Back to Department Homepage
  • About
    • Town Government
      • Town Officials
      • State and Federal Representatives
      • Election Results Archive
      • Telephone Directory
    • Sudbury Maps
      • Sudbury MapsOnline
      • Historic Maps
      • Conservation Land Maps
      • Precinct Map
      • Zoning and Buildout Maps
    • Interesting Facts
      • Sudbury Community Profile
      • Sudbury Trust Funds (PDF)
      • Community Preservation Act Information
      • Around Town (Activities)
    • Town Multimedia
      • Media Galleries
      • Seasonal Images
      • Town Meeting Recordings
      • Sudbury Public Access Programming
    • Historical Info
      • Historic Districts Commission
      • Historical Commission
      • Historical Society
      • Historic Articles (Informational)
      • Historic Sudbury Driving Tour
  • Calendars
    • Calendars
      • Town Calendar
      • Goodnow Library
      • Senior Center
      • Camp Sewataro
      • K-8 School Events
      • Lincoln-Sudbury Regional High School Events
    • Schedules
      • Atkinson Pool
      • Local (Channel 8/31) Programming
      • Sudbury Public Schools (K-8)
      • Lincoln-Sudbury Regional High School
  • Committees
    • Application for Appointment
    • Agricultural Commission
    • Board of Assessors
    • Board of Health
    • Board of Registrars
    • Cable Advisor
    • Capital Improvement Advisory Committee
    • Commission on Disability
    • Community Preservation Committee
    • Conservation Commission
    • Council on Aging
    • Cultural Council
    • Design Review Board
    • Diversity, Equity and Inclusion Commission
    • Earth Removal Board
    • Energy and Sustainability Committee
    • Finance Committee
    • Goodnow Library Trustees
    • Historic Districts Commission
    • Historical Commission
    • Land Acquisition Review Committee
    • Lincoln-Sudbury Regional High School Committee
    • Local Emergency Planning Committee
      • Community Emergency Response Team
    • Medical Reserve Corps Executive Committee
    • Memorial Day Committee
    • Park and Recreation Commission
    • Permanent Building Committee
    • Planning Board
    • Ponds and Waterways Committee
    • Rail Trails Advisory Committee
    • Route 20 Sewer Steering Committee
    • Select Board
      • Policies and Procedures Review
      • Sewataro Assessment and Recommendations
    • September 11 Memorial Garden Oversight Committee
    • Sudbury Housing Authority
    • Sudbury Housing Trust
    • Sudbury School Committee
    • Town Moderator
    • Traffic Safety Coordinating Committee
    • Transportation Committee
    • Veterans’ Advisory Committee
    • Zoning Board of Appeals
    • Archived Committees
      • Archived Committee Listing
  • Departments
    • Assessors Office
    • Building Department
    • Conservation Office
    • Department of Public Works
      • Cemetery Department
      • Engineering Department
      • Highway Department
      • Parks and Grounds Department
      • Transfer Station / Recycling Center
    • Dog and Animal Control
    • Facilities Department
    • Finance Department
      • Accounting Department
      • Collector / Treasurer
    • Fire Department
    • Goodnow Library
    • Health Department
      • Board of Health Nurse
      • Social Worker
    • Human Resources
    • Information Systems
    • Lincoln-Sudbury Credit Union
    • Lincoln-Sudbury Regional High School
    • Park & Recreation / Atkinson Pool
    • Planning & Community Development
    • Police Department
    • Select Board’s Office
    • Senior Center
    • Sudbury Public Schools
      • Curtis Middle School
      • Haynes Elementary School
      • Loring Elementary School
      • Nixon Elementary School
      • Noyes Elementary School
    • Town Clerk
    • Town Historian
      • Informational – Historic Articles
    • Town Manager
    • Veterans’ Agent
  • Schools
    • Lincoln-Sudbury Regional High School
      • Lincoln-Sudbury Adult Education
    • Sudbury Schools
      • Curtis Middle School
      • Haynes Elementary School
      • Loring Elementary School
      • Nixon Elementary School
      • Noyes Elementary School
  • Payments
    • Dog Licensing
    • Online Tax Payments
    • Pay Delinquent Excise to Deputy Collector
    • Parking Ticket Payments
    • Vital Records
  • Email Lists
    • Email Groups
    • Website Content Updates
  • Jobs
  • Contact
  • 🔍Search
  • Facebook
  • X (formerly Twitter)
  • Content Updates
Select Board Meeting on Tuesday, September 26, 2023
Special Town Meeting October 23, 2023
2023 Town Forum: Residents Shaping Sudbury's Future
  • ADA Policies & Procedures
    • ADA Public Notice
    • ADA Employment & Services Policy
    • ADA Grievance Procedures
  • Dental Plan
  • GIC Benefit Newsletters
  • GIC Information
    • Active Employees
    • GIC Website
    • GIC Benefits Portal
    • Medicare Eligible Retirees and Survivors
    • Non-Medicare Eligible Retirees and Survivors
  • News
  • Documents
  • Staff
  • FAQs
  • Links

Group Insurance Commission Form for Dependents 19 to 26

Published April 7, 2015 | Human Resources / Assistant Town Manager | Updated April 6, 2021

Attachment


Download Now

598 KB

Description

Please complete one form for each dependent between 19 to 26.

Filename Size Updated
GICFormforDependents19to26.pdf 598 KB Tuesday, 4/6/2021 6:11 pm

Document Categories

Employee Benefits

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

Human Resources / Assistant Town Manager

Group Insurance Commission Form for Dependents 19 to 26

— Subscribe to Content Updates

 

Maryanne Bilodeau
Asst. Town Manager/        Human Resources Director

Human Resources is responsible for job postings, hiring, employee orientation, benefits, collective bargaining issues and contracts, making adjustments to the Classification and Salary Plans, addressing grievances. Department consists of Assistant Town Manager and Benefits Coordinator.

Contact

  • Hours:

    Regular Hours Monday, Wednesday, Thursday: 8:30 am - 4:00 pm
    Tuesday: 8:30 am - 7:00 pm
    Friday: 8:30 am - 12:30 p.m.

     

    Summer Hours:  (July 10, 2023 through August 25, 2023)

    Monday, Wednesday, Thursday: 8:00 am to 5:00 pm
    Tuesday: 8:00 am to 7:00 pm
    Friday: Closed

     

     

  • Email: hr@sudbury.ma.us
  • Phone: (978) 639 - 3348
  • Fax: (978) 443 - 0756
  • Building: Flynn Building
    278 Old Sudbury Road
    Sudbury, MA 01776
  • RSS Feed Content Updates

Services Offered

  • ADA Policies and Procedures
🌐 Translate this page with Google Translate
Copyright © 2023, Town of Sudbury, some rights reserved.
Send questions and comments to webmaster@sudbury.ma.us.
Built with WordPress
Powered By PHP7, NGINX, & IIS
Website Release ved-last.1355
Load: 0.45 Seconds
Rendered: 2023-09-26 04:48:51 EDT
System Status: Operational