Back to the Town of Sudbury Homepage
  • About Sudbury
    • 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
      • 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 Appeals
    • Board of Assessors
    • Board of Health
    • Board of Registrars
    • Board of Selectmen
      • Policies and Procedures Review
      • School District Administrative and Structural Options
    • Bruce Freeman Rail Trail Design Task Force
    • Budget Strategies Task Force
    • Cable Advisor
    • Capital Improvement Advisory Committee
    • Commission on Disability
    • Community Preservation Committee
    • Conservation Commission
    • Council on Aging
    • Cultural Council
    • Design Review Board
    • 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
      • VIP Subcommittee
    • Medical Reserve Corps Executive Committee
    • Memorial Day Committee
    • Park and Recreation Commission
    • Permanent Building Committee
    • Planning Board
    • Ponds and Waterways Committee
    • Route 20 Sewer Steering Committee
    • September 11 Memorial Garden Oversight Committee
    • Strategic Financial Planning Committee for Capital Funding
    • Sudbury Housing Authority
    • Sudbury Housing Trust
    • Sudbury School Committee
    • Sudbury Transportation Committee
    • Town Hall Blue Ribbon Committee
    • Traffic Safety Coordinating Committee
    • Veterans’ Advisory Committee
    • Vocational Education Guidance Committee
    • 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
      • Community Housing Office
    • Police Department
    • Selectmen’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
      • Nixon Elementary School
      • Loring Elementary School
      • Noyes Elementary School
  • Payments
    • Online Tax Payments
    • Pay Delinquent Excise to Deputy Collector
    • Parking Ticket Payments
  • Email Lists
  • Jobs
  • Contact
State Election: Tuesday, November 6, 2018
  • Dental Plan
  • GIC Benefit Newsletters
  • GIC Information
    • Active Employees
    • GIC Newsletters
    • GIC Website
    • 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 March 27, 2018

Attachment


Download Now

124 KB

Description

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

Filename Size Updated
GICFormforDependents19to26.pdf 124 KB Tuesday, 3/27/2018 5:30 pm

Document Categories

Employee Benefits

Email this Media
Back to Human Resources / Assistant Town Manager

Human Resources / Assistant Town Manager

The 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 Personnel Assistant.

Recent News

  • Director of Planning & Community Development Position Avail. October 17, 2018
  • Altus Dental Rates FY2019 March 26, 2018
  • Dental Plan Information April 8, 2014

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:

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

 

 

Email: [email protected]
Phone: (978) 639 - 3348
Fax: (978) 443 - 0756
Building: Flynn Building
278 Old Sudbury Road
Sudbury, MA01776
 
Copyright © 2018, Town of Sudbury, some rights reserved.
Send questions and comments to [email protected].
Built with WordPress
Powered By PHP7, NGINX, & IIS
Website Release v4.5.25
Load: 0.512 Seconds
Rendered: 2018-10-20 17:07:01 EDT
System Status: Operational
7ads6x98y