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Group Insurance Comm. Enrollment/Change (Form-1MUN) – Active Employees

Published

April 3, 2024

| Human Resources / Assistant Town Manager

Attachment

Description

Town of Sudbury GIC Enrollment Form - Fill in information, print out enrollment form and sign. For family plans you will also need to complete the Insurance Data Form.
Don't forget to attach your Required Documents.


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Attachment details
Filename Size Updated
GICEnrollmentandChangeForm-ActiveEmployees.pdf 237 KB Tuesday, 4/2/2024 2:48 pm

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