Insurance & Benefits


Kathy Famiglietti
Insurance & Benefits Coordinator

Middletown Public Schools
311 Hunting Hill Avenue
Middletown, CT 06457

Phone: 860-638-1409
Fax: 860-638-1457

[email protected]

Connecticut Partnership Plan 2.0 - Administrators, Teachers & Paraprofessionals (Effective 10/1/2020):

Anthem/Blue Cross/Blue Shield --- State Bluecare POS (Medical):

Quality medical coverage with you in mind - Brochure

SBC State Partnership Plan (Effective 7/1/2021 to 6/30/2022)

Anthem Registration (mobile app)

Anthem Provider Lookup

Anthem Discounts and Special Offers 

State of CT Partnership Plan Summary of Benefits (Anthem)

State of CT Care Compass - Anthem, CVS Caremark, and Cigna Dental Mobile Apps

State of CT Upswing Health - Non Emergency Orthopedic Tool

State of Connecticut Partnership Plan - Add/Terminate/Change Form

Health Enhancement Program (HEP):

HEP Physician Notification Form (PNF) 2020

HEP Frequently Asked Questions - 2020

CVS Caremark (Pharmacy):

Cigna Dental 

Cigna Dental PPO - Administrators

Cigna Dental PPO - Teachers and Paraprofessionals

State of Connecticut Cigna Dental Care DHMO Patient Charge Schedule eff 5/1/2019
(Administrators, Teachers and Paraprofessionals Only)

Cigna Dental Directory (find a dentist)

Lincoln Term Life Insurance:

Beneficiary Designation Form

Student/Sports Accident Insurance:

Bollinger Student Voluntary Insurance Claim Form and Instructions 2020-2021

Bollinger Student/Athletic Insurance Claim Form and Instructions 2020-2021 (Accident Excess)

Student Accident & Injury Report

Student ATHLETE Accident & Injury Report for Coaches and Trainers 

Worker's Compensation (CIRMA) Information (Click on this link for more information and forms)

Revised Notice of Privacy (Click on this link)

Affordable Care Act Information

Federal Health Insurance Marketplace or "Exchange" Notice

Other Plan Information and Notices

General Cobra Continuation Election Notice

Creditable Coverage Letter 2020 State Partnership Plan