Connecticut State Retirees Medical, Dental and Miscellaneous Benefits Information

This page was last updated on: May 11, 2012

Healthcare Policy and Benefit Services Division

Thomas C. Woodruff, Ph.D., Director
Office of the State Comptroller
55 Elm Street
Hartford, Connecticut 06106
PHONE: 860-702-3481

Diane Ruggia, Executive Assistant
PHONE: 860-702-3483

2012-2013 Open Enrollment NEW!

Flu Vaccination Program

• Basic Dental Plan - Provider Listing  (PDF)- Updated November 9, 2006
• Basic Dental Plan -Provider Listing (HTML) - Updated November 9, 2006
• Coverage Exception Request  - Form (PDF)    (Word)    (November 2009)
• Retiree Prescription Benefit Q & A   (October 1, 2009)
• Performance Drug List (January 2012 - PDF)
• Maintenance Drug List (January 2011 - PDF)
• Maintenance Drug Network List (October 14, 2011 - PDF)
• Supplemental Benefits Program for Employees and Retirees
• HEALTH ENHANCEMENT PROGRAM -Track Your Progress
• State of Connecticut Coverage Exception Request Form SilverScript (January 2012 - PDF)
• Emergency Room Copayment Waiver Request  - Form  (Word)  (March 2012)

Additional links:

• United Dental Plan Website: www.yourdentalplan.com/enrollment

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