Completed benefits forms, along with any supporting dependent documentation, can be sent to the Benefits Office via:

Scan and email to Evelyn Dennis edennis@providenceri.gov

Fax to 401-680-5457

Mail to Providence Public School District, Attn: Human Resources Department, 797 Westminster St. Providence, RI 02903

If you have additional questions, please reach out to the Benefits Office via an email to edennis@providenceri.gov or by phone 401-456-9100 ext. 11125. 

We will do our best to get back to you as soon as we can.

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 December and allows you to alter your current health elections for a January 1 effective date.

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

Retiree Medicare Options

Retiree Medicare Options - Healthmate Coast-to-Coast PPO Plan/Plan 65/Blue Chip/Blue Medicare Rx

The Rhode Island Senior Health Insurance Program (SHIP)

What is a SHIP Counselor?

Blue Chip

Blue Chip for Medicare Enrollment Guide

Blue Chip for Medicare Summary of Benefits

Blue Chip for Medicare Enrollment Form

Plan 65 C (turned 65 prior to January 1, 2020) - No Rx

Plan 65 C Plan Summary

Plan 65 C Enrollment Form

Plan 65 G (turned 65 January 1, 2020 and after) - No Rx

Plan 65 G Plan Summary

Plan 65 G Enrollment Form

Healthmate Coast-to-Coast PPO

PPO Plan Highlights

PPO Plan Summary

PPO Enrollment Form

Blue Medicare Rx

Comparison of PDP, Value Plus and Premier Plans

Blue Medicare Rx PDP Plan Summary - $232.00 per month

Blue Medicare Rx PDP Enrollment Form

Blue Medicare Rx Value Plus/Premier - Value Plus - $50.50 per month.  Premier - $135.00 per month

Blue Medicare Rx PDP Value Plus/Premier Enrollment 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

Delta Dental Summaries

• Retired School 1033
• Retired School Department
• Retired Teachers Low Option
• Retired Teachers High Option
  

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