MA Group Insurance Commission Employment Status Change Form (Form 1-A)

Please complete the MA Group Insurance Commission (GIC) Employment Status Change Form (Form 1A) online via MyGICLink (bit.ly/MyGICLink) to notify the GIC of changes in employment status. If you encounter a challenge (eg if you are retiring and both you & a spouse covered under your GIC health insurance plan are Medicare-eligible) please complete and return the form to the UMass Amherst Human Resources Employee Service Center in paper format.