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Lemond C Hunter
Lemond C Hunter
Employee Benefit Programs
Documents and Resources July 2023 to June 2024
Providence Health Plan
Standard Bronze Benefit Summary
Standard Bronze Summary of Benefits and Coverage
Standard Silver Benefit Summary
Standard Silver Summary of Benefits and Coverage
Enrollment/Change Form
Provider directory
Pharmacy resources
About Providence
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MyProvidence
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LifeBalance
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ProvRN
Employee Assistance Program
Notices
ACA Exchange Model Notice
Medicare Non-Creditable Pharmacy Disclosure - Standard Bronze
Medicare Creditable Pharmacy Disclosure
- Standard Silver
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
30 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 June 1 - June 30 for a July 1 start date annually
Employer pays 50% for employee only on the Providence Standard Bronze Plan
Employees can enroll on the Providence Standard Silver with extra premium contributions
Employees may enroll dependents on the plan with premium contributions
Premium Contribution Summary
IRS Forms
I-9
W-4
Account Manager and Support Staff Contact Information
Contact Paris Laughlin - Agent
Contact Katie Ostgarden - Account Manager
Contact Sarah Selix - Assistant