Self Insured Medical Plan - Aetna

The State of Illinois Department of Central Management Services (CMS) - Benefits organization awarded a Self-Insured Medical Plan Services contract to Aetna Life Insurance Company under Open Market Competitive Sealed Proposal 26-416CMS-BENF4-P-92831. The initial contract term runs from July 1, 2026, through June 30, 2029, with a contract value of $31,038,684.00 for the three-year period. The contract provides medical claims administration and benefits management services for four state programs: the State Employees Group Insurance Program (SEGIP), Local Government Health Plan (LGHP), Teachers' Retirement Insurance Program (TRIP), and College Insurance Program (CIP), covering approximately 43,239 enrolled members across six distinct benefit plans.

Aetna Life Insurance Company will deliver comprehensive medical plan administration services including claims processing, utilization management, disease management, provider network development and contracting, customer service operations, and wellness program coordination across a geographically diverse service area throughout Illinois and nationally. The awarded vendor committed to a 7 percent Business Enterprise Program utilization goal with Medellin & Associates, Inc. as the certified subcontracting partner. The contract extends beyond the initial three-year term through seven optional one-year renewal periods, with potential cumulative value reaching $112,682,564 through June 30, 2036.