Product Portfolio

Oregon Plans - Groups sized 51+
Effective:  January 01, 2018 - December 31, 2018


  Effective:  January 01, 2018 - December 31, 2018

Product Type

Annual Deductible

Benefit

Providence Option Advantage

Option Advantage$250OP ADV 20/20/40/2500/250cd
$500OP ADV 15/20/40/3500/500sd
$500OP ADV 15/20/40/4000/500sd
$500OP ADV 20/20/40/2500/500cd
$500OP ADV 20/20/40/3000/500cd
$500OP ADV 20/20/40/5000/500cd
$500OP ADV 25/10/20/2500/500sd
$500OP ADV 25/20/40/2000/500sd
$500OP ADV 25/20/40/3500/500sd
$500OP ADV 25/20/40/4000/500sd
$500OP ADV 35/20/40/7350/500sd
$500OP ADV 35/30/50/7350/500sd
$750OP ADV 15/20/40/2500/750cd
$750OP ADV 20/10/20/2000/750sd
$750OP ADV 20/20/40/5000/750cd
$750OP ADV 25/20/40/5000/750cd
$750OP ADV 35/30/50/4000/750cd
$750OP ADV 35/30/50/4000/750sd
$1000OP ADV 15/20/40/2500/1000cd
$1000OP ADV 20/20/40/5000/1000sd
$1000OP ADV 20/20/40/5000/1000cd
$1000OP ADV 25/10/20/4000/1000sd
$1000OP ADV 25/20/40/4000/1000cd
$1000OP ADV 25/20/40/4000/1000sd
$1000OP ADV 25/20/40/6350/1000sd
$1000OP ADV 25/30/50/6350/1000cd
$1000OP ADV 35/20/40/7350/1000sd
$1000OP ADV 35/30/50/6350/1000sd
$1500OP ADV 20/20/40/5000/1500cd
$1500OP ADV 20/30/50/6350/1500sd
$1500OP ADV 25/20/40/3500/1500sd
$1500OP ADV 25/20/40/5000/1500sd
$1500OP ADV 25/30/50/7350/1500sd
$1500OP ADV 25/30/50/7350/1500cd
$1500OP ADV 35/30/50/6350/1500cd
$1500OP ADV 35/30/50/7350/1500sd
$2000OP ADV 15/20/40/4000/2000sd
$2000OP ADV 15/20/40/5000/2000sd
$2000OP ADV 25/20/40/4000/2000sd
$2000OP ADV 25/20/40/5000/2000sd
$2000OP ADV 25/20/40/6350/2000sd
$2000OP ADV 25/30/50/4000/2000sd
$2000OP ADV 25/30/50/7350/2000sd
$2000OP ADV 25/30/50/7350/2000cd
$2000OP ADV 35/20/40/4000/2000sd
$2000OP ADV 35/20/40/6350/2000sd
$2000OP ADV 35/30/50/5000/2000cd
$2000OP ADV 35/30/50/5000/2000sd
$2500OP ADV 20/20/40/6350/2500cd
$2500OP ADV 20/30/50/7350/2500sd
$2500OP ADV 25/20/40/4000/2500cd
$2500OP ADV 25/20/40/5000/2500sd
$2500OP ADV 25/30/50/7350/2500sd
$2500OP ADV 35/30/50/2500/2500sd
$2500OP ADV 35/30/50/7350/2500sd
$3000OP ADV 20/30/50/7350/3000sd
$3000OP ADV 25/20/40/5000/3000sd
$3000OP ADV 25/20/40/6350/3000cd
$3000OP ADV 25/20/40/6350/3000sd
$3000OP ADV 25/20/40/7350/3000sd
$3000OP ADV 25/30/50/5000/3000sd
$3000OP ADV 25/30/50/6350/3000sd
$3000OP ADV 25/30/50/7350/3000sd
$3000OP ADV 35/20/40/5000/3000cd
$3000OP ADV 35/30/50/5000/3000sd
$3000OP ADV 35/30/50/6350/3000sd
$3000OP ADV 35/30/50/7350/3000sd
$3000OP ADV 35/30/50/7350/3000cd
$5000OP ADV 25/20/40/6350/5000sd
$5000OP ADV 25/20/40/7350/5000cd
$5000OP ADV 25/20/40/7350/5000sd
$5000OP ADV 25/30/50/6350/5000sd
$5000OP ADV 25/30/50/7350/5000sd
$5000OP ADV 25/30/50/7350/5000cd
$5000OP ADV 35/20/40/6350/5000cd
$5000OP ADV 35/20/40/6350/5000sd
$5000OP ADV 35/20/40/7350/5000cd
$5000OP ADV 35/20/40/7350/5000sd
$5000OP ADV 35/30/50/5000/5000cd
$5000OP ADV 35/30/50/5000/5000sd
$5000OP ADV 35/30/50/6350/5000sd
$5000OP ADV 35/30/50/7350/5000cd
$5000OP ADV 35/30/50/7350/5000sd

Providence Option Advantage A

Option Advantage A$250OP ADV A 15/10/20/2500/250cd
$250OP ADV A 15/20/40/5000/250cd
$250OP ADV A 20/10/20/6350/250cd
$250OP ADV A 20/10/20/6350/250sd
$250OP ADV A 20/20/40/2500/250sd
$250OP ADV A 20/20/40/3000/250cd
$250OP ADV A 20/30/50/5000/250sd
$250OP ADV A 25/20/40/4000/250sd
$250OP ADV A 25/20/40/5000/250sd
$500OP ADV A 15/10/20/2500/500cd
$500OP ADV A 15/20/40/2000/500sd
$500OP ADV A 15/20/40/3500/500cd
$500OP ADV A 15/20/40/3500/500sd
$500OP ADV A 15/20/40/4000/500sd
$500OP ADV A 15/20/40/5000/500sd
$500OP ADV A 20/10/20/2500/500sd
$500OP ADV A 20/10/20/3000/500cd
$500OP ADV A 20/20/40/4000/500sd
$500OP ADV A 20/30/50/4000/500cd
$500OP ADV A 25/20/40/2000/500cd
$500OP ADV A 25/20/40/2500/500cd
$500OP ADV A 25/20/40/3000/500sd
$500OP ADV A 25/20/40/3500/500sd
$500OP ADV A 25/20/40/3500/500cd
$500OP ADV A 25/20/40/4000/500cd
$500OP ADV A 25/20/40/4000/500sd
$500OP ADV A 25/20/40/5000/500sd
$500OP ADV A 25/20/40/6350/500cd
$500OP ADV A 25/20/40/6350/500sd
$500OP ADV A 25/30/50/3000/500sd
$500OP ADV A 25/30/50/3500/500sd
$500OP ADV A 25/30/50/4000/500sd
$500OP ADV A 25/30/50/5000/500sd
$500OP ADV A 25/30/50/7350/500sd
$500OP ADV A 35/20/40/3000/500cd
$500OP ADV A 35/20/40/3500/500cd
$750OP ADV A 15/10/20/2500/750cd
$750OP ADV A 20/10/20/2500/750cd
$750OP ADV A 20/20/40/4000/750cd
$750OP ADV A 20/20/40/4000/750sd
$750OP ADV A 20/20/40/5000/750cd
$750OP ADV A 25/20/40/3000/750sd
$750OP ADV A 25/20/40/3500/750sd
$750OP ADV A 25/20/40/4000/750sd
$750OP ADV A 25/20/40/4000/750cd
$750OP ADV A 25/20/40/5000/750cd
$750OP ADV A 25/20/40/5000/750sd
$750OP ADV A 25/20/40/6350/750cd
$750OP ADV A 25/20/40/6350/750sd
$750OP ADV A 25/30/50/3000/750sd
$750OP ADV A 25/30/50/3500/750sd
$750OP ADV A 35/20/40/3000/750cd
$750OP ADV A 35/20/40/3500/750sd
$750OP ADV A 35/20/40/4000/750cd
$750OP ADV A 35/30/50/3500/750cd
$1000OP ADV A 15/20/40/3000/1000cd
$1000OP ADV A 15/20/40/4000/1000sd
$1000OP ADV A 15/20/40/4000/1000cd
$1000OP ADV A 20/20/40/3500/1000cd
$1000OP ADV A 20/20/40/4000/1000sd
$1000OP ADV A 20/20/40/4000/1000cd
$1000OP ADV A 20/20/40/5000/1000sd
$1000OP ADV A 20/20/40/5000/1000cd
$1000OP ADV A 20/30/50/4000/1000cd
$1000OP ADV A 25/20/40/3000/1000cd
$1000OP ADV A 25/20/40/3500/1000sd
$1000OP ADV A 25/20/40/3500/1000cd
$1000OP ADV A 25/20/40/4000/1000sd
$1000OP ADV A 25/20/40/4000/1000cd
$1000OP ADV A 25/20/40/5000/1000sd
$1000OP ADV A 25/20/40/5000/1000cd
$1000OP ADV A 25/20/40/6350/1000sd
$1000OP ADV A 25/20/40/7350/1000sd
$1000OP ADV A 25/20/40/7350/1000cd
$1000OP ADV A 25/30/50/3500/1000cd
$1000OP ADV A 25/30/50/3500/1000sd
$1000OP ADV A 25/30/50/4000/1000cd
$1000OP ADV A 25/30/50/4000/1000sd
$1000OP ADV A 25/30/50/5000/1000sd
$1000OP ADV A 25/30/50/6350/1000cd
$1000OP ADV A 25/30/50/6350/1000sd
$1000OP ADV A 25/30/50/7350/1000cd
$1000OP ADV A 25/30/50/7350/1000sd
$1000OP ADV A 35/20/40/4000/1000cd
$1000OP ADV A 35/20/40/4000/1000sd
$1000OP ADV A 35/20/40/5000/1000sd
$1000OP ADV A 35/20/40/7350/1000cd
$1000OP ADV A 35/20/40/7350/1000sd
$1000OP ADV A 35/30/50/5000/1000sd
$1000OP ADV A 35/30/50/5000/1000cd
$1000OP ADV A 35/30/50/7350/1000cd
$1000OP ADV A 35/30/50/7350/1000sd
$1500OP ADV A 15/20/40/3000/1500cd
$1500OP ADV A 15/20/40/3500/1500sd
$1500OP ADV A 15/20/40/4000/1500sd
$1500OP ADV A 15/20/40/4000/1500cd
$1500OP ADV A 15/20/40/5000/1500cd
$1500OP ADV A 15/20/40/5000/1500sd
$1500OP ADV A 15/30/50/3500/1500sd
$1500OP ADV A 20/20/40/5000/1500cd
$1500OP ADV A 20/20/40/6350/1500cd
$1500OP ADV A 20/30/50/6350/1500cd
$1500OP ADV A 25/20/40/3500/1500sd
$1500OP ADV A 25/20/40/3500/1500cd
$1500OP ADV A 25/20/40/4000/1500cd
$1500OP ADV A 25/20/40/4000/1500sd
$1500OP ADV A 25/20/40/5000/1500sd
$1500OP ADV A 25/20/40/5000/1500cd
$1500OP ADV A 25/20/40/6350/1500sd
$1500OP ADV A 25/20/40/6350/1500cd
$1500OP ADV A 25/20/40/7350/1500sd
$1500OP ADV A 25/30/50/3500/1500sd
$1500OP ADV A 25/30/50/4000/1500cd
$1500OP ADV A 25/30/50/4000/1500sd
$1500OP ADV A 25/30/50/5000/1500cd
$1500OP ADV A 25/30/50/5000/1500sd
$1500OP ADV A 25/30/50/6350/1500cd
$1500OP ADV A 25/30/50/6350/1500sd
$1500OP ADV A 25/30/50/7350/1500sd
$1500OP ADV A 25/30/50/7350/1500cd
$1500OP ADV A 35/20/40/3000/1500sd
$1500OP ADV A 35/20/40/4000/1500cd
$1500OP ADV A 35/20/40/4000/1500sd
$1500OP ADV A 35/20/40/5000/1500sd
$1500OP ADV A 35/20/40/5000/1500cd
$1500OP ADV A 35/20/40/7350/1500sd
$1500OP ADV A 35/30/50/4000/1500sd
$1500OP ADV A 35/30/50/5000/1500sd
$1500OP ADV A 35/30/50/5000/1500cd
$1500OP ADV A 35/30/50/6350/1500sd
$1500OP ADV A 35/30/50/7350/1500sd
$2000OP ADV A 15/20/40/3000/2000cd
$2000OP ADV A 15/20/40/4000/2000cd
$2000OP ADV A 15/20/40/5000/2000cd
$2000OP ADV A 20/20/40/3500/2000cd
$2000OP ADV A 20/20/40/4000/2000cd
$2000OP ADV A 20/20/40/5000/2000cd
$2000OP ADV A 20/20/40/5000/2000sd
$2000OP ADV A 20/30/50/7350/2000sd
$2000OP ADV A 25/20/40/3500/2000sd
$2000OP ADV A 25/20/40/3500/2000cd
$2000OP ADV A 25/20/40/4000/2000sd
$2000OP ADV A 25/20/40/4000/2000cd
$2000OP ADV A 25/20/40/5000/2000sd
$2000OP ADV A 25/20/40/5000/2000cd
$2000OP ADV A 25/20/40/6350/2000sd
$2000OP ADV A 25/20/40/6350/2000cd
$2000OP ADV A 25/20/40/7350/2000sd
$2000OP ADV A 25/30/50/3500/2000sd
$2000OP ADV A 25/30/50/5000/2000sd
$2000OP ADV A 25/30/50/5000/2000cd
$2000OP ADV A 25/30/50/6350/2000sd
$2000OP ADV A 25/30/50/6350/2000cd
$2000OP ADV A 25/30/50/7350/2000sd
$2000OP ADV A 25/30/50/7350/2000cd
$2000OP ADV A 35/20/40/4000/2000sd
$2000OP ADV A 35/20/40/5000/2000sd
$2000OP ADV A 35/20/40/5000/2000cd
$2000OP ADV A 35/20/40/6350/2000sd
$2000OP ADV A 35/20/40/7350/2000cd
$2000OP ADV A 35/30/50/4000/2000sd
$2000OP ADV A 35/30/50/4000/2000cd
$2000OP ADV A 35/30/50/5000/2000cd
$2000OP ADV A 35/30/50/5000/2000sd
$2000OP ADV A 35/30/50/6350/2000sd
$2000OP ADV A 35/30/50/6350/2000cd
$2000OP ADV A 35/30/50/7350/2000sd
$2000OP ADV A 35/30/50/7350/2000cd
$2500OP ADV A 15/20/40/3000/2500cd
$2500OP ADV A 20/20/40/6350/2500sd
$2500OP ADV A 25/20/40/4000/2500sd
$2500OP ADV A 25/20/40/5000/2500sd
$2500OP ADV A 25/20/40/5000/2500cd
$2500OP ADV A 25/20/40/6350/2500sd
$2500OP ADV A 25/20/40/7350/2500cd
$2500OP ADV A 25/20/40/7350/2500sd
$2500OP ADV A 25/30/50/3500/2500sd
$2500OP ADV A 25/30/50/5000/2500cd
$2500OP ADV A 25/30/50/5000/2500sd
$2500OP ADV A 25/30/50/6350/2500cd
$2500OP ADV A 25/30/50/6350/2500sd
$2500OP ADV A 25/30/50/7350/2500sd
$2500OP ADV A 25/30/50/7350/2500cd
$2500OP ADV A 35/20/40/6350/2500cd
$2500OP ADV A 35/20/40/6350/2500sd
$2500OP ADV A 35/30/50/4000/2500sd
$2500OP ADV A 35/30/50/5000/2500sd
$2500OP ADV A 35/30/50/6350/2500sd
$2500OP ADV A 35/30/50/7350/2500cd
$2500OP ADV A 35/30/50/7350/2500sd
$3000OP ADV A 15/10/20/6350/3000sd
$3000OP ADV A 15/20/40/3000/3000cd
$3000OP ADV A 15/20/40/6350/3000cd
$3000OP ADV A 15/20/40/6350/3000sd
$3000OP ADV A 15/20/40/6350/3000sd
$3000OP ADV A 15/30/50/6350/3000sd
$3000OP ADV A 20/20/40/5000/3000sd
$3000OP ADV A 20/20/40/6350/3000cd
$3000OP ADV A 20/20/40/6350/3000sd
$3000OP ADV A 20/30/50/7350/3000sd
$3000OP ADV A 20/30/50/7350/3000cd
$3000OP ADV A 25/10/20/5000/3000sd
$3000OP ADV A 25/20/40/5000/3000cd
$3000OP ADV A 25/20/40/5000/3000sd
$3000OP ADV A 25/20/40/5000/3000cd
$3000OP ADV A 25/20/40/6350/3000sd
$3000OP ADV A 25/20/40/6350/3000cd
$3000OP ADV A 25/20/40/7350/3000sd
$3000OP ADV A 25/20/40/7350/3000cd
$3000OP ADV A 25/30/50/5000/3000cd
$3000OP ADV A 25/30/50/5000/3000sd
$3000OP ADV A 25/30/50/6350/3000cd
$3000OP ADV A 25/30/50/6350/3000sd
$3000OP ADV A 25/30/50/7350/3000cd
$3000OP ADV A 25/30/50/7350/3000sd
$3000OP ADV A 35/20/40/4000/3000sd
$3000OP ADV A 35/20/40/5000/3000cd
$3000OP ADV A 35/20/40/5000/3000sd
$3000OP ADV A 35/20/40/6350/3000cd
$3000OP ADV A 35/20/40/7350/3000cd
$3000OP ADV A 35/20/40/7350/3000sd
$3000OP ADV A 35/30/50/5000/3000cd
$3000OP ADV A 35/30/50/5000/3000sd
$3000OP ADV A 35/30/50/6350/3000sd
$3000OP ADV A 35/30/50/7350/3000sd
$3000OP ADV A 35/30/50/7350/3000cd
$5000OP ADV A 15/10/20/7350/5000cd
$5000OP ADV A 15/10/20/7350/5000sd
$5000OP ADV A 15/20/40/5000/5000cd
$5000OP ADV A 15/20/40/5000/5000sd
$5000OP ADV A 15/20/40/6350/5000cd
$5000OP ADV A 15/30/50/6350/5000sd
$5000OP ADV A 20/20/40/5000/5000cd
$5000OP ADV A 20/20/40/6350/5000cd
$5000OP ADV A 20/20/40/7350/5000cd
$5000OP ADV A 20/30/50/5000/5000sd
$5000OP ADV A 20/30/50/5000/5000cd
$5000OP ADV A 20/30/50/6350/5000cd
$5000OP ADV A 20/30/50/6350/5000sd
$5000OP ADV A 20/30/50/7350/5000sd
$5000OP ADV A 25/20/40/5000/5000cd
$5000OP ADV A 25/20/40/6350/5000sd
$5000OP ADV A 25/20/40/6350/5000cd
$5000OP ADV A 25/20/40/7350/5000sd
$5000OP ADV A 25/20/40/7350/5000cd
$5000OP ADV A 25/30/50/5000/5000cd
$5000OP ADV A 25/30/50/5000/5000sd
$5000OP ADV A 25/30/50/6350/5000cd
$5000OP ADV A 25/30/50/6350/5000sd
$5000OP ADV A 25/30/50/7350/5000cd
$5000OP ADV A 25/30/50/7350/5000sd
$5000OP ADV A 35/20/40/6350/5000cd
$5000OP ADV A 35/20/40/6350/5000sd
$5000OP ADV A 35/20/40/7350/5000cd
$5000OP ADV A 35/20/40/7350/5000sd
$5000OP ADV A 35/30/50/6350/5000cd
$5000OP ADV A 35/30/50/6350/5000sd
$5000OP ADV A 35/30/50/7350/5000cd
$5000OP ADV A 35/30/50/7350/5000sd

Providence Option Advantage B

Option Advantage B$250OP ADV B 15/10/20/2000/250cd
$250OP ADV B 15/10/20/2500/250cd
$250OP ADV B 15/20/40/2000/250cd
$250OP ADV B 15/20/40/2000/250sd
$250OP ADV B 15/20/40/3500/250cd
$250OP ADV B 15/20/40/4000/250cd
$250OP ADV B 20/10/20/2000/250cd
$250OP ADV B 20/10/20/2500/250cd
$250OP ADV B 20/10/20/3000/250cd
$250OP ADV B 20/20/40/2000/250sd
$250OP ADV B 20/20/40/2500/250cd
$250OP ADV B 20/20/40/4000/250cd
$250OP ADV B 20/30/50/2000/250sd
$250OP ADV B 25/20/40/2000/250sd
$250OP ADV B 25/20/40/4000/250cd
$250OP ADV B 35/20/40/7350/250cd
$500OP ADV B 15/10/20/2000/500sd
$500OP ADV B 15/10/20/2000/500cd
$500OP ADV B 15/10/20/2500/500cd
$500OP ADV B 15/10/20/3000/500cd
$500OP ADV B 15/10/20/4000/500cd
$500OP ADV B 15/20/40/2000/500cd
$500OP ADV B 15/20/40/2500/500cd
$500OP ADV B 15/20/40/2500/500sd
$500OP ADV B 15/20/40/3000/500sd
$500OP ADV B 15/20/40/3000/500cd
$500OP ADV B 15/20/40/3500/500cd
$500OP ADV B 15/20/40/4000/500cd
$500OP ADV B 20/10/20/2500/500cd
$500OP ADV B 20/10/20/3000/500cd
$500OP ADV B 20/10/20/3000/500sd
$500OP ADV B 20/20/40/2000/500cd
$500OP ADV B 20/20/40/2000/500sd
$500OP ADV B 20/20/40/2500/500cd
$500OP ADV B 20/20/40/2500/500sd
$500OP ADV B 20/20/40/3000/500cd
$500OP ADV B 20/20/40/3500/500sd
$500OP ADV B 20/20/40/3500/500cd
$500OP ADV B 20/20/40/4000/500cd
$500OP ADV B 20/20/40/4000/500sd
$500OP ADV B 25/10/20/2500/500cd
$500OP ADV B 25/10/20/3500/500cd
$500OP ADV B 25/20/40/2000/500cd
$500OP ADV B 25/20/40/2000/500sd
$500OP ADV B 25/20/40/2500/500sd
$500OP ADV B 25/20/40/2500/500cd
$500OP ADV B 25/20/40/3000/500sd
$500OP ADV B 25/20/40/3000/500cd
$500OP ADV B 25/20/40/3000/500cd
$500OP ADV B 25/20/40/3500/500cd
$500OP ADV B 25/20/40/3500/500sd
$500OP ADV B 25/20/40/4000/500sd
$500OP ADV B 35/30/50/3000/500sd
$750OP ADV B 15/10/20/2500/750sd
$750OP ADV B 15/20/40/3000/750cd
$750OP ADV B 15/20/40/3500/750sd
$750OP ADV B 15/20/40/3500/750cd
$750OP ADV B 20/20/40/2500/750cd
$750OP ADV B 20/20/40/3000/750sd
$750OP ADV B 20/20/40/3000/750cd
$750OP ADV B 20/20/40/3500/750sd
$750OP ADV B 20/20/40/3500/750cd
$750OP ADV B 20/20/40/4000/750sd
$750OP ADV B 20/20/40/4000/750cd
$750OP ADV B 20/20/40/5000/750cd
$750OP ADV B 20/20/40/5000/750sd
$750OP ADV B 20/30/50/3500/750cd
$750OP ADV B 25/10/20/4000/750cd
$750OP ADV B 25/20/40/2000/750cd
$750OP ADV B 25/20/40/2000/750sd
$750OP ADV B 25/20/40/2500/750cd
$750OP ADV B 25/20/40/3000/750sd
$750OP ADV B 25/20/40/3000/750cd
$750OP ADV B 25/20/40/3500/750cd
$750OP ADV B 25/20/40/3500/750sd
$750OP ADV B 25/20/40/4000/750cd
$750OP ADV B 25/20/40/4000/750sd
$750OP ADV B 25/20/40/5000/750cd
$750OP ADV B 25/20/40/5000/750sd
$750OP ADV B 35/20/40/3500/750cd
$750OP ADV B 35/20/40/4000/750sd
$1000OP ADV B 15/10/20/2000/1000cd
$1000OP ADV B 15/10/20/2500/1000cd
$1000OP ADV B 15/10/20/3000/1000cd
$1000OP ADV B 15/10/20/3000/1000sd
$1000OP ADV B 15/10/20/3500/1000sd
$1000OP ADV B 15/10/20/4000/1000cd
$1000OP ADV B 15/20/40/2000/1000cd
$1000OP ADV B 15/20/40/2500/1000sd
$1000OP ADV B 15/20/40/3000/1000cd
$1000OP ADV B 15/20/40/3000/1000sd
$1000OP ADV B 15/20/40/3500/1000sd
$1000OP ADV B 15/30/50/2500/1000sd
$1000OP ADV B 15/30/50/2500/1000cd
$1000OP ADV B 15/30/50/3500/1000cd
$1000OP ADV B 20/20/40/2500/1000cd
$1000OP ADV B 20/20/40/2500/1000sd
$1000OP ADV B 20/20/40/3000/1000sd
$1000OP ADV B 20/20/40/3500/1000cd
$1000OP ADV B 20/20/40/4000/1000cd
$1000OP ADV B 20/20/40/4000/1000sd
$1000OP ADV B 20/20/40/5000/1000cd
$1000OP ADV B 20/20/40/5000/1000sd
$1000OP ADV B 20/20/40/7350/1000sd
$1000OP ADV B 25/20/40/2000/1000cd
$1000OP ADV B 25/20/40/2000/1000sd
$1000OP ADV B 25/20/40/2500/1000cd
$1000OP ADV B 25/20/40/2500/1000sd
$1000OP ADV B 25/20/40/3000/1000sd
$1000OP ADV B 25/20/40/3500/1000sd
$1000OP ADV B 25/20/40/3500/1000cd
$1000OP ADV B 25/20/40/4000/1000sd
$1000OP ADV B 25/20/40/4000/1000cd
$1000OP ADV B 25/20/40/5000/1000sd
$1000OP ADV B 25/20/40/5000/1000cd
$1000OP ADV B 25/20/40/6350/1000sd
$1000OP ADV B 25/20/40/7350/1000cd
$1000OP ADV B 25/30/50/3000/1000cd
$1000OP ADV B 25/30/50/6350/1000cd
$1000OP ADV B 35/20/40/5000/1000cd
$1500OP ADV B 15/20/40/2500/1500cd
$1500OP ADV B 15/20/40/3500/1500sd
$1500OP ADV B 20/20/40/6350/1500cd
$1500OP ADV B 15/10/20/2500/1500cd
$1500OP ADV B 15/10/20/3000/1500cd
$1500OP ADV B 15/10/20/3500/1500sd
$1500OP ADV B 15/20/40/2500/1500sd
$1500OP ADV B 15/20/40/3000/1500cd
$1500OP ADV B 15/20/40/3500/1500cd
$1500OP ADV B 15/20/40/4000/1500sd
$1500OP ADV B 15/20/40/5000/1500cd
$1500OP ADV B 15/30/50/3500/1500cd
$1500OP ADV B 15/30/50/3500/1500sd
$1500OP ADV B 15/30/50/4000/1500sd
$1500OP ADV B 20/10/20/6350/1500cd
$1500OP ADV B 20/20/40/3500/1500cd
$1500OP ADV B 20/20/40/4000/1500cd
$1500OP ADV B 20/20/40/4000/1500sd
$1500OP ADV B 20/20/40/5000/1500cd
$1500OP ADV B 20/30/50/5000/1500cd
$1500OP ADV B 20/30/50/5000/1500sd
$1500OP ADV B 25/20/40/2000/1500cd
$1500OP ADV B 25/20/40/2500/1500cd
$1500OP ADV B 25/20/40/3000/1500sd
$1500OP ADV B 25/20/40/3500/1500cd
$1500OP ADV B 25/20/40/3500/1500sd
$1500OP ADV B 25/20/40/4000/1500cd
$1500OP ADV B 25/20/40/4000/1500sd
$1500OP ADV B 25/20/40/5000/1500cd
$1500OP ADV B 25/20/40/5000/1500sd
$1500OP ADV B 25/20/40/6350/1500cd
$1500OP ADV B 25/20/40/6350/1500sd
$1500OP ADV B 25/20/40/7350/1500sd
$1500OP ADV B 25/30/50/5000/1500cd
$1500OP ADV B 25/30/50/5000/1500sd
$1500OP ADV B 35/20/40/4000/1500cd
$2000OP ADV B 15/20/40/3000/2000cd
$2000OP ADV B 15/20/40/4000/2000cd
$2000OP ADV B 15/20/40/5000/2000cd
$2000OP ADV B 20/20/40/2000/2000sd
$2000OP ADV B 20/20/40/3000/2000cd
$2000OP ADV B 20/20/40/3500/2000sd
$2000OP ADV B 20/20/40/5000/2000sd
$2000OP ADV B 20/20/40/5000/2000cd
$2000OP ADV B 20/20/40/6350/2000sd
$2000OP ADV B 20/20/40/6350/2000cd
$2000OP ADV B 20/20/40/7350/2000cd
$2000OP ADV B 20/20/40/7350/2000sd
$2000OP ADV B 25/20/40/3500/2000sd
$2000OP ADV B 25/20/40/4000/2000cd
$2000OP ADV B 25/20/40/4000/2000sd
$2000OP ADV B 25/20/40/5000/2000cd
$2000OP ADV B 25/20/40/5000/2000sd
$2000OP ADV B 25/20/40/6350/2000cd
$2000OP ADV B 25/20/40/6350/2000sd
$2000OP ADV B 25/20/40/7350/2000sd
$2000OP ADV B 25/30/50/5000/2000cd
$2000OP ADV B 25/30/50/6350/2000cd
$2000OP ADV B 35/20/40/4000/2000sd
$2000OP ADV B 35/20/40/6350/2000cd
$2000OP ADV B 35/30/50/5000/2000cd
$2000OP ADV B 35/30/50/5000/2000sd
$2500OP ADV B 15/20/40/3000/2500cd
$2500OP ADV B 20/20/40/5000/2500sd
$2500OP ADV B 20/20/40/6350/2500cd
$2500OP ADV B 20/20/40/6350/2500sd
$2500OP ADV B 20/20/40/7350/2500sd
$2500OP ADV B 25/20/40/5000/2500cd
$2500OP ADV B 25/20/40/5000/2500sd
$2500OP ADV B 25/20/40/6350/2500cd
$2500OP ADV B 25/20/40/6350/2500sd
$2500OP ADV B 25/20/40/7350/2500sd
$2500OP ADV B 35/20/40/5000/2500cd
$3000OP ADV B 15/20/40/3000/3000cd
$3000OP ADV B 15/20/40/5000/3000sd
$3000OP ADV B 20/20/40/5000/3000cd
$3000OP ADV B 20/20/40/5000/3000sd
$3000OP ADV B 20/20/40/6350/3000cd
$3000OP ADV B 20/30/50/5000/3000cd
$3000OP ADV B 20/30/50/5000/3000sd
$3000OP ADV B 25/20/40/3000/3000cd
$3000OP ADV B 25/20/40/5000/3000cd
$3000OP ADV B 25/20/40/5000/3000sd
$3000OP ADV B 25/20/40/6350/3000sd
$3000OP ADV B 25/20/40/6350/3000cd
$3000OP ADV B 25/20/40/7350/3000cd
$3000OP ADV B 25/20/40/7350/3000sd
$3000OP ADV B 25/30/50/5000/3000cd
$3000OP ADV B 25/30/50/7350/3000cd
$3000OP ADV B 35/20/40/5000/3000sd
$3000OP ADV B 35/20/40/7350/3000cd
$3000OP ADV B 35/30/50/7350/3000sd
$3000OP ADV B 25/30/50/7350/3000sd
$5000OP ADV B 15/10/20/7350/5000cd
$5000OP ADV B 15/20/40/5000/5000cd
$5000OP ADV B 15/20/40/7350/5000cd
$5000OP ADV B 20/10/20/7350/5000cd
$5000OP ADV B 20/20/40/6350/5000cd
$5000OP ADV B 20/20/40/7350/5000sd
$5000OP ADV B 20/20/40/7350/5000cd
$5000OP ADV B 25/20/40/5000/5000cd
$5000OP ADV B 25/20/40/7350/5000cd
$5000OP ADV B 25/20/40/7350/5000sd
$3000OP ADV B 25/30/50/5000/3000sd
$5000OP ADV B 25/30/50/6350/5000sd
$5000OP ADV B 35/20/40/5000/5000sd
$5000OP ADV B 35/30/50/6350/5000sd
$5000OP ADV B 35/30/50/7350/5000cd
$5000OP ADV B 35/30/50/7350/5000sd

Providence Option Advantage AB

Option Advantage AB$500OP ADV AB 15/20/40/2000/500sd
$500OP ADV AB 15/20/40/5000/500cd
$750OP ADV AB 15/20/40/2500/750cd
$750OP ADV AB 15/20/40/3000/750cd
$750OP ADV AB 35/30/50/4000/750sd
$750OP ADV AB 35/30/50/4000/750cd
$1000OP ADV AB 15/20/40/3000/1000cd
$1500OP ADV AB 20/30/50/6350/1500sd
$2000OP ADV AB 15/20/40/4000/2000cd
$2000OP ADV AB 15/20/40/6350/2000cd
$3000OP ADV AB 15/20/40/6350/3000cd
$2000OP ADV AB 20/10/20/5000/2000sd
$5000OP ADV AB 25/20/40/7350/5000sd
$5000OP ADV AB 25/20/40/7350/5000cd

Providence Personal Option

Personal OptionNAPE 10/10/1200
NAPE 10/20/600
NAPE 10/20/1200
NAPE 15/20/2000
$250PE 10/10/1950/250d
$250PE 10/10/2000/250d
$250PE 10/20/1950/250d
$250PE 10/20/2000/250d
$250PE 15/20/2000/250d
$250PE 15/20/2250/250d
$500PE 15/10/2500/500d
$500PE 15/20/2000/500d
$500PE 15/20/2500/500d
$500PE 15/20/3000/500d
$500PE 20/20/2000/500d
$500PE 20/20/2500/500d
$500PE 20/20/3000/500d
$750PE 15/30/3500/750d
$750PE 20/20/2500/750d
$750PE 20/20/3250/750d
$750PE 20/20/3500/750d
$750PE 25/20/3000/750d
$1000PE 15/20/5000/1000d
$1000PE 15/30/2500/1000d
$1000PE 15/30/3000/1000d
$1000PE 15/30/3500/1000d
$1000PE 20/20/4000/1000d
$1000PE 25/20/3500/1000d
$1000PE 25/30/3000/1000d
$1000PE 25/30/3500/1000d
$1000PE 25/30/5000/1000d
$1500PE 15/20/3000/1500d
$1500PE 15/30/2000/1500d
$1500PE 15/30/3500/1500d
$1500PE 20/20/4000/1500d
$1500PE 25/30/3500/1500d
$2000PE 15/20/6350/2000d
$2000PE 15/30/3000/2000d
$2000PE 20/30/5000/2000d
$2000PE 25/20/5000/2000d
$2000PE 25/30/3000/2000d
$2000PE 25/30/5000/2000d
$2500PE 20/20/5000/2500d
$2500PE 25/30/5000/2500d
$3000PE 25/20/5500/3000d
$3000PE 35/30/5000/3000d

Providence Traditional Option

Traditional Option$250TO 20/1250/250d
$250TO 20/2750/250d

Providence HSA

HSA Plan$1500HSA Ph5T 20/40/3000/1500cd
$1500HSA Ph5T 20/40/4000/1500sd
$1500HSA Ph5T 20/40/4000/1500cd
$1500HSA Ph5T 20/40/5500/1500cd
$1500HSA Ph5T 20/40/5500/1500sd
$1500HSA Ph5T 20/40/6650/1500cd
$1500HSA Ph5T 20/40/6650/1500sd
$2000HSA Ph5T 20/40/4000/2000cd
$2000HSA Ph5T 20/40/4000/2000sd
$2000HSA Ph5T 20/40/5500/2000cd
$2000HSA Ph5T 20/40/5500/2000sd
$2000HSA Ph5T 20/40/6650/2000sd
$2000HSA Ph5T 20/40/6650/2000cd
$2500HSA Ph5T 20/40/4000/2500sd
$2500HSA Ph5T 20/40/4000/2500cd
$2500HSA Ph5T 20/40/5500/2500cd
$2500HSA Ph5T 20/40/5500/2500sd
$2500HSA Ph5T 20/40/6650/2500sd
$2500HSA Ph5T 20/40/6650/2500cd
$3000HSA Ph5T 20/40/4000/3000sd
$3000HSA Ph5T 20/40/5500/3000cd
$3000HSA Ph5T 20/40/5500/3000sd
$3000HSA Ph5T 20/40/6650/3000cd
$3000HSA Ph5T 20/40/6650/3000sd
$3000HSA Ph5T 50/50/5500/3000sd
$3000HSA Ph5T 50/50/5500/3000cd
$3000HSA Ph5T 50/50/6650/3000sd
$3500HSA Ph5T 20/40/4000/3500sd
$3500HSA Ph5T 20/40/5500/3500cd
$3500HSA Ph5T 20/40/5500/3500sd
$3500HSA Ph5T 20/40/6650/3500cd
$3500HSA Ph5T 20/40/6650/3500sd
$3500HSA Ph5T 50/50/5500/3500sd
$3500HSA Ph5T 50/50/6650/3500sd
$4000HSA 0/0/4000/4000cd
$4000HSA Ph5T 20/40/5500/4000sd
$4000HSA Ph5T 20/40/5500/4000cd
$4000HSA Ph5T 20/40/6650/4000cd
$4000HSA Ph5T 20/40/6650/4000sd
$4000HSA Ph5T 50/50/6650/4000sd
$5500HSA Ph5T 0/0/5500/5500cd
$5500HSA Ph5T 0/0/5500/5500sd
$5500HSA Ph5T 20/40/6650/5500sd
$5500HSA Ph5T 20/40/6650/5500cd
$5500HSA Ph5T 50/50/6650/5500sd
$5500HSA Ph5T 50/50/6650/5500cd
$6550HSA Ph5T 0/0/6650/6650cd
$6650HSA Ph5T 0/0/6650/6650sd

Providence Canopy

Canopy$2500CAN 20/50/7350/2500sd
$5500CAN 20/50/7350/5500sd
$7350CAN 0/0/7350/7350sd

Providence Connect

Connect$500CNC 15/20/40/2000/500sd
$500CNC 15/20/40/2500/500sd
$500CNC 15/20/40/3000/500sd
$500CNC 15/20/40/3500/500sd
$500CNC 15/20/40/4000/500sd
$500CNC 15/20/40/7350/500sd
$500CNC 15/30/50/3500/500sd
$500CNC 25/20/40/2000/500sd
$500CNC 25/20/40/3500/500sd
$500CNC 25/20/40/4000/500sd
$500CNC 25/30/50/3000/500sd
$500CNC 25/30/50/4000/500sd
$500CNC 35/20/40/2000/500sd
$1000CNC 15/20/40/2000/1000sd
$1000CNC 15/20/40/2500/1000sd
$1000CNC 15/20/40/3000/1000sd
$1000CNC 15/20/40/4000/1000sd
$1000CNC 15/20/40/6350/1000sd
$1000CNC 15/30/50/6350/1000sd
$1000CNC 25/20/40/4000/1000sd
$1000CNC 25/20/40/6350/1000sd
$1000CNC 35/30/50/7350/1000sd
$2000CNC 15/20/40/3500/2000sd
$2000CNC 15/20/40/4000/2000sd
$2000CNC 15/30/50/6350/2000sd
$2000CNC 15/30/50/7350/2000sd
$2000CNC 25/20/40/3500/2000sd
$2000CNC 25/20/40/4000/2000sd
$2000CNC 25/20/40/6350/2000sd
$2000CNC 25/30/50/4000/2000sd
$2000CNC 25/30/50/6350/2000sd
$2000CNC 25/30/50/7350/2000sd
$3000CNC 15/20/40/4000/3000sd
$3000CNC 15/30/50/7350/3000sd
$3000CNC 25/20/40/3000/3000sd
$3000CNC 25/20/40/4000/3000sd
$3000CNC 25/20/40/6350/3000sd
$3000CNC 25/20/40/7350/3000sd
$3000CNC 25/30/50/6350/3000sd
$3000CNC 25/30/50/7350/3000sd
$3000CNC 35/20/40/6350/3000sd
$3000CNC 35/20/40/7350/3000sd
$3000CNC 35/30/50/7350/3000sd
$4000CNC 25/20/40/6350/4000sd
$4000CNC 25/20/40/7350/4000sd
$4000CNC 25/30/50/7350/4000sd
$4000CNC 35/20/40/6350/4000sd
$4000CNC 35/20/40/7350/4000sd
$4000CNC 35/30/50/6350/4000sd
$4000CNC 35/30/50/7350/4000sd

Providence Choice

Choice$1500CHC 20/20/40/4000/1500sd
$1500CHC 20/20/40/7350/1500sd
$1500CHC 20/30/50/4000/1500sd
$1500CHC 20/30/50/7350/1500sd
$1500CHC 25/20/40/4000/1500sd
$1500CHC 25/20/40/7350/1500sd
$1500CHC 25/30/50/4000/1500sd
$1500CHC 25/30/50/7350/1500sd
$3000CHC 20/20/40/4000/3000sd
$3000CHC 20/20/40/7350/3000sd
$3000CHC 20/30/50/4000/3000sd
$3000CHC 20/30/50/7350/3000sd
$3000CHC 25/20/40/4000/3000sd
$3000CHC 25/20/40/7350/3000sd
$3000CHC 25/30/50/7350/3000sd
$3000CHC 25/30/50/4000/3000sd

 

Group Riders

Product Type

Benefit

Chiropractic Manipulations and AcupunctureCHA 15/500
CHA 15/1000
CHA 15/1500
CHA 25/500
CHA 25/1000
CHA 25/1500
Chiropractic Manipulations and Acupuncture PlusCHA Plus 15/500
CHA Plus 15/1000
CHA Plus 15/1500
CHA Plus 25/500
CHA Plus 25/1000
CHA Plus 25/1500
Chiropractic Manipulation, Acupuncture & Massage TherapyCHA/MT 15/500
CHA/MT 15/1000
CHA/MT 15/1500
CHA/MT 25/500
CHA/MT 25/1000
CHA/MT 25/1500
Chiropractic Manip., Acupuncture & Massage Therapy PlusCHA/MT Plus 15/500
CHA/MT Plus 15/1000
CHA/MT Plus 15/1500
CHA/MT Plus 25/500
CHA/MT Plus 25/1000
CHA/MT Plus 25/1500
Rx PlansRX 10/15/30/60/50
RX 10/15/45/75/50
RX 10/15/60/80/50
RX 15/15/30/30/30
RX 15/15/45/45/45
RX 15/20/50/50/50
RX 15/20/75/100/50
VisionVSP Exam
Vis Basic
Vis Plus
Vis Premium
Vis Basic - Featuring Otis & Piper
Vis Plus - Featuring Otis & Piper
Vis Premium - Featuring Otis & Piper
DentalPreventive Dental
Essential Dental
Essential Dental Plus
Essential Access
Essential Access Plus
Advantage Access 1500
Advantage Access 1500 Plus
Advantage Access 2000
Advantage Access 2000 Plus

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