The State Organization Index provides an alphabetical listing of government organizations, including commissions, departments, and bureaus.
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Updated on October 7, 2015
Provided that your agency head approved your leave of absence, you may apply to continue paying the employee share of your basic life and health insurance premiums Submit a completed Employment Status Change Form (Form-1A), a letter from your agency head approving the leave, and a completed Application to Continue Part Cost Premiums (Form 11) to the GIC. You, your Agency Head and physician must all complete the Form 11 before it can be considered. The GIC will notify you of its decision. In the case of a leave without pay for reasons of personal illness, you must exhaust your vacation, sick, and compensatory time before a Form 11 can be submitted. If you do not pay your GIC premium, or if your agency no longer continues your employment, your coverage will end.
You will be able to continue your GIC coverage at your current employee contribution percentage for up to twelve weeks.
State and Municipal employees with GIC coverage taking military leave of absence may do one of the following:
When you return from military leave, you may enroll in the GIC health plan of your choice within 60 days of the return to work. Otherwise, you may enroll during Annual Enrollment.
If you do not pay your GIC health insurance bills, your coverage will be cancelled for non-receipt of payment. All claims incurred after your termination date will be your responsibility. You can apply to reinstate your coverage during the GIC’s next annual enrollment period for coverage effective July 1. Municipal employees contact your municipality about payment of health coverage while you are not working.
M-F 8:45 a.m.-5 p.m.