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What you need: If you did not enroll in Basic Life Insurance as a new hire, you can enroll during Annual Enrollment for coverage effective July 1. If you are enrolling in or increasing your Optional Life Insurance coverage due to a qualified status change up to four times salary, you must submit the form and documentation to the GIC within 31 days of the qualifying event: marriage, birth/adoption, legal separation, divorce or death of spouse. Forms and documentation received after the 31-day window will be denied.
State employees, return completed Enrollment/Change Form-1 to your GIC Coordinator. If applying within 30 days of a qualifying event, you must also include the qualifying event documentation: marriage certificate, birth certificate, adoption placement letter, legal separation/ divorce agreement, or death certificate of spouse.
If you are applying for Optional Life Insurance:
You must provide evidence of good health. Upon receipt of your completed form, the GIC will notify The Hartford of your application and The Hartford will send you instructions on how to apply online or get an application. If you do not complete the Evidence of Insurability process by the due date indicated by the life insurance carrier, your file will be closed.