Kaiser Small Group
Administrative & Wellness Tools
Better way to take care of business –
Kaiser Website
Don’t forget, Kaiser pays us to help you, no extra charge!
Find doctors & locations
Passport – Access to Care
Care away from home – travel
More detail
get care while away from home. Visit kp.org/travel or call 951–268–3900 for more information.
Kaiser Small Group Administration forms page
small business service tips on account.kp.org and click on “Enrollment and plan change forms.
Our Kaiser pdf directory
Underwriting_Guidelines_2020.pdf
Subscriber_Termination_and_Transfer_Form.pdf
Silver_2500_20_HDHP_HMO_Benefit_Summary.pdf
Recertification_Book.pdf
Proprietor_Partner_Corporate_Officer_Statement.pdf
Plan_Highlights_Jan_2020.pdf
Payroll_Attestation.pdf
Participation_and_Contribution_Attestation.pdf
New_Group_Application_Form_2020.pdf
New_Employee_Eligibility_Form.pdf
myStrength_for_Employers_Brochure_2.pdf
myStrength_Flyer.pdf
EOC_Bronze_60_HDHP_HMO_6000-40.pdf
Enrollment_or_Declination.pdf
Enrollment_Kit.pdf
Enroll_Checklist.pdf
Employer_Attestation_Declination_Form.pdf
Employer-Proposal-Packet-KP_CA_SB_EPP_BROKER_Jul_2020.pdf
Employee_Enrollment_Form.pdf
Employee_Dependent_Change_Form.pdf
Eligibility_Guide.pdf
Electronic_Transfer_for_Initial_Payment_Form.pdf
Declination_of_Coverage_Form.pdf
Declination_of_Coverage.pdf
DE9C_Sample_Form.pdf
Customer_Address_Name_Change_Request_Form.pdf
COVID-19_FAQ.pdf
Contact_Change_Request_Form.pdf
Census_Form.pdf
Calm_Promotional_Flyer.pdf
Renewal Information
small business service tips on account.kp.org and click on “Making health plan changes at renewal.” Member Tools
Contact & Service
Who to Contact besides [email protected]
California Service Center at [email protected].
- Member Services
- Kaiser Members Page
- Kaiser Service (800) 789-4661 Call center @ 800 464 4000 * 800 773 1370
Kaiser
Treatment Cost Estimator Tool
The tool is for all Kaiser Members that are enrolled on Deductible or Health Savings Account Plans. The cost estimates are for services that are marked “after deductible” to give members an idea of the cost of those services.
Employer Portal Account Services Tour
watch a short introduction and review training resources for employers and brokers.
- Kaiser’s Customer Account Services website is a powerful tool that will simplify your healthcare administration 24 hours a day, 7 days a week.
- Enroll/Terminate Employees & Dependents
- Update Membership Information
- View Real-Time Membership
- View Monthly Bill & Six Months of Previous Bills
- View Real-Time Balances & Pay Your Bill Online
- And Much More!
- Get a preview of online account services and use our online account services user ID request form to request access For more information or to schedule your free online training:
Please email us at: [email protected] or call 1-800-731-4661, option 3.
Enrollment & Service Forms
All Companies
Quotit Paper – PDF
Forms are in Alphabetical Order by Insurance Company
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ONLINE Enrollment Tools – Instructions
Email us for a web link to get your applications going with Pro Apply
PRO Apply: Flyer (PDF)
10 Reasons to Use PRO Apply: Flyer (PDF)
User Guides
PRO Apply: Quick Guide (PDF)
Our payment was due 4/25/2018.
I wasn’t aware that I had to fill out forms to pay the bill online and now it’s late.
I’m scared to death it’s too late and our plan will be cancelled.
Is there a grace period?
See page 33 of the Employer Administrative manual above. It explains how to pay your bill and the various options.
Have you set up a Kaiser ONLINE account? CAS.KP.ORG See above for more information.
Here’s the Silver 70 Evidence of Coverage as an example http://info.kaiserpermanente.org/healthplans/plandocuments/california/pdfs/2018/Small_Business/SCR/2018_Sample_SCR_Small_EOC_Silver_70_HMO_1000-50_Child_Dental_Alt_10384.pdf
Here’s an excerpt (This is from a client file, I don’t find a sample in the Kaiser Forms section, thus there is no link to it – check your own group agreement) from page 3 of the group services agreement:
Termination for Nonpayment
Premium payments are due as described in the “Premiums” section. If Health Plan does not receive full Premium payment on or before the due date, we will send a notice of nonpayment to Group as described under “Notices” in the “Miscellaneous Provisions” section. This notice will include the following information:
A statement that we have not received full Premium payment and that we will terminate this Agreement for nonpayment if we do not receive the required Premiums by the specified date
The amount of Premiums that are due If we terminate this Agreement because we did not receive the required Premiums when due, the Agreement will terminate on the date specified in the notice of nonpayment, which will be at least 30 days after the date of the notice. The Agreement will remain in effect during this grace period, but upon termination Group will be responsible for paying all past due Premiums, including the Premiums for this grace period.
We will mail a termination notice to Group as described under “Notices” in the “Miscellaneous Provisions” section if we do not receive full Premium payment within 30 days after the date of the notice of non receipt of payment.
Did you find our research prompt and helpful? How about appointing us as your broker – no additional charge. Just check this page https://employers.healthreformquotes.com/paper-census-form/broker-record-letter/ and put the wording on your letterhead and email to us @ [email protected]
How do we remove an employee that is no longer with us?
See the question below about how to add an employee and note the forms page and administrative manual, page 18.
Terminating membership
You’re required to report a termination for anyone who becomes ineligible for coverage.
To terminate membership coverage, complete the Subscriber Termination and Transfer form. You can submit the changes through online account services or you can fax the completed form to 858-614-3344 (Northern California groups) or 858-614-3345 (Southern California groups), or email the completed form to [email protected].
When an employee’s coverage is terminated, the entire family account is terminated, including coverage for any dependents. Depending on the reason for termination, the employee and dependents may be eligible for other health coverage, such as:
• Individual or conversion plans • COBRA continuation coverage • Cal-COBRA continuation coverage
For information on Kaiser Permanente for Individuals and Families coverage or Kaiser Permanente Conversion plans,
How do we add a new employee to our existing Kaiser Health Plan?
See the links above for the Small Group Administrative Manual for instructions to make the change on page 15. See the forms page for the new enrollment form
Here’s an excerpt of the instructions. You can also, just email to us and then we can follow through for you.
How to enroll new hires:
1. Have each new enrollee complete and sign an Employee Enrollment form. Be sure the form is completed. Missing or inaccurate information will delay enrollment processing. Keep copies of all completed and signed enrollment forms and any other proof of enrollment you receive.
2. Submit the new enrollee information to Kaiser Permanente: • Through online account services If you don’t receive confirmation of new online enrollment within a few days, call the enrollment department at the Small Business Services, California Service Center 800-790-4661, option 1 or check your online account services account.
• By fax or mail Fax or mail completed forms.
For Northern California: Kaiser Foundation Health Plan P.O. Box 23250 San Diego, CA 92193-3250 Fax: 858-614-3344
For Southern California:
Kaiser Foundation Health Plan
P.O. Box 23219
San Diego, CA 92193-3219
Fax: 858-614-3345
Enrollment applications should be submitted 2 to 3 weeks before the effective date to ensure that we’ll have enough time to process the applications and mail the member ID cards.
To verify receipt of enrollment forms, call 800-790-4661, option 1 72 hours after you send the forms. Most forms are processed within 7 to 10 days of receipt.