CHIP Logo
Illinois Comprehensive Health Insurance Plan
Pat Quinn, Governor
Andrew Boron, Chairman of the Board of Directors
Timothy C. Sullivan, Executive Director
A State health insurance program for Illinois residents

+ Administrators
Blue Access for Members (Medical)
Catamaran (Pharmacy Benefit Manager)

Information Request

Use this form to request Information Packets that will be mailed to the address below.
The mailing label will appear exactly as you type it, so please fill this in carefully.
If you need to ask us a question, you may e-mail us.
However, please review our Privacy Guidelines.


Name (First Last): (Required)
Address Line 1: (Required)
Address Line 2:
City State ZipCode: (Required)
Do you want TAA/PBGC information?

v2.0
Complete Above Fields and Choose Action Below.

Tel 217-782-6333 | Toll Free (Illinois only) 866-851-2751 | TTY 855-691-7156
© Copyright 2013 Illinois Comprehensive Health Insurance Plan All Rights Reserved
Privacy Statement | Legal Disclaimer | Contact Us | Secure Login | RSS Feed RSS Feed
Experiencing a problem with this site? Contact the Webmaster
IPXP Home Page illinois amber alert Missing and exploited children   Bookmark and Share
Images do not depict actual participants or employees