Skip to content

Faculty & Staff

Risk & Benefits Management

Terms & Definitions

Plan Sponsor/Agent for Legal Process
Illinois Central College
1 College Drive
East Peoria, IL 61635-0001

ATTN: Vice President for Administration and Finance
(309) 694-5477

Type Administratioin
Third-party Administration--Claim Administrator

Mutual Medical Plans, Inc.
PO Box 689
Peoria, IL 61652
(309) 674-0888

Amendments
The Plan Sponsor reserves the right to amend or to discontinue the Plan.

Legislation
Where provisions of the Plan conflict with federal law, present or future, such legislation shall prevail.

You and Employee:
A regular, full-time employee of Illinois Central College, including qualified retirees, on an approved leave, or disabled as provided in the College's personnel manuals, contracts or service agreements

Plan:
The group health care plan described herein. This is the complete Health Care Plan Description

Physician:
A duly licensed M.D., D.O., D.D.S., D.C., D.P.M., a Nurse Practitioner under the direction of an M.D.; Physician Assistant under the direction of an M.D., audiologists, or in the instance of out-patient psychotherapy, a clinical psychologist, or an LCSW/MSW/LCPC designation if services are obtained through a tax-supported regional mental health center or under the direction of an M.D.

Dependent:
Your lawful spouse and unmarried natural child(ren) under age 19 (or under age 25 if a full-time student) and primarily dependent upon you for support. Twelve credit hours per semester concurrent enrollment at one or more colleges will constitute full-time student status. Otherwise eligible dependents who are students completing a regular academic term will not be terminated due to age prior to the following September 1 (February 1 for Spring) if they have applied for and either have been accepted for or pre-registered for full-time student status for the forthcoming regular academic term, excluding summer session, provided they have not reached their 25th birthday and are otherwise eligible as dependents.

Child:
Also includes a step-child or other child for whom you have assumed legal responsibility when such child resides primarily in your household in a normal parent-child relationship. Legal documentation will be required.

Hospital:
An institution primarily engaged in providing care for the sick under supervision of physicians and registered nurses on a 24-hour basis. Non-hospital substance abuse treatment facilities are eligible providers when approved by the Claim Administrator, and that the maximum covered expenses for substance abuse treatment received outside of Peoria will be no greater than the prevailing charges in Peoria for such services. It does not include health resorts, rest homes and nursing homes.

Reasonable and Customary:
The fee most commonly charged in a geographical area by other physicians and healthcare providers for the same service under comparable circumstances, as determined by the Claims Administrator.