Eligible retirees and survivors of the following participating municipalities may enroll, change or cancel coverage in Retiree Dental at retirement, during the spring GIC Annual Enrollment period, during the Open Enrollment for Municipalities joining Retiree Dental for the first time, or within 60 days of a qualifying status change.  However, if you drop coverage after joining, you never can enroll again in the Plan. See the Retiree Dental section for details.

Municipal Retiree Dental Enrollment/Change Form pdf format of Muni_retireedentalform.pdf

This information provided by the Group Insurance Commission .