Gov to apply online. For EACH person listed on this application, please indicate any public health insurance coverage (for example,.Complete this page if you are applying for cash or medical benefits and anyone listed on this application is offered health coverage from a job. The forms in this online library are updated frequently—check often to ensure you are using the most current versions. Your employer can use the Illinois Standard Health Employee Application with one or more insurance companies to request quotes for employee health insurance. Fill out an application, compare plans, and enroll in health coverage for 2025. Open Enrollment ends January 15.