United Fab Solutions
United Fab Solutions
Employee Benefit Programs
Documents and Resources
June 1, 2025 to May 30, 2026
Providence Health Plan
Balance 2500 Benefit Summary
Balance 2500 Summary of Benefits and Coverage
Balance 4000 Benefit Summary
Balance 4000 Summary of Benefits and Coverage
Advantage Access Dental
Enrollment/Change Form
Provider directory
About Providence
Customer Service
MyProvidence
MyChart
LifeBalance
Virtual Care
How to use your benefits
ProvRN
Notices
ACA Exchange Model Notice
Medicare Creditable Pharmacy Disclosure
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 May 1 through May 31 for a June 1 start date
Employer pays 50% for employee only on the Providence Balance 4000 plan, employees can buy up to Balance 2500
Employer pays 50% for employee only on Providence Advantage Access Dental plan
Employees may enroll dependents on the plan with premium contributions
The Providence Standard Silver plan renews on December 1st each year
Premium Contribution Summary June 1, 2025 – May 31, 2026
Account Manager and Support Staff Contact Information
Contact Stuart Ouellette – Agent
Contact Katie Hernandez – Account Manager
Contact Sarah Selix – Assistant
