For Enrollment forms and plan outlines please call us at 1-800-462-1910

To Receive a dental quote, please print and
complete out the Census Form and fax to 401-828-7802

All quote information will be mailed or emailed directly to you once rate information is available.

Groups with 1 or 2 employees: Premier Blue Option 2 is available.

Blue Cross also offers a very limited dental add on to health coverage called Essential Dental Premier Blue Option 1

Groups with 3 or more employees are eligible for Both Blue Cross Dental and Delta Dental plans

If you decide to enroll in Blue Cross Dental, the following must be returned to GNAC no later than the 25th of the month, for coverage to be effective the 1st of the following month:

  • Sales Agreement
  • One month's premium for medical and dental (if applicable) payable to:
    THE GOOD NEIGHBOR ALLIANCE CORPORATION or GNAC.

If you already have Blue Cross Health and are adding Dental, you will need to complete and return an Amendment to Sales Agreement form along with 1 month's premium for the dental.

*** Groups with businesses in Massachusetts are eligible for Mass Altus Dental

Please call our office if you have any questions
401-828-7800.