GIC

Health Insurance provided and administered by the Group Insurance Commission.
See below for important information!



Health Insurance Rates - Active Employees (7/1/19-6/30/20)
Health Insurance Rates - Retirees/Survivors (7/1/19-6/30/20)
GIC Benefit Decision Guide (7/1/19-6/30/20)




GIC Required Documents
Health Plan Locator Maps
GIC Health Plan Contact Information
Wellness Programs
New Hire Effective Dates
Coverage End Dates


EXPRESS SCRIPTS (Non-Medicare)
Contact Express Scripts directly at 1-855-283-7679

SilverScript (Medicare)
2019 SilverScript Summary of Benefits

Forms
GIC Active Employee Enrollment/Change Form (Form-1MUN)
GIC Active Employee Employment Status Change Form (Form-1AMUN)
GIC Retiree/Survivor Enrollment/Change Form (Form-RS)

GIC Dependents age 19 to 26 Enrollment/Change Form
GIC Handicapped Dependent Form

Frequently Asked Questions:
Dependent Ages 19 to 26 FAQs
Divorce, Legal Separation and Remarriage FAQs
COBRA FAQs
Turning age 65 FAQs
Medicare FAQs
Survivors FAQs
Non Qualifying Life Events FAQs
Qualifying Life Events and Your Options FAQs
SilverScript Prescription Drug FAQs


Active Employees & Non-Medicare Retiree/Survivor Health Plans 7/1/2018 - 6/30/2019:
Plan information will be updated when available after July 1, 2019

Fallon Health Direct Care (HMO)
Fallon Health Direct Care (Summary of Benefits and Coverage)

Fallon Health Select Care (HMO)
Fallon Health Select Care (Summary of Benefits and Coverage)

Harvard Pilgrim Independence Plan (POS)
Harvard Pilgrim Independence Plan (Summary of Benefits and Coverage)
Summary of Benefits
What You Need to Know


Harvard Pilgrim Primary Choice Plan (HMO)
Harvard Pilgrim Primary Choice Plan (Summary of Benefits and Coverage)
Summary of Benefits
Hospital List
What You Need to Know


Health New England (HMO)
Health New England (Summary of Benefits and Coverage)
Benefit Chart


NHP Prime (HMO)
NHP Prime (Summary of Benefits and Coverage)
Schedule of Benefits
Hospital List


Tufts Health Plan Navigator (POS)
Tufts Health Plan Navigator (Summary of Benefits and Coverage)

Tufts Health Plan Spirit EPO (HMO-Type)
Tufts Health Plan Spirit EPO (Summary of Benefits and Coverage)

UniCare State Indemnity Plan/Basic
UniCare State Indemnity Plan/Basic (Summary of Benefits and Coverage)

UniCare State Indemnity Plan/Community Choice (PPO-Type)
UniCare State Indemnity Plan/Community Choice  (Summary of Benefits and Coverage)

UniCare State Indemnity Plan/Plus (PPO-Type)
UniCare State Indemnity Plan/Plus  (Summary of Benefits and Coverage)

UniCare Plan Comparison Video
UniCare Plan Comparison Guide

UniCare Hospital List
UniCare Find a Doctor

UniCare Preapproval Requirements (Basic, Plus & Community Choice plans)



Medicare Retiree/Survivor Health Plans 7/1/2018 - 6/30/2019:
Harvard Pilgrim Medicare Enhance
Health New England MedPlus
Tufts Health Plan Medicare Complement
Tufts Health Plan Medicare Preferred
UniCare State Indemnity Plan/Medicare Extension OME

UniCare State Indemnity Plan/Medicare Extension OME Brochure