave and that insurance is reinstated, employees can make several changes to benefits and personal employment information. Employees may initiate changes to the following:


Employee and dependent health and dental coverage
Optional State life insurance
Flexible spending accounts

Personal Employee Information

Tax withholding allowance (W-4)
Direct deposits

Required Documentation

When making a change to benefits or personal information, include a Statement of Health form if electing optional life insurance for self or dependents.

Tell me about:

Qualifying events
CMS MyBenefits


Maintained by University Human Resources | Contact Information | Last Update: 21-September-2017 | ID: 44