Individual and family plans
Our plans offer great coverage, high-quality providers, and value all along the cost and coverage spectrum. Everything your clients are looking for in a health plan is right here.
Get quotes and apply for coverage
Tools and resources to help you advise your clients on the right Kaiser Permanente for Individuals and Families (KPIF) plan, whether you're selling through the exchange or directly from Kaiser Permanente.
Get sales packets
Email us with your request and you should receive packets within 5 to 8 business days.
1. Learn about our plans
Your clients can choose from a portfolio of individual health plans for 2025, including plans direct from Kaiser Permanente, as well as plans offered through Washington Healthplanfinder. Our plans offer great benefit coverage, great value for the money, and a choice of high-quality providers.
You can view our plans and compare up to 3 off-exchange plans at a time on the Sign Me Up online quoting and enrollment tool. To view both on and off-exchange plans together and compare, visit buykp.org.
To compare plans:
- Click the Compare box below every plan that is being considered.
- Scroll down toward the bottom of the page to see a list of all selected plans.
- Click the Compare plans button to see the results.
- All selected plans for comparison are shown side-by-side. Scroll down to see additional information.
- When Plan details is clicked, the complete information about the selected plan will show. To print the plan details, click Print.
2. Review our provider network
Starting January 1, 2025, the Core network is the provider network for all Kaiser Permanente individual and family plans. The Core network includes the Washington Permanente Medical Group, which offers more than 1,300 clinicians practicing at 33 medical facilities and at community hospitals in Washington state.* We are one of the largest multispecialty groups in the state with more than 60 specialties, including 17 surgical specialties. In addition, we have a broad network of contracted primary care providers, specialists, and hospitals.
View providers within our provider network.
*OIC Provider Network Form A
3. Choose the right coverage level
About our plans
Our plans offer individual and family benefits delivered in an environment that puts preventive care and overall wellness first. That’s why our plans cover routine appointments, preventive care, wellness programs, and more to help prevent our members from getting sick in the first place.
Our plans also have virtual care options that include 24/7 online chat, 24/7 advice line, video and phone visits, e-visits, and email for nonurgent questions.*
To learn more about our plans, view the enrollment guide.
Plan availability
Many of our individual and family plans are available in the following counties: Benton, Columbia, Franklin, Island, King, Kitsap, Lewis, Mason, Pierce, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, Whitman, and Yakima. Refer to the Individual and Family Service Area Map for a visual on where plans are offered.
Open enrollment deadlines for the 2025 plan year
November 1, 2024 – January 15, 2025
| For coverage beginning | Off exchange with Kaiser Permanente | Through Washington Healthplanfinder |
|---|---|---|
| Jan. 1, 2025 | Dec. 15, 2024 | Dec. 15, 2024 |
| Feb. 1, 2025 | Jan. 15, 2025 | Jan. 15, 2025 |
Optional dental coverage
We work with Delta Dental of Washington to offer your clients dental coverage when paired with one of our off-exchange individual plans. Both dental plan options fulfill the federal mandate to provide pediatric dental coverage to anyone under age 19. Learn more about dental plans.
1. Learn about our plans
Your clients can choose from a portfolio of individual health plans for 2024, including plans direct from Kaiser Permanente, as well as plans through Washington Healthplanfinder. Our plans offer great benefit coverage, great value for the money, and a choice of high-quality providers.
You can view our plans and compare up to 3 off-exchange plans at a time on the Sign Me Up online quoting and enrollment tool. To view both on and off-exchange plans together and compare, visit buykp.org.
To compare plans:
- Click the Compare box below every plan that is being considered.
- Scroll down toward the bottom of the page to see a list of all selected plans.
- Click the Compare plans button to see the results.
- All selected plans for comparison are shown side-by-side. Scroll down to see additional information.
- When Plan details is clicked, the complete information about the selected plan will show. To print the plan details, click Print.
2. Review our provider network
Washington Permanente Medical Group offers more than 1,300 clinicians practicing at 35 medical facilities and at community hospitals in Washington state.* We are one of the largest multispecialty groups in the state with more than 60 specialties, including 17 surgical specialties. In addition, we have a broad network of contracted primary care providers, specialists, and hospitals.
View providers within our provider networks.
Our individual and family plans offer care through 2 networks:
-
Starting January 1, 2024, the Core network is the provider network for all non-Kaiser Permanente Virtual Plus™ individual and family plans.
-
The Connect network is the provider network for the Kaiser Permanente Virtual Plus™ individual and family plans.
*OIC Provider Network Form A
3. Choose the right coverage level
About our plans
Our plans offer individual and family benefits delivered in an environment that puts preventive care and overall wellness first. That’s why our plans cover routine appointments, preventive care, wellness programs, and more to help prevent our members from getting sick in the first place.
Our plans also have virtual care options that include 24/7 online chat, 24/7 advice line, video and phone visits, e-visits, and email for nonurgent questions.*
To learn more about our plans, view the enrollment guide.
Plan availability
Many of our individual and family plans are available in the following counties: Benton, Columbia, Franklin, Island, King, Kitsap, Lewis, Mason, Pierce, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, Whitman, and Yakima. Refer to the Individual and Family Service Area Map for details on where plans are offered.
*Virtual care is offered when appropriate and available. If you travel out of state, virtual care could be limited due to state laws that may prevent doctors from providing care across state lines. Laws differ by state.
Open enrollment deadlines for the 2024 plan year
November 1, 2023–January 15, 2024
| For coverage beginning | Off exchange with Kaiser Permanente | Through Washington Healthplanfinder |
|---|---|---|
| Jan. 1, 2024 | Dec. 15, 2023 | Dec. 15, 2023 |
| Feb. 1, 2024 | Jan. 15, 2024 | Jan. 15, 2024 |
Optional dental coverage
We work with Delta Dental of Washington to offer your clients dental coverage when paired with one of our off-exchange individual plans. Both dental plan options fulfill the federal mandate to provide pediatric dental coverage to anyone under age 19. Learn more about dental plans.
Kaiser Permanente Individual and Family Sales and Producer support
Our Kaiser Permanente Individual and Family Sales and Producer support team is available to answer questions regarding the following topics:
- Client enrollment and eligibility status
- Plan quotes and benefits
- Enrollment material requests
- Producer of record changes and questions
- Sign Me Up (SMU) registration
When to call Sales and Producer support team
The Sales and Producer support team can be reached at 1-800-474-1079 or via email at ifsales@kp.org, Monday through Friday, 8:30am to 5:00pm.
Note: Please do not send Individual and Family applications to this email address.
When to call Kaiser Permanente Member Services
Some inquiries may require member authorization to release information.
- Claims and appeals
- Identification cards
- Member address changes
- Billing and payments
- Benefits
- Primary care physician selection or change
1-800-290-8900
Claims: Claims Processing
Kaiser Permanente
P.O. Box 30766
Salt Lake City, UT 84130-0766
Appeals: Kaiser Permanente Member Appeals
P.O. Box 34593
Seattle, WA 98124-1593
When to call Washington Healthplanfinder
When a mutual client is enrolled with Kaiser Permanente through the Washington Healthplanfinder:
- Eligibility
- Plan and account changes (including address changes)
- Producer of record adds or changes
- Termination requests
1-855-923-4633
wahealthplanfinder.org
When to call the New Member Welcome Team
New members can contact the New Member Welcome Team anytime during the first 12 months of their membership for questions related to:
- Benefits and coverage
- Transition of care and medications
- Website support
- Help scheduling first visits with a Kaiser Permanente primary care physician
1-888-844-4607
When to call Producer Relations
- Appointment updates
- Producer or agent name, email, or address change
- Producer addition or termination
- Merger or acquisition
- Commission payment or statement inquiry
- Producer Portal access
brokerappt.commission@kp.org
1-800-440-2323
Kaiser Permanente Individual and Family quotes and enrolling
We offer tools and resources to help you advise your clients on the right individual and family plan, whether you're selling through the exchange or directly from Kaiser Permanente. Visit buykp.org, Kaiser Permanente’s online quoting tool, to compare on- and off-exchange plans, see if your client may be eligible for a subsidy, and get a fast quote.
Once your client is ready, you can submit an application for new enrollment in one of the following ways.
- On exchange: Visit the Washington Healthplanfinder website to submit your client’s application.
- Off exchange: Use the Sign Me Up (SMU) tool to submit your client’s application.
- If you're a first-time user, register for a broker account. See training resources below.
- Sign in to your account, and from your dashboard you can create a new quote, create a personalized landing page to send to your client to start the online application, or download a paper application if your client prefers that method. Your Kaiser Permanente agent number is automatically tied to the downloaded SMU application, and you will be set up as the producer of record.
- If your client prefers a paper application, fax or mail it to the number or address below. Please return every page of the application, completed, with all the required signatures, and proof of your qualifying life event (if required). To ensure you are set up as the Producer of Record, complete page 8 of the application.
Kaiser Foundation Health Plan of Washington
Membership Administration
P.O. Box 23127
San Diego, CA 92193-9921Or send it by secure fax to: 1-855-355-5334.
- If your client prefers a paper application, fax or mail it to the number or address below. Please return every page of the application, completed, with all the required signatures, and proof of your qualifying life event (if required). To ensure you are set up as the Producer of Record, complete page 8 of the application.
- Track your client’s online application status using the SMU tool, which gives you more visibility into the process.
Get to know the Sign Me Up tool
Learn how to use the Kaiser Permanente Washington SMU tool with the training videos and resources below.
- Registering a new account
- Creating a new quote
- Creating an application
- Consumer path — reviewing an application, submitting initial payment
- Creating a new contact or updating an existing contact
- Creating a custom URL (for single or multiple firms)
- Downloading a paper application
Additional Kaiser Permanente resources
Premium payment options:
- Online at kp.org/payonline
- Pay by phone 1-833-698-1220
- By mailing a check with invoice coupon to:
Kaiser Foundation Health Plan of Washington
P.O. Box 7172
Pasadena, CA 91109-7172
Accepted forms of payment when paying online or by phone:
- Credit card (Visa, Mastercard, Discover, and American Express)
- Debit card (signature debit and PINless debit)
- Personal or business savings and checking
KPIF on-exchange binder payment and ongoing premium payment due dates and grace periods
For on-exchange coverage, the binder payment must be received either by the enrollment effective date or 30 calendar days from Kaiser Permanente receiving the application, whichever is later. If the binder payment isn’t received by the due date, the application will be canceled without beginning coverage.
For subsequent premium payments for on-exchange KPIF members, payments are due by the end of the month before the next coverage month. If a member doesn’t pay by the due date, the following delinquency grace periods apply:
- 1 month for members who don’t receive financial help (Affordable Care Act advance premium tax credits or Washington Cascade Care Savings)
- 3 months for members and clients who receive financial help
Note: Delinquency grace periods don’t apply to the first binder payment and are used when a member is late on monthly premium payments.
KPIF off-exchange binder payment and ongoing premium payment due dates and grace periods
For off-exchange coverage, the binder payment must be received either by the enrollment effective date or 30 calendar days from Kaiser Permanente receiving the application, whichever is later. If the binder payment isn’t received by the due date, the application will be canceled without beginning coverage.
For subsequent premium payments for off-exchange KPIF members, payments are due before the first of each month. If a member doesn’t pay by the due date, they have a 1-month grace period to pay the account so that it's current.
Note: Delinquency grace periods don’t apply to the first binder payment and are used when a member is late on monthly premium payments.
Mail-order pharmacy
1-800-245-7979
kp.org/wa
Mental Health Access Center Phone
1-888-287-2680
Hospital Notification Line Phone
1-888-457-9516
(contact within 24 hours from admission to a non-Kaiser Permanente hospital)
2025 Individual and Family
2025 KPIF Monthly Rates (PDF)
Account Change Form (PDF)
Single Page Summaries (PDF)
Special Enrollment Guide (PDF)