Retiree Dental Enrollment/Change Form pdf format of Retiree_dentalform.pdf
- All State Retirees, Survivors, GIC Retired Municipal Teachers (Non-participating municipal) and Elderly Governmental Retirees (EGRs) may join, change or cancel coverage during annual enrollment, 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.


Retiree Discount Vision Plan - No enrollment form necessary - see Retiree Vision section for details.

This information provided by the Group Insurance Commission .