Large group plan documents

These EOCs are plan samples that may assist you in making an informed decision on the right type of plan. EOCs that are issued as part of your group’s contract with Kaiser Permanente will differ from these samples. For example, these EOCs do not include customer-specific coverage, cost share, and eligibility information, and the sample EOCs may be updated at any time for accuracy, to comply with laws and regulations, or to reflect changes in how coverage is administered.

*Kaiser Permanente's Point-of-Service Plan are underwritten by Kaiser Foundation Health Plan, Inc. (KFHP) and Kaiser Permanente Insurance Company (KPIC). The HMO tier is underwritten by KFHP and the PPO and Out-of-Network tier is underwritten by KPIC, a subsidiary of KFHP.

If your plan is not listed above, please access these additional EOCs.

Archive

Review plan listings of previous evidence of coverage documents.

Questions?

Have questions about the sample plan documents? Please call 1-800-464-4000  (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