OPEN ENROLLMENT PERIOD 

APRIL 7 TO MAY 5, 2021 

FY22

      »» ACTIVE EMPLOYEES««    

GIC BENEFITS DECISION GUIDE

PLAN RATES

ENROLLMENT/CHANGE FORM ( 1MUN )

Allways Health Partners

*********

Fallon Direct Care

Fallon Select Care

*********

Harvard Pilgrim Primary Choice

Harvard Pilgrim Independence

*********

Health New England

*********

Tufts Navigator - Summary of Benefits

Tufts Navigator Member Guide

*********

Tufts Spirit - Summary of Benefits

Tufts Spirit Member Guide

*********

Unicare Basic with CIC/without CIC

Unicare Community Choice

Unicare Plus

*********

Express Scripts Overview

Express Scripts Mobile App Flyer

Express Scripts 90 day Benefit Flyer

Express Scripts Accredo

*********

Required Documents

Dependent Age 19 to 26 Enrollment/Change Form

Acknowledgement Form

Benefit Statement Correction Form

CHIP Notice

Handicapped Dependent Application

Third -Party Address Request

Dental 

Altus Dental Benefit Highlight

Dental Enrollment Form

Dental Rates 

FLEXIBLE SPENDING ACCOUNT - FSA

Enrollment Flyer

FSA OTC-New Expenses Now Eligible

FSA Enrollment Form

FSA WEX Health Payment Benny Card

SMART PLAN

Smart Plan Highlights

Online Enrollment

Investing for Retirement

Plan Application

Smart Plan Representative

EMPLOYEE ASSISTANCE PROGRAM (EAP)

MIIA Employee Assistance Program

MIIA EAP Mobile APP

==================================================================  

*RETIREES*

GIC Benefits Decision Guide

☀☀ Retirees & Survivors (under age 65) ☀☀

PLANS

Fallon Direct

Fallon Select

Harvard Pilgrim Primary Choice

Harvard Pilgrim Independence

Health New England

Allways Health Partners

Tufts Navigator

Tufts Navigator Member Guide

Tufts Spirit

Tufts Spirit Member Guide

Unicare Basic with/without CIC

Unicare Community Choice

Unicare Plus

*********

Express Scripts Overview - (Non Medicare Plans)

Express Scripts Mobile App 

Express Scripts 90 Day Benefit

Express Scripts Accredo

Plan Rates   (Non Medicare -Under Age 65)

 Enrollment/Change Form (RS)

*********

GIC Benefits Decision Guide

 ☀☀ Retirees & Survivors Age 65 & over - Medicare Eligible ☀☀

Harvard Pilgrim Medicare Enhance

Health New England MedPlus (Info Pending)

Tufts Medicare Complement

Tufts Medicare Preferred

Unicare Medicare Extension - Overview

Silver Script - Summary of Benefits

Silver Script Evidence of Coverage

Senior Plan Rates - (age 65 & older- Medicare Eligible)

Enrollment/Change Form (RS)

*********

MetLife Dental Guide

Dental  Enrollment Form (MRD)