Complete the employer application form and the employee enrollment forms.2 You can find these in our Resource Library under the Forms section. Send the completed documents to our secure mailbox: mas-small-group-new-business@kp.org.
Apply for coverage
There are two ways you can apply for coverage:
1In Washington, D.C., your clients can only apply for coverage through the marketplace at dchealthink.com.
2All fields on the application must be completed and the application submitted with the first month's premium to begin the application process. Unanswered questions and/or incomplete sections will result in the application being returned to you.
Forms
Download the forms that you use most, including enrollment forms, and more.
Contact us
Get a quote
Get a quote for businesses with 50 or fewer employees
Account managers
Contact our account managers with questions and requests about your Kaiser Permanente account.
Sales representative
Contact our representatives if you have any questions about our coverage.