Joseph J Safirstein, DDS PC
Joseph J Safirstein DDS PC
Employee Benefit Programs
Documents and Resources January 2025 – December 2025
Providence Health Plan
Standard Bronze Benefit Summary
Standard Bronze Summary of Benefits and Coverage
Total Enhanced 2500 Benefit Summary
Total Enhanced 2500 Summary of Benefits and Coverage
Enrollment or Change Form
Provider directory
Pharmacy resources
About Providence
Customer Service
MyProvidence
MyChart
LifeBalance
Virtual Care
How to use your benefits
ProvRN
Employee Assistance Program
Notices
Medicare Creditable Pharmacy Disclosure
Medicare Non-Creditable Pharmacy Disclosure
Primary Care Provider Model Disclosure
Notice of Rights Under The Women’s Health and Cancer Rights Act (WHCRA)
HIPAA Special Enrollment Rights Notice
Premium Assistance under Medicaid and the Children’s Health Insurance Program (CHIP)
Notice Regarding Patient Protections Against Surprise Billing
Paid Leave Model Notice-Poster
Eligibility and Contribution
32 hours per week on a regularly scheduled basis
Coverage begins first of the month following 60 days of working the required amount of hours
Open enrollment is from Dec 1 through Dec 31 annual for Jan 1 start date
Employees may enroll dependents on the plan with premium contributions
Premium Contribution Summary January 2025 – December 2025
Account Manager and Support Staff Contact Information
Contact Paris Laughlin – Agent
Contact Katie Ostgarden – Account Manager
Contact Sarah Selix – Assistant