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ENROLLMENT/CHANGE (FORM1) Health, Basic Life, Optional Life, and Long Term Disability Insurance This form is intended for use ONLY by GIG members without access to a digital device. GIG members with
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How to fill out gic municipal enrollmentchange form
How to fill out gic municipal enrollmentchange form
01
Obtain the GIC Municipal EnrollmentChange Form from your municipal office or online.
02
Fill in your personal information such as name, address, contact information, and GIC membership number.
03
Indicate the reason for the enrollment/change, such as marriage, divorce, birth of a child, etc.
04
Provide any supporting documentation required, such as marriage certificate, divorce decree, birth certificate, etc.
05
Sign and date the form, and submit it to your municipal office.
Who needs gic municipal enrollmentchange form?
01
Members of the Group Insurance Commission (GIC) who need to enroll in or make changes to their municipal benefits
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What is gic municipal enrollmentchange form?
It is a form used to update enrollment information for municipal employees in the Group Insurance Commission (GIC) system.
Who is required to file gic municipal enrollmentchange form?
Municipal employees enrolled in the GIC system are required to file the form.
How to fill out gic municipal enrollmentchange form?
The form can be filled out online or manually, following the instructions provided by the GIC.
What is the purpose of gic municipal enrollmentchange form?
The purpose is to ensure accurate and up-to-date enrollment information for municipal employees in the GIC system.
What information must be reported on gic municipal enrollmentchange form?
Information such as personal details, health plan choice, dependents, and any changes in coverage.
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