Heart Coffee Roasters

Heart Coffee Roasters
Employee Benefit Programs
Documents and Resources
January 1, 2026 to December 31, 2026

Regence
Standard Bronze Plan Preferred Benefit Summary
Standard Bronze Plan Preferred Summary of Benefits and Coverage
Standard Silver Plan Benefit Summary
Standard Silver Plan Preferred Summary of Benefits and Coverage
Gold 1500 Preferred Benefit Summary
Gold 1500 Preferred Summary of Benefits and Coverage
Vision Summary 
Dental PPO 1500 Benefit Summary
Enrollment or Change Form
Waiver form
Provider directory
Pharmacy resources
About Regence
Customer Service

Allegiance FSA
FSA Enrollment Form
FSA SPD
FSA Eligible Expenses 

Notices
ACA Exchange Model Notice
Medicare Creditable Pharmacy Disclosure 
ERISA WRAP SPD
NGF Standard Notice 
Women’s Health and Cancer Right Act (WHCRA) Notice
Children’s Health Insurance Program Reauthorization Act (CHIP) Notice
Model Disclosure Notice Regarding Patient Protections Against Surprise Billing
Patient Protection Provider Choice Model Notice
COBRA General Model Notice

Eligibility and Contribution
18 hours per week on a regularly scheduled basis
Coverage begins first of the month following 60 days
Open enrollment is from Dec 1 through Dec 15 annual for Jan 1 start date
Premium Contribution Summary January 1, 2026 – December 31, 2026

Contacts
Paris Laughlin, Agent
Katie Hernandez, Account Manager
Sarah Selix, Assistant