Manage enrollment

Welcome to Providence Health Plan, we're here to help.

Providence provides an employer portal so group administrators can easily manage their health benefits program. Within this tool, you can review eligibility, billing details, make payments, enroll new members, terminate coverage, and more.

If you have any questions or need assistance, please let us know.

Enrollment

You can manage enrollment two ways: 

• Online:
  Use the Providence Employer Portal to update group enrollment information.
• Paper:
  If you prefer, paper enrollment forms are available to update group enrollment information. Completed forms can be submitted via email, fax or US Mail to your group services team. Please include group name and/or number on all forms. For timely processing make sure the forms are legible and filled out completely.

Please send this eligibility adjustment worksheet (PDF) with any eligibility changes.

Add a New Employee

Log into your secure Providence Health Plan Employer Portal account. In the left navigation, select the “Add an employee” link. After the initial enrollment, the new enrollment tools allow users to manage all of the company’s new enrollment needs:

• Add a subscriber including name, date of birth, gender, marital status, and contact information.
• View and select medical plan options from pre-populated medical plan choices. Only the medical plans available for that subscriber will be active.
• Enter dependent information including name, date of birth, relationship to subscriber, and other personal information. 
• View and review the summary of enrollment choices to confirm selections.

Open Enrollment

Log into your Providence Health Plan Employer Portal account. There will be a banner indicating your open enrollment 45 days prior to the effective date. Click on the banner and enroll now to add a new employee. On the group roster page, search either by name or ID number to find an active or inactive employee to make any open enrollment changes (change class/plans, add/remove dependent, demographics, etc).

If a subscriber’s status or coverage is not changing for the upcoming year, users do not need to do anything during open enrollment. The subscriber’s current coverage automatically carries over to the upcoming year.

Additional enrollment tool features

In addition to managing new and open enrollment, use this online portal to: 

• Update personal subscriber information (such as address and dependents)
• Update coverage information (such as terminations and reinstatements)
• View/download current census that shows all active and inactive members