Revised on June 20, 2012

What documents must a Municipal Employer file with the GIC under Section 19 as its notice of intent to join GIC health coverage?

Unionized Municipal Employers must provide two documents to the GIC: (1) a copy of the executed bargaining agreement to join GIC health coverage; and (2) a cover letter from an authorized official of the Municipal Employer confirming the Municipal Employer’s intent to join GIC health coverage.  Simultaneously, the GIC must receive the Municipal Employers’ full data census .

Non-union Municipal Employers must send a letter from their Chief Executive Officer stating their decision to transfer the Municipal Employer’s subscribers to GIC coverage. Simultaneously, the GIC must receive the Municipal Employers’ full data census.

All notices of intent under Section 19 must be filed by December 1 of any year for coverage to begin the following July 1, or July 1 for coverage to begin the following January 1.

What documents must a Municipal Employer file with the GIC under Section 21/23 as its notice of intent to join GIC health coverage?

Unionized Municipal Employers must provide two documents to the GIC:

  1. EITHER: (a) a copy of the executed bargaining agreement to join GIC health coverage; OR (b) an order from a municipal health insurance review panel regarding transfer to GIC health coverage; and
  2. A cover letter from an authorized official of the Municipal Employer confirming the Municipal Employer’s intent to join GIC health coverage.

Non-union Municipal Employers must send a letter from their Chief Executive Officer stating their decision to transfer the Municipal Employer’s subscribers to GIC coverage.

All notices of intent under Sections 21/23 must be filed by December 1 of any year for coverage to begin the following July 1, or by July 1 for coverage to begin the following January 1.

Simultaneously, the GIC must receive the Municipal Employers’ full data census.

Why must Municipal Employers give notice of intent so far in advance?

The law provides for advance notice by Municipal Employers because the GIC and their health carriers need to know the size of the pool with enough time to accurately price their proposed rates.  The rate renewal process begins in November of each year for coverage the following July. There is a great deal of work required by both the Municipal Employer and the GIC to transfer subscribers to GIC coverage regardless of the number of subscribers to be transferred.  Each Municipal Employer has information systems exchanges and testing to be done with the GIC, subscriber communications to disseminate, multiple implementation meetings to attend, eligibility verification and documents to be collected for all subscribers and their dependents, fiscal arrangements, and enrollment activities -- all of which must be completed before coverage can begin.

What happens if Municipal Employers miss the notice deadline?

Municipal Employers may file their required documents no later than the next deadline for the corresponding effective date.

Where must notices of intent to join GIC coverage be sent?

All notices must be sent to:

Executive Director

Group Insurance Commission

P.O. Box 8747

Boston, MA 02114-8747

 


This information provided by the Group Insurance Commission.