The State of Rhode Island’s medical plan is administered by UnitedHealthcare (UHC). Coverage for eligible employees who elect to participate in the medical plan is effective on the first day of state employment. Medical elections and changes can only occur at the time of hire or during the annual open enrollment period unless a status change occurs during the year.

For a brief summary of the coverage, see the SORI Medical Summary. Complete descriptions regarding the terms of coverage, including exclusions and limitations, are provided in the Summary Plan Description.

To find a participating doctor or hospital or to check on the status of a claim, go to myuhc.com or call the toll-free customer service number on the back of your UHC ID card: 866-202-0434.

In-network providers will file your claims directly with UHC while out-of-network medical claims will need to be submitted on the UHC Out-of-Network Claim Form. To obtain reimbursement for out-of-network pharmacy claims, the Medco Rx Claim Form should be completed and submitted as instructed on the form. 

Medical Waiver

Employees may elect to waive the state medical coverage if they have other coverage by completing the Waiver of Coverage Form. Waiver elections and changes can only occur at the time of hire or during the annual open enrollment period unless a status change occurs during the year. The annual waiver checks issued in early December of each year will be pro-rated at an accrual rate of $77 per biweekly pay period, up to the $2002 maximum per year.