Enroll in, cancel, or add and drop spouse and dependents from GIC retiree dental coverage

Here is how to enroll in, cancel, add or drop your spouse and dependents from the GIC retiree dental plan.
Eligible retirees and survivors may join or cancel coverage during Annual Enrollment, or within 60 days of a qualifying status change, such as when COBRA dental coverage ends, at retirement, or when you become a survivor of a GIC member.

Group Insurance Commission

The Details of Enroll in, cancel, or add and drop spouse and dependents from GIC retiree dental coverage

What you need for Enroll in, cancel, or add and drop spouse and dependents from GIC retiree dental coverage

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.

How to manage Enroll in, cancel, or add and drop spouse and dependents from GIC retiree dental coverage

State retirees, survivors, and GIC Retired Municipal Teachers (RMTs), return completed form to:

GIC
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.

More info about Enroll in, cancel, or add and drop spouse and dependents from GIC retiree dental coverage

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.

Contact for Enroll in, cancel, or add and drop spouse and dependents from GIC retiree dental coverage

Address
Street Address
19 Staniford St, Boston, MA 02114
Mailing Address
P.O. Box 8747, Boston, MA 02114
Online
Fax
Operations (617) 227-2681
Executive (617) 227-5181
Fiscal (617) 367-9874

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