Helpful forms

Choosing your plan (if you’re not a BCBSRI member yet)

Your employer offers a variety of plans for you to choose from. Speak with your human resources department for more information on which plan is right for you.

Making changes (if you already have a BCBSRI plan)

Some changes require a qualifying event before the change can be made. Speak with your Human Resources department for more information.

Add other health insurance

Do you or anyone else covered by your Blue Cross health plan have another health plan? If so, we can help you make the most of your benefits—and possibly save you money! Simply complete this form and mail to:

A/C: OCL Department (A) - 00119
Blue Cross & Blue Shield of Rhode Island
500 Exchange Street
Providence, RI 02903-2699

Other forms you might need

  • Confidential Communication Form
  • International Claim Form
    Claim form used when services are rendered outside of United States.
  • Member Reimbursement Donor Egg and Sperm
    Complete and submit this form to request reimbursement.
  • Member Reimbursement Oral Enteral Food Products Form
    Complete and submit this form to request reimbursement.
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