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 Benefits Office Attn: School Retiree, PO Box 1656, Providence, RI 02901
If you have additional questions, please reach out to the Benefits Office via an email to edennis@providenceri.gov or by phone 680-5285.
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)
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 G (turned 65 January 1, 2020 and after) – No Rx
Healthmate Coast-to-Coast PPO
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
