When an employee returns to work after a leave of absence, complete the following:

  1. Complete Insurance Enrollment and Change Form pdf format of GIC Insurance Enrollment and Change Form
(Form-1) on behalf of the employee.  Check block 5, Return to Payroll Deduction.  Indicate the first date back on payroll.
  2. Photocopy the form and file it in the employee’s personnel file.
  3. Send the original Insurance Enrollment and Change Form (Form-1) to the GIC.
  4. Enter the appropriate reason on the employee’s job records on the HR/CMS or UMASS payroll system putting the employee back on payroll.
  5. The MAGIC interface with HR/CMS and the UMASS payroll system will automatically change the employee’s payment status to payroll deduction.

Note: If an employee is returning from a military leave of absence a copy of the Military Discharge Release is required. Send this to the GIC with Form-1.


This information provided by the Group Insurance Commission .