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For more small business plans, please access these additional EOCs.
- $30 Copayment Plan
- $40 $2000 Deductible Plan
- $30 $1500 Deductible Plan with HRA
- $0 $3400 Deductible Plan with HSA Option INF
Amendments effective January 1, 2026
Small Business Plan Documents
These are sample evidence of coverage (EOC) documents for grandfathered plans. Enrolled members will receive the most current version that should be used to determine terms of coverage.
California Plans Closed to New Membership
For more small business plans, please access these additional EOCs.
Questions?
Have questions about the sample plan documents? Please visit Small 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.