OPEN ENROLLMENT PERIOD 

APRIL 6 TO MAY 4, 2022 

FY23

      »» ACTIVE EMPLOYEES««    

GIC Benefits Decision Guide

Which Plans Are Best For You ?? 

*** IMPORTANT***  Make sure your doctors and hospitals are on the plan

ONLINE ENROLLMENT

https://www.mass.gov/mygiclink-member-benefits-portal

PLAN RATES

ENROLLMENT FORM 

Allways Health Partners

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Harvard Pilgrim Member Guide

Harvard Pilgrim Primary Choice

Harvard Pilgrim Independence

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Health New England

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Tufts Navigator

Tufts Spirit

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Unicare Virtual Kit

Unicare Community Choice

Unicare Plus

Unicare Basic with CIC

Unicare Basic without CIC

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PRESCRIPTION INFORMATION

Express Scripts Overview

Express Scripts Mobile App Flyer

Express Scripts 90 day Benefit Flyer

Express Scripts Accredo

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Required Documents

Dependent Age 19 to 26 Enrollment/Change Form

Acknowledgement Form

Benefit Statement Correction Form

CHIP Notice

Handicapped Dependent Application

Dental 

ALTUS DENTAL SUMMARY

DENTAL ENROLLMENT FORM

Max Carry Over

Web Flyer

Dental Rates

FLEXIBLE SPENDING ACCOUNT - FSA

Enrollment Flyer

OTC-New Expenses Now Eligible

OTC FSA Flyer

FSA Store Flyer

FSA WEX Health Payment Card Benny

ENROLLMENT FORM

SMART PLAN

Smart Plan Highlights

Online Enrollment

Smart Plan Representative

EMPLOYEE ASSISTANCE PROGRAM (EAP)

MIIA Employee Assistance Program

MIIA EAP Mobile APP

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*RETIREES & SURVIVORS*

(Under Age 65)

GIC Benefits Decision Guide

PLAN RATES

ENROLLMENT FORM (RS)

Harvard Pilgrim Member Guide

Harvard Pilgrim Primary Choice

Harvard Pilgrim Independence

Health New England

Allways Health Partners

Tufts Navigator

Tufts Spirit

Unicare Virtual Kit

Unicare Community Choice

Unicare Plus

Unicare Basic with CIC

Unicare Basic without CIC

PRESCRIPTION DRUG BENEFITS

Express Scripts Overview - (For Non Medicare Plans)

Express Scripts Mobile App

Express Scripts 90 Day Benefit

Express Scripts Accredo

<<<<<<<>>>>>>>

*RETIREES & SURVIVORS* 

(Medicare Eligible  - Age 65 & Older)

GIC Benefits Decision Guide

PLAN RATES

ENROLLMENT FORM (RS)

Harvard Pilgrim Medicare Enhance

Health New England MedPlus

Tufts Medicare Complement & Tufts Medicare Preferred

Unicare Medicare Extension

PRESCRIPTION DRUG BENEFITS

SilverScript

METLIFE DENTAL GUIDE

DENTAL ENROLLMENT FORM