Active Employee Benefits - City and School
Enrollment Forms
1. Blue Cross Blue Shield of Rhode Island
2. Delta Dental
Medical benefits are 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
Dental benefits are provided by Delta Dental of RI.
Billing - (401) 752-6200
Enrollment - (401) 752-6234
Customer Service - (401) 752-6100
Website: www.deltadentalri.com
Prescription benefits for Local 1033 members are provided by MaxorPlus.
Customer Service: 1-800-687-0707
Website: www.maxorplus.com
Prescription benefits are provided by CVS Caremark.
Customer Service: 1-888-790-8070
Website: www.caremark.com
Benefit Summaries
1. BCBS (pdf3-pdf16) * coming soon..
2. Delta Dental (pdf17-pdf32) * coming soon..
Open Enrollment
City - First two weeks in June for effective date of July 1st
School - First two weeks of September for effective date of October 1st
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 proper documentation.
Qualifying Events include: Marriage/Birth/Adoption/Loss of coverage
Documentation: Marriage license/Birth certificate/Adoption papers/ HIPAA letter
ING - Savings Account - Local 1033 members only
Contact Diane- (401) 421-7740 x. 239
Vision Benefits
Police/Fire/Non-Union - Blue Cross Blue Shield of RI
VISION EYEWARE PROGRAM:
Prescription glasses (lenses and or frames) or contact lenses are covered up to a maximum of $100 per -calendar year. Member needs to pay the full charge whether using a participating or non-participating provider.
Member files claim to BCBSRI.
Calendar year Jan 1 through Dec 31
One annual routine eye exam per calendar year with copayment covered under medical policy
Local 1033 Members - Davis Vision
Reimbursement form
Reimbursement up to $100 every two years.