GIC RMT ENROLLMENT FORM (FORM-RMT) - Mass 2025

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The document is a GIC RMT Enrollment Form for retiring teachers in Massachusetts, detailing the required information and documentation needed to enroll in health and life insurance benefits through the Group Insurance Commission. It includes sections for insured information, health plan selection (Medicare and non-Medicare options), spouse and dependent information, and necessary authorizations. The form outlines eligibility criteria, deadlines for submission, and instructions for completing the enrollment process.
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You may be able to keep your job-based health plan through COBRA continuation coverage. COBRA coverage lets you pay to stay on your job-based health insurance for a limited time after your job ends (usually 18 months). You usually pay the full premium yourself, plus a small administrative fee.
As a retiree you may continue, change, or enroll in health coverage with the GIC, and may enroll in the GIC retiree dental Plan.
Because most workers receive health benefits from their employers, retirement often disrupts health insurance coverage. Some employers offer health insurance to retirees, but many firms are cutting re- tiree health benefits by passing more costs to retirees or eliminating benefits altogether. Few alternatives exist.
State Employee GIC benefits include non-Medicare health insurance, dental vision, LTD, Life Insurance ADD, FSA, and the Mass4YOU Employee Assistance Program. Note: Prescription drug benefits are part of all health insurance plans.
Qualifying events include: Birth, Adoption. Divorce/Legal Separation. Death of Spouse/Dependent. Spouse/Dependents Employers Open Enrollment.

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GIC EMPLOYMENT STATUS CHANGE FORM (FORM-1A) INSTRUCTIONS Use this Form-1A for all employment status changes including retirement. If enrolling in GIC health insurance coverage for the first time at retirement, you must also complete and return Form-RS.
Most of your benefits can be continued in retirement -- if certain conditions are met. Federal employees have health insurance, life insurance, supplemental dental and vision coverage and a flexible spending account program to help pay for out-of-pocket expenses with tax-free dollars.

Related links

2017-2018 RetirEES SURVIVORS Benefits Guide

Enrollment forms to the GIC. Enrollment forms, application forms and the Medicare. Advantage Plan Disenrollment form are available on our website: mass.gov

Learn more
GIC Retired Municipal Teacher Enrollment (Form RMT)

Use this form for enrolling in GIC benefits for the first time at retirement. For an overview of your GIC benefit options, see your GIC Benefit Guide at mass.

Learn more

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