Mayfair Farm, LLC
Mayfair Farm, LLC
Employee Benefit Programs
Documents and Resources
August 1, 2025 to July 31, 2026
Providence Health Plan
Total Enhanced 250 Platinum Benefit Summary
Total Enhanced 250 Platinum Summary of Benefits and Coverage
Enrollment/Change Form
Provider directory
About Providence
Customer Service
MyProvidence
MyChart
LifeBalance
Virtual Care
How to use your benefits
ProvRN
Notices
ERISA Wrap Document
Medicare Creditable Pharmacy Disclosure
ACA Exchange Model Notice
Eligibility and Contribution
40 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 July 1 through July 31 for a July 1st start date annually
Employer pays 100% for employees and dependents on the Providence Total Enhanced 250 Platinum plan
Account Manager and Support Staff Contact Information
Contact Paris Laughlin – Agent
Contact Katie Hernandez – Account Manager
Contact Sarah Selix – Assistant