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Or fewer employees, or Employer Groups not subject to COBRA If you wish to apply for Oregon continuation coverage, you must complete all sections of this form and return it to your employer within 10 days of the qualifying event or 10 days of receiving your notice of continuation coverage, whichever is later. SECTION 1 LAST NAME QUALIFYING INDIVIDUAL INFORMATION FIRST NAME M.I. ADDRESS (STREET, CITY, STATE, ZIP CODE) DATE OF BIRTH GENDER DAYTIME PHONE MEMBER ID NO. GROUP NO. MARITAL S.

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Welcome to Providence Preferred, a preferred provider organization owned by Providence Health & Services and, designed to manage the cost, delivery and quality of health care for insurance companies, self-insured employees and trusts, and third-party administrators (TPAs). Welcome to Providence Preferred providence.org https://.providence.org › ppo providence.org https://.providence.org › ppo

Our network gives you access to more great care through Health Share. You can choose between CareOregon, Kaiser Permanente, Legacy Health PacificSource, OHSU Health, and Providence Health Assurance.

Providence's Medicare Advantage Plans have an overall quality rating of 5 stars, the highest rating possible, from the Centers for Medicare & Medicaid Services. A.M. Best sets credit ratings for insurers. Providence Health Plans are not rated by A.M. Best. Providence Medicare Advantage Plans Review affordablehealthinsurance.com https://.affordablehealthinsurance.com › providence... affordablehealthinsurance.com https://.affordablehealthinsurance.com › providence...

(See the map) You can enroll in OHP any time of the year. *In these counties, Health Share is the CCO for all OHP members. Members have many health plan choices, including Providence Health Assurance. Explore the Oregon Health Plan providencehealthplan.com https://.providencehealthplan.com › medicaid101 providencehealthplan.com https://.providencehealthplan.com › medicaid101

Cigna Healthcare is an independent company and not affiliated with Providence Health Plan. Navigating the Cigna PPO Network - Providence Health Plan providencehealthplan.com https://.providencehealthplan.com › bend-chamber providencehealthplan.com https://.providencehealthplan.com › bend-chamber

With more than 90 clinics and more than 600 employed physicians in Oregon, Providence Medical Group offers primary and specialty care to adults and children. Our patient-centered medical home clinics have received Oregon's highest, Tier 3, recognition for excellence.

Need care? You've got options with your Health Share Providence (OHP) health plan.

Caring for the communities we serve See how Providence Health Plan is taking a community-first approach to providing accessible, equitable care and improving Health For All.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232