Running a business can be hard. Managing your plan doesn't have to be.

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:

• Manage new enrollments

• Manage open enrollment changes

• Access additional enrollment tool features

• Review and pay your bill

Learn more

 

There are several ways to make payments.

• Pay using our electronic payment system

• Log in to your Employer Portal

• Additional options include mail and wire transfer

Learn more

 

Review eligibility, enroll new members, terminate coverage, and more.

Learn more

 

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)

• 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

  Benefit summaries and SBCs coming soon

  
  

  • 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)

• 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

  Benefit summaries and SBCs coming soon

  
  

  • 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)

• 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

  Benefit summaries and SBCs coming soon

  
  

  • 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)

• 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

  Benefit summaries and SBCs coming soon

  
  

  • 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)

• 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

  Benefit summaries and SBCs coming soon

  
  

  • 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)

• 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

  Benefit summaries and SBCs coming soon

  
  

  • 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.

 

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 Employer Onboarding Guide (coming soon)

2026 Small Group Producer Toolkit

 

Large Group (51+)

2026 Large Group Employer Onboarding Guide (coming soon)

2026 Large Group Producer Toolkit (coming soon)

 

Empower your workforce

Good health and well-being requires proactive effort. We offer additional resources to help your organization build awareness and educate your workforce on how to make healthy choices and take better care of themselves.

Workplace well-being resources & toolkits

 

Find all the forms and documents needed to manage your plan.

 

Small Group (1-50)

• 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

  • Oregon group size determination form (PDF)
  • SHOP Participation Request form (PDF)

• 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)

• 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.

  
  

  • Continuation of coverage (COBRA, state continuation of coverage, portability plans) (PDF)
  • State continuation election form - English (PDF)
  • State continuation election form - Spanish (PDF)
  • COBRA continuation election form - English (PDF)
  • COBRA continuation election form - Spanish (PDF)

• Health information disclosure forms

  • Requesting access to one's health plan records (PDF)
  • Changing and restricting access to one's health plan records (PDF)
  • Request for Confidential Communications - Oregon (PDF)
  • Request for Confidential Communications - Washington (PDF)
  • Allowing others to share one's protected health information (PDF)

• 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.

   

  • Annual group size questionnaire (PDF)

 

Large Group (51+)

• 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)

• 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)

• 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.

  
  

  • Continuation of coverage (COBRA, state continuation of coverage, portability plans) (PDF)
  • State continuation election form - English (PDF)
  • State continuation election form - Spanish (PDF)
  • COBRA continuation election form - English (PDF)
  • COBRA continuation election form - Spanish (PDF)

• Health information disclosure forms

  • Requesting access to one's health plan records (PDF)
  • Changing and restricting access to one's health plan records (PDF)
  • Request for Confidential Communications - Oregon (PDF)
  • Request for Confidential Communications - Washington (PDF)
  • Allowing others to share one's protected health information (PDF)

• 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.

   

  • Annual group size questionnaire (PDF)

 

Our online directory makes searching for in-network providers and pharmacies an easy task.

Explore the provider and pharmacy directory

 

Providence Health Plan’s online treatment cost calculator will help assess the estimated costs of treatment.

Learn more