Individual & Family Plan Documents

Review plan listings of previous evidence of coverage documents.

2024 California plans

KP CA - $0 Cost Share HMO AI-AN
KP CA – Bronze 60 HDHP HMO
KP CA – Bronze 60 HMO
KP CA – Gold 80 HMO Coinsurance
KP CA – Gold 80 HMO
KP CA – Minimum Coverage HMO
KP CA – Platinum 90 HMO
KP CA – Silver 70 HMO
KP CA - Silver 73 HMO
KP CA - Silver 87 HMO
KP CA - Silver 94 HMO

KP CA – Bronze 60 HDHP HMO
KP CA – Bronze 60 HMO 8200-0%
KP CA – Bronze 60 HMO
KP CA – Gold 80 HMO Coinsurance
KP CA – Gold 80 HMO
KP CA – Minimum Coverage HMO
KP CA – Platinum 90 HMO
KP CA – Silver 70 HDHP HMO 3600-25%
KP CA – Silver 70 HMO 2850-50
KP CA – Silver 70 HMO Off Exchange

Dental Insurance Plan - Adult
Dental Insurance Plan - Family

COVID-19 Services Amendment

Questions?

Have questions about the sample plan documents? Visit buykp.org or call 1-800-488-3590 (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.

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

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Individual & Family Plan Documents

2024 California plans

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Kaiser Permanente Member

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