Sample Client Education and Enrollment Materials
Please Note: These forms cannot be accepted for enrolling patients.
These are some sample client education and enrollment materials that you may review in order to familiarize yourself with the materials that will be sent to your patients.
(To find out how a client can enroll with a PCP, please visit our Client Enrollment page.)
- ICEB Health Plan Comparison Chart for Cook County
- ICEB Health Plan Copayment Chart for Cook County
- ICEB Greeting Card
- ICEB Greeting Card (Spanish)
- ICEB Initial Enrollment Packet Cover Letter
- ICEB Initial Enrollment Packet Cover Letter (Spanish)
- ICEB Enrollment Tips
- ICEB Enrollment Tips (Spanish)
- ICEB Enrollment Form
- ICEB Enrollment Form (Spanish)
- ICEB Information Guide - IHC and MCO for Jackson, Madison, Perry, Randolph, St. Clair, Washington, and Williamson counties
- ICEB Information Guide - IHC and MCO for Jackson, Madison, Perry, Randolph, St. Clair, Washington, and Williamson counties (Spanish)
- ICEB Information Guide - IHC and MCO for Cook County
- ICEB Information Guide - IHC and MCO for Cook County (Spanish)
- ICEB Information Guide - IHC only
- ICEB Information Guide - IHC only (Spanish)
- ICEB Reminder Notice
- ICEB Reminder Notice (Spanish)
- ICEB Second Enrollment Packet Cover Letter
- ICEB Second Enrollment Packet Cover Letter (Spanish)
- CEB Brochure
- CEB Brochure (Spanish)
Illinois Client Enrollment Broker Client Enrollment Policy
Please download and review the Client Enrollment Policy
(Downloadable file requires Adobe Acrobat Reader - Free Download)
