Completed benefits forms, along with any supporting dependent documentation, can be sent to the Benefits Office via:
Scan and email to benefits@ppsd.org
Fax to 401-680-5457
Mail to Benefits Office Attn: Active School, PO Box 1656, Providence, RI 02901
If you have additional questions, please reach out to the Benefits Office via an email to benefits@ppsd.org. We will do our best to get back to you as soon as we can.
NEW HIRE ENROLLMENT
As a new hire, the benefits that you elect during your 30 day new hire enrollment period will remain in effect for the remainder of the plan year, unless you have a qualifying life event (see below) or make a change during our annual Open Enrollment period.
To review the PowerPoint presentation for New Hire Teachers, please click the link below:
PTU New Teacher Medical Benefits Workshop
QUALIFYING EVENT
A life event that allows you to make changes to your current health plan as long as you notify the Benefits office within 30 days of the qualifying event.
- 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 and allows you to alter your current health plan
- School Open Enrollment – September 1-30 for effective date of October 1, 2020
- Flexible Spending Account (FSA) Open Enrollment June 1, 2020 – June 30, 2020 for an effective date of July 1, 2020.
- For this calendar year only, you may make a change to your election through December 31, 2020. Any changes will take effect the next pay period following your request.
- You may not reduce/cancel your election below the amount you have already used.
Core Benefits
Benefits at a Glance – Teachers
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
THE UNIFORM SUMMARY OF BENEFITS AND COVERAGE (SBC) IS A LEGALLY REQUIRED HEALTH PLAN DISCLOSURE DOCUMENT
Active Teachers No Deductible Plan SBC
Active Teachers $750 Deductible Plan SBC
BLUE CROSS SUMMARIES
Active Teachers No Deductible Plan
Active Teachers $750 Deductible Plan
Teachers No Deductible Plan and $750 Deductible Plan Comparison
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
DELTA DENTAL SUMMARY
PRESCRIPTION BENEFITS
Provided by CVS Caremark
Customer Service: 1-888-790-8070
Website: www.caremark.com
CVS CAREMARK SUMMARIES
Active Teachers No Deductible Plan
Active Teachers $750 Deductible Plan
VISION BENEFITS
Classic Blue, No Deductible Plan and $750 Deductible Plan
Provided by Blue Cross Blue Shield of RI
- One annual routine eye exam per the calendar year with co-payment under the medical policy
Classic Blue and $750 Deductible Plan
- 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
BCBSRI Vision Reimbursement Form
Voluntary Benefits
DAVIS VISION
Davis Vision Reimbursement Form
FLEXIBLE SPENDING ACCOUNT (FSA)
Healthcare, Dependent Daycare and Transit/Parking – Flexible Spending Account – Administered by London Health BCBSRI.
a. Enrollment Form
b. FSA Member Overview
c. FSA Claim Reimbursement Form
TEACHERS – ALLSTATE
Short Term Disability, Long Term Disability, Critical Care, Cancer
Contact the Teacher’s Union 401-421-4014
FLU SHOTS
Employees and retirees can receive the flu vaccine at a local pharmacy by presenting their CVS Caremark Card.
COORDINATION OF BENEFITS
Active Coordination of Benefits Form
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
