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Have You Had Any Personal or Family Information Changes?

If you have experienced any of these events, you must notify the GIC within 60 days of your family status changes. Failure to do so can result in financial liability to you.

Table of Contents

Have you experienced any of these events?

  • Marriage or remarriage
  • Legal separation
  • Divorce
  • Address change
  • Birth or adoption of a child
  • Legal guardianship of a child
  • Remarriage of a former spouse
  • Dependent age 19 to 26
  • Dependent other than full-time student who has moved out of your health plan’s service area
  • Death of a covered spouse, dependent or beneficiary
  • Life insurance beneficiary change
  • You have GIC COBRA coverage and become eligible for other coverage

Additional Resources

Contact

Phone

Main Phone (617) 727-2310

M-F 8:45 a.m.-5 p.m.

TDD/TTY 711

Fax

Operations (617) 227-2681
Executive (617) 227-5181
Fiscal (617) 367-9874

Address

Street Address
John W. McCormack Building, 1 Ashburton Place
Suite 1619
Boston, MA 02108
Enrollment Form and Member Correspondence Mailing Address
PO Box 556
Randolph, MA 02368
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