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Easily fill out pdf blank, edit, and sign them. Start completing the fillable fields and carefully. Web proof of the qualifying status change (e.g., marriage or divorce) to the gic within 60 days of the qualifying event. Web gic employment status change form (form 1a) use this form for an employment status change (including retirement).
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Web you must complete and submit a gic insurance enrollment/change form (form 1) and submit to the group insurance commission (gic). Use get form or simply click on the template preview to open it in the editor. Web complete gic form 1a online with us legal forms. 4/30/2026 department of health and human services health resources and services.
Web State Employees Who Are Retiring May Want To Consider Reducing Or Dropping Their Optional Life Insurance.
Web fy2024 state employee enrollment/change (form 1) for benefits effective july 1, 2023. Save or instantly send your ready documents. Select the document template you want in the library of legal forms. General information worksheet omb no.:
Fy2023 State Employee Enrollment/Change (Form 1) For Benefits Prior.
You may do this at any time completing and returning to the gic an. Enrolling in health insurance for the first time: Start completing the fillable fields and. Select the get form button to.