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RETIRED MUNICIPAL TEACHER ENROLLMENT (FORM-

RETIRED MUNICIPAL TEACHER ENROLLMENT (FORM- 2026

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The document is a retirement enrollment form (Form-RMT) for retired municipal teachers seeking health and basic life insurance through the Group Insurance Commission (GIC). It includes sections for insured information, Medicare and non-Medicare plan selections, spouse and dependent information, and necessary authorizations. The form outlines eligibility criteria, required documentation, coverage options, effective dates, and submission instructions to ensure retirees can enroll in appropriate insurance benefits upon retirement.

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Begin by clicking ‘Get Form’ to open the RETIRED MUNICIPAL TEACHER ENROLLMENT (FORM-RMT) in our editor.
Fill in your GIC-ID, which is typically your Social Security number, along with your sex and insured information including your name, address, and date of birth.
Provide your retirement information, including the agency/division number and the name of the municipality or school district you retired from. Indicate whether you will receive a monthly pension from a public retirement system.
Select your health and basic life insurance options. Choose between Basic Life Only or Basic Life and Health based on your needs.
If applicable, select your Medicare plan by checking only one option that applies to you or your spouse/covered dependents.
Complete the spouse/dependent information section if changes are necessary. Ensure all required fields are filled accurately.
Sign and date the authorization section to confirm that you understand the terms regarding coverage elections.

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What is the address for OPM federal retirement?

U.S. Office of Personnel Management Federal Employees Retirement System P.O. Box 45 Boyers, PA 16017-0045. We provide retirement information on the Internet. You will find retirement brochures, forms, and other information at: .

Where to send OPM forms?

Submit the designation form to: Office of Personnel Management, Retirement Operations Center, P.O. Box 45, Boyers, PA 16017-0045.

Where to send USPS retirement paperwork?

If you prefer, you can write to us at Office of Personnel Management, Federal Employees Retirement System, P.O. Box 45, Boyers, PA 16017-0045, or email us at retire@opm.gov. You can also find this form on our website at .opm.gov/forms/Retirement-and-Insurance-Forms. Retirement System, with this application.

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