Blue Cross Blue Shield of RI

Plans and forms



Health Insurance

United Healthcare
of NE Infomation

Tufts Health Plans

RI Tufts Plans Summaries

Dental Insurance

Sterling Health Savings Accounts

Life Insurance

Disability Insurance

Section 125 Plans

Workers' Compensation Insurance

Home

Email GNAC

Small Group Summary of Benefits

Choosing your plan & Dual Options

Guidelines for Groups Applying for Blue Cross Blue Shield of RI

Downloadable Forms

Census Form to obtain rates

Membership Application

Waiver of Coverage

Blue Cross Sales Agreement

GNA New Business Underwriting Checklist

Supporting Tax Documentation

Definitions of Eligible Employee & Small Employer

Broker Of Record Letter

Affidavit For Owner/Employee Not on Payroll
Group Activity Report- additions, cancellations and changes
(print, fill out, and fax to 401-828-7802)

Blue Cross Renewal Certification

Blue Cross Class Verification and MSP Form

Blue Cross Amendment to Sales Agreement

BlueChip for Healthy Options

Frequently Asked questions RE: Dependent Student Coverage