Resources

Documents

Health Fund

• Summary Plan Description [Coming Soon]
• BCBSRI Benefit Booklet Construction 3-2023
• BCBSRI Benefit Booklet Non-Construction 3-2023
• BCBSRI Summary of Benefits and Coverage: Construction 2024
• BCBSRI Summary of Benefits and Coverage: Non-Construction 2024
• BCBSRI Summary of Benefits and Coverage: Twin River Casino Dealers 2024
• BCBSRI Dental Booklet
• BCBSRI COVID-19 Home Tests Coverage Process
• Davis Vision Summary
• Fit for Duty Incentive Program
• Health Fund Privacy Notice
• Use and Disclosure of Protected Health Information
• Sick Leave Summary of Material Modifications

Member Assistance Program

• Spring Health Overview
• Spring Health FAQs
• Spring Health Critical Incident Response

Pension Fund

• Pension Rate Chart
• Summary Plan Description
• Jan. 1, 2020 204(h) Notice
• First Amendment to the RI Laborers’ Pension Fund Effective Jan. 1, 2015
• Second Amendment to the RI Laborers’ Pension Fund Effective Jan. 1, 2015
• Pension Plan Document
• 2021 Pension Accrual Increase

Annuity Fund

• Summary Plan Description

Higher Education Programs

• Affordable College Degree Program Brochure
• Free College Benefit Brochure

Forms and Notices

Health Fund

• Health and Pension Enrollment Form
• Use and Disclosure of Protected Health Information
• Health Fund Privacy Notice
• Sick Leave Application
• Sick Leave Form W-4

Pension Fund

• Health and Pension Enrollment Form
• Pension Application

Annuity Fund

• Annuity Fund Application (“Request for Termination Benefits”)
• Health and Pension Enrollment Form

No Surprises Act / Transparency Rule

• No Surprises Act Model Notice
• Blue Cross & Blue Shield of Rhode Island Medical Plan Provider Directory
• Blue Cross & Blue Shield of Rhode Island Prescription Drug Plan Provider Directory
• Machine-Readable Files for In-Network Rates and Out-of-Network Allowable Charges
• Blue Cross Dental Plan Provider Directory
• Davis Vision Plan Provider Directory