Procedures and deadlines
Updated June, 2019
Documents and forms received after 60 days of the qualifying event will be denied and you must wait until the next Annual Enrollment to add the dependent.
How to add your spouse to your GIC health or dental coverage
Complete the Form 1 and include a copy of your marriage certificate. Active employees return these forms to their GIC Coordinators; retirees return them to the GIC. Forms and documentation must be received at the GIC within 60 days of the marriage. Otherwise, you must wait until the next Annual Enrollment to add your spouse.
How to add a newborn to your GIC coverage
Complete the Form 1 and attach a copy of the hospital announcement letter or your child's birth certificate. A Social Security number is required but you do not have to wait until you receive the number to apply. Once received, send the Social Security number to the GIC. The birth certificate or hospital notice must link the dependent to the insured or spouse. The GIC must receive the form and documentation within 60 days of the birth.
When to add or remove your spouse or dependent to your GIC health insurance (and/or GIC dental/vision or retiree dental) plan
You can add a spouse or dependent during Annual Enrollment or within 60 days of a qualifying event. Acceptable documentation of the qualifying event and the Enrollment/Change form must be received at the GIC within 60 days of the qualifying event. Qualifying events include:
- Court order/Judgement
- Spouse’s employer's Annual Enrollment
- Loss of eligibility of Medicaid or CHIP coverage
- Spouse/Dependent Moving to United States
- Loss of employment
- Loss of employer sponsored coverage
- Moving place of residence
Active employees return forms to their GIC Coordinator; retirees return them to the GIC. Forms and documentation must be received at the GIC within 60 days of the qualifying event. Documents and forms received after 60 days of the qualifying event will be denied and you must wait until the next Annual Enrollment to add your spouse/dependent(s) from your coverage.
The Mass Connector’s or another state’s exchange’s open enrollment period is not a qualifying event to enroll in or drop GIC health insurance coverage
Health care reform exchanges are not employer-sponsored. Another employer-sponsored open enrollment period is a qualifying event and GIC eligible employees and retirees may enroll in or drop GIC coverage within 60 days of the documents qualifying event.
If you are moving out of your GIC health plan's service area, this will affect your health plan options
See the Locator map for GIC Employee/non-Medicare and Medicare plans in your area. Contact your health plan for additional details.
If you are covering a former spouse and/or children outside of a plan's service area, you must enroll in a health plan that covers your dependents where they reside. To change health plans because you and/or your dependents are moving out of the service area, complete an Enrollment/Change form and attach proof of new residency (e.g. bills or lease). Forms and documentation must be received at the GIC within 60 days of the move.
If you are a GIC insured and reside in a state where civil unions are recognized, your partner is not eligible for GIC health insurance
Only spouses are eligible for health insurance benefits through the GIC. A marriage certificate must be provided to add your spouse to your coverage.
Refer to the Qualifying Status Change Chart to access a comprehensive overview of qualifying status changes, the allowable changes for that status change, the supporting documentation required, the timeline for submitting the form and documentation for the change, and the effective date of the change. If you do not see a scenario below, refer to the spreadsheet for details.