Large Group Resources

Administrative quick guide
Oregon standardized group profile form
2020 Summary of changes
2020 Member enrollment, termination, change & waiver form
2020 Member enrollment, termination, change & waiver form - Spanish
2020 Group application
2020 Policy application addendum
2020 Renewal change form
2021 Summary of changes
2021 Member enrollment, termination, change & waiver form
2021 Group application
2021 Policy application addendum
2021 Renewal change form

Certificate 

For plans with an effective start date in 2021, review the 2021 Certificate - Large Group Plans.

Some Services Require Authorization

Coverage of certain medical services and surgical procedures requires Samaritan Health Plans’ written authorization before the services are performed. Your provider can request prior authorization by phone, fax or mail. If for any reason your provider will not or does not request prior authorization for you, you must contact Samaritan Health Plans yourself. In some cases, additional information or a second opinion can be required before authorizing coverage. Review the 2021 Authorization List - Large Group Plans. 

Additional Benefits Available 

Our large group plans can be customized with the following optional benefits:

•  Alternative Care (including chiropractic, acupuncture and massage services):
  Alternative Care Option 1 or Alternative Care Option 2
•  Vision Coverage:
  Vision Benefits
• Employee Assistance Program (EAP):
  EAP Enhanced, EAP Enhanced WholeLife Directions, EAP Platform or EAP Platform WholeLife Directions

Schedule of Benefits

Brokers can contact their Samaritan Health Plans sales representative for detailed information. Employers can call their broker or sales representative.