There are several ways to update your client's email or physical address changes.
1. Your client's authorized signer must send an email to amt@kp.org and do the following:
If you have any other questions, please contact your account manager or call our Small Business Account Management Support Team at 800-790-4661, option 3.
If your clients’ small business has locations in Northern and Southern California, and the non-headquarters region has at least 13 Kaiser Permanente subscribers, the group may need to separate its contract. This will give each location its own contract and customer identification number (CID).
To help make this transition easier, we’ve simplified our process:
What if my clients’ group uses Electronic Data Interchange (EDI) to send files?
After separating their group, they must update their EDI file with the employees from each region. We recommend making updates by the end of their renewal month.
What if my clients’ group uses online account services?
The group with the original contract will need to add the new location on online account services by filling out our Online Account Services User ID Request Form. Be sure to include the CID of the group with the original contract and the new CID of the other region. After making the updates, they’ll be able to access both regions from one account.
How many bills will my clients get?
Your clients’ group may receive a bill for each contract. Billing may take 1 to 2 months to catch up after the separation. Until that happens, they may see a credit or retro charges on their bills. We recommend they pay as billed.
If my client offers one or more grandfathered plans, will the risk adjustment factor stay the same after the separation?
Yes, the grandfathered risk adjustment factor stays the same for both groups if your clients offer one or more grandfathered plans.
Do my clients’ employees’ deductible and out-of-pocket accumulations follow them if they’re moving to the new location?
Yes. After the member is transferred, we’ll transfer all deductible and out-of-pocket accumulations. This process can take 30 days or more to complete after the group’s renewal date.
Why do affected members receive a Certificate of Creditable Coverage letter?
Affected members who are terminated from the contract for the headquartered location must be mailed a Certificate of Creditable Coverage letter, but they can disregard the letter because they were immediately enrolled in the new group located in the opposite region.
How long does it take to separate a group?
It takes about 4 weeks, not including the time it takes to transfer any deductible or out-of-pocket accumulations.
Please contact your account manager or our Small Business Account Management Support Team at 800-790-4661, option 3.
How do I help a small group terminate their contract with Kaiser Permanente?
Contact our Account Management Support team at 800-790-4611, option 3, Monday through Friday, 8:30 a.m to 5 p.m Pacific time to assist you with this request.
Who's responsible for stopping autopay?
If your client pays their premium through autopay, it's their responsibility to turn it off once all premium owed has been paid. If you or your clients have questions on how to stop autopay, please call the California Service Center at 800-790-4661, option 1.
Can my client request reinstatement of their contract later?
Yes, your client can request reinstatement of their contract within 60 days of their termination date without lapse in coverage and without needing to go back through the underwriting process.
Can I use a Declination of Coverage form to request termination of a small group contract?
No. The Declination of Coverage form is for employees who want to decline group health coverage with Kaiser Permanente.
Your clients’ employees will get new ID cards only when they:
1 Most members can also access their digital ID card through kp.org or the Kaiser Permanente app. This option is not available for Northern California, Medicare members, and some out-of-area plans.
