Employee Benefits

  1. Health Insurance
  2. Dental Insurance
  3. Cobra
  4. Deferred Compensation
  5. Life Insurance
  6. Flexible Spending
  7. Section 125
  8. Direct Deposit
  9. New England College of Business
  10. Tuition Benefits
  11. Special Discounts
  12. Wellness Initiatives
  13. Vested Retirement Benefits

2019-2020 – Benefit Decision Guide https://www.mass.gov/lists/gic-benefit-decision-guides

Municipal Enrollment/Change Form - This form is for enrolling in or changing your election of health insurance. Use this form:

  • as a new hire
  • at Annual Enrollment
  • within 60 days of a documented qualifying status change, name and address changes
  • and for divorce and remarriage notification 
  • and to add or drop your spouse and dependent(s) from coverage

Municipal Employment Status Change Form - This form is for when you have an employment status change including:

  • transferring to or from a municipality
  • terminating municipal employment
  • retirement

Dependent Age 19 to 26 Enrollment/Change Form - Use this form to add your dependent age 19 to 26 to your coverage:

  • as a new employee
  • during Annual Enrollment
  • to change your covered dependent’s status when he/she becomes a full-time student outside of the health plan’s service area
  • when he/she no longer is a full-time student

The insured must have family plan coverage and the GIC will determine eligibility and effective dates. You MUST notify the GIC when your dependent age 19 to 26 is no longer a full-time student or has moved out of the health plan’s service area.

Handicapped Dependent Application - Use this form to cover a dependent who became mentally or physically incapable of earning his/her own living prior to age 19; or became permanently and totally disabled and became so on or after age 19 and is under age 26.

Retiree/Survivor Enrollment/Change Form - This form is for state and municipal retirees and survivors. Use this form to enroll in GIC health insurance coverage:

  • for the first time at retirement
  • during Annual Enrollment
  • for an address or name change
  • within 60 days of a documented qualifying status change
  • if you are a new municipal survivor applying for coverage for the first time
  • to cancel coverage
  • to add or drop your spouse or dependent(s)
Staff Members
Title Email Phone
Robin Tusino
Benefits Manager
Email Robin Tusino
508-532-5493
Maximillian Bastos
Benefits Assistant
Email Maximillian Bastos
508-532-5493