HOURS REDUCED TO LESS THAN PART-TIME
If an employee falls below 18 3/4 hours in a 37.5-hour workweek or 20 hours in a 40-hour workweek, the employee is no longer eligible for GIC benefits. GIC health coverage will end at the end of the following month as long as the premiums are paid. The employee may elect to continue health coverage through COBRA, Non-Group Conversion or the Massachusetts Health Connector.
Give the employee information on your agency’s Section 125 Plan coverage and give the employee a Health Insurance Responsibility Disclosure (HIRD) form:
- Fill in the lowest available monthly employee share of GIC health insurance individual coverage premium using the most current GIC rate sheet.
- Verify that the employee has completed the form accurately and completely. If the employee refuses to complete the form, document efforts to obtain the information from the employee.
- Retain all HIRD forms for three years and make them available to the Health Connector Authority upon request. Do not send the form to the GIC.
- Update your payroll system to stop all GIC premium deductions.
HOURS REINSTATED TO PART-TIME OR MORE
If an employee resumes at least part-time status (18 3/4 hours in a 37.5 hour workweek or 20 hours in a 40 hour workweek) after his/her GIC coverage has been terminated, the employee is considered a new hire. He/she is subject to the new hire waiting period beginning on the date he/she resumes half to full-time status. Follow the NEW HIRE section. If an employee resumes at least part-time status before the coverage termination date, coverage will continue uninterrupted.
When an employee transfers from one state agency to a GIC participating municipality, or from a municipality to another participating municipality or state agency complete the following:
- Complete GIC Municipal Insurance Enrollment and Change Form (Form-1MUN) on behalf of the employee:
- If employee is transferring to a state agency or participating municipality, check box 7 and indicate the name of the agency/municipality the employee is transferring to and the effective date.
- If the employee is transferring from another state agency/municipality, check box 8 and indicate the name of the agency/municipality the employee is transferring from and the date.
- Update your payroll system to stop or begin the appropriate GIC premium deductions for the GIC coverage in force at the time of the transfer. Note that employees are not allowed to change health plans at the time of transfer, unless the employee is moving outside of a health plan’s service area.
- Photocopy completed Municipal Insurance Enrollment and Change Form (Form-1MUN) and file in the employee’s personnel file.
- Send original Municipal Insurance Enrollment and Change Form (Form-1MUN) to the GIC.
The effective date of the transfer will be the first day of the second month following the transfer as long as the GIC has been notified with the Form-1MUN.
This information provided by the Group Insurance Commission.