4 Summer St., Rm 104, Haverhill, MA 01830 | Office Hours 8:00-4:00 | Phone (978) 374-3411 | Fax (978) 374-3422
Open Enrollment 2019 – 2020
Open Enrollment is here!
Open Enrollment will run from Wednesday, April 3rd to Wednesday, May 1st for:
GIC Health Insurance
Metlife Dental Insurance
Pro-Flex Flexible Spending Accounts
Colonial Life Insurance
All enrollment forms must be received by 4:00pm on Wednesday, May 1st. Forms may be sent to Nina Torrisi in the Benefits Department, via fax, scan and email, (no pictures from cell phones), inter-office mail or in-person at Central Office. Please see the main Benefits page for fax number, email address and Central Office address. Please contact Nina at 978-420-1964 or email@example.com with any questions.
Coverage for the 2019 – 2020 plan year is effective as of July 1, 2019.
Benefit deductions for the 2019 – 2020 plan year begin as of the May 31, 2019 paycheck (with the exception of the FSA deduction).
If you choose not to make any changes to your current health and dental benefit elections you DO NOT NEED to re-enroll during open enrollment. Your current health and dental benefit elections will continue automatically / roll over to the next plan year.
ONLY complete an enrollment / change form IF YOU NEED to make a change to your current health and dental benefit elections.
Also, you DO NEED to re-enroll in the Flexible Spending Accounts EACH YEAR during open enrollment.
Note: Please check the individual benefit pages for more information on the plans. The pages will be updated frequently so check back often!
Click the below links for more information, rates and enrollment forms:
GIC Health Insurance (click here to link to Health Insurance Page):
Click here for the link to the GIC’s annual enrollment page
GIC 2019 – 2020 Benefit Decision Guide –
GIC 2019 – 2020 School Bi-Weekly Rates
GIC 2019 – 2020 Enrollment and Change Form – OE
GIC Open Enrollment Benefit Fair Schedule
GIC Health Plan Contact Sheet
MetLife Dental Insurance (click here to link to Dental Insurance Page):
*NO CHANGE TO DENTAL RATES!*
MetLife 2019 – 2020 Dental Summary
MetLife 2019 – 2020 School Bi-Weekly Rates
MetLife 2019 – 2020 Enrollment Change Form
Pro–Flex Flexible Spending Accounts: Health Care and Dependent Care FSA (click here to link to FSA Page):
*HEALTH CARE FSA ANNUAL MAXIMUM ELECTION IS NOW $2700!*
Pro-Flex FSA Open Enrollment Brochure
Pro-Flex Enrollment Form
Colonial Life Insurance: Medical Bridge and Critical Illness Insurance (Click Here to Link to Colonial Life Page):
New Benefit Options – Short Term Disability and Accident Insurance
Colonial Life Open Enrollment Flyer
Colonial Life Open Enrollment Interest Form with Contact Information