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Large group plan documents
These are plan samples that may assist you in making an informed decision on the right plan. The actual plan you choose may vary from these samples and may contain new state regulations still in process.
- PPO with HSA Option
- PPO - Grandfathered
- PPO - Grandfathered+
- PPO
- 3-Tier POS Added Choice with HSA Option
- 3-Tier POS Added Choice - Grandfathered
- 3-Tier POS Added Choice
- 3-Tier POS Added Choice - Grandfathered+
- 3-Tier POS Added Choice Deductible Coinsurance
- Choice PPO
- Choice PPO with HSA Option
- Choice OOA (HSA Option and non-HSA Option)
Kaiser Permanente's Point-of-Service (POS) Plans are underwritten by Kaiser Foundation Health Plan of Colorado (KFHP of CO) and Kaiser Permanente Insurance Company (KPIC). In a 3-tiered POS Plan, the HMO In-Network Provider Tier is underwritten by KFHP of CO; and the Participating Provider and the Non- Participating Provider Tiers are underwritten by KPIC, a subsidiary of KFHP. In a 2-Tiered POS Plan, the HMO In-Network Provider Tier is underwritten by KFHP of CO and the Non- Participating Provider Tier is underwritten by KPIC.
Kaiser Permanente's PPO Plans are underwritten by KPIC, a subsidiary of Kaiser Foundation Health Plan.
Archive
Review plan listings of previous evidence of coverage documents.
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Kaiser Permanente member
The sample documents may vary from your actual benefits. To view a copy of your specific plan documents, please log into www.kp.org
or contact Member Services.