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

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.

Screenreader users: for maximal functionality, use Firefox and NVDA.

• Email this Media
• Print this Media
• Back to Human Resources / Assistant Town Manager