Health and Dental Insurance – Active Employees

Active Employees

HEALTH INSURANCE INFORMATION

• GIC Benefits Guide 7-1-2025
• GIC Rate Sheet – Town of Sudbury 7-1-2025
• Required Documents for GIC Coverage
• Health Plan Member Handbooks, Summaries of Coverage and Provider Search Tools
• GIC Master Hospital Limited Networks and Regional Products 7-1-2025
• Insurance Opt-Out Incentive Program 7-1-2025
• MyGICLink Member Benefits Portal

TOOLS AND RESOURCES

• • Health Plan Provider Search Instructions
  • GIC Website
  • Medicaid & Children’s Health Insurance Program (CHIP) 7-1-2023
  • Affordable Care Act Policy

FORMS

• • GIC Enrollment Form – Active Employees – Town of Sudbury
  • GIC Employment Status Change Form – Town of Sudbury
  • GIC Form for Dependents 19 to 26
  • GIC Handicapped Dependent Form

DISCOUNTS AND REIMBURSEMENT PROGRAMS

• • Harvard Pilgrim Discounts and Savings
  • Wellpoint Extra Benefits
  • Mass. General Brigham Resources and Forms
  • Health New England Incentive and Reimbursement Programs

DENTAL INSURANCE INFORMATION

Monthly Rates

Individual: $12.64
Family: $31.86

Town pays 75% of total premium

• Altus Dental Benefits Highlights (7-1-2025)
• Altus Dental Managing Your Benefits Online (7-1-2025)
• Altus Dental Enrollment Form (7-1-2025)
• Altus Dental Preventive Rewards Program (7-1-2025)
• Altus Dental Rates (7-1-2025)

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