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.

For more small business plans, please access these additional EOCs.

Bronze 60 HMO 6300/60 + Child Dental Alt
Silver 70 HMO 2500/55 + Child Dental INF
Gold 80 HMO 250/35 + Child Dental
Platinum 90 HMO 0/20 + Child Dental
SCR KFHP Chiropractic/Acupuncture Benefit

PPO Bronze
PPO Silver
PPO Gold
PPO Platinum
Dental AG 1500
Dental Fee for Service Plan E with Orthodontia

Please visit www.coveredca.com/forsmallbusiness/plans/

Please visit www.calchoice.com/Documents/Index.aspx

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

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.

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