Human Resources - Employee Benefits
State of RI Employee Benefits
Health forms for employees with dependents under the age of 26.
Health forms for employees with dependents under the age of 26.
Change of Address Form
54 KB pdf file
RIPTA’s Employee Suggestion Program Introduction
228 KB pdf file
RIPTA’s Employee Suggestion Program
123 KB pdf file
Emplyee Information Update Form
58 KB pdf file
Plan C - RIPTA United Plan 65
11 KB pdf file
2009 Early Retiree Summary
49 KB pdf file
2009 Early Retiree Value Benefit Summary
418 KB pdf file
Medicare Plans 65
120 KB pdf file
Delta Dental 3 & 9
84 KB pdf file
Delta Dental Level 4 & 10
85 KB pdf file
Open Enrollment 2011/2012 Active Employees
50 KB pdf file
VSP Well Vision 09
12 KB pdf file
Beneficiary Form
105 KB pdf file
Enrollment Form for Life Insurance
83 KB pdf file
Disablility Certificate Form
81 KB pdf file
FW-4
100 KB pdf file
Employee FMLA
623 KB pdf file
Family Memeber's FMLA
589 KB pdf file
Health Enrollment Form 2009
80 KB pdf file
Direct Deposit Authorization Form
89 KB pdf file











