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COMMONWEALTH OF MASSACHUSETTS GROUP INSURANCE COMMISSIONHealth Insurance Buyout Election Form YOU MUST READ PAGE TWO BEFORE COMPLETING FORM PRINT CLEARLYSocial Security Number Insured Name(First)(MI)(Last)Street
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To fill out GIC Forms on Mass.gov, follow these steps:
02
Visit the official website of Mass.gov.
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Navigate to the GIC Forms section.
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Select the form you need to fill out.
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Read the instructions carefully before filling out the form.
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Provide all the required information accurately in the designated fields.
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Anyone who requires GIC Forms in Massachusetts (Mass.gov) may need to fill them out. This includes but is not limited to state employees, retirees, and their dependents who are eligible for health insurance through the Group Insurance Commission (GIC) in Massachusetts.
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GIC FormsMassGov is an online platform for filing Government Information Collection forms in Massachusetts.
All entities or individuals required by law to report specific information to the Massachusetts government.
You can fill out GIC FormsMassGov online by accessing the platform, entering the required information, and submitting the form.
The purpose of GIC FormsMassGov is to collect and centralize important information for the Massachusetts government.
Specific information required for reporting purposes, which can vary depending on the form being filed.
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