Human Resources


The City of Haverhill transitioned to the Group Insurance Commission (GIC) for health insurance.




See below for important information!

Health Insurance Rates (7/1/2018-6/30/2019)
GIC Benefit Decision Guide (7/1/2018-6/30/2019)
GIC Required Documents
GIC Health Plan Contact Information
Gym Membership Reimbursement Information
New Hire Effective Dates


EXPRESS SCRIPTS (effective 7/1/2018 - non-Medicare)
Contact Express Scripts directly at 1-855-283-7679

Beacon Health Options


Forms
GIC Active Employee Enrollment/Change Form (Form-1MUN)
GIC Active Employee Employment Status Change Form (Form-1AMUN)
GIC Retiree/Survivor Enrollment/Change Form (Form-RS)

Medicare Part D Opt-In Form

GIC Dependents age 19 to 26 Enrollment/Change Form
GIC Handicapped Dependent Form


Frequently Asked Questions:
Dependent Ages 19 to 26 FAQs
Divorce, Legal Separation and Remarriage FAQs
COBRA FAQs
Turning age 65 FAQs
Medicare FAQs
Survivors FAQs
Non Qualifying Life Events FAQs
Qualifying Life Events and Your Options FAQs
SilverScript Prescription Drug FAQs


Active Employees & Non-Medicare Retiree/Survivor Health Plans 7/1/2018 - 6/30/2019:
Fallon Health Direct Care (HMO)
Fallon Health Direct Care (Summary of Benefits and Coverage)

Fallon Health Select Care (HMO)
Fallon Health Select Care (Summary of Benefits and Coverage)

Harvard Pilgrim Independence Plan (POS)
Harvard Pilgrim Independence Plan (Summary of Benefits and Coverage)
Summary of Benefits
What You Need to Know


Harvard Pilgrim Primary Choice Plan (HMO)
Harvard Pilgrim Primary Choice Plan (Summary of Benefits and Coverage)
Summary of Benefits
Hospital List
What You Need to Know


Health New England (HMO)
Health New England (Summary of Benefits and Coverage)
Benefit Chart


NHP Prime (HMO)
NHP Prime (Summary of Benefits and Coverage)
Schedule of Benefits
Hospital List


Tufts Health Plan Navigator (POS)
Tufts Health Plan Navigator (Summary of Benefits and Coverage)

Tufts Health Plan Spirit EPO (HMO-Type)
Tufts Health Plan Spirit EPO (Summary of Benefits and Coverage)

UniCare State Indemnity Plan/Basic
UniCare State Indemnity Plan/Basic (Summary of Benefits and Coverage)

UniCare State Indemnity Plan/Community Choice (PPO-Type)
UniCare State Indemnity Plan/Community Choice  (Summary of Benefits and Coverage)

UniCare State Indemnity Plan/Plus (PPO-Type)
UniCare State Indemnity Plan/Plus  (Summary of Benefits and Coverage)

UniCare Plan Comparison Guide
UniCare Plan Comparison Video

UniCare Hospital List

UniCare Physician Lookup for Basic, Plus & Community Choice

UniCare Preapproval Requirements (Basic, Plus & Community Choice plans)



Medicare Retiree/Survivor Health Plans 7/1/2018 - 6/30/2019:
Harvard Pilgrim Medicare Enhance
Health New England MedPlus
Tufts Health Plan Medicare Complement
Tufts Health Plan Medicare Preferred
UniCare State Indemnity Plan/Medicare Extension OME

UniCare State Indemnity Plan/Medicare Extension OME Brochure




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