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Use New IL Application to Ensure Smooth Enrollment

In January, we announced that we had a new Illinois large group employee application. As of May 1, 2019, we are no longer able to process the old ones. The old applications say LGAPP-15 in the bottom, left corner. If an outdated form is submitted, Health Alliance will ask the employer for a  new form.

Please be sure to bookmark the most recent application for easiest access.

IL Large Group Employee Application

You can find other applications and important forms by logging in to Your Health Alliance and clicking on the Forms & Resources tab.

If you have questions, please contact or 1-877-917-8489 ext. 28854.