Human Resources


The City of Haverhill transitioned to the Group Insurance Commission (GIC) for health insurance effective July 1, 2017.

See below for important information!

FY18 Health Insurance Rates
GIC Benefit Decision Guide
GIC Required Documents
GIC Health Plan Contact Information
Gym Membership Reimbursement Information
New Hire Effective Dates
Flu Shot Information *NEW*

CVS/Caremark Log-in

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
Medicare FAQs
Survivors FAQs
Non Qualifying Life Events FAQs
Qualifying Life Events and Your Options FAQs
SilverScript Prescription Drug FAQs
What is a SSA-1099 Form?


Active Employees & Non-Medicare Retiree/Survivor Health Plans:
Fallon Health Direct Care (HMO)
Fallon Health Direct Care (Summary of Benefits)

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

Harvard Pilgrim Independence Plan (POS)
Harvard Pilgrim Independence Plan (Summary of Benefits)

Harvard Pilgrim Primary Choice Plan (HMO)
Harvard Pilgrim Primary Choice Plan (Summary of Benefits)

Health New England (HMO)
Health New England (Summary of Benefits)

NHP Prime (HMO)
NHP Prime (Summary of Benefits)

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

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

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

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

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

UniCare Plan Comparison Guide
UniCare Plus and Community Choice Hospital List
UniCare Massachusetts Physician Lookup for Basic, Plus & Community Choice
UniCare Non-Massachusetts Network Provider Search
UniCare CVS link for prescription copays for non-Medicare plans
UniCare Preapproval Requirements (Basic, Plus & Community Choice plans)



Medicare Retiree/Survivor Health Plans:
Fallon Senior Plan
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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