Forms

New Sheriffs and Department of Transportation Agency Employees

Forms for County Sheriffs Department Employees and Mass Department of Transportation Employees joining the GIC. Transportation employees who already have GIC benefits will be transferred to the new agency with their current GIC benefits and this special open enrollment does not apply.

New Sheriffs and Department of Transportation Agency Retirees and Survivors

Forms for County Sheriffs Department Employees and Mass Department of Transportation Retirees joining the GIC. Transportation employees who already have GIC benefits will be transferred to the new agency with their current GIC benefits and this special open enrollment does not apply.

Active State Employee Forms

Ongoing Enrollment and Change Forms for Active State Employees

Retired State Employee Forms

Ongoing Enrollment and Change Forms for Retired State Employees

Existing Municipality Forms

Ongoing Enrollment and Change Forms for Participating Municipal Employees and Retirees

Retired Municipal Teacher Forms

Forms for RMTs in the GIC RMT (non-municipal) Program

New Municipality Enrollment Forms

Return all initial enrollment forms, along with required documentation, to your municipal benefits office.

HIPAA Privacy Forms