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Silverton Eye Care
Silverton Eye Care, LLC
Employee Documents and Resources
August 1, 2022 to July 31, 2023
Providence Health Plan
Balance 1500 Gold Benefit Summary
Total Enhanced 500 Platinum Benefit Summary
Balance 1500 Gold Summary of Benefits and Coverag
e
Total Enhanced 500 Platinum Summary of Benefits and Coverage
Essential Dental Benefit Summary
Enrollment and Waiver Form
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Notices
Medicare creditable pharmacy disclosure Balance 1500
Medicare creditable pharmacy disclosure Total Enhanced 500
A
CA Exchange Model Notice Silverton Eye Care
ERISA Wrap-Document coming soon
Cafeteria Plan Document coming soon
Premium Contributions
Eligibility Requirements and Contribution Information