GIC – Group Insurance Commission
This page will help you find a wealth of information to help you make the most of your health insurance. The GIC offers 8 health plans with:
Harvard Pilgrim Access America – (Summary of Benefits)
Harvard Pilgrim Explorer – (Summary of Benefits)
Harvard Pilgrim Quality – (Summary of Benefits)
Health New England – (Summary of Benefits and Coverage)
Mass General Brigham – (Summary of Benefits)
Wellpoint Community Choice – (Summary of Benefits)
Wellpoint PLUS – (Summary of Benefits)
Wellpoint Total Choice – (Summary of Benefits)
Important: The GIC health insurance enrollment form must be completed and submitted to the Benefits Specialist within 10 calendar days from your first day of employment.
Your health insurance begins on the first day of the month following 60 days or two full calendar months of employment, whichever comes first. Please reference the GIC Effective Date Chart to confirm the effective date of your health insurance. The deductions are pre-tax, bi-weekly and deducted from 20 paychecks. Please note, premiums are paid one month in advance.
Please reference the GIC End of Coverage Date Chart which will show when your health insurance coverage will end if you leave Haverhill Public Schools. Please note, premiums are paid one month in advance.
Health Insurance Forms:
Haverhill Benefits – Open Enrollment Guide 2024
FY25 Benefit Guide – Deductions for the 2024-2025 plan year begins in the May 24, 2024 paycheck
FY25 GIC – School Bi-Weekly Rates – Coverage effective 7/1/2024 – 6/30/2025
Acknowledgement Form
Required Documentation for Coverage – Please read prior to submitting Enrollment/Change Form
F25 GIC Enrollment Change Form– Please submit all required documentation with your Enrollment/Change Form
Dependent Ages 19 to 26 Enrollment-Change Form – If your dependent is no longer a student, please submit this form directly to the GIC
Handicapped Dependent Application
Status Change Form
ACA Marketplace Notice
CHIP Notice
If enrolling your spouse and/or child(ren) you will need to provide a copy of your marriage certificate and children’s birth certificate(s).
Things to consider when choosing a health plan:
1. Is your Doctor and Hospital in the plan’s network?
2. What is the co-payment tier for your PCP, Specialist and Hospital?
3. What is the per paycheck/bi-weekly rate for the plan?
4. Contact the health plans to ask questions
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CVS Caremark
CVS Caremark manages the prescription drug benefit for ALL GIC Health Plans. CVS Caremark issues two ID cards in the main subscriber’s name. All health plans will have the same prescription ID card and the cards will not reference the health plan name.
Please contact CVS Caremark to review your current prescriptions and find out if the medication is covered and at what copay. You can contact CVS Caremark at 877-876-7214 or https://info.caremark.com/oe/gic.
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Wellness Programs and Discounts
The GIC’s health plans offer the following gym membership reimbursements. Contact the individual health plan or click on the below fitness reimbursement information sheet to find out what other services may be covered under this program, whether the reimbursement is on a fiscal (plan or benefit year) or calendar year, other wellness programs, and to get a gym membership reimbursement form.