Updated on May 21, 2015
Q) I have involuntarily lost health insurance coverage through my spouse. Can I enroll in GIC health insurance benefits any time during the year?
A) Employees and retirees can enroll in GIC coverage any time during the year with proof of involuntary loss of coverage elsewhere. You must apply with the GIC Enrollment/Change form and attach proof of involuntary loss of coverage. These materials must be received at the GIC within 60 days of the loss of coverage. Otherwise, you must wait until Annual Enrollment, which takes place in the spring.
Q) How do I change my address?
A) It's important to keep your address up to date with both the GIC and the post office so that you receive important information about your benefits. Be aware that if you do not let both the GIC and the post office know of your address change, the address the GIC has on file for you could be replaced by the address the post office has on record, as required by U.S. Postal Service regulations. Additionally, any address changes you give to your health plan may be overwritten by the GIC's records. To process an address change, take the following steps:
- Employees and Retirees - visit your local post office, or go to the U.S. Postal Service website to submit an address change.
- Employees - complete a GIC Enrollment/Change form and return to your GIC Coordinator.
- Retirees - complete and return to the GIC a Retiree/Survivor Enrollment/Change Form or write to the GIC requesting the change. (include your name, GIC Identification Number (usually your Social Security Number), telephone number, date and signature).
Q) I have Durable Power of Attorney for a state/municipal employee or retiree. How do I arrange to receive the insured’s GIC benefit information?
A) Send a copy of your Power of Attorney (POA) to the attention of the Public Information Unit at the GIC, P.O. Box 8747, Boston, MA 02114. If you are also requesting a change of address for the insured, for example because you want the insured’s information to be sent to your address, send the address change request with the POA. Note that only those with a Power of Attorney can make changes to the insured’s coverage. Remember only a Durable Power of Attorney remains in effect for an incapacitated person.
Q) I am, or my covered dependents are, moving out of my GIC health plan's service area. Does this affect my health plan options?
A) Yes. You and your covered dependents MUST live in a health plan's service area at least nine months per year. Only full-time college students may live out of the service area. Most GIC health plans require that college students receive their routine health care services within the health plan's service area. Contact your health plan for details.
If you are covering a former spouse and/or children outside of a plan's service area, you must enroll in a health plan that covers your dependents where they reside. To change health plans because you and/or your dependents are moving out of the service area: Complete an Enrollment/Change form and attach proof of new residency (e.g. bills or lease). Forms and documentation must be received at the GIC within 60 days of the move.
Q) I am getting married; how do I add my new spouse to my GIC health insurance coverage?
A) Complete the Enrollment/Change form and include a copy of your marriage certificate. Active employees return these forms to their GIC Coordinator; retirees return them to the GIC. Forms and documentation must be received at the GIC within 60 days. Otherwise, you must wait until Annual Enrollment to add your spouse.
Q) I am a GIC insured and reside in a state where civil unions are recognized. Is my civil union partner eligible for GIC health insurance?
A) No, only spouses are eligible for health insurance benefits through the GIC. A marriage certificate must be provided to add your spouse to your coverage.
Q) How can I add a dependent under age 19 to my GIC coverage?
A) Complete the Enrollment/Change form and attach a copy of your dependent's birth certificate, adoption placement letter or proof of involuntary loss of other coverage. For a new born child, you may submit an announcement letter from the hospital. The birth certificate or hospital notice must link the dependent to the insured or spouse. The GIC must be able to link the dependent to the insured and/or the insured's covered spouse. The GIC must receive the form and documentation within 60 days of the birth. Otherwise, you must wait until the next Annual Enrollment to add the dependent.
Q) How do I drop a spouse or dependent from my GIC coverage?
A) Complete an Enrollment/Change form and attach proof of the qualifying event (e.g. enrollment in other health coverage or spouse's/dependent's open enrollment). The GIC must receive this form and documentation within 60 days of the qualifying event. Otherwise, you must wait until the next Annual Enrollment to drop the spouse/dependent from your coverage.
Q) What happens to my minor children's health coverage if I die and there is no surviving parent?
A) Upon your death and if there is no surviving parent, your minor children may continue in the group health plan until age 26, provided they continue to meet eligibility requirements and are not eligible for other group health coverage.
Q) My doctor or hospital left my health plan’s network and it is not the GIC’s annual enrollment. Can I change my health plan?
A) No you cannot change health plans until the GIC’s annual enrollment. Doctors and hospital can leave a health plan during the year, usually as part of contract negotiations with a health plan. Contact your health plan to find another doctor or hospital that is in the health plan. During the GIC’s annual enrollment, you can change your health plan if you so desire. The only instance when you can change your health plan during the year is if you move out of the health plan’s service area, or enroll in Medicare, at which point you must enroll in a GIC Medicare health plan.
Q) My prescription drug formulary changed during the year. Can I change my health plan?
A) No you cannot change health plans until the GIC’s annual enrollment. Prescription drug formularies can change during the year, and, in the event your drug moves to a more expensive tier, alternative prescription drug choices are usually available to you with lower copays. During the GIC’s annual enrollment, you can change your health plan if you so desire. The only instance when you can change your health plan during the year is moving out of the health plan’s service area, or enroll in Medicare, at which point you must enroll in a GIC Medicare health plan.
Q) I have misplaced my health or prescription drug ID card. Whom do I contact for a new card?
A) Contact your health or prescription drug plan for another ID card and for additional ID cards for family members.
Q) I am a UniCare State Indemnity Plan/Basic member and live outside Massachusetts for all or part of the year. How do I seek routine care?
A) Contact UniCare (1-800-442-9300) about their Travel Access Program. This program protects members from being balance billed for covered services by a non-Massachusetts provider.
This information provided by the Group Insurance Commission .
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