Insurance Information
Medical and Vision Insurance for employees of Community Consolidated School District 62 is provided by Blue Cross and Blue Shield of Illinois, the largest and most experienced health insurance company in the state. They provide more than 6.5 million members with comprehensive and affordable health plans.
Dental and Life Insurance for employees of Community Consolidated School District 62 is provided by MetLife.
District 62 employees may download selected forms here from Blue Cross and Blue Shield of Illinois:
News and Informational:
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Employee Discount Offer
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Guidance Resources Newsletters
January 07: Preventive Medical Exams (PDF)
February 07: Identity Theft Prevention (PDF)
March 07: Annual Check-ups (PDF)
Summer 07: Travel Safety Tips, part 1 (PDF)
Summer 07: Travel Safety Tips, part (PDF)
Summer 07: Travel Safety Tips, part 3 (PDF)
August 07: Helping the Elderly Prepare for Winter (PDF)
October 07: Dealing with Grief, Death and Loss (PDF)
For Your Benefit
A Quarterly newsletter from BC/BS about D62 Benefits
First Quarter 2007 (PDF)
Second Quarter 2007 (PDF)
Davis LASIK and
Contacts (PDF)
Blue Cross and Blue Shield of Illinois has arranged a discount
program through Davis Vision, featuring the TruVision
network which offers laser vision correction at a discounted
price. This is a discount program only. It is not part of your
Blue Cross and Blue Shield health care benefits.
Blue Points (PDF)
Now, as part of Blue Care®Connection, each time
you track a fitness workout, report a meal, ask a
health-related question, or use other parts of the
For Your Healthsection of the Personal
Health Manager (PHM), you can earn Blue Points.
These points are redeemable for health improvement
and other products at the Blue Points Redemption
Center which you can access through the PHM.
Rx Drug Forms
Mail Service Brochure (PDF)
Learn about our Mail Service Prescription Drug Program, how to order maintenance medications and how you can save by requesting generic drugs.
PrimeMail Registration & Order Form (PDF)
Complete and mail this form, along with your written prescription, for first-time maintenance medication orders from PrimeMail.
PrimeMail Physician Fax Form (PDF)
To receive your maintenance medication even faster, fill out the patient section of this form. Then have your doctor's office complete the prescription section and fax this form directly to PrimeMail.
Prescription Drug Card and Integrated BlueSCRIPT Program Claim Form (PDF)
If you need to file a reimbursement claim for a prescription drug purchase, complete and submit this form per the instructions, along with the original pharmacy receipt.
Medical Forms
Disabled Dependant Certification (PDF)
Medical Claim Form (PDF)
Use this form to request reimbursement when you visit a non-participating pharmacy or an out-of-network doctor or hospital.
International Claim Form (PDF)
For out-of-network services rendered outside of the U.S., you may
need to download a copy of our international claim form here.
HIPAA
Request to Access Protected Health Information (PDF)
Use this form to request access to your Protected Health Information (PHI).
Request to Amend Protected Health Information (PDF)
Use this form to request an amendment to your Protected Health Information (PHI).
Request for Accounting of Protected Health Information Disclosure (PDF)
Use this form to request an accounting of how your Protected Health Information (PHI) was disclosed by Blue Cross and Blue Shield of Illinois or its Business Associates.
PHI Standard Authorization Form (PDF)
Complete and submit this form to allow the disclosure of your Personal
Health Information (PHI) to a specific individual.
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