Health Insurance
Health Insurance Plans, Benefits Summaries & Rates
- FY27 Rate Sheets for Active, Non-Medicare Retirees, Medicare Retirees (Effective July 1, 2026)
- FY27 Benefits Decision Guide
- Health Insurance Opt Out Program Information
- Public Employee Committee (PEC) MOA
Frequently Used Forms (Active Employees):
- Enrollment and Change Form-1MUN
- Employee Status Change Form-1-AMUN
- Dependent Age 19 to 26
- Handicapped Dependents
- Health Insurance Opt-Out Incentive Application
- Town of North Andover/GIC Waiting Period Stipend
Frequently Used Forms (Retired Employees - Health & Dental Insurance)
- Retiree/Survivor Enrollment and Change Form-RS
- Retiree Dental Enrollment and Change Form-MRD
- GIC Retiree Dental Plan Handbook
Medicare Resources
- When to enroll in Medicare if you are age 65 or older
- Turning 65 Questions and Answers
- Turning Age 65 and Medical Enrollment with GIC Health Coverage
Other Forms & Links
- GIC Acknowledgement Form for GIC Eligible Employees
- GIC COBRA Election Notice and Application FY26
- Premium Assistance Under Medicaid and the Children's Health Insurance Program (CHIP)
- MA Marketplace
- Notice of Privacy Practices
Note: A former spouse's or survivor's coverage ends upon remarriage; these changes must be reported to the GIC. Failure to notify the GIC of a legal separation, divorce or remarriage can result in financial liability to the subscriber. Dependents must live in the health plan's service area, unless they are full-time students attending an accredited college or university, trade or secondary school. Contact your health plan for out-of-area benefit details.