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Active Employee Benefits - City and School

MEDICAL BENEFITS

Provided by Blue Cross Blue Shield of Rhode Island

Blue Cross Blue Shield Enrollment Form
Local - (401) 459-5000
Out of state residents - 1-800-369-2227
Website: www.bcbsri.com

DENTAL BENEFITS

Provided by Delta Dental of RI

Delta Dental Enrollment Form
Billing - (401) 752-6200
Enrollment - (401) 752-6234
Customer Service - (401) 752-6100
Website: www.deltadentalri.com


PRESCRIPTION BENEFITS

Provided by CVS Caremark

Customer Service: 1-888-790-8070
Website: www.caremark.com

Provided by MaxorPlus for Local 1033 members only

Customer Service: 1-800-687-0707
Website: www.maxorplus.com


VISION BENEFITS

Provided by Blue Cross Blue Shield of RI for Police/Fire/Non-Union Employees

  • One annual routine eye exam per calendar year with copayment under medical policy
  • Prescription glasses (lenses and or frames) or contact lenses are covered up to a maximum of $100 per -calendar year. Members pay the full charge whether using a participating or non-participating provider and files claim to BCBSRI for reimbursement


Provided by Davis Vision for Local 1033 members only

  • One annual routine eye exam per calendar year with copayment under medical policy
  • Reimbursement up to $100 every two years

Davis Vision Reimbursement Form


QUALIFYING EVENT

A life event that allows you to make changes to your current health plan

*ALL CHANGES MUST BE SUBMITTED WITHIN 30 DAYS OF THE QUALIFYING EVENT WITH THE PROPER DOCUMENTATION

  • Qualifying Events include: Marriage/Birth/Adoption/Loss of coverage
  • Documentation: Marriage license/Birth certificate/Adoption papers/ HIPAA letter


OPEN ENROLLMENT

Open Enrollment occurs annually and allows you to alter your current health plan

  • City Open Enrollment - June 1-15 for effective date of July 1
  • School Open Enrollment - September 1-30 for effective date of October 1





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