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Large Group Plan Documents
Review plan listings of previous evidence of coverage documents.
- 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)
Questions?
Have questions about the sample plan documents? Please visit Large Business Plans or call 1-877-305-7933 (TTY 711).
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.