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H and D Soli, Inc
H & D Soli, Inc.
Employee Benefit Programs
Documents and Resources 2023
Providence Health Plan
Balance 8000 Benefit Summary
Balance 8000 Summary of Benefits and Coverage
Balance 2500 Benefit Summary
Balance 2500 Summary of Benefits and Coverage
Total Enhanced Platinum 250 Benefit Summary
Total Enhanced Platinum 250 Summary of Benefits and Coverage
Enrollment/Change Form
Provider directory
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MyChart
LifeBalance
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ProvRN
Employee Assistance Program
Notices
ACA Exchange Model Notice
Medicare Creditable Pharmacy Disclosure
Balance 2500
Medicare Creditable Pharmacy Disclosure Total Enhanced 250 Platinum
Medicare Non-Creditable Pharmacy Disclosure Balance 8000 Bronze
Oregon Paid Leave Program
Paid Leave Model Notice-Poster
Eligibility
35 hours per week on a regularly scheduled basis
Coverage begins first of the month following 60 days
Open enrollment is from Nov 1 through Nov 15 annual for Dec 1 start date
Employer pays 100% for managers, 75% non-managers
Dependents are ineligible for the plan
Premium Contributions
Premium Reference Sheet
Account Manager and Support Contact Information
Stuart Ouellette - Agent
Katie Ostgarden - Account Manager
Sarah Selix - Office Assistant