Blue Cross & Blue Shield of Rhode Island Cover Letter
AccessBlue Qualification Documents
Confirmation number:XXXXX
Applicant name: APPLICANT NAME
Print a copy of this cover letter, and keep a copy for your reference:
What are the documents I need to submit to Blue Cross & Blue Shield of Rhode Island?
1. This cover letter, which includes your name and confirmation number
2. Federal Tax Form 1040, 1040A, or 1040EZ, including all schedules filed.
The Federal Income Tax Forms (1040, 1040A, 1040EZ) are the standard forms used to file annual income tax returns. They are also known as "U.S. individual income tax return" or "the long form."
The Federal Income Tax Forms (1040, 1040A, 1040EZ) are the standard forms used to file annual income tax returns. They are also known as "U.S. individual income tax return" or "the long form."
Where do I send the documents?
You have two options:
1. Mail the forms with this cover letter to:
Blue Cross & Blue Shield of Rhode Island
Attn: Client Operations Department
500 Exchange Street
Providence, RI 02903-2699
Attn: Client Operations Department
500 Exchange Street
Providence, RI 02903-2699
2. Fax the forms with this cover sheet letter to:
Blue Cross & Blue Shield of Rhode Island
Attn: Client Operations Department
Fax Number: (401) 459-5029
Attn: Client Operations Department
Fax Number: (401) 459-5029