We are pleased that you are joining us and hope that you will enjoy your time of service here. Below you will find information and forms regarding benefits offered. Some of the links below are for your information and some are forms which we require you to return. If you have any questions relating to any of these materials, please call us at (781) 861-2580 x68048.

 

Forms and Information concerning your Employee Benefits:
GIC Health Information and Enrollment Forms FY20
(if you are enrolling in health and/or dental insurance, you will need to produce a government-issued marriage certificate for your spouse and birth certificates for any dependents to be covered)
GIC Decision Guide FY20
GIC – Rate Sheet FY20
GIC – 1MUN Enrollment/Change Form
GIC – Dependent Age 19-26 Enrollment/Change Form
If you are eligible for GIC Health Insurance, please fill out and return the below acknowledgment form and if you enroll in our health insurance, please read the information regarding the Hiatus Period Stipend and your Health Reimbursement Account (HRA). Existing employees may have the opportunity to Opt-Out. Please read the information below.

Hiatus Period Information
HRA – Part 1
HRA – Part 2
New Enrollee Opt-Out Program & Form

Other Benefit Forms/Information for FY20

Delta Care Description
Delta Premier Description
Dental Rate Sheet FY20
Delta Dental Enrollment and Change Form
Delta Dental Student Affidavit
FSA Enrollment Form FY20
Life Insurance Basic & Optional Rates FY20
Life Insurance Basic and Optional Enrollment Form
Life Insurance Beneficiary Change Form
Evidence of Insurability Form To be completed only if making change after original eligibility403 – b Plan
457 Plan – Massachusetts Deferred Compensation SMART Plan
MA Health Connector Information (for review by non-benefit’s eligible staff)

General Information and Forms:

School Year Calendar 2019-2020
Tuition Reimbursement – Lane Change Procedure and Form
Non-Represented & Non-Certified Staff Tuition Reimbursement Policy
Sample Individual Professional Development Plan
Sample HOUSSE Log
Immunization Recommendation
Pregnancy Workers Fairness Act Q & A