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Small business 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.
- Dual Choice PPO Bronze HDHP/HSA 7250-10
- Dual Choice PPO Bronze 6500-20-60
- Dual Choice PPO Gold 1000-20-30
- Dual Choice PPO Gold 2500-10-30
- Dual Choice PPO Platinum 0-0-20
- Dual Choice PPO Silver 3850-30-50
- Dual Choice PPO Silver 4850-30-50
- Dual Choice PPO Silver HDHP/HSA 3800-20
- Dual Choice PPO Silver HDHP/HSA 5000-20
Kaiser Permanente's Added Choice Plan is underwritten by Kaiser Foundation Health Plan, Inc. (KFHP) and Kaiser Permanente Insurance Company (KPIC). The HMO tier is underwritten by KFHP and the Out of Network tier is underwritten by KPIC, a subsidiary of KFHP.
Kaiser Permanente's Dual Choice PPO is underwritten by KPIC, a subsidiary of KFHP.
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.