To start the recertification process, please click “Renewal Certification Form” below and enter data for all appropriate fields on the renewal form. This form must be completed and returned to Blue Cross & Blue Shield of Rhode Island with your supporting payroll tax documentation and waivers.
This information can be faxed to Small Group Underwriting - Recertification Unit at (401) 459-5445, or mailed to:
Blue Cross & Blue Shield of Rhode Island
Small Group Underwriting Recertification Unit
500 Exchange Street
Providence, RI 02903