Updated on June 23, 2017



Advise any employee leaving state service of the following GIC coverage end dates:

Date employment ends                                            GIC coverage end date

January 1-31                                                               February 28

February 1-29                                                             March 31

March 1-31                                                                April 30

April 1-30                                                                   May 31

May 1-31                                                                   June 30

June 1-30                                                                   July 31

July 1-31                                                                    August 31

August 1-31                                                               September 30

September 1-30                                                         October 31

October 1-31                                                             November 30

November 1-30                                                          December 31

December 1-31                                                          January 31


To process a termination from state service:

All persons leaving state service must be given a copy of the COBRA notice at the time of their leaving state service.

All agencies must advise employees leaving state service of their right to continue group insurance coverage.  When an employee advises you that he or she is leaving state service:

  1. Advise the employee that his/her coverage (health, dental/vision, life and Long Term Disability) ends at the end of the month following the month the employee ends state service.
  2. Complete Employment Status Change Form (Form-1A) on behalf of the employee.  Check termination box 9.  For the termination reason, enter “leaving state service” and indicate the last day of work (excluding vacation time).
  3. Photocopy the completed Employment Status Change Form (Form-1A) and file it in the employee’s personnel file.
  4. Send the original Employment Status Change Form (Form-1A) to the GIC.

The employee may continue life insurance coverage at the same group rate under the portability option, unless he or she is retiring.  The GIC’s life insurance carrier will contact employees leaving state service directly with this information.

The employee’s health options depend on his or her age and length of state service.  See the corresponding options and procedures below.  Options are listed in order of recommended selection.


Option 1: Health Connector coverage for Massachusetts residents

Benefit:  A choice of health insurance options with different benefits and prices.  Depending on which plan you choose, your monthly premium with the Health Connector could be lower than other coverage options.  Unlike COBRA coverage, Health Connector coverage does not have a maximum coverage period; you can continue coverage as long as you pay your premiums on time. 

Drawback:  Benefits may not be the same as the coverage you had through the GIC.  If the employee enrolls in Health Connector coverage, he/she is waiving his/her right to elect health insurance under the GIC’s COBRA or conversion options.  

Procedure: Instruct the employee to contact the Health Connector for information and enrollment; 1-877-623-6765.

Option 2:  Keep GIC health coverage only under COBRA

Benefit: Allows the employee to stay in the same health plan.

Drawback: Employee pays 100% of the premium plus 2% for administration (no Commonwealth contribution).  Maximum coverage length – 18 months.

Procedure:  If the employee elects COBRA, check the COBRA block on Employment Status Change Form (Form-1A) before sending it to the GIC.  Give the employee a COBRA application (available on the GIC’s website.)  Advise the employee that although he/she has 60 days to elect COBRA coverage, the coverage is effective the first day of the month following the coverage end date (see chart above).  The longer the employee waits to send in the application, the more he/she will owe in retroactive premiums.

Instruct the employee to complete and send the COBRA application directly to the GIC. 

Option 3:  Convert to Non-Group health with current plan(s)

Benefit: Can keep coverage beyond 18 months.

Drawback: Benefits almost always less comprehensive than GIC plan coverage.

Procedure: Check non-group conversion on Employment Status Change Form (Form-1A) before sending it to the GIC.  Instruct the employee to contact their health plan for a non-group conversion application, benefits, procedures and costs. 

Option 4: Continue basic life and/or optional life coverage under portability option

Procedure:  Let the employee know that the GIC will advise its life insurance carrier that the employee has left state service and that the life insurance carrier will send portability information and an application in the mail to the employee’s home.  Time limits apply.  See the Life Insurance booklet on the Basic and Optional Life Insurance Overview section for details.

Option 5:  Convert to Non-Group life insurance with current plan

Benefit: Ability to continue life insurance coverage.

Drawback: Rates and benefits almost always lower than GIC plan coverage.

Procedure: Let the employee know that the GIC will notify its life insurance carrier that the employee has left state service; the carrier will mail a life insurance conversion package to the employee’s home. Time limits apply.  See the Life Insurance booklet on the Basic and Optional Life Insurance Overview section of the website for details.


Instruct the employee to contact his/her retirement board to confirm retirement eligibility.

If the employee is vested but not yet eligible for, or chooses not to collect their monthly pension, we recommend that the employee elect Deferred Retirement.  Under this option, the employee must keep his/her money in the retirement system until he/she retires.  If the employee will not receive health coverage elsewhere, he or she can elect to keep Basic Life and Health coverage at the full cost premium until retirement. 

Deferred Retirement Coverage:

Advise the employee that he/she has two health and life options under Deferred Retirement:

1.) Keep basic life insurance, paying 100% of the premium as a deferred retiree.  Get health coverage elsewhere until retirement.  Resume GIC health coverage at retirement.  At retirement, the Commonwealth will contribute the prevailing contribution percentage for retirees.

Procedure:  Instruct the employee to check the deferred retirement block on the Employment Status Change Form (Form-1A), checking Basic Life insurance and signing it before sending it to the GIC.

2.) Keep Basic Life and Health insurance, paying 100% of the premium until retirement.  

Procedure:  Instruct the employee to check the Deferred Retirement block on the Employment Status Change Form (Form-1A), indicate his/her life and health selection and sign it before sending it to the GIC.

For the other alternatives, see the benefits, drawbacks, and procedures for NOT ELIGIBILE FOR RETIREMENT.


If the employee wishes to retire and collect a monthly pension, see the RETIREMENT section for procedures.



If an employee leaves state service during the Plan Year whether he/she resigns, retires or involuntarily separates, participation in HCSA and DCAP will terminate as of midnight the day of termination. The employee will be able to submit claims for eligible health care expenses incurred on or before the last day of active employment. In order for the employee to use the HCSA account after terminating state service, the employee may elect to contribute to the HCSA account under COBRA by making direct payments on an after-tax basis.

DCAP: The employee may file claims for eligible dependent care expenses against the account balance until the account is exhausted. They will not be reimbursed in excess of what they have contributed to the plan at that time. Claims can be filed with dates of service through the end of the Plan Year.  The FSA carrier must receive all completed claims by April 15.

To process a termination from state service for an employee with HCSA and/or DCAP:

  1. Employee completes FSA Change Form.
  2. Photocopy the form and file a copy in the employee’s personnel file and send the original to the FSA  vendor. Do not send the form to the GIC.
  3. The FSA carrier will determine COBRA eligibility and notify the employee of details either by mail or email.

This information provided by the Group Insurance Commission .