Benefits Information

Below you will find information and forms for health and dental insurance plans.  

If you have any questions regarding enrolling or changing your insurance plans, please contact Rosemarie Meehan at 781-762-1240, or email her at hr@norwoodma.gov. If enrolling in one of our medical family plans for the first time, please send up a copy of your marriage certificate and any children(s) birth certificates with the enrollment forms.

FY2025 GIC Benefits Overview Guide

FY2025 Hospital List with Tiers

Health Insurance Forms and Information

• GIC Required Documents
• GIC Members Portal - The best way for current members to make changes in plans or dependents  during Open Enrollment or when experiencing a qualifying event.
  • MyGICLink Portal Login/Registration
• If you would like to enroll for the first time please email hr@norwoodma.gov
• GIC Municipal Enrollment/Change Form
• GIC Dependent Age 19 to 26 Enrollment/Change Form
• GIC Provider Information
  • Mass General Brigham
  • Harvard Pilgrim
  • Wellpoint - Formerly Unicare

Delta Dental Insurance Forms and Information

• Delta Dental Comparison High/Low
• Delta Dental Coverage Summary-Low
• Delta Dental Coverage Summary-High - NEW PLAN
• Delta Dental Enrollment Form
• Delta Dental Rollover Max Information
• Delta Dental High Plan - Orthodontic Coverage

  • If a member has started treatment prior to the effective date of the new High Plan we would prorate the orthodontic benefits. We would need the following information from the dental office: Total Case Fee of the Orthodontic; Type of Orthodontic Treatment; Date of Banding; Months of Treatment.  

Other Forms and Information

• Authorized 403(b) Investment Providers
• Direct Deposit Form
• Address or Name Change Form
• Deduction Change Form
• Tax Form - W4 Employee's Withholding Allowance Certificate
• Tax Form - M4 Massachusetts Employee's Withholding Exemption Certificate
• 457b SMART Plan Information
• 457b SMART Plan Enrollment Form