Illinois
UNDERWRITING/RATES
12 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Underwriting and Rate Information
2013 New Sales in Illinois
The following section applies to Illinois. Rates and Underwriting vary by state. Please refer to the appropriate state-
specific handbook for information specific to a beneficiary’s residence state.
Medicare Beneficiaries Age 65 and Older
Underwriting and Rate Summary
Underwriting requirements and rates for the AARP Medicare Supplement Insurance Plans vary based on the time
that has elapsed from the applicant’s 65th birthday or Medicare Part B effective date, if it is later. The following
chart provides a summary of the underwriting requirements and applicable rates:
Time since 65th birthday or Medicare Part B Effective Date, if later
0 to < 7 months 7 months to < 3 years 3 years to < 6 years 6 years or more
Underwriting
1
No Underwriting
Open Enrollment Period
Eligibility Underwriting
2
Eligibility Underwriting
2
Underwriting to set rates
3
Rate
4
Standard Rate with Enrollment Discount
5
Standard Rate with
Enrollment Discount
5,6
Level 1 Rate
6
Level 2 Rate
7
Level 2 Rate
7
Rate Group
(see Appendix III)
Group 1 Group 2 Group 3
1
Does not apply to applicants who meet guaranteed issue requirements.
2
Applicants must answer the two eligibility questions in Section 5 on the application. Applicants who answer “yes”
to either question are not eligible for coverage.
3
Applicants must complete Section 6 on the application. This information is needed to determine their rate.
4
Refer to Appendix III for rates and Appendix IV for lists of ZIP Codes applicable to each area. All members (except
those who meet open enrollment or guaranteed issue requirements) who respond “yes” to the tobacco use question
on the application will pay the tobacco use version of the rate shown in the chart.
5
For details about the Enrollment Discount program, refer to the next section entitled “Enrollment Discount.” Note:
applicants age 75 and older are not eligible for the Enrollment Discount and will pay the standard rate.
6
Applies to applicants who do not have any of the medical conditions listed in Section 6 of the application.
7
Applies to applicants who have any of the medical conditions listed in Section 6 of the application.
Refer to the appendix for:
Appendix I — Underwriting conditions glossary
Appendix II — Preliminary quote
Appendix III - Rate page
Appendix IV — Area rating ZIP Code listing
Illinois
UNDERWRITING/RATES
13This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Enrollment Discount*
The Enrollment Discount is available to applicants age 65 and over only.
Eligibility
Applicants are eligible for the Enrollment Discount if their
age on their plan effective date is:
• 65 to 67, OR
• 68 to 74 AND their plan effective date is within 3 years
of their Medicare Part B effective date, OR
• 68 to 74 AND their plan effective date is 3 or more
years but less than 6 years from their Medicare Part B
effective date
AND they do not have any medical condition that
qualifies for the Level 2 Rate
Applicants age 75 and over are not eligible for the
Enrollment Discount.
Discount Percentage and Duration
• If applicants are eligible for the Enrollment Discount, the
discount percentage is applied to the Standard Rate.
• The first-year discount percentage and the duration of
the discount program will vary based on applicant’s age
as of the plan effective date (see table below).
• The discount percentage amount changes on the
anniversary date of the plan as members move through
the discount program.*
• After the eligible discount duration expires, applicants
will pay the Standard Rate.
Enrollment Discount — Discount Percentages and Duration
Discount
Year
Age as of Plan Effective Date
65 66 67 68 69 70 71 72 73 74 75+
1
30% 27% 24% 21% 18% 15% 12% 9% 6% 3% 0%
2
27% 24% 21% 18% 15% 12% 9% 6% 3% 0%
3
24% 21% 18% 15% 12% 9% 6% 3% 0%
4
21% 18% 15% 12% 9% 6% 3% 0%
5
18% 15% 12% 9% 6% 3% 0%
6
15% 12% 9% 6% 3% 0%
7
12% 9% 6% 3% 0%
8
9% 6% 3% 0%
9
6% 3% 0%
10
3% 0%
11
0%
*Note: Rates generally change annually. If the Standard Rate changes, the discounted monthly premium will be
adjusted accordingly.
Illinois
UNDERWRITING/RATES
14 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Other Rate Discounts
Multi-Insured Discount
5 percent off the monthly premium if two members are on the same AARP membership household account and
each is insured under an AARP-branded supplemental insurance policy with UnitedHealthcare. (Does not apply to
AARP
®
MedicareRx Plans or AARP
®
MedicareComplete
®
plans.)
Electronic Funds Transfer (EFT) Discount
$2.00 per household per month when the entire household pays their premium through Electronic Funds Transfer.
Annual Payer Discount
$24.00 per household per year for insureds who pay their entire calendar year premium in January.
NOTE: Electronic Funds Transfer (EFT) discount and Annual Payer discount cannot be combined.
Rating Information
Community Rating with Areas
Community rating means all members in the same
rating class pay the same rate (excludes discounts and
surcharges). In an area rated state, all members in the
same class in the same area pay the same rate (excludes
discounts and surcharges).
Refer to Appendix IV for lists of ZIP Codes applicable to
each area.
Tobacco Use
Members who have smoked cigarettes or used any
tobacco product at any time within the past 12 months
will pay the tobacco use version of the rate for which
they qualify. This does not apply to applicants who meet
open enrollment or guaranteed issue requirements.
Rate Guarantee
New members receive a 6-month rate guarantee from
their initial plan effective date. Members will not receive
an additional rate guarantee when switching from one
AARP Medicare Supplement Plan to another.
Rate Changes
UnitedHealthcare’s monthly premium generally changes
once a year. However, enrolled members may see their
premium change at other times due to:
• the Enrollment Discount changing on their policy
anniversary
• rate guarantee ending, or
• moving into a different area or state
Illinois
UNDERWRITING/RATES
15This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Underwriting Information
• Who needs to be underwritten? Applicants
outside of their open enrollment period and who do
not qualify for guaranteed issue are underwritten to
determine eligibility and rate (depending on the time
since their 65th birthday or Medicare Part B effective
date, if later).
• Does underwriting vary for different AARP
Medicare Supplement Plans? No.
• Can applicants be denied for coverage? If
applicants need to be underwritten, the only medical
reasons for denial are:
– End Stage Renal Disease (ESRD)
– Dialysis is required
– Applicants have been admitted to a hospital within
the past 90 days
– Within the past two years a medical professional has
recommended or discussed as a treatment option
any of the following that has not been completed:
• Hospital admittance as an inpatient
• Organ transplant
• Back or spine surgery
• Joint replacement
• Surgery for cancer
• Heart surgery
• Vascular surgery
The above medical reasons can be found on Section 5
of the application. If applicants answer “yes” to either
question in Section 5, they will be denied coverage.
Everyone has the right to apply. Applicants can continue
the application process even if they may not qualify.
• If an applicant was in the hospital overnight for
“observation,” is this considered “inpatient”? The
applicant should contact the hospital and ask if they
were admitted as an inpatient.
• If a doctor recommended or discussed one
of the surgeries listed on the application and
the surgery hasn’t been completed, does it
matter where the surgery will be done? No. The
application does not ask where the surgery will be
done. If a doctor recommended or discussed one of
the surgeries in the two years prior to applying, the
applicant is ineligible for coverage.
• When do applicants need to complete other
medical questions in Section 6 of the
application? If their effective date is 3 or more years
since their 65th birthday (or Medicare Part B effective
date, if it is later) and they do not qualify for guaranteed
issue, applicants must complete the other medical
questions on the application. This information is necessary
to determine their rate.
• What about the applicant’s health history more
than two years ago? The application asks if the
applicant had, was diagnosed or treated for the medical
conditions listed during the past two years only.
• What if additional medical information is
needed? The underwriter may contact applicants or their
physician to clarify the information before reaching a
decision.
• What if the applicant’s medical condition isn’t
listed on the application? A limited number of
medical conditions (not all medical conditions) are
listed on the application. Only medical conditions
listed on the application are used to determine the
applicant’s rate. If the applicant is unsure if their
condition relates to a condition on the application,
they should check with their doctor.
• What if applicants are unsure about their
medical conditions? If applicants are unsure about
their medical conditions, their uncertainty should be noted
on the application and submitted to underwriting for review
along with available information.
Note that Appendix I includes a glossary with short
definitions of the medical conditions listed on the
application. This may assist you if applicants are
unsure about a listed medical condition.
• Can an insured applicant change to a different
AARP Medicare Supplement Plan?
– A change from an AARP Medicare Supplement Plan
with an effective date of 6/1/2010 and later to
another is usually permitted without underwriting.
The new plan must be available at the applicant’s
current age and area of residence.
– A change from an AARP Medicare Supplement
Plan with an effective date of 5/1/2010 or prior
will require new rating and underwriting (same
requirements as new sales).
UnitedHealthcare reserves the right to deny a plan
change request at any time. If applicants are denied
a plan change request, they can remain with their
current plan, with no effect to their current rates.
Please ensure that the application has been completed in full. Material mistakes or incomplete
responses on applications may subject applicants to re-evaluation of their rate or loss of coverage.
Illinois
UNDERWRITING/RATES
16 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Medicare Beneficiaries Age 50 (or an AARP Member’s Spouse Under Age 50)
Underwriting and Rate Summary
The following chart provides a summary of the underwriting requirements and applicable rate:
Time since Medicare Part B Effective Date
0 to < 7 months 7 months or more
Underwriting
No Underwriting
Open Enrollment Period
No Underwriting
(Plans are only available to applicants who
meet Guaranteed Issue requirements)
Rate* Disabled Rate
Rate Group (see Appendix III) Group 4
*Refer to Appendix IV for lists of ZIP Codes applicable to each area and rate amounts.
Rate Discounts
Multi-Insured Discount
5 percent off the monthly premium if two members are on the same AARP membership household account and
each is insured under an AARP-branded supplemental insurance policy with UnitedHealthcare. (Does not apply to
AARP
®
MedicareRx Plans or AARP
®
MedicareComplete
®
plans.)
Electronic Funds Transfer (EFT) Discount
$2.00 per household per month when the entire household pays their premium through Electronic Funds Transfer.
Annual Payer Discount
$24.00 per household per year for insureds who pay their entire calendar year premium in January.
NOTE: Electronic Funds Transfer (EFT) discount and Annual Payer discount cannot be combined.
Rating Information
Community Rating with Areas
Community rating means all members in the same
rating class pay the same rate (excludes discounts and
surcharges). In an area rated state, all members in the
same class in the same area pay the same rate (excludes
discounts and surcharges).
Refer to Appendix IV for lists of ZIP Codes applicable to
each area.
Rate Guarantee
New insured receive a 6-month rate guarantee from their
initial plan effective date. Insureds will not receive an
additional rate guarantee when switching from one AARP
Medicare Supplement Plan to another.
Rate Changes
UnitedHealthcare’s monthly premium generally changes
once a year. However, enrolled members may see their
premium change at other times due to:
• rate guarantee ending, or
• moving into a different area or state
Underwriting Information
There is no underwriting for beneficiaries age 50 to 64. Plans are only available to beneficiaries age 50
to 64 if they meet open enrollment or guaranteed issue requirements.
Illinois
UNDERWRITING/RATES
17This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Current AARP Medicare
Supplement Plan
Effective Date
Underwriting
Requirements
Rating
Requirements
Submit
New Application?
5/1/2010 or prior
Same as new sales
(refer to Underwriting and
Rate Summary Chart)
1
Same as new sales
(refer to Underwriting and
Rate Summary Chart)
A new application is required
for all applicants who want to
change to a new plan
6/1/2010 or later
None
2
Same rate level as
current plan
3,4
A new application may be
submitted but it is not required.
5
Applicants may call customer
service to request a plan change
over the phone.
1
If the current plan held is a Medicare Select Plan, no underwriting is required. Applicants do not need to answer health questions in Sections 5
or 6 on the enrollment application.
2
Applicants do not need to answer health questions in Sections 5 or 6 on the enrollment application.
3
Discounts for which the applicant is currently eligible will continue to apply, assuming no other changes have occurred that affect eligibility for
the discount.
4
If applicants are receiving an Enrollment Discount, advise them that they will continue to receive the balance of the discount program from the
time they enrolled in the original plan.
5
An application is required if changing to a Medicare Select Plan. Applicants do not need to answer health questions in Sections 5 or 6 on the
enrollment application.
Plan Change Situations
The following charts outline the rating and underwriting requirements for applicants who want to change
from one AARP Medicare Supplement Plan to another AARP Medicare Supplement Plan.
Insured members age 50 and over who are currently enrolled in an AARP Medicare Select Plan can
change to any AARP non-select Medicare supplement plan available without underwriting, regardless of
the Select plan’s effective date.
Insured Members Age 50 to 64
1
Plans Available
Underwriting
Requirements
Rating Requirements Submit New Application?
All
2
None Disabled Rate
A new application may be submitted
but it is not required.
3
Applicants
may call customer service to request
a plan change over the phone.
1
Applicants ages 50 to 64 can change plans only if they meet open enrollment or guaranteed issue criteria or if they are currently enrolled in an
AARP Medicare Select Plan.
2
When an insured member turns age 65, they may plan change to any available plan during their Medicare Open Enrollment Period (that begins at
age 65) without underwriting.
3
An application is required if changing to a Medicare Select Plan.
Note: Members will not receive an additional rate guarantee when switching from one AARP Medicare Supplement
Plan to another.
UnitedHealthcare reserves the right to deny a plan change request at any time. If applicants are denied a plan change
request, they can remain with their current plan, with no effect to their current rates.
Insured Members Age 65 and Older
Rating and underwriting requirements vary based on the effective date of the applicant’s current AARP Medicare
Supplement Plan:
APPENDIX
Illinois 29This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Appendix I
Completing the Application: Medical Terms and Conditions Glossary
• This glossary has brief descriptions for terms and medical conditions that may be helpful for the applicant in
completing the application. It also includes other names that may be used for some medical conditions.
• Medical terms and conditions listed below generally appear in the order they appear on the application. Some of
these medical terms or conditions don’t appear on all applications.
• The applicant is responsible for making sure that all answers to application questions are accurate and completed
in full.
• This glossary is provided for informational purposes ONLY. The applicant should consult his or her physician if they
need help answering medical questions on the application form.
Terms found on the application What those terms generally mean
End Stage Renal (Kidney) Disease
(ESRD)
A complete or almost complete failure of the kidneys to function,
requiring dialysis or a kidney transplant to live.
Dialysis A process of cleansing your blood by passing it through a machine
(hemodialysis), or putting special fluid into the abdominal cavity and
draining it out (peritoneal dialysis). This is necessary when the kidneys are
not able to filter blood.
Recommended or discussed as a
treatment option
You talked to a medical professional about one or more of the treatment
options listed on the application which has not been completed.
Medically diagnosed You have seen a medical professional who found a medical condition by
its signs, symptoms, and/or results of tests or procedures.
Received treatment You had tests, surgery, therapy or other medical care, or were told to take
medication by a medical professional.
APPENDIX
Illinois30 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Terms found on the application What those terms generally mean
Heart or Vascular Conditions
Vascular relates to blood vessels, including arteries, veins and capillaries.
Blood vessels, as a group, are referred to as the vascular system.
Aneurysm An abnormal widening or bulging in the wall of an artery or blood vessel.
Arteriosclerosis or Atherosclerosis A hardening or narrowing of the arteries. Same as Artery or Vein Blockage.
Artery or Vein Blockage A hardening or narrowing of the arteries. Same as Arteriosclerosis or
Atherosclerosis.
Atrial Fibrillation or Atrial Flutter A heart rhythm disorder that causes the upper chambers of the heart
(atria) to beat in an abnormal or disorganized way (often rapid and
irregular). Also known as A-Fib.
Cardiomyopathy A weakening of the heart muscle for any reason.
Carotid Artery Disease Main arteries in the neck become blocked or narrowed.
Congestive Heart Failure (CHF) Weakness of the heart muscle, causing decreased blood flow and a
build-up of fluid in the lungs and body tissues. Also known as congestive
heart disease, left heart failure, right heart failure.
Coronary Artery Disease (CAD) A narrowing of blood vessels that supply blood and oxygen to the heart.
Also known as coronary heart disease.
Heart Attack Occurs when the blood supply to part of the heart is interrupted, causing
damage to the heart muscle. Also known as myocardial infarction (MI).
Peripheral Vascular Disease (PVD) Includes all conditions involving poor blood flow to the arms, hands, legs
or feet. Also known as PVD and peripheral artery disease (PAD).
Claudication A cramp-like pain in the legs or arms caused by poor blood flow.
Stroke, Transient Ischemic Attack (TIA),
or mini-stroke
Loss of blood flow to an area of the brain, which may result in the sudden
onset of permanent (stroke) or temporary (TIA) symptoms. Also known as
cerebrovascular accident (CVA).
Ventricular Tachycardia A rapid or "racing" heart beat starting in one of the ventricular chambers
of the heart. Also known as V-Tach.
Diabetes
With any of the following complications:
The body does not regulate blood sugar levels properly.
Circulatory problems A decreased blood flow to organs and/or arms, hands, legs or feet. Also
known as PVD.
Kidney problems Kidney is unable to filter blood efficiently.
Retinopathy Damage to the retina of the eye. Also known as wet retina or
macular edema.
APPENDIX
Illinois 31This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Terms found on the application What those terms generally mean
Lung/Respiratory Conditions
Chronic Obstructive Pulmonary Disease
(COPD)
A lung disease, including emphysema and chronic obstructive bronchitis,
that makes it difficult to breathe or catch your breath. Also known as
COPD, chronic obstructive lung disease (COLD) and chronic obstructive
airway disease (COAD).
Emphysema A lung disease usually caused by smoking or exposure to harmful chemicals.
Cancer or Tumors
Cancer (other than skin cancer) A malignant growth caused when cells multiply uncontrollably. Some
types of cancer include carcinoma, lymphoma, leukemia, myeloma,
neoplasm, or sarcoma.
Leukemia A blood or bone marrow cancer causing abnormal blood cell production
(usually white blood cells). Also known as AML, ALL, CML or CLL.
Lymphoma An immune system cancer that often starts in the lymph nodes as
a malignant tumor. Also known as non-Hodgkin’s lymphoma (NHL) or
Hodgkin’s (HL).
Melanoma A malignant tumor caused by uncontrolled growth of pigment cells,
usually originating in the skin or eye(s).
Kidney Conditions
Chronic Renal Failure (CRF) or
Insufficiency (CRI)
A chronic loss of the ability of the kidneys to remove waste from the
blood. Also known as CRF or CRI.
Polycystic Kidney Disease An inherited disorder in which multiple cysts form in or on the kidneys,
causing them to enlarge. Also known as PKD or PCKD.
Renal Artery Stenosis A blockage or narrowing of the artery supplying blood to the kidney.
Liver Condition
Cirrhosis of the Liver Loss of liver function due to chronic inflammation and scarring.
Transplants
Bone marrow transplant A surgical procedure in which defective or cancerous bone marrow is
replaced with healthy bone marrow, either from the patient or a donor.
Organ transplant A surgical procedure in which a damaged or failing organ is replaced with
a healthy organ, either from a donor site or the patient’s own body.
APPENDIX
Illinois32 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Terms found on the application What those terms generally mean
Gastrointestinal Conditions
Chronic Pancreatitis Recurring or ongoing inflammation of the pancreas that may lead to
scarring and loss of function.
Esophageal Varices Veins in the esophagus become wider than normal, often resulting
in bleeding.
Musculoskeletal Conditions
Amputation due to disease When a diseased body extremity is removed by surgery.
Rheumatoid Arthritis (RA) A disorder in which the immune system attacks the body’s joints and/or
organs. Also known as RA.
Spinal Stenosis A narrowing of the spinal canal, putting pressure on the spinal cord
and nerves.
Substance Abuse
Alcohol Abuse or Alcoholism Any use of alcohol which causes physical, mental, social or legal
problems. Also known as ETOH or alcohol dependence.
Drug Abuse or use of illegal drugs Any use of prescribed, non-prescribed or illegal drug(s) for non-
therapeutic or non-medical reasons.
Brain or Spinal Cord Conditions
Paraplegia Inability to move the lower portion of the body and of both legs.
Quadriplegia Inability to move both arms and both legs.
Hemiplegia Inability to move one side of the body.
Psychological/Mental Conditions
Bipolar or Manic Depressive A mental disorder in which a person experiences severe mood changes
from very high-energy (manic) to extreme lows of depression.
Schizophrenia A mental disorder in which it is difficult for a person to tell the difference
between real and unreal experiences, to think logically, to have normal
emotional responses to others, and to behave normally in social situations.
Eye Condition
Macular Degeneration An eye disorder affecting the macula, which is part of the retina
responsible for central vision. Also known as AMD or ARMD.
APPENDIX
Illinois 33This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Terms found on the application What those terms generally mean
Nervous System Conditions
Amyotrophic Lateral Sclerosis (ALS) A disorder of the nerve cells in the brain or spinal cord that control
voluntary muscle movements. Also known as ALS or Lou Gehrig’s disease.
Alzheimer’s Disease The most common form of dementia. Dementia is a brain disease that
destroys memory and thinking skills beyond normal aging.
Dementia A brain disease that destroys memory and thinking skills beyond
normal aging.
Multiple Sclerosis (MS) A disease affecting the brain and spinal cord, sometimes progressing to
physical and mental disability. Also known as MS.
Parkinson’s Disease A chronic brain disorder that impairs body movement through rigidity,
slowing of movement and/or tremors.
Systemic Lupus Erythematosus (SLE) A disorder in which the immune system attacks the body's tissues and/or
organs, causing inflammation and damage. Also known as SLE.
Immune System Conditions
AIDS The stage of HIV disease in which a person's immune system is damaged
and susceptible to infections and tumors.
HIV Positive A person diagnosed as infected with HIV (human immunodeficiency virus).
APPENDIX
Illinois34 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Medicare Beneficiaries Age 50 to 64
Rate
Disabled Rate
Rate Group
Group 4 (See Appendix III)
Medicare Beneficiaries Age 65 and Older who meet Open Enrollment Criteria
Rate
Standard Rate with Enrollment Discount
Rate Group
Group 1 (See Appendix III)
Medicare Beneficiaries Age 65 and Older who meet Guaranteed Issue Criteria
Enrollment Time*: Rate Rate Group
Less than 3 years Standard Rate with Enrollment Discount 1 (See Appendix III)
3 years to < 6 years Standard Rate with Enrollment Discount 2 (See Appendix III)
6 years or more Level 1 Rate 3 (See Appendix III)
*Time difference between the applicant’s 65th birthday (or Medicare Part B effective date, if later) to the AARP
Medicare Supplement Plan effective date.
Medicare Beneficiaries Age 65 and Older who are Underwritten
(Do not meet Open Enrollment or Guaranteed Issue Criteria)
Enrollment Time*: Rate Rate Group
Less than 3 years Standard Rate with Enrollment Discount 1 (See Appendix III)
3 years to < 6 years
Standard Rate with Enrollment Discount
1
2 (See Appendix III)
Level 2 Rate
2
2 (See Appendix III)
6 years or more
Level 1 Rate
1
3 (See Appendix III)
Level 2 Rate
2
3 (See Appendix III)
*Time difference between the applicant’s 65th birthday (or Medicare Part B effective date, if later) to the AARP
Medicare Supplement Plan effective date.
Rate Quote Disclaimer (must be read to all applicants):
“Rates are subject to change. Actual rate will be determined upon acceptance into the program based
upon eligibility criteria and your medical conditions, if applicable.”
1 The applicant does not have any of the medical conditions listed in Section 6 of the application.
2 The applicant has one or more of the medical conditions listed in Section 6 of the application.
Appendix II
Providing a Preliminary Quote
New Sales in Illinois
Things to remember:
Before quoting rates, be sure to review
requirements in this handbook for:
• Eligibility
• Open Enrollment
• Guaranteed Issue
• Plan Availability
• Underwriting and Rates
To determine the exact rate, remember the following:
• Use the correct page for Tobacco or non-Tobacco rates
• Applicant’s Area – use their ZIP code to find the area
in Appendix IV
• Use the tables below to find the applicant’s rate group
• Always quote the rate disclaimer
Important Note:
This 2013 Producer Handbook contains rates
which apply to plan effective dates
April 1, 2013 through December 1, 2013.
SA25364ST
APPENDIX
Illinois 35This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Appendix III
Group 1
Applies to individuals whose plan effective date will be within three years
following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Standard Rates with Enrollment Discount
3
for individuals ages 65-74
65
$79.10 $119.17 $150.67 $124.07 $151.37 $124.77 $62.82 $87.85 $106.05
66
$82.49 $124.28 $157.13 $129.39 $157.86 $130.12 $65.51 $91.61 $110.59
67
$85.88 $129.39 $163.59 $134.71 $164.35 $135.47 $68.21 $95.38 $115.14
68
$89.27 $134.49 $170.04 $140.02 $170.83 $140.81 $70.90 $99.14 $119.68
69
$92.66 $139.60 $176.50 $145.34 $177.32 $146.16 $73.59 $102.91 $124.23
70
$96.05 $144.71 $182.96 $150.66 $183.81 $151.51 $76.28 $106.67 $128.77
71
$99.44 $149.82 $189.42 $155.98 $190.30 $156.86 $78.98 $110.44 $133.32
72
$102.83 $154.92 $195.87 $161.29 $196.78 $162.20 $81.67 $114.20 $137.86
73
$106.22 $160.03 $202.33 $166.61 $203.27 $167.55 $84.36 $117.97 $142.41
74
$109.61 $165.14 $208.79 $171.93 $209.76 $172.90 $87.05 $121.73 $146.95
Standard Rates for ages 75 and older
75+
$113.00 $170.25 $215.25 $177.25 $216.25 $178.25 $89.75 $125.50 $151.50
Cover Page - Rates for Illinois - Area 1
Non-Tobacco Monthly Plan Rates
AARP
®
Medicare Supplement Insurance Plans insured by UnitedHealthcare Insurance Company
Group 2
Applies to individuals whose plan effective date will be between 3 years and less than
6 years following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Standard Rates with Enrollment Discount
3
for individuals ages 68-74 who do
not have any of the medical conditions on the application.
4
68
$89.27 $134.49 $170.04 $140.02 $170.83 $140.81 $70.90 $99.14 $119.68
69
$92.66 $139.60 $176.50 $145.34 $177.32 $146.16 $73.59 $102.91 $124.23
70
$96.05 $144.71 $182.96 $150.66 $183.81 $151.51 $76.28 $106.67 $128.77
71
$99.44 $149.82 $189.42 $155.98 $190.30 $156.86 $78.98 $110.44 $133.32
72
$102.83 $154.92 $195.87 $161.29 $196.78 $162.20 $81.67 $114.20 $137.86
73
$106.22 $160.03 $202.33 $166.61 $203.27 $167.55 $84.36 $117.97 $142.41
74
$109.61 $165.14 $208.79 $171.93 $209.76 $172.90 $87.05 $121.73 $146.95
Standard Rates for individuals ages 75 and older who do not have any of the medical conditions on the application.
4
75+
$113.00 $170.25 $215.25 $177.25 $216.25 $178.25 $89.75 $125.50 $151.50
Level 2 Rates for individuals ages 68 and older who have one or more of the medical conditions on the application.
4
68+
$169.50 $255.37 $322.87 $265.87 $324.37 $267.37 $134.62 $188.25 $227.25
Group 3
Applies to individuals whose plan effective date will be 6 or more years
following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Level 1 Rates for individuals ages 71 and older who do not have any of the medical conditions on the application.
4
71+
$124.30 $187.27 $236.77 $194.97 $237.87 $196.07 $98.72 $138.05 $166.65
Level 2 Rates for individuals ages 71 and older who have one or more of the medical conditions on the application.
4
71+
$169.50 $255.37 $322.87 $265.87 $324.37 $267.37 $134.62 $188.25 $227.25
The rates above are for plan effective dates from April - December 2013 and may change.
MRP0004 ILA 4-13
APPENDIX
Illinois36 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Cover Page - Rates for Illinois - Area 1
Tobacco Monthly Plan Rates
AARP
®
Medicare Supplement Insurance Plans insured by UnitedHealthcare Insurance Company
The rates above are for plan effective dates from April - December 2013 and may change.
MRP0004 ILA 4-13
Group 1
Applies to individuals whose plan effective date will be within three years
following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Standard Rates with Enrollment Discount
3
for individuals ages 65-74
65
$87.01 $131.08 $165.73 $136.47 $166.50 $137.24 $69.10 $96.63 $116.65
66
$90.73 $136.70 $172.84 $142.32 $173.64 $143.13 $72.06 $100.77 $121.65
67
$94.46 $142.32 $179.94 $148.17 $180.78 $149.01 $75.02 $104.91 $126.65
68
$98.19 $147.94 $187.04 $154.02 $187.91 $154.89 $77.98 $109.05 $131.65
69
$101.92 $153.56 $194.15 $159.87 $195.05 $160.77 $80.95 $113.20 $136.65
70
$105.65 $159.17 $201.25 $165.72 $202.18 $166.65 $83.91 $117.34 $141.65
71
$109.38 $164.79 $208.35 $171.57 $209.32 $172.54 $86.87 $121.48 $146.65
72
$113.11 $170.41 $215.46 $177.42 $216.46 $178.42 $89.83 $125.62 $151.65
73
$116.84 $176.03 $222.56 $183.27 $223.59 $184.30 $92.79 $129.76 $156.65
74
$120.57 $181.65 $229.66 $189.12 $230.73 $190.18 $95.75 $133.90 $161.65
Standard Rates for ages 75 and older
75+
$124.30 $187.27 $236.77 $194.97 $237.87 $196.07 $98.72 $138.05 $166.65
Group 2
Applies to individuals whose plan effective date will be between 3 years and less than
6 years following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Standard Rates with Enrollment Discount
3
for individuals ages 68-74 who do
not have any of the medical conditions on the application.
4
68
$98.19 $147.94 $187.04 $154.02 $187.91 $154.89 $77.98 $109.05 $131.65
69
$101.92 $153.56 $194.15 $159.87 $195.05 $160.77 $80.95 $113.20 $136.65
70
$105.65 $159.17 $201.25 $165.72 $202.18 $166.65 $83.91 $117.34 $141.65
71
$109.38 $164.79 $208.35 $171.57 $209.32 $172.54 $86.87 $121.48 $146.65
72
$113.11 $170.41 $215.46 $177.42 $216.46 $178.42 $89.83 $125.62 $151.65
73
$116.84 $176.03 $222.56 $183.27 $223.59 $184.30 $92.79 $129.76 $156.65
74
$120.57 $181.65 $229.66 $189.12 $230.73 $190.18 $95.75 $133.90 $161.65
Standard Rates for individuals ages 75 and older who do not have any of the medical conditions on the application.
4
75+
$124.30 $187.27 $236.77 $194.97 $237.87 $196.07 $98.72 $138.05 $166.65
Level 2 Rates for individuals ages 68 and older who have one or more of the medical conditions on the application.
4
68+
$186.45 $280.90 $355.15 $292.45 $356.80 $294.10 $148.08 $207.07 $249.97
Group 3
Applies to individuals whose plan effective date will be 6 or more years
following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Level 1 Rates for individuals ages 71 and older who do not have any of the medical conditions on the application.
4
71+
$136.73 $205.99 $260.44 $214.46 $261.65 $215.67 $108.59 $151.85 $183.31
Level 2 Rates for individuals ages 71 and older who have one or more of the medical conditions on the application.
4
71+
$186.45 $280.90 $355.15 $292.45 $356.80 $294.10 $148.08 $207.07 $249.97
APPENDIX
Illinois 37This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Group 4
Applies to individuals under the age of 65 who are
eligible for Medicare by reason of disability
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Non-Tobacco Rates
50-64
$169.49 $255.36 $322.86 $265.86 $324.36 $267.36 $134.61 $188.24 $227.24
Cover Page - Rates for Illinois - Area 1
Under 65 Monthly Plan Rates
AARP
®
Medicare Supplement Insurance Plans insured by UnitedHealthcare Insurance Company
MRP0004 ILA 4-13
The rates above are for plan effective dates from April - December 2013 and may change.
1 Your age as of your plan effective date.
2 You must use a network hospital with Select Plans C and F.
3 The Enrollment Discount is available to ap
plicants age 65 and over. You may qualify for an Enrollment Discount
based on your age and your Medicare Part B effective date.
The Enrollment Discount is applied to the current Standard Rate. The Standard Rates usually change each year. The
discount you receive in your first year of coverage depends on your age on your plan effective date. The discount
percentage reduces 3% each year on the annive
rsary date of your plan until the discount runs out.
4 Refer to Section 6 of the application.
APPENDIX
Illinois38 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Group 1
Applies to individuals whose plan effective date will be within three years
following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Standard Rates with Enrollment Discount
3
for individuals ages 65-74
65
$75.25 $113.40 $143.32 $117.95 $144.02 $118.65 $59.67 $83.47 $100.80
66
$78.47 $118.26 $149.46 $123.00 $150.19 $123.73 $62.23 $87.05 $105.12
67
$81.70 $123.12 $155.61 $128.06 $156.37 $128.82 $64.79 $90.63 $109.44
68
$84.92 $127.98 $161.75 $133.11 $162.54 $133.90 $67.34 $94.20 $113.76
69
$88.15 $132.84 $167.89 $138.17 $168.71 $138.99 $69.90 $97.78 $118.08
70
$91.37 $137.70 $174.03 $143.22 $174.88 $144.07 $72.46 $101.36 $122.40
71
$94.60 $142.56 $180.18 $148.28 $181.06 $149.16 $75.02 $104.94 $126.72
72
$97.82 $147.42 $186.32 $153.33 $187.23 $154.24 $77.57 $108.51 $131.04
73
$101.05 $152.28 $192.46 $158.39 $193.40 $159.33 $80.13 $112.09 $135.36
74
$104.27 $157.14 $198.60 $163.44 $199.57 $164.41 $82.69 $115.67 $139.68
Standard Rates for ages 75 and older
75+
$107.50 $162.00 $204.75 $168.50 $205.75 $169.50 $85.25 $119.25 $144.00
Cover Page - Rates for Illinois - Area 2
Non-Tobacco Monthly Plan Rates
AARP
®
Medicare Supplement Insurance Plans insured by UnitedHealthcare Insurance Company
Group 2
Applies to individuals whose plan effective date will be between 3 years and less than
6 years following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A
Plan B
Plan C
Select C
2
Plan F
Select F
2
Plan K
Plan L
Plan N
Standard Rates with Enrollment Discount
3
for individuals ages 68-74 who do
not have any of the medical conditions on the application.
4
68
$84.92
$127.98
$161.75
$133.11
$162.54
$133.90
$67.34
$94.20
$113.76
69
$88.15
$132.84
$167.89
$138.17
$168.71
$138.99 $69.90
$97.78
$118.08
70
$91.37
$137.70
$174.03
$143.22
$174.88
$144.07
$72.46
$101.36
$122.40
71
$94.60
$142.56
$180.18
$148.28
$181.06
$149.16
$75.02
$104.94
$126.72
72
$97.82
$147.42
$186.32
$153.33
$187.23
$154.24 $77.57
$108.51
$131.04
73
$101.05
$152.28
$192.46
$158.39
$193.40
$159.33
$80.13
$112.09
$135.36
74
$104.27
$157.14
$198.60
$163.44
$199.57
$164.41
$82.69
$115.67
$139.68
Standard Rates for individuals ages 75 and older who do not have any of the medical conditions on the application.
4
75+
$107.50
$162.00
$204.75
$168.50
$205.75
$169.50 $85.25
$119.25
$144.00
Level 2 Rates for individuals ages 68 and older who have one or more of the medical conditions on the application.
4
68+
$161.25
$243.00
$307.12
$252.75
$308.62
$254.25
$127.87
$178.87
$216.00
Group 3
Applies to individuals whose plan effective date will be 6 or more years
following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Level 1 Rates for individuals ages 71 and older who do not have any of the medical conditions on the application.
4
71+
$118.25 $178.20 $225.22 $185.35 $226.32 $186.45 $93.77 $131.17 $158.40
Level 2 Rates for individuals ages 71 and older who have one or more of the medical conditions on the application.
4
71+
$161.25 $243.00 $307.12 $252.75 $308.62 $254.25 $127.87 $178.87 $216.00
The rates above are for plan effective dates from April - December 2013 and may change.
MRP0004 ILB 4-13
APPENDIX
Illinois 39This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Cover Page - Rates for Illinois - Area 2
Tobacco Monthly Plan Rates
AARP
®
Medicare Supplement Insurance Plans insured by UnitedHealthcare Insurance Company
The rates above are for plan effective dates from April - December 2013 and may change.
MRP0004 ILB 4-13
Group 1
Applies to individuals whose plan effective date will be within three years
following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Standard Rates with Enrollment Discount
3
for individuals ages 65-74
65
$82.77 $124.74 $157.65 $129.74 $158.42 $130.51 $65.63 $91.81 $110.88
66
$86.32 $130.08 $164.41 $135.30 $165.21 $136.10 $68.45 $95.75 $115.63
67
$89.87 $135.43 $171.16 $140.86 $172.00 $141.70 $71.26 $99.68 $120.38
68
$93.41 $140.77 $177.92 $146.42 $178.79 $147.29 $74.07 $103.62 $125.13
69
$96.96 $146.12 $184.68 $151.98 $185.58 $152.88 $76.89 $107.55 $129.88
70
$100.51 $151.47 $191.43 $157.54 $192.37 $158.48 $79.70 $111.49 $134.64
71
$104.06 $156.81 $198.19 $163.10 $199.16 $164.07 $82.51 $115.42 $139.39
72
$107.60 $162.16 $204.95 $168.66 $205.95 $169.66 $85.33 $119.36 $144.14
73
$111.15 $167.50 $211.70 $174.22 $212.74 $175.26 $88.14 $123.29 $148.89
74
$114.70 $172.85 $218.46 $179.78 $219.53 $180.85 $90.95 $127.23 $153.64
Standard Rates for ages 75 and older
75+
$118.25 $178.20 $225.22 $185.35 $226.32 $186.45 $93.77 $131.17 $158.40
Group 2
Applies to individuals whose plan effective date will be between 3 years and less than
6 years following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Standard Rates with Enrollment Discount
3
for individuals ages 68-74 who do
not have any of the medical conditions on the application.
4
68
$93.41 $140.77 $177.92 $146.42 $178.79 $147.29 $74.07 $103.62 $125.13
69
$96.96 $146.12 $184.68 $151.98 $185.58 $152.88 $76.89 $107.55 $129.88
70
$100.51 $151.47 $191.43 $157.54 $192.37 $158.48 $79.70 $111.49 $134.64
71
$104.06 $156.81 $198.19 $163.10 $199.16 $164.07 $82.51 $115.42 $139.39
72
$107.60 $162.16 $204.95 $168.66 $205.95 $169.66 $85.33 $119.36 $144.14
73
$111.15 $167.50 $211.70 $174.22 $212.74 $175.26 $88.14 $123.29 $148.89
74
$114.70 $172.85 $218.46 $179.78 $219.53 $180.85 $90.95 $127.23 $153.64
Standard Rates for individuals ages 75 and older who do not have any of the medical conditions on the application.
4
75+
$118.25 $178.20 $225.22 $185.35 $226.32 $186.45 $93.77 $131.17 $158.40
Level 2 Rates for individuals ages 68 and older who have one or more of the medical conditions on the application.
4
68+
$177.37 $267.30 $337.83 $278.02 $339.48 $279.67 $140.65 $196.75 $237.60
Group 3
Applies to individuals whose plan effective date will be 6 or more years
following their 65th birthday or Medicare Part B effective date, if later.
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Level 1 Rates for individuals ages 71 and older who do not have any of the medical conditions on the application.
4
71+
$130.07 $196.02 $247.74 $203.88 $248.95 $205.09 $103.14 $144.28 $174.24
Level 2 Rates for individuals ages 71 and older who have one or more of the medical conditions on the application.
4
71+
$177.37 $267.30 $337.83 $278.02 $339.48 $279.67 $140.65 $196.75 $237.60
APPENDIX
Illinois40 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Group 4
Applies to individuals under the age of 65 who are
eligible for Medicare by reason of disability
Age
1
Plan A Plan B Plan C
Select C
2
Plan F
Select F
2
Plan K Plan L Plan N
Non-Tobacco Rates
50-64
$161.24 $242.99 $307.11 $252.74 $308.61 $254.24 $127.86 $178.86 $215.99
Cover Page - Rates for Illinois - Area 2
Under 65 Monthly Plan Rates
AARP
®
Medicare Supplement Insurance Plans insured by UnitedHealthcare Insurance Company
MRP0004 ILB 4-13
The rates above are for plan effective dates from April - December 2013 and may change.
1 Your age as of your plan effective date.
2 You must use a network hospital with Select Plans C and F.
3 The Enrollment Discount is available to a
pplicants age 65 and over. You may qualify for an Enrollment Discount
based on your age and your Medicare Part B effective date.
The Enrollment Discount is applied to the current Standard Rate. The Standard Rates usually change each year. The
discount you receive in your first year of coverage depends on your age on your plan effective date. The discount
percentage reduces 3% each year on the anniv
ersary date of your plan until the discount runs out.
4 Refer to Section 6 of the application.
APPENDIX
Illinois 41This information applies for plan effective dates of April 1, 2013 - December 1, 2013
Appendix IV Illinois - ZIP Code Directory for Area Rating
ILLINOIS Area 1 ZIP Codes, Effective August 1, 2012
The ZIP Codes Below Apply to Rates Included on the Page Headed “Cover Page – Rates”
SA25163 ILA (08-12) Page 1 of 1
60001
60002
60004
60005
60006
60007
60008
60009
60010
60011
60012
60013
60014
60015
60016
60017
60018
60019
60020
60021
60022
60025
60026
60029
60030
60031
60033
60034
60035
60037
60038
60039
60040
60041
60042
60043
60044
60045
60046
60047
60048
60050
60051
60053
60055
60056
60060
60061
60062
60064
60065
60067
60068
60069
60070
60071
60072
60073
60074
60075
60076
60077
60078
60079
60081
60082
60083
60084
60085
60086
60087
60088
60089
60090
60091
60093
60094
60095
60096
60097
60098
60099
60101
60102
60103
60104
60105
60106
60107
60108
60109
60110
60116
60117
60118
60119
60120
60121
60122
60123
60124
60126
60128
60130
60131
60132
60133
60134
60136
60137
60138
60139
60140
60141
60142
60143
60144
60147
60148
60151
60152
60153
60154
60155
60156
60157
60159
60160
60161
60162
60163
60164
60165
60168
60169
60170
60171
60172
60173
60174
60175
60176
60177
60179
60180
60181
60183
60184
60185
60186
60187
60188
60189
60190
60191
60192
60193
60194
60195
60196
60197
60199
60201
60202
60203
60204
60208
60209
60290
60301
60302
60303
60304
60305
60399
60401
60402
60403
60404
60406
60408
60409
60410
60411
60412
60415
60417
60419
60421
60422
60423
60425
60426
60428
60429
60430
60431
60432
60433
60434
60435
60436
60438
60439
60440
60441
60442
60443
60445
60446
60448
60449
60451
60452
60453
60454
60455
60456
60457
60458
60459
60461
60462
60463
60464
60465
60466
60467
60468
60469
60471
60472
60473
60475
60476
60477
60478
60480
60481
60482
60484
60487
60490
60491
60499
60501
60502
60503
60504
60505
60506
60507
60510
60511
60513
60514
60515
60516
60517
60519
60521
60522
60523
60525
60526
60527
60532
60534
60539
60540
60542
60544
60546
60554
60555
60558
60559
60561
60563
60564
60565
60566
60567
60568
60572
60585
60586
60598
60599
60601
60602
60603
60604
60605
60606
60607
60608
60609
60610
60611
60612
60613
60614
60615
60616
60617
60618
60619
60620
60621
60622
60623
60624
60625
60626
60628
60629
60630
60631
60632
60633
60634
60636
60637
60638
60639
60640
60641
60642
60643
60644
60645
60646
60647
60649
60651
60652
60653
60654
60655
60656
60657
60659
60660
60661
60664
60666
60668
60669
60670
60673
60674
60675
60677
60678
60680
60681
60682
60684
60685
60686
60687
60688
60689
60690
60691
60693
60694
60695
60696
60697
60701
60706
60707
60712
60714
60799
60803
60804
60805
60827
60958
APPENDIX
Illinois42 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
ILLINOIS Area 2 ZIP Codes, Effective August 1, 2012
The ZIP Codes Below Apply to Rates Included on the Page Headed “Cover Page – Rates”
SA25163 ILB (08-12) Page 1 of 3
60111
60112
60113
60115
60129
60135
60145
60146
60150
60178
60407
60416
60420
60424
60437
60444
60447
60450
60460
60470
60474
60479
60512
60518
60520
60530
60531
60536
60537
60538
60541
60543
60545
60548
60549
60550
60551
60552
60553
60556
60557
60560
60901
60910
60911
60912
60913
60914
60915
60917
60918
60919
60920
60921
60922
60924
60926
60927
60928
60929
60930
60931
60932
60933
60934
60935
60936
60938
60939
60940
60941
60942
60944
60945
60946
60948
60949
60950
60951
60952
60953
60954
60955
60956
60957
60959
60960
60961
60962
60963
60964
60966
60967
60968
60969
60970
60973
60974
61001
61006
61007
61008
61010
61011
61012
61013
61014
61015
61016
61018
61019
61020
61021
61024
61025
61027
61028
61030
61031
61032
61036
61037
61038
61039
61041
61042
61043
61044
61046
61047
61048
61049
61050
61051
61052
61053
61054
61057
61059
61060
61061
61062
61063
61064
61065
61067
61068
61070
61071
61072
61073
61074
61075
61077
61078
61079
61080
61081
61084
61085
61087
61088
61089
61091
61101
61102
61103
61104
61105
61106
61107
61108
61109
61110
61111
61112
61114
61115
61125
61126
61130
61131
61132
61201
61204
61230
61231
61232
61233
61234
61235
61236
61237
61238
61239
61240
61241
61242
61243
61244
61250
61251
61252
61254
61256
61257
61258
61259
61260
61261
61262
61263
61264
61265
61266
61270
61272
61273
61274
61275
61276
61277
61278
61279
61281
61282
61283
61284
61285
61299
61301
61310
61311
61312
61313
61314
61315
61316
61317
61318
61319
61320
61321
61322
61323
61324
61325
61326
61327
61328
61329
61330
61331
61332
61333
61334
61335
61336
61337
61338
61340
61341
61342
61344
61345
61346
61348
61349
61350
61353
61354
61356
61358
61359
61360
61361
61362
61363
61364
61367
61368
61369
61370
61371
61372
61373
61374
61375
61376
61377
61378
61379
61401
61402
61410
61411
61412
61413
61414
61415
61416
61417
61418
61419
61420
61421
61422
61423
61424
61425
61426
61427
61428
61430
61431
61432
61433
61434
61435
61436
61437
61438
61439
61440
61441
61442
61443
61447
61448
61449
61450
61451
61452
61453
61454
61455
61458
61459
61460
61462
61465
61466
61467
61468
61469
61470
61471
61472
61473
61474
61475
61476
61477
61478
61479
61480
61482
61483
61484
61485
61486
61488
61489
61490
61491
61501
61516
61517
61519
61520
61523
61524
61525
61526
61528
61529
61530
61531
61532
61533
61534
61535
61536
61537
61539
61540
61541
61542
61543
61544
61545
61546
61547
61548
61550
61552
61553
61554
61555
61558
61559
61560
61561
61562
61563
61564
61565
61567
61568
61569
61570
61571
61572
61601
61602
61603
61604
61605
61606
61607
61610
61611
61612
61613
61614
61615
61616
61625
61629
61630
61633
61634
APPENDIX
Illinois 43This information applies for plan effective dates of April 1, 2013 - December 1, 2013
ILLINOIS Area 2 ZIP Codes CONTINUED
Page 2 of 3
61635
61636
61637
61638
61639
61641
61643
61650
61651
61652
61653
61654
61655
61656
61701
61702
61704
61705
61709
61710
61720
61721
61722
61723
61724
61725
61726
61727
61728
61729
61730
61731
61732
61733
61734
61735
61736
61737
61738
61739
61740
61741
61742
61743
61744
61745
61747
61748
61749
61750
61751
61752
61753
61754
61755
61756
61758
61759
61760
61761
61764
61769
61770
61771
61772
61773
61774
61775
61776
61777
61778
61790
61791
61799
61801
61802
61803
61810
61811
61812
61813
61814
61815
61816
61817
61818
61820
61821
61822
61824
61825
61826
61830
61831
61832
61833
61834
61839
61840
61841
61842
61843
61844
61845
61846
61847
61848
61849
61850
61851
61852
61853
61854
61855
61856
61857
61858
61859
61862
61863
61864
61865
61866
61870
61871
61872
61873
61874
61875
61876
61877
61878
61880
61882
61883
61884
61910
61911
61912
61913
61914
61917
61919
61920
61924
61925
61928
61929
61930
61931
61932
61933
61936
61937
61938
61940
61941
61942
61943
61944
61949
61951
61953
61955
61956
61957
62001
62002
62006
62009
62010
62011
62012
62013
62014
62015
62016
62017
62018
62019
62021
62022
62023
62024
62025
62026
62027
62028
62030
62031
62032
62033
62034
62035
62036
62037
62040
62044
62045
62046
62047
62048
62049
62050
62051
62052
62053
62054
62056
62058
62059
62060
62061
62062
62063
62065
62067
62069
62070
62071
62074
62075
62076
62077
62078
62079
62080
62081
62082
62083
62084
62085
62086
62087
62088
62089
62090
62091
62092
62093
62094
62095
62097
62098
62201
62202
62203
62204
62205
62206
62207
62208
62214
62215
62216
62217
62218
62219
62220
62221
62222
62223
62225
62226
62230
62231
62232
62233
62234
62236
62237
62238
62239
62240
62241
62242
62243
62244
62245
62246
62247
62248
62249
62250
62252
62253
62254
62255
62256
62257
62258
62259
62260
62261
62262
62263
62264
62265
62266
62268
62269
62271
62272
62273
62274
62275
62277
62278
62279
62280
62281
62282
62284
62285
62286
62288
62289
62292
62293
62294
62295
62297
62298
62301
62305
62306
62311
62312
62313
62314
62316
62319
62320
62321
62323
62324
62325
62326
62329
62330
62334
62336
62338
62339
62340
62341
62343
62344
62345
62346
62347
62348
62349
62351
62352
62353
62354
62355
62356
62357
62358
62359
62360
62361
62362
62363
62365
62366
62367
62370
62373
62374
62375
62376
62378
62379
62380
62401
62410
62411
62413
62414
62417
62418
62419
62420
62421
62422
62423
62424
62425
62426
62427
62428
62431
62432
62433
62434
62435
62436
62438
62439
62440
62441
62442
62443
62444
62445
62446
62447
62448
62449
62450
62451
62452
62454
62458
62459
62460
62461
62462
62463
62464
62465
62466
62467
62468
62469
62471
62473
62474
62475
62476
62477
62478
62479
62480
62481
62501
62510
62512
62513
62514
62515
APPENDIX
Illinois44 This information applies for plan effective dates of April 1, 2013 - December 1, 2013
ILLINOIS Area 2 ZIP Codes CONTINUED
Page 3 of 3
62517
62518
62519
62520
62521
62522
62523
62524
62525
62526
62530
62531
62532
62533
62534
62535
62536
62537
62538
62539
62540
62541
62543
62544
62545
62546
62547
62548
62549
62550
62551
62553
62554
62555
62556
62557
62558
62560
62561
62563
62565
62567
62568
62570
62571
62572
62573
62601
62610
62611
62612
62613
62615
62617
62618
62621
62622
62624
62625
62626
62627
62628
62629
62630
62631
62633
62634
62635
62638
62639
62640
62642
62643
62644
62649
62650
62651
62655
62656
62659
62660
62661
62662
62663
62664
62665
62666
62667
62668
62670
62671
62672
62673
62674
62675
62677
62681
62682
62683
62684
62685
62688
62689
62690
62691
62692
62693
62694
62695
62701
62702
62703
62704
62705
62706
62707
62708
62711
62712
62715
62716
62719
62721
62722
62723
62726
62736
62739
62756
62757
62761
62762
62763
62764
62765
62766
62767
62769
62776
62777
62781
62786
62791
62794
62796
62801
62803
62806
62807
62808
62809
62810
62811
62812
62814
62815
62816
62817
62818
62819
62820
62821
62822
62823
62824
62825
62827
62828
62829
62830
62831
62832
62833
62834
62835
62836
62837
62838
62839
62840
62841
62842
62843
62844
62846
62848
62849
62850
62851
62852
62853
62854
62855
62856
62858
62859
62860
62861
62862
62863
62864
62865
62866
62867
62868
62869
62870
62871
62872
62874
62875
62876
62877
62878
62879
62880
62881
62882
62883
62884
62885
62886
62887
62888
62889
62890
62891
62892
62893
62894
62895
62896
62897
62898
62899
62901
62902
62903
62905
62906
62907
62908
62909
62910
62912
62914
62915
62916
62917
62918
62919
62920
62921
62922
62923
62924
62926
62927
62928
62930
62931
62932
62933
62934
62935
62938
62939
62940
62941
62942
62943
62946
62947
62948
62949
62950
62951
62952
62953
62954
62955
62956
62957
62958
62959
62960
62961
62962
62963
62964
62965
62966
62967
62969
62970
62971
62972
62973
62974
62975
62976
62977
62979
62982
62983
62984
62985
62987
62988
62990
62992
62993
62994
62995
62996
62997
62998
62999
The following ZIP codes are no longer recognized by the U.S. Post Offi ce: 62805 and 62857
