QUALIFYING EVENT
A life event that allows you to make changes to your current health plan
- Qualifying Events include: Marriage/Birth/Adoption/Loss of coverage
- Documentation: Marriage License/Birth Certificate/Adoption papers/ HIPAA letter
- All changes must be submitted within 30 days of the qualifying event with the proper documentation
OPEN ENROLLMENT
Open Enrollment occurs annually in June and allows you to alter your current health elections for a July 1 effective date.
Core Benefits
Benefits at a Glance
Benefits Enrollment Form
MEDICAL BENEFITS
Provided by Blue Cross Blue Shield of Rhode Island
Local – (401) 459-5000
Out of state residents – 1-800-369-2227
Website: www.bcbsri.com
Summary of Benefits and Coverage (SBC)
A legally required healthcare disclosure document
Blue Cross Summaries and Information
Medical Policy: Gender Reassignment Surgery
HRA Benefit Grid – Hired before March 1, 2019
HRA Benefit Grid – Hired March 1, 2019 to present
BCBSRI Vision Reimbursement Form
DENTAL BENEFITS
Provided by Delta Dental of RI
Billing – (401) 752-6200
Enrollment – (401) 752-6234
Customer Service – (401) 752-6100
Website: www.deltadentalri.com
Contact Local 1033 – (401) 331-1033 for information
PRESCRIPTION BENEFITS
Provided by CVS Caremark (Non-Oral Medications)
Customer Service: 1-888-790-8070
Website: www.caremark.com
CVS Caremark Summaries
Express Scripts for Local 1033 members only (Oral Medications Only)
Customer Service: 1-800-687-0707
Website: www.express-scripts.com
Contact Local 1033 – (401) 331-1033 for information
Summary of Benefits and Coverage (SBC)
A legally required healthcare disclosure document
Local 1033 Express Scripts SBC
VISION BENEFITS
Eye Med Vision Plan for 1033 Members only
Customer Services: 1-866-800-5457
Website: www.eyemed.com
Contact Local 1033 – (401) 331-1033 for information
Voluntary Benefits
FLEXIBLE SPENDING ACCOUNT (FSA)
Healthcare, Dependent Daycare and Transit – Flexible Spending Account – Administered by London Health Administrators
London Health BCBSRI – FSA Enrollment Form
London Health Member Guide 2019
FLU SHOTS
Employees can receive the flu vaccine at a local pharmacy by presenting their CVS Caremark Card.
Wellness Incentive Program
The City of Providence Local Union 1033 Wellness Incentive Program is designed to reward eligible BCBSRI members who adopt and maintain a healthy lifestyle and to assist them in achieving healthy living milestones. Eligible union members who complete designated wellness requirements and activities between July 1, 2020 and June 30, 2021 can earn up $300 per employee (or $600 for employee and spouse, or single-parent families) payable in September 2021.
Employees who do not receive their annual well visit (physical) with their Primary Care Physician (PCP) between July 1, 2020 and June 30, 2021 will be 1% more in their annual co-shares beginning July 1, 2021.
Local Union 1033 Wellness Incentive Program
Virgin Pulse Registration Instructions
Doctors Online (Telemedicine) Frequently Asked Questions
Local Union 1033 Wellness Incentive Program Frequently Asked Questions
COORDINATION OF BENEFITS
Applies to spouses/qualified ex-spouses of active employees who have access to health coverage through his/her employer. Working spouses/ex-spouses must enroll in an individual plan with his/her employer. You as the employee will be reimbursed in your bi-weekly paycheck the cost that your spouse gets deducted out of his/her paycheck.
- Your spouse/ex-spouse remains enrolled in full coverage with the City.
- Your spouse/ex-spouse is enrolled in his/her employer’s plan as primary and the City’s plan as secondary.
- You are reimbursed for the cost of the plan (co-share) that your spouse/ex-spouse pays out of his/her paycheck.
- Whatever the spouse’s/ex-spouse’s employer’s plan does not cover, the City’s plan covers.
- If the only plan available to a working spouse is an HSA, the spouse does not need to enroll (proof/documentation required)
- Proof and cost of coverage required – see FAQ for details
