Silverton Eye Care, LLC
Silverton Eye Care, LLC
Employee Benefit Programs
Documents and Resources August 1, 2025 – July 31, 2026
Providence Health Plans
Balance 1500 Gold Benefit Summary
Balance 1500 Gold Summary of Benefits and Coverage
Total Enhanced 500 Platinum Benefit Summary
Total Enhanced 500 Summary of Benefits and Coverage
Enrollment/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
ACA Exchange Model Notice
Medicare Creditable Pharmacy Disclosure Balance 1500 Gold
Medicare Creditable Pharmacy Disclosure Total Enhanced 500 Platinum
State Continuation Notice
Eligibility and Contribution
25 hours per week on a regularly scheduled basis
Coverage begins on the 91st day
Open enrollment is from July 1 through July 31 for an August 1 start date
Employer pays 80% for employee only on the Providence Balance 1500 Gold Plan
Dependents are not eligible for the group plan
Premium Contribution Reference Sheet
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