For insureds who want to cancel their GIC health insurance and/or dental/vision coverage due to a qualifying status change event:

Documentation of qualifying status change event is required.

  1. Employee completes and signs GIC Enrollment/Change Form (Form-1) with appropriate cancel coverage box(es) checked.  For dental/vision, the employee completes Form-1DV.
  2. If employee is withdrawing from health insurance or Dental/Vision, the employee must provide documentation of the qualifying status change event.   
  3. Verify that the employee has completed the forms accurately and completely.
  4. Review and sign Enrollment/Change Form (Form-1) and Form-1DV, if applicable.
  5. Enter change in MAGIC system.
  6. Photocopy Enrollment/Change Form (Form-1) and documentation of qualifying status change event  and file in employee’s personnel file.
  7. Send original Enrollment/Change Form (Form-1) and Form-1DV, if applicable, along with documentation of qualifying status change event, to the GIC within 60 days of the qualifying status change event.  Forms and documentation received after 60 days are returned and the employee may re-apply during Annual Enrollment.

This information provided by the Group Insurance Commission .