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How to enroll in or change GIC benefits as a GIC Retired Municipal Teacher

Please note, you cannot change your health plan if your doctor or hospital left your health plan’s network until the next GIC annual enrollment period.
Eligible RMTs should apply for GIC coverage up to two months before your retirement date, and no later than the 15th of the month in which you are retiring.

Group Insurance Commission

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How to enroll How to enroll in or change GIC benefits as a GIC Retired Municipal Teacher

Mail Form RMT to PO Box 556, Randolph, MA 02368

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Health:  If you are a retiring teacher from a city, town or school district whose municipality has elected to participate in the GIC’s RMT program, and will be receiving a pension from the Teachers’ Retirement Board, you are eligible for GIC coverage if you have at least basic life insurance or health insurance through the participating city/town/district on the date of your retirement.

To add a spouse or dependent to coverage, documentation (e.g., copy of marriage or birth certificate) is required to accompany the form.

Keep in mind that once you choose a health plan, you may not change plans until the next annual enrollment, even if your doctor or hospital leaves the plan during the year.

If you need a beneficiary form, please see your HR Department for the form.

Retiree Dental:  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. Retirees and survivors from the following municipalities that have elected to offer the plan are eligible:

City of Melrose, Town of Ashland, Town of Bedford, Town of Brookline, Town of Holbrook, Town of Hopedale, Town of Marblehead, Town of Middleborough, Town of Millis, Town of North Andover, Town of Randolph, Town of Swampscott, Town of Weston, Town of Westwood, Town of Winchendon, Athol Roylston School District, Northeast Metropolitan Regional Vocational School District

If your municipality is not listed, you are not eligible for GIC Retiree Dental benefits. Contact your municipal benefits office for additional information.

This is an entirely voluntary (retiree-pay-all) benefit option that provides GIC members with coverage at discounted group insurance rates through convenient pension deductions. 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.

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.

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Address
Street Address
19 Staniford St, Boston, MA 02114
Enrollment Form and Member Correspondence Mailing Address
PO Box 556, Randolph, MA 02368
Fax
Operations (617) 227-2681
Executive (617) 227-5181
Fiscal (617) 367-9874
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