The State Organization Index provides an alphabetical listing of government organizations, including commissions, departments, and bureaus.
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All state retirees, Elderly Governmental Retirees (EGRs), survivors, GIC Retired Municipal Teachers (RMTs who do not participate in the municipal health-only program) and Retirees and Survivors from participating Municipalities are eligible for the GIC Retiree Dental Plan.
To add a spouse or dependent to coverage, documentation (e.g., copy of marriage or birth certificate) is required to accompany the form unless you have already provided it to the GIC for health insurance coverage.
If enrolling within 60 days of a qualifying event, you must attach proof of the qualifying event to your enrollment form.
State retirees, survivors, and GIC Retired Municipal Teachers (RMTs), return completed form to:
P.O. Box 8747
Boston, MA 02114 by the deadline.
Participating municipal retirees, return completed form by the deadline to your municipality. Addresses are listed on the form.
During Annual Enrollment, state retirees, survivors, and GIC Retired Municipal Teachers can return completed forms to GIC staff at a health fair.
Keep in mind: If you drop Retiree Dental coverage, you can never re-enroll in the plan, unless you have a documented loss of coverage elsewhere and apply within 60 days.