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Oregon Trial Lawyers Association
Oregon Trial Lawyers Association
Employee Benefit Programs
Documents and Resources January 2023-December 2023
Providence Health Plan
Total Enhanced 500 Benefit Summary
Advantage Access Dental Benefit Summary
Total Enhanced 500 Summary of Benefits and Coverage
Enrollment/Change Form
Provider directory
Pharmacy resources
About Providence
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ProvRN
Notices
ACA Exchange Model Notice
State Continuation Notice
Medicare Creditable Pharmacy Disclosure
Oregon Paid Family Medical Leave
Eligibility
30 hours per week on a regularly scheduled basis
Coverage begins first of the month following 30 days
Open enrollment is from December 1st through December 31st annual for January 1st start date
Employer pays 100% of the Providence Total Enhanced 500 health plan and the Providence Advantage Access Dental plan for employees only
Employees may enroll dependents on the plan with premium contributions
The Providence Total Enhanced 500 plan and Advantage Dental plan renew on January 1st each year
IRS Forms
Form W-4
Form I-9
Account Manager and Support Staff Contact Information
Contact Paris Laughlin - Agent
Contact Rachel Laughlin - Account Manager
Contact Sarah Selix - Assistant