Active Employee Benefits - City and School

MEDICAL BENEFITS

Provided by Blue Cross Blue Shield of Rhode Island

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