Employer portal
Everything you need to manage your organization’s plan in one easy-to-use interface.
Important note
Your 2026 plan benefits information remains available here for your reference. For information about Providence Health Plan wind down please reference here.
Providence Health Plan coverage transition
What you need to know
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What to expect: Eligibility, billing, employer portal access, and more
Learn more about final eligibility updates, premium billing and payments, employer portal access, and resources after your Providence Health Plan group coverage ends (For groups terming on 12/31/26).
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Important: myProvidence insurance information and documents
Employees should download and save all insurance documents for themselves and any dependents from their myProvidence account.
- After coverage terms:
- Dependent information and documents will no longer be available in myProvidence.
- New dependent claims received after the coverage term date will not be posted to myProvidence. Explanation of Benefits (EOB) will be mailed instead.
- Secure messaging and chat will no longer be available.
- Pharmacy claims will only be available for one month after the term date (For example, if coverage terms 12/31/26, pharmacy claims will be available through 1/31/27).
- Subscriber information and documents will remain available to view in myProvidence indefinitely.
- New subscriber claims received after the coverage term date will continue to be posted to myProvidence for six months (For example, if coverage terms 12/31/26, new claims will continue to be posted to myProvidence through 6/30/27.)
- After six months, new subscriber claims will no longer be posted to myProvidence. EOBs will be mailed instead.
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2026 benefit information, forms, and plan documents
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Information about Providence providers and care in 2027
Employees can visit the Oregon Open Enrollment page to:
- Find answers to common questions.
- Determine whether their 2027 health plan includes access to Providence providers and care.
Visit Providence.org/services/providence-medical-group-oregon. -
Need assistance?
Employees can contact Providence Health Plan Customer Service at 503-574-7500 or 800-878-4445 (TTY: 711), Monday through Friday, 8 a.m. to 5 p.m. Pacific Time.
Running a business can be hard. Managing your plan doesn't have to be.
The Employer Resource Hub is your one-stop resource for plan information, benefits management, and online payment of an invoice.
Tools and resources to manage your plan
From guides and toolkits to forms and documents - everything you need can be found here.
Pay your premium with eBill
Manage payments and receive notifications via web, phone, or text with eBill.
Find providers and pharmacies
Our online directory makes searching for in-network providers and pharmacies an easy task.
Additional resources
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Register for an employer portal account
To help manage your group health benefits program, use the resources in our secure online portal. After your initial group enrollment, use this online tool to:
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Manage new enrollments
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Manage open enrollment changes
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Access additional enrollment tool features
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Review and pay your bill
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Learn how to enroll and navigate electronic payments
There are several ways to make payments.
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Pay using our electronic payment system
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Log in to your Employer Portal
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Additional options include mail and wire transfer
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Manage enrollment
Review eligibility, enroll new members, terminate coverage, and more.
Learn more
To learn more about special enrollment periods:
Special Enrollment Periods -
Access plan summaries
2026 Benefit Summaries for small businesses (1 to 50)
Select a plan type below to view the available plans. Each plan includes two documents: a Benefit Summary and a Summary of Benefits and Coverage (SBC). The Benefit Summary provides the clearest overview of what the plan covers and what you can expect to pay. The SBC is the federally required version, most often used for side-by-side comparison.
All plans are SHOP qualified (all plans available direct and via the marketplace)
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Total Enhanced plans
With the most robust level of coverage, Total Enhanced plans offer employees best-in-class benefits with full access to the Providence Signature Network for the ultimate flexibility.
2026 Total Enhanced plans
- Total Enhanced 250 Platinum: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 500 Platinum: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 750 Platinum: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 1000 Platinum: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 2000 Gold: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 3000 Gold: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 4000 Gold: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 6000 Gold: Benefit Summary (PDF) | SBC (PDF)
2026 Total Enhanced plans – Spanish
- Total Enhanced 250 Platinum: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 500 Platinum: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 750 Platinum: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 1000 Platinum: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 2000 Gold: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 3000 Gold: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 4000 Gold: Benefit Summary (PDF) | SBC (PDF)
- Total Enhanced 6000 Gold: Benefit Summary (PDF) | SBC (PDF)
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Balance plans
Our Balance plans offer a harmonious mix of cost-saving features and coverage for the services your employees use the most.
2026 Balance plans
- Balance 1500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Balance 2500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Balance 4000 Gold: Benefit Summary (PDF) | SBC (PDF)
- Balance 5500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Balance 7500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Balance 9000 Bronze: Benefit Summary (PDF) | SBC (PDF)
2026 Balance plans – Spanish
- Balance 1500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Balance 2500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Balance 4000 Gold: Benefit Summary (PDF) | SBC (PDF)
- Balance 5500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Balance 7500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Balance 9000 Bronze: Benefit Summary (PDF) | SBC (PDF)
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HSA Qualified plans
These lower-premium, high deductible plans combine health coverage with the ability to save pre-tax dollars to pay for future health care expenses.
2026 HSA Qualified plans
- HSA Qualified 1700 Gold: Benefit Summary (PDF) | SBC (PDF)
- HSA Qualified 2500 Silver: Benefit Summary (PDF) | SBC (PDF)
- HSA-E Qualified 3500 Silver: Benefit Summary (PDF) | SBC (PDF)
- HSA-E Qualified 5500 Bronze: Benefit Summary (PDF) | SBC (PDF)
- HSA-E Qualified 7500 Bronze: Benefit Summary (PDF) | SBC (PDF)
2026 HSA Qualified plans – Spanish
- HSA Qualified 1700 Gold: Benefit Summary (PDF) | SBC (PDF)
- HSA Qualified 2500 Silver: Benefit Summary (PDF) | SBC (PDF)
- HSA-E Qualified 3500 Silver: Benefit Summary (PDF) | SBC (PDF)
- HSA-E Qualified 5500 Bronze: Benefit Summary (PDF) | SBC (PDF)
- HSA-E Qualified 7500 Bronze: Benefit Summary (PDF) | SBC (PDF)
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Connect plans
Using a member-selected medical home, Connect plans provide a collaborative and flexible approach to meet a wide range of health and wellness needs for members in the Portland metropolitan area.
2026 Connect plans
- Connect 1500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Connect 2500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Connect 5500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Connect 7500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Connect 10000 Bronze: Benefit Summary (PDF) | SBC (PDF)
2026 Connect plans – Spanish
- Connect 1500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Connect 2500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Connect 5500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Connect 7500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Connect 10000 Bronze: Benefit Summary (PDF) | SBC (PDF)
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Standard plans
Defined by the state of Oregon, Standard plans can be purchased through SHOP or in the private market.
2026 Standard plans
- Providence Oregon Standard Gold: Benefit Summary (PDF) | SBC (PDF)
- Providence Oregon Standard Silver: Benefit Summary (PDF) | SBC (PDF)
- Providence Oregon Standard Bronze: Benefit Summary (PDF) | SBC (PDF)
2026 Standard plans – Spanish
- Providence Oregon Standard Gold: Benefit Summary (PDF) | SBC (PDF)
- Providence Oregon Standard Silver: Benefit Summary (PDF) | SBC (PDF)
- Providence Oregon Standard Bronze: Benefit Summary (PDF) | SBC (PDF)
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Choice plans
Choice plans use a patient-centered medical home model of care to keep your employees healthy.
2026 Choice plans
- Choice 1500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Choice 2500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Choice 5500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Choice 7500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Choice 10000 Bronze: Benefit Summary (PDF) | SBC (PDF)
2026 Choice plans – Spanish
- Choice 1500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Choice 2500 Gold: Benefit Summary (PDF) | SBC (PDF)
- Choice 5500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Choice 7500 Silver: Benefit Summary (PDF) | SBC (PDF)
- Choice 10000 Bronze: Benefit Summary (PDF) | SBC (PDF)
For businesses with 51+ employees
We create unique benefit packages to meet the specific needs of each of our large group employers and their employees. Please contact your producer or account manager for more details.
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Get toolkits, guides, and overviews
Find everything you need to manage your plan, find information, and understand the benefits available to you and your workforce.
Small Group (1-50)
2026 Small Group Producer Toolkit
Large Group (51+)
2026 Large Group Producer Toolkit
Association Health Plans
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Access forms & documents
Find all the forms and documents needed to manage your plan.
Small Group (1-50)
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Enrollment, change of status, & waiver of coverage forms
Oregon Small Group enrollment forms
2026
- 2026 Total Enhanced, Balance, Standard, HSA, or HSA Qualified plans (PDF)
- 2026 Connect or Choice plans (PDF)
- 2026 Total Enhanced, Balance, Standard, HSA, or HSA Qualified plans – Spanish (PDF)
- 2026 Connect or Choice plans – Spanish (PDF)
Other Oregon Small Group forms
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Additional forms
- Out-of-area dependent enrollment (PDF)
- Transition of care (PDF)
- Other member forms and notices
- Medical home selection form (PDF)
- Medical home selection form - Spanish (PDF)
- Enrollment spreadsheet (ZIP)
- Employer reconciliation worksheet (PDF)
- HealthEquity standard new business form
- Implementation checklist - HRA (PDF)
- Implementation checklist - HSA (PDF)
- Implementation checklist - FSA (PDF)
Vision claim form
- VSP reimbursement form (PDF)
(Use when services are rendered by a non-VSP provider) - Vision claim form (PDF)
(Use if you have a Vision $200, Vision $300 or Vision $400 plan administered by Providence Health Plan)
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Continuation of coverage forms
Termed members may be eligible for continued coverage. The following resources will help administrators determine continuation of coverage eligibility and steps to take to continue coverage.
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Health information disclosure forms
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Group size questionnaire
The group size questionnaire is used to determine if Medicare pays primary or secondary to your group health plan coverage. It is also used to determine continuation of coverage.
Large Group (51+)
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Enrollment, change of status, & waiver of coverage forms
Oregon Large Group enrollment forms
2026
- 2026 Choice, Connect or HSA Connect plans (PDF)
- 2026 Choice, Connect, or HSA Connect plans (Spanish) (PDF)
- 2026 Option Advantage Base, Option Advantage Plus, Option Advantage Premium, Personal Option or Integrated HSA plans (PDF)
- 2026 Option Advantage Base, Option Advantage Plus, Option Advantage Premium, Personal Option or Integrated HSA plans (Spanish) (PDF)
Washington enrollment forms
2026
- 2026 Choice plans (PDF)
- 2026 Choice plans – Spanish (PDF)
- 2026 Option Advantage Base, Option Advantage Plus, Option Advantage Premium, Personal Option or Integrated HSA plans (PDF)
- 2026 Option Advantage Base, Option Advantage Plus, Option Advantage Premium, Personal Option or Integrated HSA plans – Spanish (PDF)
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Additional forms
- Out-of-area dependent enrollment (PDF)
- Transition of care (PDF)
- Other member forms and notices
- Medical home selection form (PDF)
- Medical home selection form - Spanish (PDF)
- Enrollment spreadsheet (ZIP)
- Employer reconciliation worksheet (PDF)
- Implementation checklist - HRA (PDF)
Vision claim form
- VSP reimbursement form (PDF)
(Use when services are rendered by a non-VSP provider) - Vision claim form (PDF)
(Use if you have a Vision $200, Vision $300 or Vision $400 plan administered by Providence Health Plan)
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Continuation of coverage forms
Termed members may be eligible for continued coverage. The following resources will help administrators determine continuation of coverage eligibility and steps to take to continue coverage.
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Health information disclosure forms
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Group size questionnaire
The group size questionnaire is used to determine if Medicare pays primary or secondary to your group health plan coverage. It is also used to determine continuation of coverage.
Association Health Plans
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Enrollment, change of status, & waiver of coverage forms
Oregon Large Group enrollment forms
2026
- 2026 Choice, Connect or HSA Connect plans (PDF)
- 2026 Choice, Connect, or HSA Connect plans (Spanish) (PDF)
- 2026 Option Advantage Base, Option Advantage Plus, Option Advantage Premium, Personal Option or Integrated HSA plans (PDF)
- 2026 Option Advantage Base, Option Advantage Plus, Option Advantage Premium, Personal Option or Integrated HSA plans (Spanish) (PDF)
Washington enrollment forms
2026
- 2026 Choice plans (PDF)
- 2026 Choice plans – Spanish (PDF)
- 2026 Option Advantage Base, Option Advantage Plus, Option Advantage Premium, Personal Option or Integrated HSA plans (PDF)
- 2026 Option Advantage Base, Option Advantage Plus, Option Advantage Premium, Personal Option or Integrated HSA plans – Spanish (PDF)
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Additional forms
- Out-of-area dependent enrollment (PDF)
- Transition of care (PDF)
- Other member forms and notices
- Medical home selection form (PDF)
- Medical home selection form - Spanish (PDF)
- Enrollment spreadsheet (ZIP)
- Employer reconciliation worksheet (PDF)
- Implementation checklist - HRA (PDF)
Vision claim form
- VSP reimbursement form (PDF)
(Use when services are rendered by a non-VSP provider) - Vision claim form (PDF)
(Use if you have a Vision $200, Vision $300 or Vision $400 plan administered by Providence Health Plan)
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Continuation of coverage forms
Termed members may be eligible for continued coverage. The following resources will help administrators determine continuation of coverage eligibility and steps to take to continue coverage.
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Health information disclosure forms
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Group size questionnaire
The group size questionnaire is used to determine if Medicare pays primary or secondary to your group health plan coverage. It is also used to determine continuation of coverage.
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Find providers and pharmacies
Our online directory makes searching for in-network providers and pharmacies an easy task.
Explore the provider and pharmacy directory -
Estimate treatment costs
Providence Health Plan’s online treatment cost calculator will help assess the estimated costs of treatment.
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Access webinars
Access live sessions and on-demand content from leading professionals in behavioral health, pharmacy, and care management. Gain practical insights to help you stay informed and make better decisions.
Browse webinars
Contact Us
Questions? We're here.
Sometimes connecting with a real person is the shortest path to a solution. Our team is here for you, ready to help with any questions.