Group Insurance Representatives
8/26/2024
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
101
001
000
RM 200 4S STRATTON BLDG
HENRY HARMS
SPRINGFIELD, IL 62706
(217) 785-1217
Phone
E-mail: HARMS@HDS.ILGA.GOV
S
Fax:
HOUSE OF REPS - DEMO FISCAL
101
002
000
401 SOUTH SPRING
KIRK WALKER
ROOM 403 STRATTON
(217) 557-4179
SPRINGFIELD, IL 62706
Phone
E-mail: KIRKW@ILGA.GOV
S
Fax:
HOUSE OF REPS - DISTRICT OFC
101
002
001
401 S SPRING STREET
KIRK WALKER
STRATTON BUILDING ROOM 403
(217) 557-4179
SPRINGFIELD, IL 62706
Phone
E-mail: KIRKW@ILGA.GOV
S
Fax:
101
002
002
401 E SPRING STREET
JERMAINE PUGH
STRATTON BUILDING ROOM 403
(217) 557-4179
SPRINGFIELD, IL 62706
Phone
E-mail: JERMAINEP@ILGA.GOV
S
Fax:
101
003
000
403 CAPITOL BUILDING
MELISSA JENNINGS
SPRINGFIELD, IL 62706
(217) 782-0813
Phone
E-mail: MJENNINGS@ILGA.GOV
S
Fax:
SENATE OPERATIONS COMMISSION
101
003
001
ROOM 058 CAPITOL BUILDING
KATIE WARD
SPRINGFIELD, IL 62706
(217) 782-0813
Phone
E-mail: KW[email protected]OV
S
Fax:
101
004
000
401 S SPRING STREET
MELISSA THOMAS
ROOM 623
SPRINGFIELD, IL 62706
Phone
E-mail: [email protected].GOV
S
Fax:
HOUSE OF REPS - MINORITY
101
004
001
401 S SPRING ST
BRAMBLETT KEVIN
ROOM 400N
(217) 782-0800
SPRINGFIELD, IL 62706
Phone
E-mail: KBRAMBLETT@HRS.ILGA.GOV
S
Fax:
Page 1 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
101
004
002
401 S SPRING ST
MELISSA THOMAS
ROOM 400N
(217) 782-0800
SPRINGFIELD, IL 62706
Phone
E-mail: MTHOMAS@HRS.ILGA.GOV
S
Fax:
102
000
000
RM 420 STRATTON BUILDING
DANA BOSTWICK
SPRINGFIELD, IL 62706
(217) 558-1566
Phone
E-mail: DANAB@ILGA.GOV
S
Fax:
LEGISLATIVE INSPECTOR GENERAL
103
000
000
740 EAST ASH
TERESA L DAVIS
SPRINGFIELD, IL 62703
(217) 785-8222
Phone
E-mail: TLDAVIS@AUDITOR.ILLINOIS.GOV
S
Fax:
AUDITOR GENERAL
105
000
000
802 STRATTON OFFICE BUILDING
VICTORIA COPP
SPRINGFIELD, IL 62706
(217) 782-3513
Phone
E-mail: VICTORIAC@ILGA.GOV
S
Fax:
COMM ON GVT FORCSTNG & ACTBLTY
105
000
001
802 STRATTON OFFICE BUILDING
SUSAN SICILIA
SPRINGFIELD, IL 62706
(217) 782-3513
Phone
E-mail: SUSANS@ILGA.GOV
S
Fax:
108
000
000
705 STRATTON BLD
SUSAN HALL
SPRINGFIELD, IL 62706
(217) 524-6059
Phone
E-mail: SUSANH@ILGA.GOV
S
Fax:
LEGISLATIVE INFORMATION SYSTEM
108
000
002
705 STRATTON OFFICE BUILDING
SARAH MELHENBECK
SPRINGFIELD, IL 62706
(217) 557-8792
Phone
E-mail: SARAHM@ILGA.GOV
S
Fax:
108
000
003
705 STRATTON BLD
LESLIE BENNETT
SPRINGFIELD, IL 62706
(217) 524-6059
Phone
E-mail: LESLIEB@ILGA.GOV
S
Fax:
Page 2 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
109
000
000
622 STRATTON BLD
DAWN HOLLOWAY
SPRINGFIELD, IL 62766
Phone
S
Fax:
LEGISLATIVE AUDIT COMMISSION
110
000
000
610 STRATTON BUILDING
JENNA A WILLIAMS
SPRINGFIELD, IL 62706
(217) 524-1388
Phone
E-mail: JENNAW@ILGA.GOV
S
Fax:
LEGISLATIVE PRINTING
112
000
000
222 S COLLEGE SUITE 301
SUSAN L SICILIA
SPRINGFIELD, IL 62704
(217) 785-7572
Phone
E-mail: SUSANS@ILGA.GOV
S
Fax:
LEGISLATIVE RESEARCH UNIT
115
000
000
ROOM 112 STATE HOUSE
REBECCA A HANKIEWICZ
SPRINGFIELD, IL 62706
Phone
E-mail: REBECCAH@ILGA.GOV
S
Fax:
LEGISLATIVE REFERENCE BUREAU
Page 3 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
131
000
000
2101 S VETERANS PARKWAY
TINA ELLIOTT
PO BOX 19255
(217) 557-5154
SPRINGFIELD, IL 62794-9255
Phone
E-mail: TINA.ELLIOT[email protected]LLINOIS.GOV
S
Fax:
GENERAL ASSEMBLY RETIREMNT SYS
131
000
001
2101 S VETERANS PARKWAY
TRACY ELLIS
PO BOX 19255
(217) 524-9039
SPRINGFIELD, IL 62794-9255
Phone
E-mail: TRACY.ELLIS@SRS.ILLINOIS.GOV
S
Fax:
131
000
002
2101 S VETERANS PARKWAY
ANGELA C ACKERSON
PO BOX 19255
(217) 524-9039
SPRINGFIELD, IL 62794-9255
Phone
E-mail: ANGIE.ACKERSON@SRS.ILLINOIS.GOV
S
Fax:
131
000
003
2101 S VETERANS PARKWAY
ERIN GATES
PO BOX 19255
(217) 524-9039
SPRINGFIELD, IL 62794
Phone
E-mail: ERIN.GATES@SRS.ILLINOIS.GOV
S
Fax:
131
001
000
2101 S VETERANS PARKWAY
TINA ELLIOTT
PO BOX 19255
(217) 557-5154
SPRINGFIELD, IL 62794-9255
Phone
E-mail: TINA.ELLIOT[email protected]LLINOIS.GOV
S
Fax:
GENERAL ASSEMBLY RET SYST DP
131
001
001
2101 S VETERANS PARKWAY
TRACY ELLIS
PO BOX 19255
(217) 524-9039
SPRINGFIELD, IL 62794-9255
Phone
E-mail: TRACY.ELLIS@SRS.ILLINOIS.GOV
S
Fax:
131
001
002
2101 S VETERANS PARKWAY
ANGELA C ACKERSON
PO BOX 19255
(217) 524-9039
SPRINGFIELD, IL 62794-9255
Phone
E-mail: ANGIE.ACKERSON@SRS.ILLINOIS.GOV
S
Fax:
131
001
003
2101 S VETERANS PARKWAY
BECKY TOBIAS
PO BOX 19255
(217) 557-5154
SPRINGFIELD, IL 62794-9255
Phone
E-mail: BECKY.TOBIAS@SRS.ILLINOIS.GOV
S
Fax:
Page 4 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
156
000
000
602 STRATTON BLD
SUE FRIEDRICH
SPRINGFIELD, IL 62706
(217) 524-1873
Phone
E-mail: SUEF@ILGA.GOV
S
Fax:
OFFICE OF ARCHITECT OF CAPITOL
156
000
001
401 S SPRING STREET
ALEXIS N FRICKE
602 STRATTON BUILDING
(217) 524-1873
SPRINGFIELD, IL 62706
Phone
E-mail: ALEXISF@ILGA.GOV
S
Fax:
167
000
000
401 S SPRING ST
CRYSTAL BOCKEWITZ
ROOM 700 STRATTON OFFICE BLDG
(217) 524-0567
SPRINGFIELD, IL 62706
Phone
E-mail: CRYSTALB@ILGA.GOV
S
Fax:
JOINT COMMITTEE ON ADMIN RULES
201
000
000
3101 OLD JACKSONVILLE ROAD
CAITLIN GRAHAM
SPRINGFIELD, IL 62704-6488
/ 0098
(217) 785-9114
Phone
E-mail: CGRAHAM@ILLINOISCOURTS.GOV
S
Fax:
ADMIN OFC ILLINOIS COURTS
201
000
001
3101 OLD JACKSONVILLE ROAD
TIFFANY PIGNON
SPRINGFIELD, IL 62704-6488
(217) 785-9114
Phone
E-mail: TPIGNON@ILLINOISCOURTS.GOV
S
Fax:
201
000
002
3101 OLD JACKSONVILLE ROAD
JEAN EDGE
SPRINGFIELD, IL 62704
(217) 785-9114
Phone
E-mail: JEDGE@ILLINOISCOURTS.GOV
S
Fax:
210
000
000
801 S SEVENTH ST
DAN RETER
PO BOX 19208
/ 8049
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: DAN.RETER@ILLINOIS.GOV
S
Fax:
SUPREME COURT HIST PRES COMMIS
Page 5 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
275
000
000
2101 S VETERANS PARKWAY
TINA ELLIOTT
PO BOX 19255
(217) 557-5154
SPRINGFIELD, IL 62794-9255
Phone
E-mail: TINA.ELLIOT[email protected]LLINOIS.GOV
S
Fax:
JUDGES RETIREMENT SYSTEM
275
000
002
2101 S VETERANS PARKWAY
ANGELA C ACKERSON
PO BOX 19255
(217) 524-9039
SPRINGFIELD, IL 62794-9255
Phone
E-mail: ANGIE.ACKERSON@SRS.ILLINOIS.GOV
S
Fax:
275
000
003
2101 S VETERANS PARKWAY
ERIN GATES
PO BOX 19255
(217) 524-9093
SPRINGFIELD, IL 62794
Phone
E-mail: ERIN.GATES@SRS.ILLINOIS.GOV
S
Fax:
275
001
000
2101 S VETERANS PARKWAY
TINA ELLIOTT
PO BOX 19255
(217) 557-5154
SPRINGFIELD, IL 62794-9255
Phone
E-mail: TINA.ELLIOT[email protected]LLINOIS.GOV
S
Fax:
JUDGES RET SYST DP
275
001
001
2101 S VETERANS PARKWAY
TRACY ELLIS
PO BOX 19255
(217) 524-9039
SPRINGFIELD, IL 62794-9255
Phone
E-mail: TRACY.ELLIS@SRS.ILLINOIS.GOV
S
Fax:
275
001
002
2101 S VETERANS PARKWAY
ANGELA C ACKERSON
PO BOX 19255
(217) 524-9039
SPRINGFIELD, IL 62794-9255
Phone
E-mail: ANGIE.ACKERSON@SRS.ILLINOIS.GOV
S
Fax:
275
001
003
2101 S VETERANS PARKWAY
BECKY TOBIAS
PO BOX 19255
(217) 557-5154
SPRINGFIELD, IL 62794-9255
Phone
E-mail: BECKY.TOBIAS@SRS.ILLINOIS.GOV
S
Fax:
285
000
000
555 W MONROE STREET
SHARMAYNE T ADAMS
800 N
(312) 814-5719
CHICAGO, IL 60661
Phone
E-mail: SHARMAYNE.ADAMS@ILLINOIS.GOV
S
Fax:
JUDICIAL INQUIRY BOARD
Page 6 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
290
000
000
400 W MONROE
JANA L BERGSCHNEIDER
SUITE 202
(217) 782-5385
SPRINGFIELD, IL 62704
Phone
E-mail:
JANA.BERGSCHNEIDER@OSAD.STATE.IL.US
S
Fax:
STATE APPELLATE DEFENDER
290
000
001
400 W MONROE
SHARMAINE SAMPSON
SUITE 202
(217) 782-5385
SPRINGFIELD, IL 62704
Phone
E-mail:
SHARMAINE.SAMPSON@OSAD.STATE.IL.US
S
Fax:
290
000
002
400 WEST MONROE
COURTNEY GIPSON
SUITE 202
(217) 782-5385
SPRINGFIELD, IL 62704
Phone
E-mail: COURTNEY.GIPSON@OSAD.STATE.IL.US
S
Fax:
290
000
003
400 W MONROE
TRACEY CLARK
SUITE 202
(217) 782-5385
SPRINGFIELD, IL 62704
Phone
E-mail: TRACEY.CLARK@OSAD.STATE.IL.US
S
Fax:
295
000
000
725 S 2ND
GLORIA MUNDY
SPRINGFIELD, IL 62704
(217) 558-4726
Phone
E-mail: GMUNDY@ILSAAP.ORG
S
Fax:
ST ATTY APPELLATE PROSECUTOR
295
000
001
725 S 2ND
JESSICA B MITCHELL
SPRINGFIELD, IL 62704
(217) 558-4726
Phone
E-mail: JMITCHELL@ILSAAP.ORG
S
Fax:
Page 7 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
310
000
000
401 SOUTH SPRING STREET
CHARLI E STEELE
STRATTON BUILDING 7TH FLOOR
SPRINGFIELD, IL 62706
Phone
E-mail: CHARLI.STEELE@ILLINOIS.GOV
S
Fax:
GOVERNOR'S OFFICE
310
000
001
402 SOUTH SPRING STREET
KATIE WYZARD
STRATTON BUILDING 7TH FLOOR
SPRINGFIELD, IL 62706
Phone
E-mail: KATIE.L.WYZARD@ILLINOIS.GOV
S
Fax:
310
000
003
401 SOUTH SPRING STREET
WILLIAM J HOUSE
STRATTON BUILDING 7TH FLOOR
SPRINGFIELD, IL 62706
Phone
E-mail: WILLIAM.J.HOUSE@ILLINOIS.GOV
S
Fax:
330
000
000
214 STATE HOUSE
JESSICA ALLEN
SPRINGFIELD, IL 62706
(217) 558-3068
Phone
E-mail: JESSICA.ALLEN@ILLINOIS.GOV
S
Fax:
LT GOVERNOR'S OFFICE
Page 8 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
340
000
000
500 S 2ND STREET
PAM BLACKORBY
SPRINGFIELD, IL 62701-1705
(217) 557-0209
Phone
E-mail: PAMELA.BLACKORBY@ILAG.GOV
S
Fax:
ATTORNEY GENERAL
340
000
001
100 W RANDOLPH STREET
BLANCA ANTUNES
CHICAGO, IL 60601-3218
Phone
E-mail: BLANCA.ANTUNES@ILAG.GOV
S
Fax:
340
000
002
100 W RANDOLPH
LACHANNA WADE
CHICAGO, IL 60601
Phone
E-mail: LACHANNA.WADE@ILAG.GOV
S
Fax:
340
001
001
500 S 2ND STREET
CARA RICHARDSON
SPRINGFIELD, IL 62701
(217) 557-0209
Phone
E-mail: CARA.RICHARDSON@ILAG.GOV
S
Fax:
ATTORNEY GENERAL-CHGO OFC
340
001
002
100 W RANDOLPH STREET
HILDA AGUIRRE
11TH FLOOR HR
CHICAGO, IL 60601
Phone
E-mail: HILDA.AGUIRRE@ILAG.GOV
S
Fax:
Page 9 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
350
000
000
196 HOWLETT BLDG
JACOB D SPRINGER
SPRINGFIELD, IL 62756
(217) 558-2807
Phone
E-mail: JSPRINGER@ILSOS.NET
S
Fax:
SECRETARY OF STATE
350
000
001
196 HOWLETT BLDG
JACOB D SPRINGER
SPRINGFIELD, IL 62756
(217) 558-2807
Phone
E-mail: JSPRINGER@ILSOS.NET
S
Fax:
350
000
002
196 HOWLETT BLDG
KIMBERLY J EALEY
SPRINGFIELD, IL 62756
(217) 558-2807
Phone
E-mail: KEALEY@ILSOS.GOV
S
Fax:
350
000
004
196 HOWLETT BUILDING
JO SHEPPARD
SPRINGFIELD, IL 62756
(217) 558-2807
Phone
E-mail: JSHEPPARD2@ILSOS.GOV
S
Fax:
350
000
005
196 HOWLETT BLDG
KIMBERLY J EALEY
SPRINGFIELD, IL 62756
Phone
E-mail: KEALEY@ILSOS.NET
S
Fax:
350
001
001
17 N STATE
MARIA DEMOS
SUITE 1276
(312) 814-7251
CHICAGO, IL 60602
Phone
E-mail: MDEMOS@ILSOS.NET
S
Fax:
SECRETARY OF STATE - CHICAGO
Page 10 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
360
001
000
325 W ADAMS
CHRISTINE BELLE
SPRINGFIELD, IL 62704
(217) 557-3907
Phone
E-mail:
CHRIS.BELLE@ILLINOISCOMPTROLLER.GOV
S
Fax:
GEN. ASSEMBLY STATE OFFICERS
360
001
001
325 W ADAMS STREET
CHELSEY C KITTS
SPRINGFIELD, IL 62704
(217) 558-6065
Phone
E-mail:
CHELSEY.KITTS@ILLINOISCOMPTROLLER.GOV
S
Fax:
360
001
003
325 W ADAMS
STACY GRIFFIN
SPRINGFIELD, IL 62704
(217) 524-6875
Phone
E-mail:
STACY.GRIFFIN@ILLINOISCOMPTROLLER.GOV
S
Fax:
360
002
000
325 W ADAMS
CHRISTINE BELLE
SPRINGFIELD, IL 62704
(217) 557-3907
Phone
E-mail:
CHRIS.BELLE@ILLINOISCOMPTROLLER.GOV
S
Fax:
COMPTROLLER
360
002
001
325 W ADAMS
CHELSEY C KITTS
SPRINGFIELD, IL 62704
(217) 558-6065
Phone
E-mail:
CHELSEY.KITTS@ILLINOISCOMPTROLLER.GOV
S
Fax:
360
002
003
325 W ADAMS
STACY GRIFFIN
SPRINGFIELD, IL 62704
(217) 524-6875
Phone
E-mail:
STACY.GRIFFIN@ILLINOISCOMPTROLLER.GOV
S
Fax:
360
003
000
325 W ADAMS
CHRISTINE BELLE
SPRINGFIELD, IL 62704
(217) 557-3907
Phone
E-mail:
CHRIS.BELLE@ILLINOISCOMPTROLLER.GOV
S
Fax:
COURT REPORTERS
360
003
001
325 W ADAMS
CHELSEY C KITTS
SPRINGFIELD, IL 62704
(217) 558-6065
Phone
E-mail:
CHELSEY.KITTS@ILLINOISCOMPTROLLER.GOV
S
Fax:
Page 11 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
360
003
002
325 W ADAMS
CHELSEY C KITTS
SPRINGFIELD, IL 62704
(217) 524-6875
Phone
E-mail:
CHELSEY.KITTS@ILLINOISCOMPTROLLER.GOV
S
Fax:
360
003
003
325 W ADAMS
STACY GRIFFIN
SPRINGFIELD, IL 62704
(217) 524-6875
Phone
E-mail:
STACY.GRIFFIN@ILLINOISCOMPTROLLER.GOV
S
Fax:
370
000
000
1 E OLD STATE CAPITAL PLAZA
TIERRA CRUMBLE
SPRINGFIELD, IL 62701
(217) 785-8554
Phone
E-mail: TCRUMBLE@ILLINOISTREASURER.GOV
S
Fax:
STATE TREASURER'S OFFICE
370
000
003
1 E OLD STATE CAPITOL PLAZA
VERONICA OGANOVICH
SPRINGFIELD, IL 62701
(217) 785-8554
Phone
E-mail: VOGANOVICH@ILLINOISTREASURER.GOV
S
Fax:
402
000
000
ONE NATURAL RESOURCES WAY #100
COURTNEY E BOUNDS
SPRINGFIELD, IL 62702-1271
(217) 524-7777
Phone
E-mail: COURTNEY.BOUNDS@ILLINOIS.GOV
S
Fax:
DEPARTMENT ON AGING
402
000
001
ONE NATURAL RESOURCES WAY #100
DIANA MERCIER
SPRINGFIELD, IL 62702
(217) 524-7777
Phone
E-mail: DIANA.MERCIER@ILLINOIS.GOV
S
Fax:
Page 12 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
406
000
000
801 E SANGAMON
KEVIN C SALLO
PO BOX 19281
(217) 785-2786
SPRINGFIELD, IL 62794-9281
Phone
E-mail: KEVIN.C.SALLO@ILLINOIS.GOV
S
Fax:
DEPARTMENT OF AGRICULTURE
406
000
001
801 E SANGAMON AVE
CAROLINE L BROWN-FISHER
P O BOX 19281
(217) 785-2786
SPRINGFIELD, IL 62794
Phone
E-mail: CAROLINE.BROWN@ILLINOIS.GOV
S
Fax:
406
000
002
801 E SANGAMON AVE
WENDY WASHINGTON
P O BOX 19281
(217) 785-2786
SPRINGFIELD, IL 62794
Phone
E-mail: WENDY.L.WASHINGTON@ILLINOIS.GOV
S
Fax:
406
999
000
801 E SANGAMON
KEVIN C SALLO
PO BOX 19281
(217) 785-2786
SPRINGFIELD, IL 62794-9281
Phone
E-mail: KEVIN.C.SALLO@ILLINOIS.GOV
S
Fax:
406
999
001
801 E SANGAMON
CAROLINE BROWN-FISHER
PO BOX 19281
(217) 785-2786
SPRINGFIELD, IL 62794-9281
Phone
E-mail: CAROLINE.BROWN@ILLINOIS.GOV
S
Fax:
416
100
000
401 S SPRING ST
MELISSA LOVELACE
RM 414 STRATTON
(217) 558-5943
SPRINGFIELD, IL 62706
Phone
E-mail: MELISSA.LOVELACE@ILLINOIS.GOV
S
Fax:
CMS
416
100
001
401 S SPRING STREET RM 414
CHRISTINE M LAZARIDES
SPRINGFIELD, IL 62704
Phone
E-mail: CHRISTINE.M.LAZARIDES@ILLINOIS.GOV
S
Fax:
416
100
002
402 S SPRING STREET
SHADA DONALDSON
ROOM 414 STRATTON
(217) 558-5943
SPRINGFIELD, IL 62706
Phone
E-mail: SHADA.DONALDSON@ILLINOIS.GOV
S
Fax:
Page 13 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
418
000
000
406 E MONROE STATION 408
ANNA WATSON
SPRINGFIELD, IL 62701
(217) 557-4341
Phone
E-mail: DCFS.INSURANCE@ILLINOIS.GOV
S
Fax:
DEPT CHILDREN & FAMILY SVCS
418
000
001
406 E MONROE STATION 408
MELISSA BRYANT
SPRINGFIELD, IL 62701
(217) 557-4341
Phone
E-mail: MELISSA.BRYANT@ILLINOIS.GOV
S
Fax:
418
000
002
406 E MONROE ST
DAVID RILEY
SPRINGFIELD, IL 62701
(217) 557-4341
Phone
E-mail: DAVID.A.RILEY@ILLINOIS.GOV
S
Fax:
418
000
003
406 E MONROE STATION 408
KATHRYN DARNELL
SPRINGFIELD, IL 62701
(217) 557-4341
Phone
E-mail: DCFS.INSURANCE@ILLINOIS.GOV
S
Fax:
420
000
000
1011 S 2ND STREET
DEANNA BOYER
SPRINGFIELD, IL 62704
Phone
E-mail: DEANNA.BOYER2@ILLINOIS.GOV
S
Fax:
COMM & ECON OPPORTUNITY
420
000
001
1011 S 2ND STREET
GILLIAN GABRIEL
SPRINGFIELD, IL 62704
Phone
E-mail: GILLIAN.GABRIEL@ILLINOIS.GOV
S
Fax:
420
000
002
1011 S 2ND STREET
PAM EICKEN
SPRINGFIELD, IL 62704
Phone
E-mail: PAM.EICKEN@ILLINOIS.GOV
S
Fax:
Page 14 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
422
000
000
1 NATURAL RESOURCES WAY
DAVE KUYKENDALL
SPRINGFIELD, IL 62702
(217) 524-5716
Phone
E-mail: DAVE.KUYKENDALL@ILLINOIS.GOV
S
Fax:
DNR: DEPT. OF NATURAL RES.
422
000
001
ONE NATURAL RESOURCES WAY
LINDSI MORROW
SPRINGFIELD, IL 62702
Phone
E-mail: LINDSI.MORROW2@ILLINOIS.GOV
S
Fax:
422
005
001
1 NATURAL RESOURCES WAY
DAVE KUYKENDALL
SPRINGFIELD, IL 62702
(217) 524-5716
Phone
E-mail: DAVE.KUYKENDALL@ILLINOIS.GOV
S
Fax:
DNR: ILLINOIS STATE MUSEUM
422
999
000
1 NATURAL RESOURCES WAY
DAVE KUYKENDALL
SPRINGFIELD, IL 62702
(217) 524-5716
Phone
E-mail: DAVE.KUYKENDALL@ILLINOIS.GOV
S
Fax:
DNR: DEF COMP
Page 15 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
425
400
003
2715 W MONROE
RACHEL BOLINGER
SPRINGFIELD, IL 62704
(217) 557-1107
Phone
E-mail: RACHEL.BOLINGER@ILLINOIS.GOV
S
Fax:
DJJ:PUBLIC SAFETY SSC
425
401
001
2715 W MONROE ST
NICHOLAS LEE
SPRINGFIELD, IL 62704
(217) 557-1107
Phone
E-mail: NICHOLAS.LEE3@ILLINOIS.GOV
S
Fax:
DJJ:EXEC AND ADM/PBLC SFTY SSC
425
401
002
2715 W MONROW ST
ANGELA TURASKY
SPRINGFIELD, IL 62704
Phone
E-mail: ANGELA.TURASKY@ILLINOIS.GOV
S
Fax:
425
402
001
2715 W MONROE ST
NICHOLAS LEE
SPRINGFIELD, IL 62704
/ 5053
(217) 557-1107
Phone
E-mail: NICHOLAS.LEE3@ILLINOIS.GOV
S
Fax:
DJJ:SCHL DST 428/PBLC SFTY SSC
425
403
001
PO BOX 12247
SHAUNDA L DALE
CHICAGO, IL 60612
/ 4989
Phone
E-mail: SHAUNDA.DALE@ILLINOIS.GOV
S
Fax:
DJJ:IYC CHICAGO/PBLC SFTY SSC
425
404
001
1201 W POPLAR STREET
LINDA L BUTLER
PO BOX 300
/ 0233
(618) 252-6823
HARRISBURG, IL 62946
Phone
E-mail: LINDA.L.BUTLER@ILLINOIS.GOV
S
Fax:
DJJ:IYC HARRSBRG/PBLC SFTY SSC
425
408
001
2715 W MONROE ST
NICHOLAS LEE
SPRINGFIELD, IL 62704
(217) 557-1107
Phone
E-mail: NICHOLAS.LEE3@ILLINOIS.GOV
S
Fax:
DJJ:IYC P MRQUTT/PBLC SFTY SSC
425
409
001
3825 CAMPTON HILLS RD
KATHY BORKOWSKI
ST CHARLES, IL 60175
/ 0519
(630) 584-1014
Phone
E-mail: KATHY.BORKOWSKI@ILLINOIS.GOV
S
Fax:
DJJ:IYC ST CHAS/PBLC SFTY SSC
425
409
002
3825 CAMPTON HILLS ROAD
DIANA L BRILL
/ 1517
(630) 584-0106
Phone
S
Fax:
Page 16 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
3825 CAMPTON HILLS ROAD
ST CHARLES, IL 60175
(630) 584-0106
E-mail: DIANA.BRILL@ILLINOIS.GOV
Fax:
425
410
001
30 W 200 FERRY RD
KELLY WALKER
WARRENVILLE, IL 60555
/ 0201
(630) 983-6213
Phone
E-mail: KELLY.WALKER3@ILLINOIS.GOV
S
Fax:
DJJ:IYC WRRNVLLE/PBLC SFTY SSC
Page 17 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
426
401
001
1301 CONCORDIA CT
ANDREA HARTHLT
PO BOX 19277
/ 2223
(217) 522-1513
SPRINGFIELD, IL 62794-9277
Phone
E-mail: ANDREA.HARTH@ILLINOIS.GOV
S
Fax:
DOC:CORR INDUSTR/PBLC SFTY SSC
426
402
001
1301 CONCORDIA COURT
ANDREA HARTH
PO BOX 19277
/ 4436
(217) 522-1513
SPRINGFIELD, IL 62794-9277
Phone
E-mail: ANDREA.HARTH@ILLINOIS.GOV
S
Fax:
DOC:PAROLE
426
404
001
1301 CONCORDIA COURT
ANDREA HARTH
PO BOX 19277
/ 2223
(217) 522-1513
SPRINGFIELD, IL 62794-9277
Phone
E-mail: ANDREA.HARTH@ILLINOIS.GOV
S
Fax:
DOC:EXEC AND ADM/PBLC SFTY SSC
426
404
002
1301 CONCORDIA COURT
JENNIFER FOREMAN
PO BOX 19277
/ 4444
(217) 577-6013
SPRINGFIELD, IL 62794-9277
Phone
E-mail: JENNIFER.FOREMAN@ILLINOIS.GOV
S
Fax:
426
405
001
1301 CONCORDIA COURT
ANDREA HARTH
PO BOX 19277
/ 2223
(217) 522-1513
SPRINGFIELD, IL 62794-9277
Phone
E-mail: ANDREA.HARTH@ILLINOIS.GOV
S
Fax:
DOC:OFC ADULT ED/PBLC SFTY SSC
426
406
001
251 N ILLINOIS HWY 37
ANGELA CHAMP
INA, IL 62846
/ 0247
(618) 437-5472
Phone
E-mail: ANGELA.CHAMP@ILLINOIS.GOV
S
Fax:
DOC:BIG MUDDY/PBLC SFTY SSC
426
406
002
251 N ILLINOIS HIGHWAY 37
SUSAN HEPP
INA, IL 62846
/ 0243
Phone
E-mail: SUSAN.HEPP@ILLINOIS.GOV
S
Fax:
426
407
001
9330 SHATTUC ROAD
DUSTIN HOWE
PO BOX 1266
/ 2257
(618) 533-4114
CENTRALIA, IL 62801
Phone
E-mail: DUSTIN.HOW[email protected]
S
Fax:
DOC:CENTRALIA/PBLC SFTY SSC
426
407
002
9330 SHATTUC ROAD
KIMBERLY LITTLEKEN
/ 2225
(618) 533-4114
Phone
S
Fax:
Page 18 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
9330 SHATTUC ROAD
PO BOX 1266
(618) 533-4114
CENTRALIA, IL 62801
E-mail: KIMBERLY.LITTLEKEN@ILLINOIS.GOV
Fax:
426
407
003
9330 SHATTUC ROAD
AMANDA CORZINE
PO BOX 1266
/ 2225
(618) 533-4114
CENTRALIA, IL 62801
Phone
E-mail: AMANDA.CORZINE@ILLINOIS.GOV
S
Fax:
426
408
001
3820 EAST MAIN STREET
KYM VANVICKLE
DANVILLE, IL 61834
/ 0224
(217) 446-5098
Phone
E-mail: KYM.VANVICKLE@ILLINOIS.GOV
S
Fax:
DOC:DANVILLE/PBLC SFTY SSC
426
409
001
2310 E MOUNT ROAD
ANNETTE WILLMS
DECATUR, IL 62526-9640
/ 2418
(217) 875-6539
Phone
E-mail: ANNETTE.WILLMS@ILLINOIS.GOV
S
Fax:
DOC:DECATUR/PBLC SFTY SSC
426
409
002
2310 E MOUND ROAD
DAWN ORME
PO BOX 3066
/ 2410
(217) 875-8283
DECATUR, IL 62524-3066
Phone
E-mail: DAWN.R.ORME@ILLINOIS.GOV
S
Fax:
426
410
001
2600 N BRINTON BOX 1200
LAURA KOCH
DIXON, IL 61021
/ 2205
(815) 288-0118
Phone
E-mail: LAURIE.KOCH@ILLINOIS.GOV
S
Fax:
DOC:DIXON/PBLC SFTY SSC
426
410
002
2600 N BRINTON BOX 1200
JENNIFER BROWN
DIXON, IL 61021
/ 2205
(815) 288-0118
Phone
E-mail: JENNIFER.Y.BROWN@ILLINOIS.GOV
S
Fax:
426
412
001
100 HILLCREST ROAD
ASHLEY FLORES
EAST MOLINE, IL 61244
/ 2509
(309) 755-6484
Phone
E-mail: ASHLEY.FLORES@ILLINOIS.GOV
S
Fax:
DOC:E MOLINE/PBLC SFTY SSC
426
412
002
100 HILLCREST ROAD
ANGELA BRADLEY
EAST MOLINE, IL 61244
/ 2502
(309) 755-0498
Phone
E-mail: ANGELA.BRADLEY@ILLINOIS.GOV
S
Fax:
DOC:GRAHAM/PBLC SFTY SSC
Page 19 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
426
413
001
12078 IL RT 185
BRANDY O MALLEY
HILLSBORO, IL 62049
/ 2251
(217) 532-6799
Phone
E-mail: BRANDY.OMALLEY@ILLINOIS.GOV
S
Fax:
426
413
002
12078 IL RT 185
BRANDY O'MALLEY
HILLSBORO, IL 62049
/ 2251
(217) 532-6799
Phone
E-mail: BRANDY.OMALLEY@ILLINOIS.GOV
S
Fax:
426
414
001
66600 LINWOOD
BETH WEXELL
PO BOX 1327
/ 0134
(309) 343-3812
GALESBURG, IL 61402-1327
Phone
E-mail: BETH.WEXELL@ILLINOIS.GOV
S
Fax:
DOC:HILL/PBLC SFTY SSC
426
415
001
1300 W LOCUST
JESSICA BOUGHAN
PO BOX 999
/ 0244
CANTON, IL 61520
Phone
E-mail: JESSICA.BOUGHAN@ILLINOIS.GOV
S
Fax:
DOC:IL RIVER/PBLC SFTY SSC
426
415
002
1300 W LOCUST
JAWNI WATTERS
PO BOX 999
/ 0241
CANTON, IL 61520
Phone
E-mail: JAWNI.WATTERS@ILLINOIS.GOV
S
Fax:
426
416
001
2268 EAST MORTON AVENUE
CARLA F HAYDON
JACKSONVILLE, IL 62650
/ 0267
Phone
E-mail: CARLA.HAYDON@ILLINOIS.GOV
S
Fax:
DOC:JACKSONVLL/PBLC SFTY SSC
426
416
002
2268 EAST MORTON AVENUE
TARA GRUMMEL
JACKSONVILLE, IL 62650
/ 0257
(217) 245-1287
Phone
E-mail: TARA.GRUMMEL@ILLINOIS.GOV
S
Fax:
426
418
001
10940 LAWRENCE ROAD
SHARON BURTCH
SUMNER, IL 62466
/ 2011
(618) 936-2738
Phone
E-mail: SHARON.BURTCH@ILLINOIS.GOV
S
Fax:
DOC:LAWRENCE/PBLC SFTY SSC
426
418
002
10940 LAWRENCE ROAD
KELLIE BETTIS
SUMNER, IL 62466
/ 2069
(628) 936-2736
Phone
E-mail: KELLIE.BETTIS@ILLINOIS.GOV
S
Fax:
Page 20 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
426
419
001
1098 1350TH ST
TIFFANY LEE
PO BOX 549
/ 0207
(217) 735-5381
LINCOLN, IL 62656
Phone
E-mail: TIFFANY.LEE@ILLINOIS.GOV
S
Fax:
DOC:LINCOLN/PBLC SFTY SSC
426
420
001
1096 1350TH ST
KATHY STEFFENS
PO BOX 1000
LINCOLN, IL 62656
Phone
E-mail: KATHY.STEFFENS@ILLINOIS.GOV
S
Fax:
DOC:LOGAN/PBLC SFTY SSC
426
420
002
1096 1350TH STREET
LISA KEYSER
LINCOLN, IL 62656
/ 3219
(217) 735-1077
Phone
E-mail: LISA.KEYSER2@ILLINOIS.GOV
S
Fax:
426
421
001
711 KASKASKIA
JENNIFER D MIDDENDORF
MENARD, IL 62259
/ 2126
(618) 826-1119
Phone
E-mail: JENNIFER.MIDDENDORF@ILLINOIS.GOV
S
Fax:
DOC:MENARD/PBLC SFTY SSC
426
421
002
711 KASKASKIA
SHAUNA SMITH
MENARD, IL 62259
/ 2351
(618) 826-1121
Phone
E-mail: SHAUNA.SMITH@ILLINOIS.GOV
S
Fax:
426
422
001
5835 STATE ROUTE 154
TINA ATKINS
PINCKNEYVILLE, IL 62274
/ 2059
(618) 357-5192
Phone
E-mail: CHRISTINA.ATKINS@ILLINOIS.GOV
S
Fax:
DOC:PINCKNEYVLL/PBLC SFTY SSC
426
423
001
700 W LINCOLN
NICHOLAS DRAGISIC
PO BOX 99
/ 2407
(815) 842-9079
PONTIAC, IL 61764
Phone
E-mail: NICHOLAS.DRAGISIC@ILLINOIS.GOV
S
Fax:
DOC:PONTIAC/PBLC SFTY SSC
426
423
002
700 W LINCOLN
SHERYL CHAPMAN
PO BOX 99
/ 2332
(815) 842-9079
PONTIAC, IL 61764
Phone
E-mail: SHERYL.CHAPMAN2@ILLINOIS.GOV
S
Fax:
426
423
003
700 W LINCOLN
ROCHELLE JACKSON
PO BOX 99
/ 2776
Phone
E-mail: ROCHELLE.JACKSON2@ILLINOIS.GOV
S
Fax:
Page 21 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
PO BOX 99
PONTIAC, IL 61764
426
424
001
13423 E 1150TH AVE
SARAH HEMRICH
ROBINSON, IL 62454-4354
/ 5409
(618) 544-2471
Phone
E-mail: SARAH.HEMRICH@ILLINOIS.GOV
S
Fax:
DOC:ROBINSON/PBLC SFTY SSC
426
424
002
13423 E 1150TH AVE
AMY BEVERLIN
ROBINSON, IL 62454
(618) 544-2471
Phone
E-mail: AMY.BEVERLIN@ILLINOIS.GOV
S
Fax:
426
425
001
6665 STATE ROUTE 146 EAST
CRYSTAL ROBERTSON
VIENNA, IL 62995
/ 2022
(618) 658-2155
Phone
E-mail: CRYSTAL.ROBERTSON@ILLINOIS.GOV
S
Fax:
DOC:SHAWNEE/PBLC SFTY SSC
426
425
003
6665 STATE ROUTE 146 EAST
HEIDI WIGGS
VIENNA, IL 62995
/ 2022
(618) 658-2155
Phone
E-mail: HEIDI.WIGGS@ILLINOIS.GOV
S
Fax:
426
426
001
4017 E 2603RD ROAD
FAITH A DIROSA
SHERIDAN, IL 60551
/ 2008
(815) 496-2931
Phone
E-mail: FAITH.A.DIROSA@ILLINOIS.GOV
S
Fax:
DOC:SHERIDAN/PBLC SFTY SSC
426
426
002
3173 EAST CCND ROAD
DOROTHY A NELSON-PETERSON
MARSEILLES, IL 61341
/ 2013
(815) 496-2931
Phone
E-mail: DOROTHY.NELSON-
PETERSON@ILLINOIS.GOV
S
Fax:
426
427
001
950 KINGS HIGHWAY STREET
JASON EVELAND
E SAINT LOUIS, IL 62203-0050
Phone
E-mail: JASON.EVELAND@ILLINOIS.GOV
S
Fax:
DOC:SOUTHWESTERN/PBLC SFTY SSC
426
427
002
950 KINGSHIGHWAY
AMY L BARBEAU
CALLER SERV 50
/ 0260
(618) 394-2228
E SAINT LOUIS, IL 62203-0050
Phone
E-mail: AMY.L.BARBEAU@ILLINOIS.GOV
S
Fax:
426
428
001
JACALYN V JURICIC
/ 5519
Phone
S
DOC:STATEVILLE/PBLC SFTY SSC
Page 22 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
16830 S BROADWAY ST
JACALYN V JURICIC
PO BOX 112
CREST HILL, IL 60434-0112
E-mail: JACALYN.JURICIC@ILLINOIS.GOV
Fax:
426
428
002
16830 S BOARDWALK ST
CRUZ GARCIA
P O BOX 112
/ 5581
(815) 727-0838
CREST HILL, IL 60434
Phone
E-mail: CRUZ.GARCIA@DOC.ILLINOIS.GOV
S
Fax:
426
430
001
ROUTE 29 SOUTH
AMANDA WILSON
PO BOX 1000
(217) 824-4371
TAYLORVILLE, IL 62568
Phone
E-mail: AMANDA.WILSON@ILLINOIS.GOV
S
Fax:
DOC:TAYLORVILLE/PBLC SFTY SSC
426
430
003
ROUTE 29 SOUTH
THERESE YOUNKER
PO BOX 1000
(217) 824-4371
TAYLORVILLE, IL 62568
Phone
E-mail: THERESE.YOUNKER@ILLINOIS.GOV
S
Fax:
426
432
001
ROUTE 51 NORTH
SHELLY WHITE
VANDALIA, IL 62471
/ 2148
(618) 283-9147
Phone
E-mail: SHELLY.R.WHITE@ILLINOIS.GOV
S
Fax:
DOC:VANDALIA/PBLC SFTY SSC
426
433
001
6695 STATE RT 146E
MICAH DAVIS
VIENNA, IL 62995
/ 0304
Phone
E-mail: MICAH.DAVIS2@ILLINOIS.GOV
S
Fax:
DOC:VIENNA/PBLC SFTY SSC
426
433
002
6695 STATE RT 146E
SARAH Y ROBERTSON
VIENNA, IL 62995
/ 0304
(618) 658-9761
Phone
E-mail: SARAH.ROBERTSON@ILLINOIS.GOV
S
Fax:
426
434
001
2500 ROUTE 99 SOUTH
KYLEE HASTEN
MT STERLING, IL 62353
/ 0250
(217) 773-2202
Phone
E-mail: KYLEE.HASTEN@ILLINOIS.GOV
S
Fax:
DOC:WESTERN/PBLC SFTY SSC
426
434
002
2500 ROUTE 99 SOUTH
LORI CRARY
MT STERLING, IL 62353
/ 0250
(217) 773-2202
Phone
E-mail: LORI.CRARY@ILLINOIS.GOV
S
Fax:
DOC:FOX VLLY ATC/PBLC SFTY SSC
Page 23 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
426
436
001
1301 CONCORDIA COURT
ANDREA HARTH
PO BOX 19277
/ 2223
(217) 522-1513
SPRINGFIELD, IL 62794-9277
Phone
E-mail: ANDREA.HARTH@ILLINOIS.GOV
S
Fax:
426
438
001
1301 CONCORDIA COURT
ANDREA HARTH
PO BOX 19277
/ 2223
(217) 522-1513
SPRINGFIELD, IL 62794-9277
Phone
E-mail: ANDREA.HARTH@ILLINOIS.GOV
S
Fax:
DOC:PEORIA ATC/PBLC SFTY SSC
426
441
001
1301 CONCORDIA COURT
ANDREA HARTH
PO BOX 19293
/ 2223
(217) 522-1513
SPRINGFIELD, IL 62794-9293
Phone
E-mail: ANDREA.HARTH@DOC.ILLINOIS.GOV
S
Fax:
DOC:IL SNTC CNCL/PBLC SFTY SSC
426
450
001
2848 W MCDONOUGH
JULIE A ANDERSON
JOLIET, IL 60436
/ 2019
(815) 730-4401
Phone
E-mail: JULIE.A.ANDERSON@ILLINOIS.GOV
S
Fax:
DOC:JOLIET TREATMENT CENTER
426
450
002
2848 W MCDONOUGH
MICHAEL CAPPELLO
JOLIET, IL 60436
/ 2019
(815) 730-4401
Phone
E-mail: MICHAEL.CAPPELLO@ILLINOIS.GOV
S
Fax:
426
450
003
2848 W MCDONOUGH
KAREN MANAA
JOLIET, IL 60436
/ 2019
(815) 730-4401
Phone
E-mail: KAREN.MANAA@ILLINOIS.GOV
S
Fax:
426
451
001
2021 KENTVILLE ROAD
ELIZABETH K HARDY
KEWANEE, IL 61443
/ 1101
(309) 852-4617
Phone
E-mail: ELIZABETH.HARDY@ILLINOIS.GOV
S
Fax:
DOC: KEWANEE LSRC
426
451
002
2021 KENTVILLE ROAD
SHERI R NOLAN
KEWANEE, IL 61443
/ 1103
(309) 852-4617
Phone
E-mail: SHERI.NOLAN@ILLINOIS.GOV
S
Fax:
426
499
000
1301 CONCORDIA COURT
ANDREA HARTH
PO BOX 19277
/ 2223
(217) 557-6018
SPRINGFIELD, IL 62794-9277
Phone
E-mail: ANDREA.HARTH@ILLINOIS.GOV
S
Fax:
DOC:SHARED SRVS/PBLC SFTY SSC
Page 24 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
426
499
001
1301 CONCORDIA COURT
KRISTEN ALEXANDER
PO BOX 19277
(217) 522-1513
SPRINGFIELD, IL 62794-9277
Phone
E-mail: KRISTEN.ALEXANDER@ILLINOIS.GOV
S
Fax:
DOC:SHARED SRVS/PBLC SFTY SSC
426
499
002
1301 CONCORDIA COURT
KRISTEN LANE
PO BOX 19277
SPRINGFIELD, IL 62794-9277
Phone
E-mail: KRISTEN.LANE@ILLINOIS.GOV
S
Fax:
426
499
003
1301 CONCORDIA COURT
THOMAS FOX
PO BOX 19277
/ 4426
(217) 557-6016
SPRINGFIELD, IL 62794-9277
Phone
E-mail: THOMAS.FOX@ILLINOIS.GOV
S
Fax:
427
000
000
33 S STATE ST SUITE 8112
LAVERIES JEFFERSON
CHICAGO, IL 60603-2802
(312) 793-1271
Phone
E-mail: LAVERIES.JEFFERSON2@ILLINOIS.GOV
S
Fax:
DEPT OF EMPLOYMENT SECURITY
427
000
001
33 S STATE ST SUITE 8112
MARTHA GUILLU
CHICAGO, IL 60603-2802
(312) 793-1271
Phone
E-mail: MARTHA.GUILLU@ILLINOIS.GOV
S
Fax:
427
000
002
33 S STATE ST SUITE 8112
LAVERIES JEFFERSON
CHICAGO, IL 60603-2802
(312) 793-1271
Phone
E-mail: LAVERIES.JEFFERSON2@ILLINOIS.GOV
S
Fax:
427
000
003
33 S STATE STREET 8112
CHANDRA L BOOKER
CHICAGO, IL 60603-2802
(312) 793-1271
Phone
E-mail: CHANDRA.BOOKER@ILLINOIS.GOV
S
Fax:
427
000
005
33 STATE ST 10TH FLOOR
CHRISTINE T BANAYAT
CHICAGO, IL 60603-2802
(312) 793-9158
Phone
E-mail: CHRISTINE.BANAYAT@ILLINOIS.GOV
S
Fax:
Page 25 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
440
100
000
320 W WASHINGTON
STEPHANIE KIRK
2ND FLOOR
(217) 557-3022
SPRINGFIELD, IL 62786
Phone
E-mail: STEPHANIE.KIRK@ILLINOIS.GOV
S
Fax:
DFPR/ADMIN & REGULATORY SSC
440
100
001
320 W WASHINGTON
BRITTANY WHITCOMB
2ND FLOOR
(217) 557-3022
SPRINGFIELD, IL 62786
Phone
E-mail: BRITTANY.WHITCOMB@ILLINOIS.GOV
S
Fax:
440
100
002
320 W WASHINGTON
STEPHANIE KIRK
2ND FLOOR
(217) 557-3022
SPRINGFIELD, IL 62786
Phone
E-mail: STEPHANIE.KIRK@ILLINOIS.GOV
S
Fax:
440
100
003
320 W WASHINGTON
SHERYLL CLARK
SUITE 258
(217) 557-2886
SPRINGFIELD, IL 62786
Phone
E-mail: SHERYLL.CLARK@ILLINOIS.GOV
S
Fax:
440
100
005
320 W WASHINGTON
JEFF AYERS
2ND FLOOR
(217) 557-3022
SPRINGFIELD, IL 62786
Phone
E-mail: JEFF.AYERS@ILLINOIS.GOV
S
Fax:
442
000
000
555 W MONROE ST
AKIA J HARPER
7TH FLOOR
(312) 793-2121
CHICAGO, IL 60661
Phone
E-mail: AKIA.HARPER@ILLINOIS.GOV
S
Fax:
DEPARTMENT OF HUMAN RIGHTS
442
000
001
555 W MONROE ST
MARTIN A DUNCAN
7TH FLOOR
(312) 793-2121
CHICAGO, IL 60661
Phone
E-mail: MARTIN.DUNCAN@ILLINOIS.GOV
S
Fax:
442
000
003
524 S 2ND ST
BECKY WARD
STE 300
SPRINGFIELD, IL 62701
Phone
E-mail: BECKY.WARD@ILLINOIS.GOV
S
Fax:
Page 26 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
444
000
000
822 SOUTH COLLEGE
AARON E MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: DEPARTMENT OF HUMAN SERV
444
000
001
822 SOUTH COLLEGE
BRAD STUTZ
SPRINGFIELD, IL 62704
(217) 558-4390
Phone
E-mail: BRAD.STUTZ@ILLINOIS.GOV
S
Fax:
444
000
002
1535 W MCCORD
SARAH HODGE
CENTRALIA, IL 62801
Phone
E-mail: SARAH.HODGE@ILLINOIS.GOV
S
Fax:
444
000
003
822 SOUTH COLLEGE
MARLA HURST
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: MARLA.HURST@ILLINOIS.GOV
S
Fax:
444
000
004
822 SOUTH COLLEGE
SARAH NEWINGHAM
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: SARAH.NEWINGHAM@ILLINOIS.GOV
S
Fax:
444
000
005
822 SOUTH COLLEGE
DAN MELLIERE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: DAN.MELLIERE@ILLINOIS.GOV
S
Fax:
444
000
010
822 SOUTH COLLEGE ST
MARLA HURST
SECOND FLOOR
(217) 558-0583
SPRINGFIELD, IL 62704
Phone
E-mail: MARLA.HURST@ILLINOIS.GOV
S
Fax:
444
100
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: ADMIN OFFICES
444
201
000
822 SOUTH COLLEGE
AARON MORSE
(217) 558-0583
Phone
S
Fax:
DHS: ALCOHOL & SUBSTANCE ABUSE
Page 27 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
822 SOUTH COLLEGE
SPRINGFIELD, IL 62704
(217) 558-0583
E-mail: AARON.MORSE@ILLINOIS.GOV
Fax:
444
300
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: OMH/ODD/OCAPS
444
301
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: REHABILITATION SERVICES
444
402
000
4500 COLLEGE AVENUE
SHANNON LAPLANT
ALTON, IL 62002
(618) 474-5538
Phone
E-mail: SHANNON.M.LAPLANT@ILLINOIS.GOV
S
Fax:
DHS: ALTON MH AND DEV CTR
444
402
001
4500 COLLEGE AVENUE
SHANNON LAPLANT
ALTON, IL 62002
(618) 474-5538
Phone
E-mail: SHANNON.M.LAPLANT@ILLINOIS.GOV
S
Fax:
444
402
002
4500 COLLEGE AVENUE
ELTON ARRINDELL
ALTON, IL 62002
(618) 474-5538
Phone
E-mail: ELTON.ARRINDELL@ILLINOIS.GOV
S
Fax:
444
403
000
PO BOX 31
RHONDA DUNNING
1315 LEHMEN DRIVE
(618) 826-3398
CHESTER, IL 62233
Phone
E-mail: RHONDA.DUNNING@ILLINOIS.GOV
S
Fax:
DHS: CHESTER MENTAL HEALTH
444
403
001
PO BOX 31
JENNIFER MUDD
1315 LEHMEN DRIVE
(618) 826-3398
CHESTER, IL 62233
Phone
E-mail: JENNIFER.MUDD@ILLINOIS.GOV
S
Fax:
444
403
002
PO BOX 31
AMANDA GERLACH
1315 LEHMEN DRIVE
CHESTER, IL 62233
Phone
E-mail: AMANDA.GERLACH@ILLINOIS.GOV
S
Fax:
DHS: CHICAGO READ MH CENTER
Page 28 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
444
404
000
4200 N OAK PARK AVE
PRINCELLA JEFFRIES
CHICAGO, IL 60634
(773) 794-5583
Phone
E-mail: PRINCELLA.JEFFRIES@ILLINOIS.GOV
S
Fax:
444
404
001
4200 N OAK PARK AVE
PETER LOY
CHICAGO, IL 60634
(773) 794-5583
Phone
E-mail: PETER.LOY@ILLINOIS.GOV
S
Fax:
444
404
002
4200 N OAK PARK AVE
AMANDA J VASQUEZ
CHICAGO, IL 60634
(773) 794-5583
Phone
E-mail: AMANDA.J.VASQUEZ@ILLINOIS.GOV
S
Fax:
444
404
003
4200 N OAK PARK AVE
ANETRA RODGERS
CHICAGO, IL 60634
(773) 794-5583
Phone
E-mail: ANETRA.RODGERS@ILLINOIS.GOV
S
Fax:
444
405
000
1000 N MAIN STREET
NICOLE BEAIRD
ANNA, IL 62906
(618) 833-1415
Phone
E-mail: NICOLE.BEARID@ILLINOIS.GOV
S
Fax:
DHS: CHOATE MH AND DEV CENTER
444
405
001
1000 N MAIN STREET
NICOLE BEAIRD
ANNA, IL 62906
(618) 833-1415
Phone
E-mail: NICOLE.BEAIRD@ILLINOIS.GOV
S
Fax:
444
405
002
1000 N MAIN STREET
JOSEPH OZGA
ANNA, IL 62906
(618) 833-1415
Phone
E-mail: JOSEPH.OZGA@ILLINOIS.GOV
S
Fax:
444
405
003
1000 N MAIN STREET
ASHLEY S BRIDGES
ANNA, IL 62906
Phone
E-mail: ASHLEY.BRIDGES@ILLINOIS.GOV
S
Fax:
444
406
000
750 S STATE STREET
SUE COOLEY
ELGIN, IL 60123
/ 2095
(847) 429-4933
Phone
E-mail: SUE.COOLEY@ILLINOIS.GOV
S
Fax:
DHS: ELGIN MENTAL HEALTH CNTR
Page 29 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
444
406
001
750 S STATE STREET
SHAWN JOHNSON
ELGIN, IL 60123
/ 2073
(847) 429-4933
Phone
E-mail: SHAWN.JOHNSON@ILLINOIS.GOV
S
Fax:
444
406
002
750 S STATE STREET
KATHLEEN MASSAT
ELGIN, IL 60123
/ 2062
(847) 429-4933
Phone
E-mail: KATHLEEN.MASSAT@ILLINOIS.GOV
S
Fax:
444
407
000
134 W MAIN STREET
TRICIA SEEMAN
DWIGHT, IL 60420-1322
/ 0217
Phone
E-mail: TRICIA.SEEMAN@ILLINOIS.GOV
S
Fax:
DHS: FOX DEVELOPMENTAL CENTER
444
407
001
134 W MAIN STREET
REBECCA SIWECKI
DWIGHT, IL 60420
Phone
E-mail: REBECCA.SIWECKI@ILLINOIS.GOV
S
Fax:
444
407
002
134 W MAIN STREET
CHRISTINA A HOWARD
DWIGHT, IL 60420-1322
Phone
E-mail: CHRISTINA.HOWARD@ILLINOIS.GOV
S
Fax:
444
408
000
1200 S 1ST AVENUE BOX 7000
ANTOINETTE S NUNN
HINES, IL 60141
(708) 338-7078
Phone
E-mail: ANTOINETTE.S.NUNN@ILLINOIS.GOV
S
Fax:
DHS: MADDEN MENTAL HEALTH CTR
444
408
001
1200 S 1ST ST
ROBIN MILLARD-SPARACINO
BOX 7000
(708) 338-7078
HINES, IL 60141
Phone
E-mail: ROBIN.MILLARD-
SPARACINO@ILLINOIS.GOV
S
Fax:
444
408
002
1200 S 1ST ST
MARILYN ARMAN
BOX 7000
HINES, IL 60141
Phone
E-mail: MARILYN.ARMAN2@ILLINOIS.GOV
S
Fax:
444
410
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: JACKSONVILLE DEV. CENTER
Page 30 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
SPRINGFIELD, IL 62704
444
412
000
1401 W DUGDALE ROAD
KEITH ROGERS
WAUKEGAN, IL 60085-9819
Phone
E-mail: KEITH.ROGERS2@ILLINOIS.GOV
S
Fax:
DHS: KILEY DEVELOPMENTAL CNTR
444
412
001
1401 W DUGDALE ROAD
BRANDY SCOTT
WAUKEGAN, IL 60085
Phone
E-mail: BRANDY.SCOTT@ILLINOIS.GOV
S
Fax:
444
412
002
1401 W DUGDALE ROAD
PETER IDOWU
WAUKEGAN, IL 60085-9819
Phone
E-mail: PETER.IDOWU@ILLINOIS.GOV
S
Fax:
444
412
003
1401 W DUGDALE ROAD
DONNETTE HUDSON
WAUKEGAN, IL 60085
(847) 249-0722
Phone
E-mail: DONNETTE.HUDSON@ILLINOIS.GOV
S
Fax:
444
413
000
114 N ORCHARD ROAD
KIYA YAMIL
BLDG 60
(708) 283-3017
PARK FOREST, IL 60466
Phone
E-mail: KIYA.YAMIL@ILLINOIS.GOV
S
Fax:
DHS: LUDEMAN DEVELOPMENTAL CTR
444
413
001
114 N ORCHARD DRIVE
SYLVESTER CALI
PARK FOREST, IL 60466
Phone
E-mail: SYLVESTER.CALI@ILLINOIS.GOV
S
Fax:
444
413
002
114 N ORCHARD ROAD
IMANI GATEWOOD
PARK FOREST, IL 60466
Phone
E-mail: IMANI.GATEWOOD@ILLINOIS.GOV
S
Fax:
444
413
005
114 N ORCHARD ROAD
KERRI BRESLEY
PARK FOREST, IL 60466
(815) 288-8321
Phone
E-mail: KERRI.BRESLEY@ILLINOIS.GOV
S
Fax:
444
414
000
JOHNNY OBRIEN
Phone
S
DHS: MABLEY DEVELOPMENTAL CTR
Page 31 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
1120 WASHINGTON AVENUE
JOHNNY OBRIEN
DIXON, IL 61021
E-mail: JOHNNY.OBRIEN@ILLINOIS.GOV
Fax:
444
414
001
1120 WASHINGTON AVENUE
EMILY REISS
DIXON, IL 61021
Phone
E-mail: EMILY.REISS@ILLINOIS.GOV
S
Fax:
444
414
003
1120 WASHINGTON AVENUE
KERRI BRESLEY
DIXON, IL 61021
(815) 288-8321
Phone
E-mail: KERRI.BRESLEY@ILLINOIS.GOV
S
Fax:
444
415
000
822 S COLLEGE
ARRON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: HOWE DEVELOPMENTAL CENTER
444
416
000
901 SOUTHWIND ROAD
CYNTHIA NEWMAN
SPRINGFIELD, IL 62703
(217) 786-7167
Phone
E-mail: CYNTHIA.NEWMAN@ILLINOIS.GOV
S
Fax:
DHS: PACKARD MENTAL HEALTH CEN
444
417
000
1535 WEST MCCORD
TRISHA L SHIPLEY
CENTRALIA, IL 62801
(618) 545-0466
Phone
E-mail: TRISHA.SHIPLEY@ILLINOIS.GOV
S
Fax:
DHS: MURRAY DEVELOPMENTAL CTR
444
417
001
1535 WEST MCORD
ZACHARY L ROECKEMAN
CENTRALIA, IL 62801
Phone
E-mail: ZACHARY.ROECKEMAN@ILLINOIS.GOV
S
Fax:
444
417
002
1535 WEST MCORD
BRANDISE CARR
CENTRALIA, IL 62801
/ 4845
Phone
E-mail: BRANDISE.CARR@ILLINOIS.GOV
S
Fax:
444
418
000
100 EAST JEFFREY STREET
MARYANN KENTON
KANKAKEE, IL 60901
(815) 939-8560
Phone
E-mail: MARYANN.KENTON@ILLINOIS.GOV
S
Fax:
DHS: SHAPIRO DEVELOPMENTAL CTR
Page 32 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
444
418
001
100 EAST JEFFREY STREET
DARIN HENNEIKE
KANKAKEE, IL 60901
(815) 939-8560
Phone
E-mail: DARIN.HENNEIKE@ILLINOIS.GOV
S
Fax:
444
418
003
100 EAST JEFFERY STREET
TOMEEKA SMITH
KANKAKEE, IL 60901
(815) 939-8414
Phone
E-mail: TOMEEKA.SMITH@ILLINOIS.GOV
S
Fax:
444
422
000
125 WEBSTER
ANGELA LEAVELL
JACKSONVILLE, IL 62650
(217) 479-4294
Phone
E-mail: ANGELA.LEAVELL@ILLINOIS.GOV
S
Fax:
DHS: ISD
444
422
001
125 WEBSTER AVE
HEATHER THOMPSON
JACKSONVILLE, IL 62650
(217) 479-4380
Phone
E-mail: HEATHER.THOMPSON@ILLINOIS.GOV
S
Fax:
444
423
000
658 E STATE
KELLY HARNESS
JACKSONVILLE, IL 62650
(217) 479-4432
Phone
E-mail: KELLY.HARNESS2@ILLINOIS.GOV
S
Fax:
DHS: ISVI
444
423
001
658 E STATE
ANGELA LEAVELL
JACKSONVILLE, IL 62650
(217) 479-4294
Phone
E-mail: ANGELA.LEAVELL@ILLINOIS.GOV
S
Fax:
444
426
000
100 N FIRST STREET
MINDI CROW
PO BOX 19250
(217) 558-5076
SPRINGFIELD, IL 62794-5042
Phone
E-mail: MINDI.CROW@SSA.GOV
S
Fax:
DHS: DISABILITY DETERMIN SRVCS
444
426
001
100 N FIRST STREET
MINDI CROW
PO BOX 19250
(217) 524-9365
SPRINGFIELD, IL 62702-5042
Phone
E-mail: MINDI.CROW@SSA.GOV
S
Fax:
444
428
000
901 SOUTHWIND ROAD
CYNTHIA NEWMAN
SPRINGFIELD, IL 62703
(217) 786-7167
Phone
E-mail: CYNTHIA.NEWMAN@ILLINOIS.GOV
S
Fax:
DHS: NORTH CENTRAL NETWORK
Page 33 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
444
430
000
17019 COUNTY FARM ROAD
KENDRA WILLIAMS
RUSHVILLE, IL 62681
/ 5033
Phone
E-mail: KENDRA.WILLIAMS@ILLINOIS.GOV
S
Fax:
DHS: RUSHVILLE TRTMT/DET FCLTY
444
430
001
17019 COUNTY FARM ROAD
KENDRA WILLIAMS
RUSHVILLE, IL 62681
/ 5033
Phone
E-mail: KENDRA.WILLIAMS@ILLINOIS.GOV
S
Fax:
444
431
000
2848 MCDONOUGH ST
SHERRI MILLER
JOLIET, IL 60436-1050
/ 1608
(217) 558-0583
Phone
E-mail: SHERRI.MILLER@ILLINOIS.GOV
S
Fax:
DHS:JOLIET INPATIENT TRTMT CTR
444
431
002
822 SOUTH COLLEGE
SARAH B NEWINGHAM
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: SARAH.NEWINGHAM@ILLINOIS.GOV
S
Fax:
444
500
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: HUMAN CAPITAL DEVELOPMENT
444
501
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: TRANSITIONAL SERVICES
444
502
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: HUMAN CAPITAL DEVELOPMENT
444
503
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
444
504
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
Page 34 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
SPRINGFIELD, IL 62704
444
505
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: HCD - REGION 3
444
506
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE#ILLINOIS.GOV
S
Fax:
DHS: HCD - REGION 4
444
507
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: HCD - REGION 5
444
600
000
822 SOUTH COLLEGE
AARON MORSE
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: AARON.MORSE@ILLINOIS.GOV
S
Fax:
DHS: EARLY CHILDHOOD
444
600
001
822 SOUTH COLLEGE
MARLA J HURST
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: MARLA.HURST@ILLINOIS.GOV
S
Fax:
444
600
002
822 SOUTH COLLEGE
SARAH B NEWINGHAM
SPRINGFIELD, IL 62704
(217) 558-0583
Phone
E-mail: SARAH.NEWINGHAM@ILLINOIS.GOV
S
Fax:
Page 35 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
445
000
000
105 W MADISON STREET
LATISHA JUDE
SUITE 1401
(312) 814-0926
CHICAGO, IL 60602
Phone
E-mail: LATISHA.L.JUDE@ILLINOIS.GOV
S
Fax:
ILLINOIS POWER AGENCY
445
000
001
105 W MADISON STREET
KEVIN HAYES
SUITE 1401
(312) 814-0926
CHICAGO, IL 60602
Phone
E-mail: KEVIN.HAYES@ILLINOIS.GOV
S
Fax:
445
000
002
105 W MADISON STREET
LATOSHA HUDSON
SUITE 1401
CHICAGO, IL 60602
Phone
E-mail: LATOSHA.HUDSON@ILLINOIS.GOV
S
Fax:
446
100
000
320 W WASHINGTON
KIMBERLY A VEACH
SPRINGFIELD, IL 62767
(217) 558-2777
Phone
E-mail: KIMBERLY.VEACH@ILLINOIS.GOV
S
Fax:
DEPARTMENT OF INSURANCE
446
100
001
320 W WASHINGTON
OPAL HOLLIS
SPRINGFIELD, IL 62767
Phone
E-mail: OPAL.HOLLIS2@ILLINOIS.GOV
S
Fax:
448
000
000
120 W JEFFERSON
VICKEY LONGSTAFF
SPRINGFIELD, IL 62702
(217) 524-6629
Phone
E-mail: VICKEY.LONGSTAFF@ILLINOIS.GOV
S
Fax:
DEPARTMENT OF INNOVATION & TEC
448
000
001
120 W JEFFERSON
DIXIE SLOMAN
SPRINGFIELD, IL 62702
(217) 524-6629
Phone
E-mail: DIXIE.SLOMAN@ILLINOIS.GOV
S
Fax:
Page 36 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
452
000
000
524 S SECOND STREET
NICOLE SCANTLIN
SUITE 400
(217) 782-0596
SPRINGFIELD, IL 62701
Phone
E-mail: NICOLE.SCANTLIN@ILLINOIS.GOV
S
Fax:
DEPARTMENT OF LABOR
452
000
001
524 SOUTH SECOND STREET
NICOLE SCANTLIN
SPRINGFIELD, IL 62701
Phone
E-mail: NICOLE.SCANTLIN@ILLINOIS.GOV
S
Fax:
458
100
000
101 W JEFFERSON
JESSICA A NUNES
MC 3 970
(217) 785-7839
SPRINGFIELD, IL 62702
Phone
E-mail: JESSICA.NUNES@ILLINOIS.GOV
S
Fax:
DEPARTMENT OF THE LOTTERY
458
100
001
101 W JEFFERSON
JESSICA A NUNES
MC 3 970
(217) 785-7839
SPRINGFIELD, IL 62702
Phone
E-mail: JESSICA.NUNES@ILLINOIS.GOV
S
Fax:
466
000
000
STATE PERSONNEL OFFICE
ERIKA E RAYMOND
1301 N MACARTHUR BLVD
(217) 761-3418
SPRINGFIELD, IL 62702-2389
Phone
E-mail: ERIKA.E.RAYMOND@ILLINOIS.GOV
S
Fax:
MILITARY AFFAIRS
Page 37 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
478
000
000
2946 OLD ROCHESTER ROAD
LORI A BENEDICT
SPRINGFIELD, IL 62703
(217) 782-8889
Phone
E-mail: LORI.BENEDICT@ILLINOIS.GOV
S
Fax:
DEPT OF HLTHCARE & FAMLY SERVC
478
000
002
2200 CHURCHILL ROAD BLDG A1
ANITA PATEL
SPRINGFIELD, IL 62702
(217) 524-9684
Phone
E-mail: ANITA.PATEL@ILLINOIS.GOV
S
Fax:
478
000
003
2200 CHURCHILL ROAD
TOM GENTRY
A 1
(217) 524-9684
SPRINGFIELD, IL 62702-3406
Phone
E-mail: TOM.D.GENTRY@ILLINOIS.GOV
S
Fax:
478
000
004
2200 CHURCHILL RD
TONIA PHILLIPS
A1
(217) 524-9684
SPRINGFIELD, IL 62702-3406
Phone
E-mail: TONIA.PHILLIPS@ILLINOIS.GOV
S
Fax:
478
000
006
500 S 2ND STREET
CARA RICHARDSON
SPRINGFIELD, IL 62701-1705
(217) 557-0209
Phone
E-mail: CARA.RICHARDSON@ILAG.GOV
S
Fax:
478
000
009
2200 CHURCHILL RD A1
BARBARA SHEA
SPRINGFIELD, IL 62702-3406
(217) 524-9684
Phone
E-mail: BARBARA.SHEA@ILLINOIS.GOV
S
Fax:
Page 38 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
482
000
000
535 W JEFFERSON 4TH FLOOR
AMAYA M CHRISTINE
SPRINGFIELD, IL 62761
(217) 785-2038
Phone
E-mail: AMAYA.CHRISTINE@ILLINOIS.GOV
S
Fax:
DEPARTMENT OF PUBLIC HEALTH
482
000
001
535 W JEFFERSON 4TH FLOOR
JAMES E BRODHACKER
SPRINGFIELD, IL 62761
(217) 785-2038
Phone
E-mail: JAMES.BRODHACKER@ILLINOIS.GOV
S
Fax:
482
000
004
535 W JEFFERSON 4TH FLOOR
MEREDITH CAUDILL
SPRINGFIELD, IL 62761
(217) 785-2038
Phone
E-mail: MEREDITH.CAUDILL@ILLINOIS.GOV
S
Fax:
492
100
000
101 W JEFFERSON
MICHELLE NUTTER
5 110
(217) 782-4647
SPRINGFIELD, IL 62702
Phone
E-mail: MICHELLE.NUTTER@ILLINOIS.GOV
S
Fax:
DOR/ADMIN & REGULATORY SSC
492
100
001
101 W JEFFERSON
KIRBEE WOMBLE
MAIL CODE 3 110
(217) 782-8957
SPRINGFIELD, IL 62702
Phone
E-mail: MICHELLE.NUTTER@ILLINOIS.GOV
S
Fax:
492
100
002
101 W JEFFERSON
BECKY DAVIS
SPRINGFIELD, IL 62702
(217) 782-4647
Phone
E-mail: BECKY.DAVIS@ILLINOIS.GOV
S
Fax:
492
100
003
101 W JEFFERSON ST 5 110
CHARCI WARD
SPRINGFIELD, IL 62702
Phone
E-mail: CHARCI.WARD2@ILLINOIS.GOV
S
Fax:
492
100
004
101 W JEFFERSON ST 5 110
KEITH GROFF
SPRINGFIELD, IL 62702
Phone
E-mail: KEITH.GROFF@ILLINOIS.GOV
S
Fax:
Page 39 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
493
400
000
801 S 7TH ST
PHILIP SCHUMER
SUITE 700A
(217) 524-0222
SPRINGFIELD, IL 62703-2487
Phone
E-mail: PHILIP.SCHUMER@ILLINOIS.GOV
S
Fax:
ISP/PUBLIC SAFETY SSC
493
400
001
801 S 7TH ST
AMBER MATULIS
7TH FLOOR
(217) 524-0222
SPRINGFIELD, IL 62703
Phone
E-mail: AMBER.MATULIS2@ILLINOIS.GOV
S
Fax:
493
401
000
801 S 7TH ST
PHILIP SCHUMER
SUITE 700A
(217) 524-0222
SPRINGFIELD, IL 62703-2487
Phone
E-mail: PHILIP.SCHUMER@ILLINOIS.GOV
S
Fax:
ISP TOLLWY/PUBLIC SAFETY SSC
493
401
001
801 S 7TH ST
PHILIP SCHMUER
SUITE 700A
(217) 524-0222
SPRINGFIELD, IL 62703-2487
Phone
E-mail: PHILIP.SCHUMER@ILLINOIS.GOV
S
Fax:
493
402
000
801 S 7TH ST
PHILIP SCHUMER
SUITE 700A
(217) 524-0222
SPRINGFIELD, IL 62703-2487
Phone
E-mail: PHILIP.SCHUMER@ILLINOIS.GOV
S
Fax:
ISP SWORN/PUBLIC SAFETY SSC
493
402
001
801 S 7TH ST
PHILIP SCHUMER
SUITE 700A
(217) 524-0222
SPRINGFIELD, IL 62703-2487
Phone
E-mail: PHILIP.SCHUMER@ILLINOIS.GOV
S
Fax:
Page 40 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
494
000
000
2300 S DIRKSEN PARKWAY
AMY NEALE
PERSONNEL MANAGEMENT
(217) 782-6006
SPRINGFIELD, IL 62764
Phone
E-mail: AMY.NEALE@ILLINOIS.GOV
S
Fax:
IDOT-ADMINISTRATION BLDG.
494
000
001
2300 S DIRKSEN PARKWAY
MARGARET K CARLEN
PAYROLL AND BENEFITS UNIT
(217) 782-6006
SPRINGFIELD, IL 62764
Phone
E-mail: MARGARET.CARLEN@ILLINOIS.GOV
S
Fax:
494
000
002
2300 S DIRKSEN PARKWAY
AMY NEALE
SPRINGFIELD, IL 62764
(217) 782-6006
Phone
E-mail: AMY.NEALE@ILLINOIS.GOV
S
Fax:
494
000
003
2300 S DIRKSEN PARKWAY
MISSY WESTBROOK
ROOM 110
(217) 557-3134
SPRINGFIELD, IL 62764
Phone
E-mail: MISSY.WESTBROOK@ILLINOIS.GOV
S
Fax:
494
000
004
2300 S DIRKSEN PARKWAY
TARA BANDY
SPRINGFIELD, IL 62764
Phone
E-mail: TARA.BANDY@ILLINOIS.GOV
S
Fax:
494
000
005
2300 S DIRKSEN PARKWAY
ANGIE M DEES
ROOM 110
(217) 557-3134
SPRINGFIELD, IL 62764
Phone
E-mail: ANGIE.DEES@ILLINOIS.GOV
S
Fax:
494
000
006
2300 S DIRKSEN PARKWAY
CARRIE L HELD
ROOM 110
(217) 557-3134
SPRINGFIELD, IL 62764
Phone
E-mail: CARRIE.HELD@ILLINOIS.GOV
S
Fax:
494
000
007
2300 S DIRKSEN PARKWAY
BRENDA M SCHNEPP
ROOM 110 PLANNING/PROGRAMMING
(217) 557-3134
SPRINGFIELD, IL 62764
Phone
E-mail: BRENDA.SCHNEPP@ILLINOIS.GOV
S
Fax:
494
000
008
2300 S DIRKSEN PARKWAY
CARRIE HELD
Phone
S
Fax:
Page 41 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
2300 S DIRKSEN PARKWAY
ROOM 101
SPRINGFIELD, IL 62764
E-mail: CARRIE.HELD@ILLINOIS.GOV
Fax:
494
000
011
2300 S DIRKSEN PARKWAY
LAURA RODRIGUEZ
ROOM 110
(217) 557-3134
SPRINGFIELD, IL 62764
Phone
E-mail: LAURA.RODRIGUEZ@ILLINOIS.GOV
S
Fax:
494
000
012
2300 S DIRKSEN PARKWAY
MISSY WESTBROOK
ROOM 110
SPRINGFIELD, IL 62764
Phone
E-mail: MISSY.WESTBROOK@ILLINOIS.GOV
S
Fax:
494
000
013
2300 S DIRKSEN PARKWAY
CINDY SELINGER
SPRINGFIELD, IL 62764
Phone
E-mail: CINDY.SELINGER@ILLINOIS.GOV
S
Fax:
494
000
014
2300 SOUTH DIRKSEN PARKWAY
LAURA RODRIGUEZ
ROOM 110
(217) 557-3134
SPRINGFIELD, IL 62764
Phone
E-mail: LAURA.RODRIGUEZ@ILLINOIS.GOV
S
Fax:
494
000
015
2300 S DIRKSEN PARKWAY
CINDY M SELINGER
SPRINGFIELD, IL 62764
Phone
E-mail: CINDY.SELINGER@ILLINOIS.GOV
S
Fax:
494
000
017
2300 S DIRKSEN PARKWAY
CINDY SELINGER
SPRINGFIELD, IL 62764
Phone
E-mail: CINDY.SELINGER@ILLINOIS.GOV
S
Fax:
494
000
018
2300 S DIRKSEN PARKWAY
TARA BANDY
SPRINGFIELD, IL 62764
Phone
E-mail: TARA.BANDY@ILLINOIS.GOV
S
Fax:
494
001
001
201 WEST CENTER COURT
SUSANA CARLOS
SCHAUMBURG, IL 60196-1096
(847) 705-4489
Phone
E-mail: SUSANA.CARLOS@ILLINOIS.GOV
S
Fax:
IDOT-HIGHWAY DISTRICT #1
Page 42 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
494
001
002
201 WEST CENTER COURT
DANIELLE HARRELL
SCHAUMBURG, IL 60196
Phone
E-mail: DANIELLE.HARELL@ILLINOIS.GOV
S
Fax:
494
001
003
201 WEST CENTER COURT
CARMEN CORTESE
SCHAUMBURG, IL 60196
(847) 705-4489
Phone
E-mail: CARMEN.CORTESE@ILLINOIS.GOV
S
Fax:
494
002
001
819 DEPOT AVENUE
GINA CHRISTOFFERSEN
DIXON, IL 61021-3546
(815) 284-5908
Phone
E-mail: GINA.CHRISTOFFERSEN@ILLINOIS.GOV
S
Fax:
IDOT-HIGHWAY DISTRICT #2
494
003
001
700 E NORRIS DRIVE
WILLIAM C CRUZ
OTTAWA, IL 61350
(815) 433-7073
Phone
E-mail: WILLIAM.CRUZ@ILLINOIS.GOV
S
Fax:
IDOT-HIGHWAY DISTRICT #3
494
003
002
700 E NORRIS DRIVE
LYNN M PEREZ
OTTAWA, IL 61350
(815) 434-7073
Phone
E-mail: LYNN.PEREZ@ILLINOIS.GOV
S
Fax:
494
004
001
401 MAIN STREET
DIANE ISAIA
PEORIA, IL 61602
(309) 671-4882
Phone
E-mail: DIANE.ISAIA@ILLINOIS.GOV
S
Fax:
IDOT-HIGHWAY DISTRICT #4
494
004
003
401 MAIN STREET
JAMIE M BALL
PEORIA, IL 61602-1111
/ 3237
(309) 671-4882
Phone
E-mail: JAMIE.BALL@ILLINOIS.GOV
S
Fax:
494
005
001
13473 IL HIGHWAY 133
AMANDA S HELANDER
PO BOX 610
(217) 463-8169
PARIS, IL 61944-0610
Phone
E-mail: AMANDA.HELANDER@ILLINOIS.GOV
S
Fax:
IDOT-HIGHWAY DISTRICT #5
494
005
002
13473 IL HWY 133
CARA KRAEMER
PO BOX 610
/ 0327
(217) 463-8169
PARIS, IL 61944-0610
Phone
E-mail: CARA.KRAEMER@ILLINOIS.GOV
S
Fax:
Page 43 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
494
005
003
13473 IL HWY 133
COURTNEY GOSSETT
PO BOX 610
/ 0345
(217) 463-8169
PARIS, IL 61944-0610
Phone
E-mail: COURTNEY.GOSSETT@ILLINOIS.GOV
S
Fax:
494
006
001
126 EAST ASH
MADISON MANION
SPRINGFIELD, IL 62704
Phone
E-mail: MADISON.M.MANION@ILLINOIS.GOV
S
Fax:
IDOT-HIGHWAY DISTRICT #6
494
006
002
126 EAST ASH
ANGIE DEES
SPRINGFIELD, IL 62704
Phone
E-mail: ANGIE.DEES@ILLINOIS.GOV
S
Fax:
494
007
001
400 W WABASH
CINDY SMITH
EFFINGHAM, IL 62401
(217) 342-8384
Phone
E-mail: CINDY.SMITH@ILLINOIS.GOV
S
Fax:
IDOT-HIGHWAY DISTRICT #7
494
007
002
STATE TRANSPORTATION
BILL GOBEN
400 W WABASH
(217) 347-0621
EFFINGHAM, IL 62401
Phone
E-mail: CHARLES.GOBEN@ILLINOIS.GOV
S
Fax:
494
007
003
400 W WABASH AVE
DONNA NIEMERG
EFFINGHAM, IL 62401
(217) 342-8384
Phone
E-mail: CINDY.SMITH@ILLINOIS.GOV
S
Fax:
494
008
001
1102 EASTPORT PLAZA DRIVE
JULIE R ADAMS
COLLINSVILLE, IL 62234-3110
Phone
E-mail: JULE.ADA[email protected]V
S
Fax:
IDOT-HIGHWAY DISTRICT #8
494
008
002
1102 EASTPORT PLAZA DRIVE
JILL GORENZ
COLLINSVILLE, IL 62234
Phone
E-mail: JILL.GORENZ@ILLINOIS.GOV
S
Fax:
494
008
003
1102 EASTPORT PLAZA DR
EMILY A CRANE
COLLINSVILLE, IL 62234
(618) 346-3386
Phone
E-mail: EMILY.CRANE@ILLINOIS.GOV
S
Fax:
Page 44 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
COLLINSVILLE, IL 62234
494
009
001
2801 MURPHYSBORO ROAD
TRACY HAGSTON
PO BOX 100
(618) 351-5298
CARBONDALE, IL 62903-0100
Phone
E-mail: TRACY.HAGSTON@ILLINOIS.GOV
S
Fax:
IDOT-HIGHWAY DISTRICT #9
494
009
002
2801 W MURPHYSBORO ROAD
ELIZABETH BROOKS
PO BOX 100
(618) 351-5298
CARBONDALE, IL 62903-0100
Phone
E-mail: ELIZABETH.BROOKS@ILLINOIS.GOV
S
Fax:
494
010
001
2300 S DIRKSEN PKWY
TARA BANDY
SPRINGFIELD, IL 62764
Phone
E-mail: TARA.BANDY@ILLINOIS.GOV
S
Fax:
IDOT-DIVISION OF AERONAUTICS
494
012
001
100 WEST RANDOLPH
LINDA STRAUBE
SUITE 6/600
(312) 793-1251
CHICAGO, IL 60601
Phone
E-mail: LINDA.STRAUBE@ILLINOIS.GOV
S
Fax:
IDOT-PUBLIC TRANSPORTATION
494
013
001
2300 S DIRKSEN PKWY
MARGARET K CARLEN
ROOM 110
(217) 782-6006
SPRINGFIELD, IL 62764
Phone
E-mail: MARGARET.CARLEN@ILLINOIS.GOV
S
Fax:
IDOT-DIVISION OF TRAFFIC SFTY
494
014
001
2300 S DIRKSEN PARKWAY
MISSY WESTBROOK
SPRINGFIELD, IL 62764
(217) 557-3134
Phone
E-mail: MISSY.WESTBROOK@ILLINOIS.GOV
S
Fax:
IDOT-DAY LABOR
494
999
000
2300 S DIRKSEN PARKWAY
AMY NEALE
SPRINGFIELD, IL 62764
(217) 782-6006
Phone
E-mail: AMY.NEALE@ILLINOIS.GOV
S
Fax:
IDOT-DEF COMP
494
999
001
2300 S DIRKSEN PARKWAY
RYAN COLE
PERSONNEL MANAGEMENT
(217) 782-6006
SPRINGFIELD, IL 62764
Phone
E-mail: RYAN.COLE@ILLINOIS.GOV
S
Fax:
494
999
002
MARGARET CARLEN
Phone
S
Page 45 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
2300 S DIRKSEN PARKWAY
MARGARET CARLEN
PERSONNEL MANAGEMENT
(217) 782-6006
SPRINGFIELD, IL 62764
E-mail: MARGARET.CARLEN@ILLINOIS.GOV
Fax:
Page 46 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
497
000
000
833 SOUTH SPRING
MARY E ALBERT
SPRINGFIELD, IL 62704-2617
(217) 557-7235
Phone
E-mail: MARY.ALBERT@ILLINOIS.GOV
S
Fax:
VA - IL VETERAN'S AFFAIRS
497
000
001
833 SOUTH SPRING
TIFFANY L MADISON
SPRINGFIELD, IL 62704
(217) 557-7235
Phone
E-mail: TIFFANY.L.MADISON@ILLINOIS.GOV
S
Fax:
497
001
001
1707 N 12TH STREET
KASAUNDRA J MORELOCK
QUINCY, IL 62301
(217) 640-5694
Phone
E-mail: KASAUNDRA.MORELOCK@ILLINOIS.GOV
S
Fax:
VA - IL VETERANS HME/QUINCY
497
002
001
1 VETERANS DRIVE
RHONDA L BOUDREAU
MANTENO, IL 60950
(815) 468-1596
Phone
E-mail: RHONDA.BOUDREAU2@ILLINOIS.GOV
S
Fax:
VA - IL VETERANS HME MANTENO
497
002
002
1 VETERANS DRIVE
DANEL M PETERS
MANTENO, IL 60950
(815) 468-1596
Phone
E-mail: DANEL.PETERS@ILLINOIS.GOV
S
Fax:
497
002
003
1 VETERANS DRIVE
MIKI L DORIS
MANTENO, IL 60950
(815) 468-1596
Phone
E-mail: MIKI.L.DORIS@ILLINOIS.GOV
S
Fax:
497
003
001
1015 OCONNOR AVENUE
DIANE SPIEGEL
LA SALLE, IL 61301
(815) 223-5815
Phone
E-mail: DIANE.SPIEGEL@ILLINOIS.GOV
S
Fax:
VA - IL VETERANS HME/LASALLE
497
003
002
1015 OCONNOR AVENUE
DIANE M SPIEGEL
LA SALLE, IL 61301
/ 0204
(815) 223-5815
Phone
E-mail: DIANE.SPIEGEL@ILLINOIS.GOV
S
Fax:
497
004
001
792 N MAIN STREET
TAMMY WIESEMAN
(618) 833-2040
Phone
S
Fax:
VA - IL VETERANS HME/ANNA
Page 47 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
792 N MAIN STREET
ANNA, IL 62906
(618) 833-2040
E-mail: TAMMY.WIESEMAN@ILLINOIS.GOV
Fax:
497
005
001
4250 N OAK PARK AVE
TERESA MENENDEZ
CHICAGO, IL 60634
Phone
E-mail: TERESA.MENENDEZ@ILLINOIS.GOV
S
Fax:
VA - IL VETERANS HME/CHICAGO
503
000
000
115 S LASALLE ST
WILLIE LIN
STE 2202
(312) 814-1471
CHICAGO, IL 60603
Phone
E-mail: WILLIE.LIN@ILLINOIS.GOV
S
Fax:
ILLINOIS ARTS COUNCIL
506
000
000
112 N SIXTH STREET
MARLENE ALLEN
SPRINGFIELD, IL 62701
(217) 557-0730
Phone
E-mail: MARLENE.ALLEN@ILLINOIS.GOV
S
Fax:
ALPLM
506
000
001
112 N SIXTH STREET
DARIAN FERNANDES
SPRINGFIELD, IL 62701
Phone
E-mail: DARIAN.FERNANDES@ILLINOIS.GOV
S
Fax:
507
000
000
605 STRATTON BLDG
LAYLA MCLEAN
401 S SPRING STREET
(217) 524-4876
SPRINGFIELD, IL 62706
Phone
E-mail: LAYLA.MCLEAN@ILLINOIS.GOV
S
Fax:
GOVERNORS OFC OF MNGMT & BDGT
509
000
000
69 WEST WASHINGTON
GINA ROSAS
SUITE 3400
CHICAGO, IL 60602
Phone
E-mail: GINA.ROSAS@ILLINOIS.GOV
S
Fax:
INSPECTOR GENERAL
509
000
001
69 WEST WASHINGTON
LATISHA HAYGOOD
SUITE 3400
(312) 814-3860
CHICAGO, IL 60602
Phone
E-mail: LATISHA.HAYGOOD@ILLINOIS.GOV
S
Fax:
Page 48 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
510
000
000
401 S SPRING ROOM 515
ALEYA SMITH
SPRINGFIELD, IL 62706
(217) 558-1399
Phone
E-mail: ALEYA.SMITH@ILLINOIS.GOV
S
Fax:
EXECUTIVE ETHICS COMMISSION
510
000
002
401 S SPRING ST RM 515
TYLER HANNERS
SPRINGFIELD, IL 62706
(217) 558-1399
Phone
E-mail: TYLER.B.HANNERS@ILLINOIS.GOV
S
Fax:
510
000
003
401 S SPRING
MINDY YOUNGBERG
515 STRATTON BLDG
(217) 558-1399
SPRINGFIELD, IL 62706
Phone
E-mail: MINDY.YOUNGBERG@ILLINOIS.GOV
S
Fax:
511
000
000
401 S SPRING 3RD FLOOR
TIFFANY CRIFASI
SPRINGFIELD, IL 62706
Phone
E-mail: TIFFANY.CRIFASI@ILLINOIS.GOV
S
Fax:
CAPITAL DEVELOPMENT BOARD
511
000
001
401 S SPRING ST
JILL A BOHM
3RD FLOOR
SPRINGFIELD, IL 62706
Phone
E-mail: JILL.A.BOHM@ILLINOIS.GOV
S
Fax:
511
000
002
401 S SPRING ST
SHELLY R BOATMAN
3RD FLOOR
SPRINGFIELD, IL 62706
Phone
E-mail: SHELLY.R.BOATMAN@ILLINOIS.GOV
S
Fax:
511
000
003
401 S SPRING ST
AMBER BLAIR
SPRINGFIELD, IL 62706
Phone
E-mail: AMBER.BLAIR@ILLINOIS.GOV
S
Fax:
517
000
000
607 EAST ADAMS
ALEXANDRA MYERS
SUITE 801
(217) 524-3706
SPRINGFIELD, IL 62701
Phone
E-mail: ALEXANDRA.M.MYERS@ILLINOIS.GOV
S
Fax:
CIVIL SERVICE COMMISSION
Page 49 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
520
000
000
1087 ROTARY WAY
ANTHONY RAFFETY
DECATUR, IL 62521
Phone
E-mail: ANTHONY.RAFFETY@ILLINOIS.GOV
S
Fax:
CORONER TRAINING BOARD
524
000
000
527 E CAPITAL
WHITNEY E TAYLOR
SPRINGFIELD, IL 62701
(217) 785-1770
Phone
E-mail: WHITNEY.TAYLOR@ILLINOIS.GOV
S
Fax:
IL COMMERCE COMMISSION
526
000
000
528 SOUTH 5TH STREET
PATTY GREENE
2ND FLOOR SUITE 209
(217) 557-4492
SPRINGFIELD, IL 62701
Phone
E-mail: PATTY.GREENE@ILLINOIS.GOV
S
Fax:
IL DEAF & HARD OF HEARING COMM
527
000
000
320 W WASHINGTON
KIMBERLY VEACH
SPRINGFIELD, IL 62767
(217) 558-2777
Phone
E-mail: KIMBERLY.VEACH@ILLINOIS.GOV
S
Fax:
COMPREHENSIVE HEALTH INS PLAN
528
000
000
630 S COLLEGE
VICKIE BELL
SPRINGFIELD, IL 62756
(217) 785-1856
Phone
E-mail: VBELL1@ILSOS.NET
S
Fax:
COURT OF CLAIMS
532
000
000
1021 NORTH GRAND AVENUE EAST
AMELIA BARTON
SPRINGFIELD, IL 62702-4059
(217) 524-6907
Phone
E-mail: AMELIA.BARTON@ILLINOIS.GOV
S
Fax:
ENVIRONMENTAL PROTECTION AGCY
532
000
004
1021 NORTH GRAND AVENUE EAST
REBECCA L WATSON
PO BOX 19276
(217) 524-6907
SPRINGFIELD, IL 62794-9276
Phone
E-mail: REBECCA.WATSON@ILLINOIS.GOV
S
Fax:
Page 50 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
533
000
000
100 W RANDOLPH SUITE 4 100
SERGIO SALAZAR-QUIRINO
CHICAGO, IL 60601
(312) 814-5539
Phone
E-mail: SERGIO.SALAZAR2@ILLINOIS.GOV
S
Fax:
COMM ON EQUITY AND INCLUSION
533
000
002
100 W RANDOLPH ST
TRACEY A KENNEY
SUITE 4 100
CHICAGO, IL 60601
Phone
E-mail: TRACEY.KENNEY@ILLINOIS.GOV
S
Fax:
537
000
000
830 S SPRING
ARLENE HERRON
SPRINGFIELD, IL 62704
Phone
E-mail: ARLENE.HERRON2@ILLINOIS.GOV
S
Fax:
GUARDIANSHIP & ADVOCACY COMM
537
000
001
830 SOUTH SPRING
DANIEL C CAMPBELL
SPRINGFIELD, IL 62704
Phone
E-mail: DANIEL.CAMPBELL@ILLINOIS.GOV
S
Fax:
537
000
002
801 S SPRING STREET
COLLEEN LOEHR
SPRINGFIELD, IL 62704
Phone
E-mail: COLLEEN.LOEHR@ILLINOIS.GOV
S
Fax:
542
000
000
160 N LASALLE
CLAUDIA P ORTEGA
STE N1000
(312) 814-6517
CHICAGO, IL 60601
Phone
E-mail: CLAUDIA.ORTEGA@ILLINOIS.GOV
S
Fax:
HUMAN RIGHTS COMMISSION
542
000
001
300 W JEFFERSON ST
SAMANTHA JUDD
SUITE 108
SPRINGFIELD, IL 62702
Phone
E-mail: SAMANTHA.JUDD@ILLINOIS.GOV
S
Fax:
Page 51 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
546
000
000
60 E VAN BUREN 6TH FLOOR
QUIERRA PHILLIPS
STE 650
(312) 793-1030
CHICAGO, IL 60605
Phone
E-mail: QUIERRA.PHILLIPS@ILLINOIS.GOV
S
Fax:
CRIMINAL JUSTICE INFO AUTHORTY
546
000
001
60 E VAN BUREN 6TH FLOOR
ZINA L SMITH
STE 650
(312) 793-1030
CHICAGO, IL 60605
Phone
E-mail: ZINA.SMITH@ILLINOIS.GOV
S
Fax:
546
000
002
60 E VAN BUREN ST
KELLY WALKER
STE 650
(312) 793-1030
CHICAGO, IL 60605
Phone
E-mail: KELLY.WALKER4@ILLINOIS.GOV
S
Fax:
548
000
000
160 N LASALLE ST
CATHY A BANKS
CHICAGO, IL 60601
(312) 793-3368
Phone
E-mail: CATHY.A.BANKS@ILLINOIS.GOV
S
Fax:
EDUCATIONAL LABOR RELATIONS BD
555
000
000
180 N LASALLE
GENETTE BACON-CORDOVA
SUITE 2015
(312) 793-2266
CHICAGO, IL 60601
Phone
E-mail: GBACON@ISBINVESTMENT.COM
S
Fax:
BOARD OF INVESTMENT
557
000
000
2700 OGDEN AVENUE
ANGELA JENKINS
DOWNERS GROVE, IL 60515
Phone
E-mail: AJENKINS@GETIPASS.COM
S
Fax:
IL TOLL HIGHWAY AUTHORITY
558
000
000
830 S SPRING STREET
JANINNA HENDRICKS
SPRINGFIELD, IL 62704
(217) 524-5339
Phone
E-mail: JANINNA.HENDRICKS@ILLINOIS.GOV
S
Fax:
IL COUNCIL ON DEV DISAB
558
000
001
830 S SPRING STREET
ERIC VANDERWAL
SPRINGFIELD, IL 62704
(217) 524-5339
Phone
S
Fax:
Page 52 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
560
000
000
160 N LASALLE STREET
XIMENA GRANDA
S 1000
CHICAGO, IL 60601
Phone
E-mail: XGRANDA@IL-FA.COM
S
Fax:
ILLINOIS FINANCE AUTHORITY
562
000
000
607 EAST ADAMS STREET
DEANNA ROSSETTO
15TH FLOOR ROOM 1520
(217) 557-9927
SPRINGFIELD, IL 62701
Phone
E-mail: DEANNA.ROSSETTO@ILLINOIS.GOV
S
Fax:
PROCUREMENT POLICY BOARD
563
000
000
64 W WASHINGTON
RICHARD J BETCZYNSKI
9TH FLOOR
(312) 814-5878
CHICAGO, IL 60602
Phone
E-mail: RICHARD.BETCZYNSKI@ILLINOIS.GOV
S
Fax:
IL WORKERS COMP COMMISSION
563
000
001
64 W WASHINGTON
EMILY PAELMO
9TH FLOOR
CHICAGO, IL 60602
Phone
E-mail: EMILY.PAELMO2@ILLINOIS.GOV
S
Fax:
564
000
000
160 N LASALLE
KRISTENE CALLANTA
SUITE N 506
(312) 814-4768
CHICAGO, IL 60601
Phone
E-mail: KRISTENE.CALLANTA@ILLINOIS.GOV
S
Fax:
ILLINOIS TAX TRIBUNAL
565
100
000
801 S 7TH ST
SARA A BARTOLOMUCCI
SUITE 400
(217) 782-8957
SPRINGFIELD, IL 62703
Phone
E-mail: SARA.BARTOLOMUCCI@ILLINOIS.GOV
S
Fax:
ILLINOIS GAMING BOARD
565
100
002
801 SOUTH 7TH STREET
VICKI L CHILES
SUITE 400
SPRINGFIELD, IL 62703
Phone
E-mail: VICKI.L.CHILES@ILLINOIS.GOV
S
Fax:
Page 53 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
567
000
000
300 WEST JEFFERSON SUITE 300
TRACIE ANDERSON
SPRINGFIELD, IL 62702-5041
Phone
E-mail: TRACIE.ANDERSON@ILLINOIS.GOV
S
Fax:
LIQUOR CONTROL COMMISSION
569
000
000
500 S 9TH STREET
ELLEN PETTY
SPRINGFIELD, IL 62701
(217) 524-5350
Phone
E-mail: ELLEN.PETTY@ILLINOIS.GOV
S
Fax:
POLICE TRAINING BOARD
569
000
001
500 S 9TH STREET
KENLEY M COWGILL
SPRINGFIELD, IL 62701
/ 4540
(217) 524-5350
Phone
E-mail: KENLEY.M.COWGILL@ILLINOIS.GOV
S
Fax:
569
000
002
4500 S SIXTH STREET ROAD
STEVEN J PINGOLT
ROOM 173
(217) 524-5350
SPRINGFIELD, IL 62703-6617
Phone
E-mail: STEVEN.J.PINGOLT@ILLINOIS.GOV
S
Fax:
577
000
000
1021 NORTH GRAND AVENUE EAST
AMELIA BARTON
SPRINGFIELD, IL 62702-4059
(217) 524-6907
Phone
E-mail: AMELIA.BARTON@ILLINOIS.GOV
S
Fax:
POLLUTION CONTROL BOARD
577
000
001
1021 NORTH GRAND AVENUE EAST
BRUCE BENNETT
PO BOX 19274
(217) 524-8508
SPRINGFIELD, IL 62794-9274
Phone
E-mail: BRUCE.BENNETT@ILLINOIS.GOV
S
Fax:
577
000
002
100 W RANDOLPH 11TH FL
LYNN M HEDGES
STE 11 500
(312) 814-3669
CHICAGO, IL 60601
Phone
E-mail: LYNN.HEDGES@ILLINOIS.GOV
S
Fax:
Page 54 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
578
000
000
1301 CONCORDIA COURT
EMILY ZUMWALT
PO BOX 19277
/ 2123
(217) 522-1513
SPRINGFIELD, IL 62794-9277
Phone
E-mail: EMILY.ZUMWALT@ILLINOIS.GOV
S
Fax:
PRISONER REVIEW BOARD
578
000
001
1301 CONCORDIA COURT
ANDREA HARTH
SPRINGFIELD, IL 62702
/ 2123
(217) 557-1513
Phone
E-mail: ANDREA.HARTH@ILLINOIS.GOV
S
Fax:
579
100
000
555 W MONROE
JACKIE A CLISHAM
1700S
CHICAGO, IL 60661
Phone
E-mail: JACKIE.CLISHAM@ILLINOIS.GOV
S
Fax:
ILLINOIS RACING BOARD
580
000
000
402 STRATTON BUILDING
BETH LEET
SPRINGFIELD, IL 62706
(217) 557-9429
Phone
E-mail: BETH.LEET@ILLINOIS.GOV
S
Fax:
PROPERTY TAX APPEAL BOARD
586
000
000
100 NORTH 1ST STREET
MICHAEL SULLIVAN
SPRINGFIELD, IL 62702-5042
(217) 524-0396
Phone
E-mail: MSULLIVA@ISBE.NET
S
Fax:
BOARD OF EDUCATION
586
100
000
100 NORTH 1ST STREET
MICHAEL SULLIVAN
SPRINGFIELD, IL 62702-5042
(217) 524-0396
Phone
E-mail: MSULLIVA@ISBE.NET
S
Fax:
Page 55 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
587
000
000
2329 S MACARTHUR BOULEVARD
DANIELLE E MARTINEZ
SPRINGFIELD, IL 62704
(217) 558-5401
Phone
E-mail: DMARTINEZ@ELECTIONS.IL.GOV
S
Fax:
STATE BOARD OF ELECTIONS
587
000
001
2329 S MACARTHUR BOULEVARD
STEPHON E BISHOP
SPRINGFIELD, IL 62704
(217) 558-5401
Phone
E-mail: SBISHOP@ELECTIONS.IL.GOV
S
Fax:
587
000
002
2329 S MACARTHUR BOULEVARD
STACY E BOND
SPRINGFIELD, IL 62704
(217) 558-5401
Phone
E-mail: SBOND@ELECTIONS.IL.GOV
S
Fax:
588
400
000
1035 OUTER PARK DRIVE
BONNIE WILLIAMS
SPRINGFIELD, IL 62704
Phone
E-mail: BONNIE.WILLIAMS2@ILLINOIS.GOV
S
Fax:
IL EMERGENCY MANAGEMENT AGENCY
588
400
001
1035 OUTER PARK DRIVE
KELLY E DOVE
SPRINGFIELD, IL 62704
Phone
E-mail: KELLY.E.DOVE@ILLINOIS.GOV
S
Fax:
Page 56 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
589
000
000
2101 S VETERANS PARKWAY
SERS BENEFITS-CENTER
PO BOX 19255
SPRINGFIELD, IL 62794-9255
Phone
E-mail:
BENEFITSUPPORTSECTIO[email protected]LLINOIS.GOV
S
Fax:
STATE EMPLOYEES RETIREMENT
589
000
001
2101 S VETERANS PARKWAY
SERS BENEFITS-CENTER
PO BOX 19255
SPRINGFIELD, IL 62794-9255
Phone
E-mail:
BENEFITSUPPORTSECTIO[email protected]LLINOIS.GOV
S
Fax:
589
000
002
2101 S VETERANS PARKWAY
SERS BENEFITS-CENTER
PO BOX 19255
SPRINGFIELD, IL 62794-9255
Phone
E-mail:
BENEFITSUPPORTSECTIO[email protected]LLINOIS.GOV
S
Fax:
589
000
003
2101 S VETERANS PARKWAY
SERS BENEFITS-CENTER
PO BOX 19255
SPRINGFIELD, IL 62794-9255
Phone
E-mail:
BENEFITSUPPORTSECTIO[email protected]LLINOIS.GOV
S
Fax:
589
000
004
2101 S VETERANS PARKWAY
SERS BENEFITS-CENTER
PO BOX 19255
SPRINGFIELD, IL 62794-9255
Phone
E-mail:
BENEFITSUPPORTSECTIO[email protected]LLINOIS.GOV
S
Fax:
589
000
005
2101 S VETERANS PARKWAY
SERS BENEFITS-CENTER
PO BOX 19255
SPRINGFIELD, IL 62794-9255
Phone
E-mail:
BENEFITSUPPORTSECTIO[email protected]LLINOIS.GOV
S
Fax:
589
000
008
2101 S VETERANS PARKWAY
SERS BENEFITS-CENTER
PO BOX 19255
(217) 547-9770
SPRINGFIELD, IL 62794-9255
Phone
E-mail:
BENEFITSUPPORTSECTIO[email protected]LLINOIS.GOV
S
Fax:
589
001
000
2101 S VETERANS PARKWAY
JENNIFER REICHART
PO BOX 19255
(217) 557-3943
Phone
E-mail: JENNY.REI[email protected]LLINOIS.GOV
S
Fax:
STATE EMP RET SYSTEM - STAFF
Page 57 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
PO BOX 19255
SPRINGFIELD, IL 62794-9255
589
001
001
2101 S VETERANS PARKWAY
JESSICA BLOOD
PO BOX 19255
(217) 557-3943
SPRINGFIELD, IL 62794-9255
Phone
E-mail: JESSICA.BLOOD@SRS.ILLINOIS.GOV
S
Fax:
589
002
000
2101 S VETERANS PARKWAY
SRS DISABILITY CMS-DIRECTPAY
PO BOX 19255
SPRINGFIELD, IL 62794-9255
Phone
E-mail:
BENEFITSUPPORTSECTIO[email protected]LLINOIS.GOV
S
Fax:
SERS DISABILITY CMS DIRECT PAY
589
003
000
2101 S VETERANS PARKWAY
SERS RETIREE-SURVIVORS
PO BOX 19255
SPRINGFIELD, IL 62794-9255
Phone
E-mail:
BENEFITSUPPORTSECTIO[email protected]LLINOIS.GOV
S
Fax:
SRS RET/SURV DIRECT PAY
590
000
000
801 SOUTH 7TH STREET
BRIANNA KLEIN
SUITE 1200A
SPRINGFIELD, IL 62703
Phone
E-mail: BRIANNA.KLEIN@ILLINOIS.GOV
S
Fax:
ILLINOIS LABOR RELATIONS BOARD
591
000
000
531 SANGAMON AVENUE EAST
EMILY FOX
SPRINGFIELD, IL 62702
(217) 786-0181
Phone
E-mail: EFOX@ISPMERITBOARD.ORG
S
Fax:
STATE POLICE MERIT BOARD
592
400
000
1035 STEVENSON DRIVE
LAURA B PEMBERTON
SPRINGFIELD, IL 62703
Phone
E-mail: LAURA.B.PEMBERTON@ILLINOIS.GOV
S
Fax:
STATE FIRE MARSHAL
592
400
001
1035 STEVENSON DRIVE
LAURA B PEMBERTON
SPRINGFIELD, IL 62703
Phone
E-mail: LAURA.B.PEMBERTON@ILLINOIS.GOV
S
Fax:
Page 58 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
593
000
000
2815 W WASHINGTON
LEIGH BERNING
SPRINGFIELD, IL 62702-3397
Phone
T
TEACHERS' RETIREMENT SYSTEM
593
001
000
2815 W WASHINGTON
MICHELLE KISSEL
P O BOX 19253
SPRINGFIELD, IL 62794
Phone
S
TEACHERS RET SYSTEM - STAFF
593
001
001
2815 W WASHINGTON
MICHELLE A KISSEL
SPRINGFIELD, IL 62702-3397
Phone
S
593
001
003
2815 W WASHINGTON
SUSAN ROBINSON
BOX 19253
SPRINGFIELD, IL 62702-3397
Phone
S
593
001
004
2815 W WASHINGTON
MADISON C STARKS
BOX 19253
SPRINGFIELD, IL 62702-3397
Phone
S
593
002
000
2815 W WASHINGTON
LEIGH BERNING
SPRINGFIELD, IL 62702-3397
Phone
S
TEACHERS RET SYSTEM
593
002
001
2815 W WASHINGTON
LORI K DOUR
SPRINGFIELD, IL 62702-3397
/ 2056
Phone
S
593
002
002
2815 W WASHINGTON
LISA HANSON
SPRINGFIELD, IL 62702-3397
Phone
S
593
002
003
2815 WEST WASHINGTON
KYLA TANNER
Phone
S
Page 59 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
2815 WEST WASHINGTON
PO BOX 19253
SPRINGFIELD, IL 62794-9253
593
002
006
2815 W WASHINGTON
LESLEY NEWSOME
SPRINGFIELD, IL 62702
Phone
S
593
002
007
2815 W WASHINGTON
JULIE DAILEY
SPRINGFIELD, IL 62702
Phone
S
593
002
009
2815 W WASHINGTON
MORGAN FANK
SPRINGFIELD, IL 62702
Phone
S
593
002
010
2815 W WASHINGTON ST
AMBER NEVILL
SPRINGFIELD, IL 62702-3397
Phone
S
601
000
000
1 NORTH OLD STATE CAPITOL PLZA
TRACY REMBUSCH
SUITE 333
(217) 782-8548
SPRINGFIELD, IL 62701
Phone
E-mail: REMBUSCH@IBHE.ORG
S
Fax:
BOARD OF HIGHER EDUCATION
601
000
001
1 N OLD STATE CAPITOL PLAZA
RACHEL BOLINGER
SUITE 333
(217) 782-8548
SPRINGFIELD, IL 62701-1394
Phone
E-mail: BOLINGER@IBHE.ORG
S
Fax:
608
000
000
9501 SOUTH KING DRIVE
ALBERTA PRICE
OFFICE OF HUMAN RESRCS ADM 203
(773) 995-2569
CHICAGO, IL 60628
Phone
E-mail: APRICE33@CSU.EDU
S
Fax:
CHICAGO STATE UNIVERSITY
608
000
001
9501 S KING DRIVE
LATASHA LARRY
OFFICE OF HUMAN RESRCS ADM 203
(773) 995-2569
CHICAGO, IL 60628-1598
Phone
E-mail: LLARRY@CSU.EDU
S
Fax:
Page 60 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
612
000
000
600 LINCOLN STREET
LINDA HOLLOWAY
OLD MAIN ROOM 2020
(217) 581-3614
CHARLESTON, IL 61920
Phone
E-mail: LCHOLLOWAY2@EIU.EDU
S
Fax:
EASTERN ILLINOIS UNIVERSITY
612
000
001
600 LINCOLN AVE
KELLI DAVIS
OLD MAIN ROOM 2020
(217) 581-3614
CHARLESTON, IL 61920
Phone
E-mail: KDDAVIS4@EIU.EDU
S
Fax:
612
000
002
600 LINCOLN AVENUE
LINDA HOLLOWAY
OLD MAIN ROOM 2020
(217) 581-3614
CHARLESTON, IL 61920
Phone
E-mail: LCHOLLOWAY2@EIU.EDU
S
Fax:
612
000
004
600 LINCOLN STREET
ANGELA C HACKETT
OLD MAIN ROOM 2020
(217) 581-3614
CHARLESTON, IL 61920
Phone
E-mail: ACHACKETT@EIU.EDU
S
Fax:
612
000
005
600 LINCOLN AVE
AMANDA REPP
OLD MAIN ROOM 2020
(217) 581-3614
CHARLESTON, IL 61920
Phone
E-mail: ABREPP@EIU.EDU
S
Fax:
Page 61 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
616
000
000
1 UNIVERSITY PARKWAY
JOAN JOHNS-MALONEY
UNIVERSITY PK, IL 60484
(708) 534-1642
Phone
E-mail: JJOHNS@GOVST.EDU
S
Fax:
GOVERNOR'S STATE UNIVERSITY
616
000
001
1 UNIVERSITY PARKWAY
REBECCA VOWELL
UNIVERSITY PK, IL 60484
(708) 534-1642
Phone
E-mail: RVOWELL@GOVST.EDU
S
Fax:
616
000
002
1 UNIVERSITY PARKWAY
GWENDOLYN WILLIAMS
UNIVERSITY PK, IL 60484
(708) 534-1642
Phone
E-mail: GWILLIAMS4@GOVST.EDU
S
Fax:
616
000
003
ONE UNIVERSITY PARKWAY
SANDRA ALVARADO
UNIVERSITY PK, IL 60484
(708) 534-1642
Phone
E-mail: SALVARADO@GOVST.EDU
S
Fax:
616
000
004
1 UNIVERSITY PARKWAY
COREY DROLET
UNIVERSITY PK, IL 60484-0275
(708) 534-1642
Phone
E-mail: CDROLET@GOVST.EDU
S
Fax:
Page 62 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
620
000
000
5500 N ST LOUIS AVENUE
RINA CHARTERS
CHICAGO, IL 60625-4699
(773) 442-5220
Phone
E-mail: R-CHARTERS@NEIU.EDU
S
Fax:
NORTHEASTERN ILLINOIS UNIV
620
000
001
5500 N ST LOUIS ST
ABIGAIL MURRAY
CHICAGO, IL 60625-4699
(773) 442-5220
Phone
E-mail: A-MURRAY[email protected]DU
S
Fax:
620
000
002
5500 N ST LOUIS AVENUE
VALERIA FERRAL
CHICAGO, IL 60625-4699
Phone
E-mail: V-FERRAL@NEIU.EDU
S
Fax:
620
000
004
5500 N ST LOUIS AVENUE
JUDY TAYLOR
CHICAGO, IL 60625-4699
(773) 442-5220
Phone
E-mail: JD-TAYLOR@NEIU.EDU
S
Fax:
620
000
005
5500 N ST LOUIS AVE
BRIAN CORDERO
CHICAGO, IL 60625
(773) 442-5220
Phone
E-mail: B-CORDE[email protected]DU
S
Fax:
Page 63 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
628
000
000
1 UNIVERSITY CIRCLE
WIU BENEFITS
SHERMAN HALL 105
(309) 298-2300
MACOMB, IL 61455
Phone
E-mail: HR-BENEFITS@WIU.EDU
S
Fax:
WESTERN ILLINOIS UNIVERSITY
628
000
001
1 UNIVERSITY CIRCLE
TAMMY IRWIN
MACOMB, IL 61455
(309) 298-2300
Phone
E-mail: TL-IRWIN@WIU.EDU
S
Fax:
628
000
002
1 UNIVERSITY CIRCLE
ALYSSA L EDDINGTON
SHERMAN HALL 105
(309) 298-2300
MACOMB, IL 61455
Phone
E-mail: AL-EDDINGTON@WIU.EDU
S
Fax:
628
000
003
1 UNIVERSITY CIRCLE
JAMES SOTO
SHERMAN HALL 105
MACOMB, IL 61455
Phone
E-mail: JL-SOTO@WIU.EDU
S
Fax:
Page 64 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
636
000
000
CAMPUS BOX 1300
KELLY WALKER
NORMAL, IL 61790-1300
(309) 438-7421
Phone
E-mail: KMWALK2@ILSTU.EDU
S
Fax:
ILLINOIS STATE UNIVERSITY
636
000
002
CAMPUS BOX 1300
ISU BENEFIT SRVICES
NORMAL, IL 61790-1300
(309) 438-7421
Phone
E-mail: HRBENEFITS@ILSTU.EDU
S
Fax:
636
000
003
CAMPUS BOX 1300
LAURA D VERPLAETSE
HUMAN RESOURCES
(309) 438-7421
NORMAL, IL 61790-1300
Phone
E-mail: LDVERPL@ILSTU.EDU
S
Fax:
636
000
006
CAMPUS BOX 1300
SABRINA FAIRCHILD
NORMAL, IL 61790-1300
(309) 438-7421
Phone
E-mail: SFAIRCH@ILSTU.EDU
S
Fax:
636
000
007
CAMPUS BOX 1320
WENDY BOCH
NORMAL, IL 61790
(309) 438-3086
Phone
E-mail: WLL[email protected]DU
S
Fax:
636
000
008
CAMPUS BOX 1300
TERESA FULTZ
NORMAL, IL 61790-1300
(309) 438-7421
Phone
E-mail: THOLLEY@ILSTU.EDU
S
Fax:
636
000
009
CAMPUS BOX 1300
BONNIE FRAKES
HUMAN RESOURCES
(309) 438-7421
NORMAL, IL 61790
Phone
E-mail: BKFRAKE@ILSTU.EDU
S
Fax:
636
000
010
CAMPUS BOX 1300
MICHELE PEDLER
HUMAN RESOURCES
(309) 438-7421
NORMAL, IL 61790
Phone
E-mail: MLPEDLE@ILSTU.EDU
S
Fax:
636
000
014
CAMPUS BOX 0580
JEFFREY JACOB
(309) 438-3357
Phone
S
Fax:
Page 65 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
CAMPUS BOX 0580
NORMAL, IL 61790-0580
(309) 438-3357
E-mail: JJJACOB2@ILSTU.EDU
Fax:
644
000
000
1515 W LINCOLN HIGHWAY
LIZ GUESS
DEKALB, IL 60115-2854
(815) 753-6048
Phone
E-mail: EGUESS@NIU.EDU
S
Fax:
NORTHERN ILLINOIS UNIVERSITY
644
000
001
1515 W LINCOLN HIGHWAY
BRIDGETT DAVIS
DEKALB, IL 60115-2854
(815) 753-6048
Phone
E-mail: BCDAVIS@NIU.EDU
S
Fax:
644
000
002
1515 W LINCOLN HIGHWAY
NIU INSURANCE-OFFICE
DEKALB, IL 60115-2854
(815) 753-6074
Phone
E-mail: EGUESS@NIU.EDU
S
Fax:
644
000
003
1515 W LINCOLN HIGHWAY
LAURIE JOHNSON
DEKALB, IL 60115-2854
(815) 753-6074
Phone
E-mail: LJO[email protected]DU
S
Fax:
644
000
004
1515 W LINCOLN HIGHWAY
SUSAN SWEGLE
DEKALB, IL 60115-2854
(815) 753-6048
Phone
E-mail: SSWEGLE[email protected]
S
Fax:
644
000
005
1515 W LINCOLN HIGHWAY
STEPHANIE KRUIZENGA
DEKALB, IL 60115-2854
(815) 753-6074
Phone
E-mail: SKRUIZENGA@NIU.EDU
S
Fax:
644
000
006
1515 W LINCOLN HIGHWAY
RENEE BECHTEL
DEKALB, IL 60115-2854
(815) 753-6048
Phone
E-mail: RBECHT[email protected]DU
S
Fax:
644
000
007
1515 W LINCOLN HIGHWAY
VICKIE HUERAMO
DEKALB, IL 60115-2854
(815) 753-6048
Phone
E-mail: VHUERA[email protected]
S
Fax:
Page 66 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
647
000
000
1515 W LINCOLN HIGHWAY
LIZ GUESS
DEKALB, IL 60115-2854
(815) 753-6048
Phone
E-mail: EGUESS@NIU.EDU
S
Fax:
BOARD OF EXAMINERS-NIU
647
000
003
1515 W LINCOLN HIGHWAY
LAURIE JOHNSON
DEKALB, IL 60115-2854
(815) 753-6074
Phone
E-mail: LJO[email protected]DU
S
Fax:
647
000
004
1515 W LINCOLN HIGHWAY
SUSAN SWEGLE
DEKALB, IL 60115-2854
(815) 753-6048
Phone
E-mail: SSWEGLE[email protected]
S
Fax:
647
000
005
1515 W LINCOLN HIGHWAY
STEPHANIE KRUIZENGA
DEKALB, IL 60115-2854
(815) 753-6074
Phone
E-mail: SKRUIZENGA@NIU.EDU
S
Fax:
647
000
006
1515 W LINCOLN HIGHWAY
RENEE BECHTEL
DEKALB, IL 60115-2854
(815) 753-6048
Phone
E-mail: RBECHT[email protected]DU
S
Fax:
647
000
007
1515 W LINCOLN HIGHWAY
VICKIE HUERAMO
DEKALB, IL 60115-2854
(815) 753-6048
Phone
E-mail: VHUERA[email protected]
S
Fax:
Page 67 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
664
001
000
900 SOUTH NORMAL AVENUE
MARY HECK
WOODY HALL ROOM 111 MC 6520
(618) 453-6693
CARBONDALE, IL 62901
Phone
E-mail: MNIPPE@SIU.EDU
S
Fax:
SIU CARBONDALE
664
001
001
900 SOUTH NORMAL AVENUE
CATHY YEAGER
WOODY HALL ROOM 111 MC 6520
(618) 453-6693
CARBONDALE, IL 62901-6520
Phone
E-mail: CYEAGER@SIU.EDU
S
Fax:
664
001
002
900 SOUTH NORMAL AVENUE
SUSAN LYND
WOODY HALL ROOM 111 MC 6520
(618) 453-6693
CARBONDALE, IL 62901-6520
Phone
E-mail: SUSAN.LYND@SIU.EDU
S
Fax:
664
001
003
900 SOUTH NORMAL AVENUE
CLAYTON L COCHRAN
WOODY HALL ROOM 111 MC 6520
(618) 453-6693
CARBONDALE, IL 62901
Phone
E-mail: CLAYTONC@SIU.EDU
S
Fax:
664
001
004
900 S NORMAL DRIVE
DARRIUS YANCY
WOODY HALL ROOM 111 MC 6520
(618) 453-6693
CARBONDALE, IL 62901
Phone
E-mail: DYANCY@SIU.EDU
S
Fax:
664
001
005
900 SOUTH NORMAL AVENUE
ANNA C SANDERS
WOODS HALL ROOM 111 MC 6520
(618) 453-6693
CARBONDALE, IL 62901
Phone
E-mail: ANNSA[email protected]DU
S
Fax:
664
001
006
900 SOUTH NORMAL AVENUE
CATHY YEAGER
WOODY HALL ROOM 111 MC 6520
(618) 453-6693
CARBONDALE, IL 62901-6520
Phone
E-mail: CYEAGER@SIU.EDU
S
Fax:
664
001
007
900 S NORMAL DRIVE
NICHOLAS WORTMAN
WOODY HALL ROOM 111 MC 6520
(618) 453-6693
CARBONDALE, IL 62901
Phone
E-mail: NICHOLAS.W[email protected]
S
Fax:
664
001
008
900 SOUTH NORMAL AVE
KYLE CRAWFORD
(618) 453-1353
Phone
S
Fax:
Page 68 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
900 SOUTH NORMAL AVE
WOODY HALL ROOM 111 MC 6520
(618) 453-1353
CARBONDALE, IL 62901
E-mail: CRAW[email protected]DU
Fax:
664
002
000
327 W CALHOUN AVE
SHELBY A KAISER
P O BOX 19601
(217) 545-7571
SPRINGFIELD, IL 62794-9601
Phone
E-mail: SKAISER36@SIUMED.EDU
S
Fax:
SIU SCHOOL OF MEDICINE
664
002
004
PO BOX 19601
KIM S BECKEY
SPRINGFIELD, IL 62794-9601
(217) 545-7571
Phone
E-mail: KBECKEY@SIUMED.EDU
S
Fax:
664
002
006
327 W CALHOUN
AMY CORDIER
SPRINGFIELD, IL 62702-3730
(217) 545-7571
Phone
E-mail: ACORDIER94@SIUMED.EDU
S
Fax:
664
002
008
327 W CALHOUN
SHELBY KAISER
SPRINGFIELD, IL 62702
(217) 545-7571
Phone
E-mail: SKAISER36@SIUMED.EDU
S
Fax:
664
002
009
327 W CALHOUN AVE
MARIE PATTON
P O BOX 19601
(217) 545-7571
SPRINGFIELD, IL 62794-9601
Phone
E-mail: MPATTON43@SIUMED.EDU
S
Fax:
664
003
001
3210 RENDLEMAN HALL
JAMIE L SLATER
BOX 1040
(618) 650-2696
EDWARDSVILLE, IL 62026-1040
Phone
E-mail: JMACKEN@SIUE.EDU
S
Fax:
SIU EDWARDSVILLE
664
003
002
3210 RENDLEMAN HALL
TAYANNA L CROWDER
BOX 1040
(618) 650-2646
EDWARDSVILLE, IL 62026-1040
Phone
E-mail: TCROWDE@SIUE.EDU
S
Fax:
664
003
004
3210 RENDLEMAN HALL
BONNIE BRUEGGEMANN
BOX 1040
/ 2100
(618) 650-2696
EDWARDSVILLE, IL 62026-1040
Phone
E-mail: BBRUEGG@SIUE.EDU
S
Fax:
Page 69 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
676
001
001
UPB BENEFITS SERVICE CENTER
JULIE NELSON
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: JBNELSON@UILLINOIS.EDU
S
Fax:
U OF I URBANA
676
001
002
UPB BENEFITS SERVICE CENTER
PAMELA KENNIE
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: PKENNIE@UILLINOIS.EDU
S
Fax:
676
001
003
UPB BENEFITS SERVICE CENTER
CHERYL HARRIS
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: CAHARRIS@ILLINOIS.EDU
S
Fax:
676
001
004
UPB BENEFITS SERVICE CENTER
DENNIS MARK MCGILES
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: MCGILES@UILLINOIS.EDU
S
Fax:
676
001
005
UPB BENEFITS SERVICE CENTER
MELINDA M COLE
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: MMCOLE@UILLINOIS.EDU
S
Fax:
676
001
006
506 S WRIGHT ST
KAREN TRAIL
ROOM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: KTRAIL@UILLINOIS.EDU
S
Fax:
676
001
007
UPB BENEFITS SERVICE CENTER
KARENA LAPLACE
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: KGWIN@UILLINOIS.EDU
S
Fax:
676
001
008
UPB BENEFITS SERVICE CENTER
ZACHARY BECKER
506 S WRIGHT ST RM 176
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: ZBECKER@UILLINOIS.EDU
S
Fax:
676
001
009
UPB BENEFITS SERVICE CENTER
CRYSTAL RILEY
Phone
S
Fax:
Page 70 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
UPB BENEFITS SERVICE CENTER
506 S WRIGHT ST RM 177
URBANA, IL 61801
E-mail: RILEYC@ILLINOIS.EDU
Fax:
676
001
010
UPB BENEFITS SERVICE CENTER
APRIL BUCHNER
506 S WRIGHT ST
(217) 244-0993
URBANA, IL 61801
Phone
E-mail: BUCHNER@ILLINOIS.EDU
S
Fax:
676
001
011
UPB BENEFITS SERVICE CENTER
MONICA WELLS
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: MIWELLS@UILLINOIS.EDU
S
Fax:
676
001
012
UPB BENEFITS SERVICE CENTER
KRISTINA G DALY
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: KGDALY@UILLINOIS.EDU
S
Fax:
676
001
013
UPB BENEFITS SERVICE CENTER
MATTHEW GLADNEY
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: MGLADNEY@UILLINOIS.EDU
S
Fax:
676
001
014
UPB BENEFITS SERVICE CENTER
BENEFITS CENTER
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: BENEFITS@UILLINOIS.EDU
S
Fax:
676
001
015
506 S WRIGHT ST ROOM 177
NORMA JOHNSON
URBANA, IL 61801
(217) 244-3135
Phone
E-mail: NJJOHNS@UILLINOIS.EDU
S
Fax:
676
001
016
506 S WRIGHT STREET RM 177
SCOTT COOK
URBANA, IL 61801
(217) 244-3135
Phone
E-mail: SRCOOK@UILLINOIS.EDU
S
Fax:
676
001
017
UPB BENEFITS SERVICE CENTER
BARBARA TAYLOR
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: BLTAYLOR@UILLINOIS.EDU
S
Fax:
Page 71 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
676
001
018
506 S WRIGHT ST ROOM 177
KIMBERLY BUTZIN
URBANA, IL 61801
Phone
E-mail: KBUTZIN@UILLINOIS.EDU
S
Fax:
676
001
019
506 S WRIGHT STREET
ELIZABETH GILLES
URBANA, IL 61801
Phone
E-mail: EGILLES@UILLINOIS.EDU
S
Fax:
676
001
020
506 S WRIGHT ST
KARLA ANDERSON-NOLAN
RM 177
URBANA, IL 61801
Phone
E-mail: KSHELBY@UILLINOIS.EDU
S
Fax:
676
001
021
UPB BENEFITS SERVICE CENTER
SUSAN E WARD
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: SEWARD3@UILLINOIS.EDU
S
Fax:
676
001
022
809 S MARSHFIELD AVE
ELIZABETH GATES-EHLERS
CHICAGO, IL 60612
Phone
E-mail: EMGATES@UILLINOIS.EDU
S
Fax:
676
001
023
UPB BENEFITS SERVICE CENTER
BAYLIE LANDESS
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: BLANDESS@UILLINOIS.EDU
S
Fax:
676
001
999
UPB BENEFITS SERVICE CENTER
MARK MCGILES
506 S WRIGHT ST RM 177
(217) 244-3135
URBANA, IL 61801
Phone
E-mail: MCGILES@UILLINOIS.EDU
S
Fax:
676
002
001
809 S MARSHFIELD AVENUE
BENEFITS CENTER
1ST FLOOR MAB ROOM 110
(217) 244-3135
CHICAGO, IL 60612
Phone
E-mail: BENEFITS@UILLINOIS.EDU
S
Fax:
U OF I CHICAGO
676
002
002
809 SOUTH MARSHFIELD AVENUE
KARINA CAMPOS
CHICAGO, IL 60612
(217) 244-3135
Phone
E-mail: CAMPOS24@UILLINOIS.EDU
S
Fax:
Page 72 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
676
002
003
809 S MARSHFIELD
JIANBAI LEE
CHICAGO, IL 60612
(312) 996-6542
Phone
E-mail: JIANBAIL@UILLINOIS.EDU
S
Fax:
676
002
004
506 S WRIGHT STREET
KIMBERLY WILLIAMS
RM 177
URBANA, IL 61801
Phone
E-mail: KXWILL23@UILLINOIS.EDU
S
Fax:
676
002
005
809 S MARSHFIELD
BLANCA LORENZO
CHICAGO, IL 60612
(312) 996-6542
Phone
E-mail: BLORENZO@UILLINOIS.EDU
S
Fax:
676
002
006
809 SOUTH MARSHFIELD AVENUE
FAIRLYNE WILSON
CHICAGO, IL 60612
(312) 996-6542
Phone
E-mail: FAWILSON@UILLINOIS.EDU
S
Fax:
676
002
007
809 S MARSHFIELD
LUZ REYES
CHICAGO, IL 60612
(312) 996-6542
Phone
E-mail: LUZMAR@UILLINOIS.EDU
S
Fax:
676
002
008
809 S MARSHFIELD
BENEFITS CENTER
CHICAGO, IL 60612-7205
(312) 996-5733
Phone
E-mail: BENEFITS@UILLINOIS.EDU
S
Fax:
676
002
009
PO BOX 1649
SHANNON DOERR
PEORIA, IL 61656-1649
(309) 680-8607
Phone
S
Fax:
676
002
011
1 ILLINI DRIVE PO BOX 1649
LYNNE KEETON
COLLEGE OF MEDICINE AT PEORIA
(309) 680-8607
PEORIA, IL 61656-1649
Phone
E-mail: LKEETON@UIC.EDU
S
Fax:
676
002
012
809 S MARSHFIELD
DEREK RAKOCI
CHICAGO, IL 60612
(312) 996-6542
Phone
E-mail: DRAKOCI@UILLINOIS.EDU
S
Fax:
Page 73 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
CHICAGO, IL 60612
676
002
013
809 S MARSHFIELD
TIFFANY MONTGOMERY
CHICAGO, IL 60612
(312) 996-6542
Phone
E-mail: TIFFANYM@UILLINOIS.EDU
S
Fax:
676
002
014
809 S MARSHFIELD
ROCHELLE REDD
CHICAGO, IL 60612
Phone
E-mail: RREDD@UILLINOIS.EDU
S
Fax:
676
002
015
809 S MARSHFIELD AVE
NICOLE POE
CHICAGO, IL 60612-7205
(312) 996-6542
Phone
E-mail: NPOE1@UILLINOIS.EDU
S
Fax:
676
002
018
809 S MARSHFIELD AVE
LILY ZAVALA
CHICAGO, IL 60612
Phone
E-mail: LILYAZ2@ILLINOIS.EDU
S
Fax:
676
002
019
809 S MARSHFIELD AVE
PHILLIP POWE
CHICAGO, IL 60612
Phone
E-mail: POWE@UILLINOIS.EDU
S
Fax:
676
002
020
809 S MARSHFIELD AVE
MAIYA WILKINS
CHICAGO, IL 60612
(217) 244-3135
Phone
E-mail: MWILKI9@UILLINOIS.EDU
S
Fax:
676
002
999
809 S MARSHFIELD AVENUE
BENEFITS CENTER
1ST FLOOR MAB ROOM 110
(217) 244-3135
CHICAGO, IL 60612
Phone
E-mail: BENEFITS@UILLINOIS.EDU
S
Fax:
676
003
000
BUSINESS SERVICES BUILDING
BENEFITS CENTER
ONE UNIVERSITY PLAZA BSB 85
(217) 244-3135
SPRINGFIELD, IL 62703-5407
Phone
E-mail: SPATTRSN@UILLINOIS.EDU
S
Fax:
U OF I SPRINGFIELD
676
003
001
JENNIFER L MCDOWELL
Phone
S
Page 74 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
ONE UNIVERSITY PLAZA
JENNIFER L MCDOWELL
BSB 85
(217) 244-3135
SPRINGFIELD, IL 62703
E-mail: JLONZ01S@UILLINOIS.EDU
Fax:
676
003
002
ONE UNIVERSITY PLAZA
SUSAN STRICKLER
BSB 85
(217) 244-3135
SPRINGFIELD, IL 62703
Phone
E-mail: SPATTRSN@UILLINOIS.EDU
S
Fax:
676
003
999
BUSINESS SERVICES BUILDING
BENEFITS CENTER
ONE UNIVERSITY PLAZA BSB 85
(217) 244-3135
SPRINGFIELD, IL 62703-5407
Phone
E-mail: SPATTRSN@UILLINOIS.EDU
S
Fax:
676
102
000
303 ST MARYS ROAD
KATRINA DILLMAN
CHAMPAIGN, IL 61820
Phone
E-mail: DILLMAN6@UIF.UILLINOIS.EDU
S
Fax:
U OF I FOUNDATION EMPLOYEES
676
102
001
1305 WEST GREEN
GERALD MURRAY
URBANA, IL 61801
(217) 441-8144
Phone
E-mail: GERALDPM@UIF.UILLINOIS.EDU
S
Fax:
676
102
002
1305 W GREEN
MONICA BURNS
URBANA, IL 61801
(217) 441-8144
Phone
E-mail: BRNS1@UIF.UILLINOIS.EDU
S
Fax:
676
102
004
1305 WEST GREEN STREET
TARA J HARSHA
URBANA, IL 61801
(217) 441-8144
Phone
E-mail: THARSHA@UIF.UILLINOIS.EDU
S
Fax:
676
102
005
1305 WEST GREEN STREET
MOLLY BAKER
URBANA, IL 61801
Phone
E-mail: MB53@UIF.UILLINOIS.EDU
S
Fax:
676
103
000
506 S WRIGHT ST ROOM 177
KRISTINA DALY
URBANA, IL 61801
(217) 244-3135
Phone
E-mail: KJDALY@UILLINOIS.EDU
S
Fax:
U OF I CES RETIREE/SURVIVOR
U OF I ALUMNI ASSOC
Page 75 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
676
104
001
601 S LINCOLN AVENUE
AMANDA AKERS
URBANA, IL 61801
(217) 333-5577
Phone
E-mail: DAVIS2@UILLINOIS.EDU
S
Fax:
684
000
000
401 EAST CAPITOL AVENUE
BRIANNA DENNIS
SPRINGFIELD, IL 62701-1711
(217) 524-4981
Phone
E-mail: BRIANNA.DENNIS@ILLINOIS.GOV
S
Fax:
ILLINOIS COMMUNITY COLLEGE BRD
684
000
001
401 EAST CAPITOL AVENUE
JAHDZIA S DIAZ
SPRINGFIELD, IL 62701
(217) 524-4981
Phone
E-mail: JAHDZIA.DIAZ@ILLINOIS.GOV
S
Fax:
684
000
002
401 EAST CAPITOL AVENUE
MATT BERRY
SPRINGFIELD, IL 62701
(217) 524-4981
Phone
E-mail: MATT.BERRY@ILLINOIS.GOV
S
Fax:
691
000
000
1755 LAKE COOK ROAD
JULIANA FUHRMANN
DEERFIELD, IL 60015-5209
(847) 831-8519
Phone
E-mail: JULIANA.FUHRMANN@ILLINOIS.GOV
S
Fax:
IL STUDENT ASSISTANCE COMMISN
691
000
001
1755 LAKE COOK ROAD
JULIANA FUHRMANN
DEERFIELD, IL 60015
(847) 831-8519
Phone
E-mail: JULIANA.FUHRMANN@ILLINOIS.GOV
S
Fax:
691
000
002
1755 LAKE COOK ROAD
JULIANA FUHRMANN
DEERFIELD, IL 60015
(847) 831-8519
Phone
E-mail: JULIANA.FUHRMANN@ILLINOIS.GOV
S
Fax:
Page 76 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
692
000
000
IL MATH AND SCIENCE ACADEMY
JOSEPH T MASTROCOLA
1500 SULLIVAN ROAD
(630) 907-5918
AURORA, IL 60506-1000
Phone
E-mail: JMASTROCOLA@IMSA.EDU
S
Fax:
IL MATH AND SCIENCE ACADEMY
692
000
002
1500 W SULLIVAN ROAD
STEVE P ZANT
AURORA, IL 60506
(630) 907-5918
Phone
E-mail: ZANT@IMSA.EDU
S
Fax:
692
000
003
IL MATH AND SCIENCE ACADEMY
TONI PETERSEN
1500 SULLIVAN ROAD
(630) 907-5918
AURORA, IL 60506-1000
Phone
E-mail: APETERSE[email protected]DU
S
Fax:
692
000
004
1500 SULLIVAN ROAD
SAMANTHA RIVERA-MILLER
AURORA, IL 60506-1000
(630) 907-5918
Phone
E-mail: SRIVERAMILLER@IMSA.EDU
S
Fax:
Page 77 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
693
000
000
1901 FOX DRIVE
JESSICA R KAMMIN
CHAMPAIGN, IL 61820
/ 0871
(217) 378-9800
Phone
E-mail: JK[email protected]RG
S
Fax:
STATE UNIV. RET SYS
693
000
001
1901 FOX DRIVE
SHEILA K LOVETT
BOX 2710
(217) 378-9800
CHAMPAIGN, IL 61820-7333
Phone
E-mail: SLOVETT@SURS.ORG
S
Fax:
693
000
002
1901 FOX DRIVE
BETH EMMERT
CHAMPAIGN, IL 61820-7333
(217) 378-9800
Phone
S
Fax:
693
000
003
1901 FOX DR
HALLE M HOLLENBECK
CHAMPAIGN, IL 61820
/ 8857
(217) 378-9800
Phone
E-mail: HHOLLENBECK@SURS.ORG
S
Fax:
693
000
004
1901 FOX DRIVE
ANDREW T DAMON
BOX 2710
/ 7575
CHAMPAIGN, IL 61820-7333
Phone
E-mail: ADAMO[email protected]
S
Fax:
693
000
005
1901 FOX DRIVE
AARON C KINSKEY
CHAMPAIGN, IL 61820-7333
/ 7532
(800) 275-7877
Phone
E-mail: AKINSKEY@SURS.ORG
S
Fax:
693
000
006
1901 FOX DRIVE
SAMANTHA J ROGGOW
BOX 2710
/ 7573
CHAMPAIGN, IL 61820-7333
Phone
E-mail: SROGGOW@SURS.ORG
S
Fax:
693
000
007
1901 FOX DRIVE
MICHAEL ROBINSON
CHAMPAIGN, IL 61820
Phone
E-mail: MROBINSON@SURS.ORG
S
Fax:
693
000
010
1901 FOX DRIVE
SURS BENEFITS
(217) 378-9800
Phone
S
Fax:
Page 78 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
1901 FOX DRIVE
CHAMPAIGN, IL 61820-7333
(217) 378-9800
E-mail: WEBMAIL@SURS.ORG
Fax:
693
001
000
1901 FOX DRIVE
NICHOLE DOWLING
BOX 2710
/ 8869
(217) 378-9800
CHAMPAIGN, IL 61820-7333
Phone
E-mail: NDOWLING@SURS.ORG
S
Fax:
STATE UNIV. RET SYS - STAFF
693
001
003
1901 FOX DRIVE
KARA L CLINE
BOX 2710
/ 7507
(217) 378-9800
CHAMPAIGN, IL 61820-7333
Phone
E-mail: KCLINE@SURS.ORG
S
Fax:
695
000
000
1717 PHILO RD SUITE 24
TERESA M RADEMACHER
URBANA, IL 61802-6099
/ 0229
(217) 278-3159
Phone
E-mail: TERESAR@SUCSS.ILLINOIS.GOV
S
Fax:
ST UNIVERSITY CIVIL SERV SYS
777
000
000
801 S SEVENTH ST
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.MBRSHIPUNIT@ILLINOIS.GOV
S
Fax:
BOARD OF EXAMINERS
Page 79 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
778
000
000
801 S SEVENTH ST
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.MBRSHIPUNIT@ILLINOIS.GOV
S
Fax:
CMS/ARCP PARTICIPANTS
778
000
001
801 S SEVENTH ST
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.PCU-COBRA@ILLINOIS.GOV
S
Fax:
778
001
000
801 S SEVENTH STREET
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.MBRSHIPUNIT@ILLINOIS.GOV
S
Fax:
CMS/ARCP 2005 PARTICIPANTS
778
001
001
801 S SEVENTH ST
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.PCU-COBRA@ILLINOIS.GOV
S
Fax:
778
002
000
801 S SEVENTH STREET
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.MBRSHIPUNIT@ILLINOIS.GOV
S
Fax:
CMS/ARCP 2006 PARTICIPANTS
778
002
001
801 S SEVENTH STREET
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.PCU-COBRA@ILLINOIS.GOV
S
Fax:
778
003
000
801 S SEVENTH ST
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.MBRSHIPUNIT@ILLINOIS.GOV
S
Fax:
CMS/SRS TOTAL BUYOUT ENROLLEE
778
004
000
801 S SEVENTH ST
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.MBRSHIPUNIT@ILLINOIS.GOV
S
Fax:
CMS/TRS TOTAL BUYOUT ENROLLEE
778
004
000
801 S SEVENTH ST
CMS GROUP-INSURANCE
(217) 524-7973
Phone
T
Fax:
Page 80 of 81
Org/Proc Code
Name and Address
Phone/Fax/E-Mail
Members may contact and/or send enrollment forms to any of the group insurance
representatives listed for their agency, university or retirement system.
801 S SEVENTH ST
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
E-mail: CMS.BEN.MBRSHIPUNIT@ILLINOIS.GOV
Fax:
778
005
000
801 S SEVENTH ST
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.MBRSHIPUNIT@ILLINOIS.GOV
S
Fax:
CMS/SURS TOTAL BUYOUT ENROLLEE
779
000
000
801 S SEVENTH STREET
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.MBRSHIPUNIT@ILLINOIS.GOV
S
Fax:
CMS/PA 90-0535 PARTICIPANTS
888
000
000
801 S SEVENTH ST
CMS GROUP-INSURANCE
PO BOX 19208
(217) 524-7973
SPRINGFIELD, IL 62794-9208
Phone
E-mail: CMS.BEN.PCU-COBRA@ILLINOIS.GOV
S
Fax:
CMS GID COBRA UNIT
Page 81 of 81