Product Portfolio

Oregon Plans - Groups sized 51+
Effective:  January 01, 2021 - December 31, 2021


  Effective:  January 01, 2021 - December 31, 2021

Product Type

Annual Deductible

Benefit

Providence Option Advantage Base

Option Advantage Base$1000OP ADV BASE 20/20/40/3500/1000sd/30/250/2X/SIG
$2500OP ADV BASE 20/20/40/6350/2500cd/30/250/2X/SIG
$4000OP ADV BASE 35/30/50/7900/4000sd/45/250/2X/SIG
$5000OP ADV BASE 25/20/40/7900/5000sd/35/250/2X/SIG
$5000OP ADV BASE 35/20/40/7900/5000cd/45/250/2X/SIG
$5000OP ADV BASE 35/30/50/7900/5000sd/45/250/2X/SIG

Providence Option Advantage Plus

Option Advantage Plus$500OP ADV PLUS 15/20/40/3500/500cd/25/250/2X/SIG
$500OP ADV PLUS 20/20/50/6850/500sd/30/250/2X/XPPO
$500OP ADV PLUS 25/20/40/2000/500cd/35/250/2X/SIG
$500OP ADV PLUS 25/20/40/4000/500sd/35/250/2X/SIG
$1000OP ADV PLUS 20/20/40/7900/1000sd/30/250/2X/SIG
$1000OP ADV PLUS 25/20/40/4000/1000cd/35/250/2X/SIG
$1000OP ADV PLUS 25/30/50/3500/1000cd/35/250/2X/SIG
$1000OP ADV PLUS 35/20/40/4000/1000cd/45/250/2X/SIG
$1500OP ADV PLUS 15/20/40/3500/1500sd/25/250/2X/SIG
$1500OP ADV PLUS 25/20/40/4000/1500cd/35/250/2X/SIG
$1500OP ADV PLUS 25/30/50/7900/1500cd/35/250/2X/SIG
$1500OP ADV PLUS 35/30/50/5000/1500cd/45/250/2X/SIG
$2000OP ADV PLUS 20/20/40/4000/2000cd/30/250/2X/SIG
$2000OP ADV PLUS 20/20/40/6000/2000cd/20/250/2X/XPPO
$2000OP ADV PLUS 20/30/50/7900/2000sd/30/250/2X/SIG
$2000OP ADV PLUS 25/30/50/7900/2000cd/35/250/2X/SIG
$2500OP ADV PLUS 15/20/40/6350/2500sd/25/250/2X/SIG
$2500OP ADV PLUS 25/30/50/7900/2500sd/35/250/2X/SIG
$2500OP ADV PLUS 35/20/40/6350/2500sd/45/250/2X/SIG
$3000OP ADV PLUS 20/20/40/6350/3000sd/30/250/2X/SIG
$3000OP ADV PLUS 20/30/50/7900/3000sd/30/250/2X/SIG
$3000OP ADV PLUS 25/30/50/6350/3000cd/35/250/2X/SIG
$3000OP ADV PLUS 35/30/50/7900/3000cd/45/250/2X/SIG
$3500OP ADV PLUS 35/20/40/6850/3500cd/45/250/2X/SIG
$4000OP ADV PLUS 35/30/50/7900/4000cd/45/250/2X/SIG
$5000OP ADV PLUS 20/20/40/7900/5000sd/30/250/2X/SIG
$5000OP ADV PLUS 25/30/50/8150/5000sd/35/250/2X/SIG
$5000OP ADV PLUS 35/20/40/7900/5000cd/45/250/2X/SIG
$5000OP ADV PLUS 35/30/50/7900/5000cd/45/250/2X/SIG

Providence Option Advantage Premium

Option Advantage Premium$250OP ADV PREM 25/20/40/3500/250sd/25/200/2X/XPPO
$500OP ADV PREM 15/20/40/2500/500sd/15/250/2X/SIG
$750OP ADV PREM 20/20/40/2500/750sd/20/200/2X/SIG
$750OP ADV PREM 20/20/40/3000/750sd/20/250/2X/SIG
$1000OP ADV PREM 15/10/20/2000/1000cd/15/250/2X/SIG
$1000OP ADV PREM 15/20/40/2500/1000sd/15/250/2X/SIG
$1500OP ADV PREM 20/20/50/5500/1500sd/20/250/2X/XPPO
$1500OP ADV PREM 25/20/40/7900/1500sd/25/250/2X/SIG
$1500OP ADV PREM 25/20/40/4000/1500cd/25/250/2X/XPPO
$2000OP ADV PREM 25/20/40/3500/2000sd/25/250/2X/SIG
$2000OP ADV PREM 25/20/40/4000/2000sd/25/250/2X/SIG
$2500OP ADV PREM 25/20/40/7900/2500sd/25/250/2X/SIG
$2500OP ADV PREM 35/30/50/6350/2500sd/35/250/2X/XPPO
$3000OP ADV PREM 25/20/40/6350/3000sd/25/250/2X/SIG
$3000OP ADV PREM 25/20/40/7900/3000sd/25/250/2X/SIG
$4000OP ADV PREM 25/20/40/7900/4000sd/25/250/2X/SIG

Providence Personal Option

Personal Option$1500PE 15/30/3000/1500d/25/250/2X/SIG

Providence HSA

HSA Plan$1500HSA 20/40/3000/1500cd/20/20/2X/SIG
$1500HSA 20/40/3000/1500cd/20/20/2X/XPPO
$1500HSA 20/40/4000/1500cd/20/20/2X/SIG
$1500HSA 20/40/4000/1500sd/20/20/2X/SIG
$1500HSA 20/40/5500/1500cd/20/20/2X/SIG
$1500HSA 20/40/5500/1500sd/20/20/2X/SIG
$1500HSA 20/40/6750/1500cd/20/20/2X/SIG
$2000HSA 20/40/5000/2000cd/20/20/2X/SIG
$2000HSA 20/40/5000/2000sd/20/20/2X/SIG
$2000HSA 20/40/5500/2000cd/20/20/2X/SIG
$2500HSA 20/40/5500/2500sd/20/20/2X/SIG
$2500HSA 20/40/6750/2500sd/20/20/2X/SIG
$2500HSA 20/50/5000/2500sd/20/20/2X/XPPO
$2500HSA 30/50/6750/2500sd/30/30/2X/SIG
$3000HSA 0/0/3000/3000sd/0/0/2X/SIG
$3000HSA 20/40/5500/3000cd/20/20/2X/SIG
$3000HSA 20/40/6750/3000sd/20/20/2X/SIG
$3000HSA 20/40/6900/3000sd/20/20/2X/SIG
$3000HSA 50/50/4000/3000cd/50/50/2X/SIG
$3500HSA 20/40/5500/3500sd/20/20/2X/SIG
$3500HSA 20/40/6750/3500cd/20/20/2X/SIG
$3500HSA 20/40/6900/3500cd/20/20/2X/SIG
$4000HSA 20/40/6750/4000cd/20/20/2X/SIG
$4000HSA 30/50/6900/4000sd/30/30/2X/SIG
$4000HSA 50/50/6750/4000sd/50/50/2X/SIG
$5500HSA 0/0/5500/5500sd/0/0/2X/SIG
$5500HSA 20/40/6750/5500cd/20/20/2X/SIG
$5500HSA 20/40/6900/5500cd/20/20/2X/SIG
$5500HSA 50/50/6750/5500sd/50/50/2X/SIG
$6650HSA 0/0/6650/6650sd/0/0/2X/SIG

Providence HSA Embedded

HSA Embedded$3000HSA E 20/40/5500/3000sd/20/20/2X/SIG
$3000HSA E 20/40/6900/3000cd/20/20/2X/SIG
$5500HSA E 0/0/5500/5500cd/0/0/2X/SIG

Providence Connect

Connect$500CNC 10/20/40/2500/500sd/20/250/2X/CNC
$500CNC 15/20/40/3000/500sd/30/250/2X/CNC
$500CNC 25/30/50/3000/500sd/50/250/2X/CNC
$750CNC 25/20/40/5000/750sd/50/250/2X/CNC
$1000CNC 15/20/40/2000/1000sd/30/250/2X/CNC
$1000CNC 15/20/40/3000/1000sd/30/250/2X/CNC
$1000CNC 15/20/40/3500/1000sd/30/250/2X/CNC
$1000CNC 15/20/40/6350/1000sd/30/250/2X/CNC
$1000CNC 25/20/30/4000/1000sd/35/250/3X/CNC
$1000CNC 25/20/40/4000/1000sd/50/250/2X/CNC
$1000CNC 25/20/40/6350/1000sd/50/250/2X/CNC
$1000CNC 25/30/50/6350/1000sd/50/250/2X/CNC
$1000CNC 30/20/50/6850/1000sd/30/250/2X/CNC
$2000CNC 15/20/40/4000/2000sd/30/250/2X/CNC
$2000CNC 15/20/40/5000/2000sd/30/250/2X/CNC
$2000CNC 25/20/40/3500/2000sd/50/250/2X/CNC
$2000CNC 25/20/40/4000/2000sd/50/250/2X/CNC
$2000CNC 25/20/40/6350/2000sd/50/250/2X/CNC
$2000CNC 25/30/50/4000/2000sd/50/250/2X/CNC
$2000CNC 25/30/50/6350/2000sd/50/250/2X/CNC
$2000CNC 35/20/40/5000/2000sd/45/250/2X/CNC
$3000CNC 25/20/40/5000/3000sd/50/250/2X/CNC
$3000CNC 25/20/40/6350/3000sd/50/250/2X/CNC
$3000CNC 25/30/50/6350/3000sd/50/250/2X/CNC
$3000CNC 25/30/50/7900/3000sd/50/250/2X/CNC
$3000CNC 25/35/50/8150/3000sd/50/450/2X/CNC
$3000CNC 30/20/50/6850/3000sd/30/250/2X/CNC
$3000CNC 35/20/40/6350/3000sd/70/250/2X/CNC
$3000CNC 35/30/50/7900/3000sd/70/250/2X/CNC
$4000CNC 25/20/40/7900/4000sd/50/250/2X/CNC
$4000CNC 25/30/50/7900/4000sd/50/250/2X/CNC
$4000CNC 35/30/50/7900/4000sd/70/250/2X/CNC
$5000CNC 35/30/50/8150/5000sd/70/250/2X/CNC
$6000CNC 25/30/50/7900/6000sd/50/250/2X/CNC

Providence Choice

Choice$500CHC 20/20/50/3500/500sd/30/250/2X/CHC
$1500CHC 20/20/50/5500/1500sd/30/250/2X/CHC
$1500CHC 20/30/50/4000/1500sd/40/250/2X/CHC
$1500CHC 25/30/50/4000/1500sd/50/250/2X/CHC
$2000CHC 25/30/50/6350/2000sd/50/250/2X/CHC
$2000CHC 25/30/50/7900/2000sd/50/250/2X/CHC
$3000CHC 25/20/40/7900/3000sd/50/250/2X/CHC
$3000CHC 25/20/40/8150/3000sd/50/250/2X/CHC
$3000CHC 25/30/50/7900/3000sd/50/250/2X/CHC
$3000CHC 25/30/50/8150/3000sd/50/250/2X/CHC
$3000CHC 40/20/50/7000/3000sd/40/200/2X/CHC

 

Group Riders

Product Type

Benefit

DentalProvidence Preventive Dental

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