Large Group Resources

Helping You Manage Your Account

Large group plan administrators may access the administrative forms, member forms and plan documents you need below. Get answers to your frequently asked questions.

 

Employees may contact Customer Service at 541-768-4550, toll-free 800-832-4580 or TTY 800-735-2900, Monday through Friday, 8 a.m. to 8 p.m. Employees may also come to our office location at 2300 NW Walnut Blvd., Corvallis, Oregon, Monday through Friday, 8:30 a.m. to 5 p.m.
No. Products are offered on a sole carrier basis.
Employees may receive urgent and emergent services nationwide as they could in network. If you do see an out of network provider for services other than for urgent care services and emergencies, your out-of-pocket costs will be higher than they would if received in network. Samaritan Health Plans has contracted with discount provider networks to keep even your out of network costs down. You can call the health plan for specific questions regarding provider networks, benefits and service area.

A minimum of 51% of the enrolled population must reside in the Samaritan Large Group service area. An eligible employer is one that:

  • employs an average of at least 51 employees on business days during the preceding calendar year, the majority of whom are employed within the Samaritan Health Plans Large Group service area (currently the entire state of Oregon)
  • meets the Oregon Insurance Division’s definition of a large group employer on the effective date of coverage

All employers will want to assess whether they will be considered to have at least 50 full-time equivalent employees once the federal calculation for determining an employer’s number of full-time equivalent employees is finalized.

For more information, refer to the final IRS regulation, Shared Responsibility for Employers Regarding Health Coverage.

Many employer-based health insurance plans are fully insured by a health insurance company. This means the employer contracts with a health insurance company to provide its employees benefits, pays premiums for such coverage, and the insurance company assumes all claims risk. The states regulate fully insured group plans.