change form (form-rs) - mass 2025

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The document is a GIC Retiree/Survivor Enrollment/Change Form (Form-RS) that allows retirees and survivors to enroll in or change their health insurance coverage. It includes sections for insured information, Medicare and non-Medicare plan options, spouse and dependent information, and instructions for submitting required documentation. The form outlines eligibility criteria, qualifying status changes, and necessary actions for enrollment or modification of health insurance plans.

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What is the form for GIC status change?

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.

Where do I file my MA Form 2?

Mailing Addresses ReturnsExtension PaymentPayment Voucher Form 2: Mass. DOR, PO Box 7018, Boston, MA 02204 Form 2G: Mass. DOR, PO Box 7017, Boston, MA 02204 Form M-8736: Mass. DOR, PO Box 419544, Boston, MA 02241-9544 Form 2-PV: Mass. DOR, PO Box 419544, Boston, MA 02241-9544 Jan 17, 2025

What is the full form of GIC?

When a GIC is purchased, the amount invested typically cannot be accessed until the end of the GIC term, for example 1, 3, or 5 years. The end of this term is known as the GIC maturity date. Upon this date, the GIC matures and the amount invested, including interest, is returned to the investor.