Health, Dental Benefits, Life Insurance and Workers Compensation


Health, Dental, Life Insurance and Workers Compensation

Effective April 1, 2018

There are 4 types of changes taking place so there are four types of notices being distributed with this RX formulary update.

  1. Brand drugs with available generic equivalents being transitioned to non-coverage. Generic versions are still covered.
  2. Tier change notification for drugs moving to either a higher co-pay tier or lower co-pay on their assigned formulary
  3. Formulary exclusion for products with preferred alternative available. (Request for coverage will require medical necessity.)
  4. Prior Authorization designation for select drugs that will now require authorization for coverage.

A noteworthy change involves the transition from one manufacturer of insulin to another (the Lilly brand to the Novo Nordisk brand).

Blue Cross Blue Shield of RI.

Pharmacy Program Changes

Important Information Regarding HSA Contributions.

Effective March 5, 2018, the Family limit changed from $6900 to $6850. Please see IRS Alert here.


January 1, 2018

To access the HSA portal, please login through your Blue Cross account and click on YOUR HSA through the GRAY TAB and not through the new portal.

BCBSRI High Deductible Health Plan and Coinsurance Plan

HSA - High Deductible Health Plan

Coinsurance PPO Plan (you need to qualify for this plan

Delta Dental

Important Information

Contribution and Rate information

Blue Cross Blue Shield Q& A

HSAs - IRS, ACA and Medicare


Original Plans

  1. Blue Cross Blue Shield (BCBS) Application (PDF)
  2. Blue Cross Blue Shield (BCBS) Classic Benefit Summary - Certified And Non-Certified (PDF)
  3. Health Mate Coast-to-Coast (HMCC) Medical Benefit Summary- Certified And Non Certified (PDF)
  4. Health Mate Coast-to-Coast (HMCC) Medical Benefit Summary- Custodians (PDF)


Life Insurance

  1. Life Insurance Application
  2. Security Mutual Life Insurance - Certificate of Insurance
  3. Change of Beneficiary Form


Workers Compensation

Title 28-32 through Title 28-37

  1. Workers Compensation Act
  2. Employee First Report of Injury
  3. Investigation Report


If you have any questions, please feel free to call Rose at 401-398-1222 or email remilio@egsd.net .




111 Pierce Street

East Greenwich, RI 02818