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Staff Forms

Note:

THE DEPENDENT MUST BE ADDED WITHIN 60 DAYS OF DATE OF THE QUALIFYING EVENT. 
 
GIC Insurance will not add the new dependent after 60 days.  After the 60 days the dependent will have to wait until the annual open enrollment period.  
 
Altus Dental Insurance has a deadline date of within 30 days after the qualifying event.
 
After 30 days the dependent will also have to wait until the annual open enrollment period. 
 
Please make note of this and plan accordingly.

Please click on the appropriate link below for staff forms.

Contact Linda Call with any questions  781-334-9212 or calll@lynnfield.k12.ma.us

 

 
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