Enrollment and Change Form (Form 1-MUN) pdf format of    Form1muni.pdf  - For participating municipal employees and non-medicare Retirees and survivors changing coverage and/or canceling coverage.  This form is also used for new hires enrolling in GIC Health Plan coverage.

Insurance Data Form (IDF) pdf format of    IDFform.pdf  - For participating municipal enrollees to add, change, and delete a spouse and/or dependent. Must provide corresponding documentation as outlined on the form.


This information provided by the Group Insurance Commission.