County of DuPage Employees Benefit Information

NOTE: All forms are in PDF format.​

Benefit Forms & Resources  

• 2020 Enrollment Form
  
• 2020 Premium Rates
• 2020 Benefit Enrollment Guide
• 2020 Tobacco Status Affidavit & Working Spouse Affidavit
• 2020 Opt Out Form
• HIPPA Information
• HMO Out of Area Coverage
• Blue Card Worldwide
• Notice of Exchange

Medical (Blue Cross Blue Shield)

• HMO Blue Advantage Summary of Benefits and Coverage
• PPO 1 Summary of Benefits and Coverage
• PPO HSA Summary of Benefits and Coverage
• Blue Choice PPO Summary of Benefits and Coverage
• HMO Blue Advantage Benefit Booklet
• PPO 1 Benefit Booklet
• PPO HSA Benefit Booklet
• Blue Choice PPO Benefit Booklet
• HMO Vision Exam
• PrimeMail Delivers-BCBS Prescription Mail Order Program
• PrimeMail New Prescription Order Form
• PrimeMail Refill Prescription Order Form
• Walgreens Mail Service Physician Fax Form
• Walgreens Mail Service Registration and New Prescription Order Form - HMO only
• Standard Drug List Change effective April 1, 2016
• HMO Specialty Network Change effective April 1,2016
• HealthAdvocate Information
• TELADOC Information
• Tobacco Cessation Program Directions
• Tobacco Cessation Coverage
• 24/7 Nurseline - PPO Plans Only
• Videos from Blue Cross Blue Shield (You Tube)

Wellness Resources and Discounts for BCBS Members

• Wellness on the Go - Well onTarget Mobile App
• Well onTarget - Rewards for Healthy Living
• Well onTarget - Take Your Health Personally
• Blue365 - Discount Program

COBRA 

• FAQs on COBRA Continuation Health Coverage

Dental (Delta Dental) 

• County of DuPage Enrollment Kit
• Delta Dental Highlight Sheet
• Delta Dental Member Connection
• Delta Dental Enhanced Benefits Program
• Delta Dental Finding a Network Dentist
• Delta Dental Claim Form
• Delta Dental Benefit Booklet
• Delta Dental Plan Summary  

Vision (Superior)

• Superior Vision Plan Summary
• Retail Optical Chain Locations

Wellness Resources

• Employee Wellness Screening Portal
• To Your Health...Staying active during the day
• 2015 Employee Wellness Survey Results
• Biometric Results 2016
• Biometric Results 2017
• Biometric Results 2018
• Biometric Results 2019
• Biometric Results 2019 - At A Glance

The Hartford Basic and Supplemental Life Insurance

• Voluntary Life Insurance Benefit Highlights
• Hartford Premium Rates
• Hartford Enrollment Form
• Basic Term Life, Basic Accidental Death and Dismemberment Benefit Plan
• Supplemental Life Insurance Benefit Plan
• Beneficiary Form
• Beneficiary Guide
• Notice of Conversion and/or Portability Rights

Disability Income Protection Insurance

• AFLAC Enrollment Form
• AFLAC Group Critical Illness Rate Sheet
• AFLAC Group Accident Rate Sheet
• AFLAC Group Accident Brochure
• AFLAC Critical Illness Brochure  

Flexible Spending Account

• Discovery Guide to Benefits Debit Card
• Discovery Guide to Filing Claims
• Discovery Mobile Application
• Discovery Out of Pocket Reimbursement Form
• FSA Employee Guidelines
• FSA Enrollment Form
• Discovery Benefits
• County of DuPage, Cafeteria Plan, Summary Plan Description

 Pre-Paid Legal (Legal Shield)

• Legal Shield Application  
• Legal Shield Application - Sheriff
• IDShield - Identity Theft Protection Plan Details
• IDShield - Account Activation Steps

457 Deferred Compensation Plan

• ICMA-RC Website (www.icmarc.org)
• ICMA Online Enrollment
• ICMA Plan Summary and Enrollment Kit
• ICMA Save More With the Savers Credit
• ICMA - Your 457 Plan (Video)  
• ICMA - Making Roth Contributions to Your 457 Plan (Video)
  
• Pre-Tax and Roth Contributions
• ICMA Pre-Retirement Catch-Up Form
• ICMA Deferred Compensation Change Form
• Kim Brownlee, Retirement Plans Specialist, Phone: (800) 291-9483
• VALIC - Loan Participants Only - 800-448-2542 Client Care, Monday-Friday 7:00 a.m.-8:00 p.m. CT

Illinois Municipal Retirement Fund (IMRF)

• Manage Your Benefits With Member Access

Holiday Benefits

The County provides 11 paid holidays per year.

• New Year's Day
• Martin Luther King Day
• President's Day
• Memorial Day
• Independence Day
• Labor Day
• Columbus Day
• Veteran's Day
• Thanksgiving Day
• Day After Thanksgiving
• Christmas Day

Additional Benefits

Credit Union

All DuPage County employees and their families are eligible to enroll in the Employees' Credit Union for many banking needs. Some of the services provided are: Checking Accounts, Car and Personal Loans, Holiday Accounts, Illinois State License sticker sales, Travelers Cheques, Money Orders, Postage Stamps and much more.

Employee Assistance Program

Workplace Solutions provides comprehensive assessment, short-term counseling and referral services for a variety of personal and professional concerns. Phone: (877) 215-6614

2020 Workplace Solutions Webinar Calendar

Transit Benefit Fare Program

RTA Transit Benefit Program Guide

RTA Payroll Authorization Form