Individual & family 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.

Archive

Review plan listings of previous evidence of coverage documents.

Questions?

Have questions about the sample plan documents? Visit buykp.org   or call 808-432-5955  (Oahu) and 1-800-966-5955  (Neighbor Islands) (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.

More resources

Evidence of coverage: Individual & Family | Small Business | Large Business