Sign In
Back to Dashboard

Individual and Family

View or print commonly used forms.

Enrollment Forms

KPIF Application

SEP

KPIF Special Enrollment Period Qualifying Life Event Guide
KPIF Special Enrollment Period Proof of Qualifying Life Event Form

2024 English (PDF) | 2024 Espanol (PDF)

Enrollment Guide and Rates

KPIF Enrollment Guide
KPIF Rates

Broker Support Documents

2024 KPIF Broker Training
Broker Client Inquiry Form (Excel file)
HIPAA Authorization Form

Large Business

Find, download, and print commonly used forms to help you administer your plan quickly and easily.

Member Forms

Members can view, download, or print commonly used forms, guidebooks, handbooks, and other publications related to their plan by visiting the Forms and Publications section of kp.org.

Other Forms and Support

Consolidated Appropriations Act and Transparency in Coverage LOA

Small Business

Companies with 1 to 100 employees ask for that perfect mix of high-quality in-person and virtual care, cost effectiveness and a range of plan options. Kaiser Permanente plans for small businesses include copayment plans, deductible plans, point-of-service plans, and dental plans to meet those needs.

Employer Forms

Employer Forms – Fully Insured

Employer Forms – Level Funded

Employee Forms

Employee Forms – Fully Insured

Broker Support Documents

Medical Financial Assistance