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INSURANCE FAQ - Grievances and Appeals

Your Grievance and Appeals Rights:

There are agencies that can help if you have a complaint against your plan for a denial of a claim. This complaint is called a grievance or appeal.

For more information about your rights, look at the Explanation of Benefits you will receive for that medical claim. Your plan documentation also provides complete information to submit a claim, appeal, or a grievance for any reason to your plan.

For additional information about your rights, or assistance, contact:
your Health Insurance Provider
(listed below), or the

State of Illinois Department of Insurance
Office of Consumer Health Insurance

United Healthcare  **Medicare Advantage type**


Appeals address:
Appeals and Grievance Department
P.O. Box 6106, Mail Stop CA124-0157
Cypress, CA 90630

Coventry Advantra (An Aetna Company) **Medicare Advantage type**


Health Alliance **Medicare Advantage type**


Humana **Medicare Advantage type**

If you have any questions about the plan, call Humana at 1-800-951-0125 (TTY: 711).
You can call Monday through Friday from 8 a.m. to 8 p.m. Central time         



Delta Dental of Illinois


State of Illinois State Employee Group Insurance Plan (SEGIP) Administrator Contacts

State of Illinois Retiree TRAIL MAPD Administrator Contacts

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Email usretire@RSEA4U.org