CCHP & CCDP Claim Payment Delay

College Choice Health Plan, administered by Aetna. 

Claims processed through 07/17/2023 have been released.

HealthLink OAP

Claims processed through 07/17/2023 have been released.

Aetna OAP

Claims processed through 07/17/2023 have been released.

Aetna HMO

Claims processed are current. No Hold.

College Choice Dental Plan (administered by Delta Dental of Illinois)

Claims processed through 06/05/2023 have been released to PPO/Premier-contracted providers.

Claims processed through 03/13/2023 have been released to Non-network providers.

http://soi.deltadentalil.com/
Dental Claim Payment Timelines - Delta Dental of Illinois (deltadentalil.com)

Specific questions or concerns regarding a claim payment?  Contact CMS Benefits Group Insurance at: CMS.BEN.BCS@illinois.gov.

Notice Regarding CCHP and CCDP Claim Payment Delay: The Department of Central Management Services administers the College Insurance Program (CIP) as outlined in the State Employees Group Insurance Act of 1971. As a benefit recipient of the State Universities Retirement System (SURS), health and dental benefits are a very important part of your compensation package. The College Choice Health and Dental Plans are self-insured plans with funding provided through the Community College Health Insurance Security Fund (Fund).

For some time, revenues received into the Fund have been insufficient to cover the liabilities of the fund. Changes to program design and member contributions have been unable to overcome this insufficiency. At this time, funds remain insufficient to pay claims on a normal schedule, and we cannot estimate when a regular payment schedule will resume. Claim payments will be released according to the claim process date and available funding. Aetna continues to process claims promptly, but the release of claims must be held until revenue is available. Late payment interest is paid to healthcare providers on health claims that take longer than 30 days from the receipt of completed claim submission to pay. We continue to keep you apprised of the length of this delay and make the following recommendations:

• Health plan claims: Pay your member portion after you receive the explanation of benefits or upon receipt of services.
• Health plan claims: Always utilize CCHP providers, if possible.
• Health plan claims: If utilizing a non-CCHP provider, ask the provider to accept the delayed claim payment or set up a payment plan.
• Dental claims: Pay your member portion upon receipt of services.
• Dental claims: Work with the provider to accept the delayed claim payment or set up a payment plan.
• Dental claims: If the full amount must be paid, submit a paper claim form to the claims administrator as soon as possible to minimize the delay in processing the claim.