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Nu Leaf
Nu Leaf
Employee Benefit Programs Documents, Forms, and Resources
September 2022 to August 2023 - Medical
January 2023 to December 2023 - Dental
September 2022 to August 2023 - Vision
Providence Health Plan
Standard Bronze Benefit Summary
Standard Silver Benefit Summary
Standard Bronze Summary of Benefits and Coverage
Standard Silver Summary of Benefits and Coverage
Providence Enrollment and Waiver Form
Find a Providence Provider
About Providence
Customer Service
MyProvidence
MyChart
LifeBalance
Virtual Care
How to use your benefits
ProvRN
Employee Assistance Program
Companion Life Dental
Enrollment Form
Benefit Summary
UnitedHealthcare Vision
Vision Enrollment Form
How To Use Your Vision Benefits
Notices
ACA Exchange Model notice
Medicare Part D Notice - Providence Standard Bronze
Medicare Part D Notice - Providence 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
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