Wayne Godare Chapter 13
Wayne Godare Chapter 13
Employee Benefit Programs
Documents and Resources
Moda Health Plan September 1, 2026 – August 31, 2027
Connexus Platinum 500 Benefit Summary
Connexus Platinum 500 Summary of Benefits and Coverage
Enrollment/Change Form
Provider Directory
Moda Member Dashboard
Small Group Prescription Formulary
MetLife Dental November 1, 2025 to October 31, 2026
Find a Dentist
Employee Online Account Access
PacificSource Flexible Spending Account
Summary Plan Description Medical
Summary Plan Description Transportation
Notices
ACA Exchange Model Notice
Medicare Creditable Pharmacy Disclosure
Eligibility
30 hours per week on a regularly scheduled basis
Coverage begins first of the month following 30 days of working the required amount of hours
Open Enrollment for the Medical plan is August 1 – August 31 annually
Open Enrollment for the Dental plan is October 1 – October 31 annually
Employer pays 100% for the medical and dental plan for employees, and 0% for dependents
Employee’s can enroll dependents with premium contributions
Premium Contribution Summary
Account Manager and Support Staff Contact Information
Contact Paris Laughlin – Agent
Contact Katie Hernandez – Account Manager
Contact Sarah Selix – Assistant