Individual and family plans

Individual and family contacts

We appreciate the opportunity to partner with you and we look forward to a productive relationship.

1. Learn about our plans

Your clients can choose from an updated portfolio of individual health plans for 2019, including plans direct from Kaiser Permanente, as well as plans through Washington Healthplanfinder. Our plans offer great benefit coverage, value for the money, and a choice of high-quality providers.

View our plans

2. Review our provider network

Core offered by Kaiser Permanente

Thousands of quality providers and facilities, including:

  • More than 1,100 providers‌1 at 28 Kaiser Permanente medical offices
  • More than 9,000 additional contracted providers, including 46 hospitals‌1.

1OIC Provider Network Form A

3. Choose the right coverage level

All our plans include the same benefits. The main differences are seen in the monthly premiums and the member's cost shares.

LevelsBronzeSilverGoldPlatinum
Monthly Premium$$$$$$$$$$
Cost to members when they get care*$$$$$$$$$$

*Copays, deductible, coinsurance

2019 Open Enrollment deadlines

Nov. 1, 2018–Dec. 15, 2018

For coverage beginningOff-exchange with Kaiser PermanenteThrough Washington Healthplanfinder
Jan. 1, 2019Dec. 15, 2018Dec. 15, 2018


Certain qualifying events—such as if your client loses their minimum essential coverage, or there is a birth or adoption in their family—allow members to enroll in a health plan, or modify their coverage, at any time during the year, as long as it's no more than 60 days from the date of the qualifying event.

4. Consider dental coverage

We work with Delta Dental of Washington to offer your clients dental coverage when paired with one of our 2019 direct individual plans. Both of the following options fulfill the federal mandate to provide pediatric dental coverage to anyone under age 19.

Option 1. An adult/family plan that includes dental coverage for members over and under age 19. This plan is available for adults and families who purchase their medical plan direct from Kaiser Permanente. For clients who enroll through the Washington Healthplanfinder, they will now be able to purchase adult/family dental along with their medical plan.

Option 2. A pediatric-only plan that includes dental coverage only for those under age 19.

  • This plan is only available if your clients purchase their medical plan direct from Kaiser Permanente.
  • If your clients purchase their medical plan through Washington Healthplanfinder and are under age 19 or have dependents under age 19, they must purchase pediatric dental coverage through Washington Healthplanfinder, too.

Dental plans summary of benefits (PDF)
Also see: Using Your Dental Benefits

For members enrolling direct with Kaiser Permanente
Dental coverage can be elected when enrolling in a medical plan online or by using the Individual & Family application. If your clients prefer their current medical plans and are not making any changes during open enrollment, they must complete, print, sign, and send the Dental application (PDF) if they want to add one of our dental plans.

If your clients plan to enroll, or have already enrolled, in dental plans through an employer or another dental carrier, they must complete and submit an attestation of pediatric dental coverage form (PDF). They'll also need to submit proof of coverage with the coverage effective date, such as a copy of a dental ID card, billing statement, or benefit booklet. This is a requirement to attest and provide proof of coverage annually to Kaiser Permanente within 60 days of your medical coverage effective date.

Dental application (PDF)
Pediatric Dental Attestation (PDF)
Individual & Family application (PDF)

Kaiser Permanente Individual and Family Sales support

Kaiser Permanente Individual and Family Sales support is available to answer questions regarding the following topics:

  • Book of Business questions
  • Client eligibility
  • Client enrollment status
  • Plan quotes and benefits
  • Sales kit requests
  • Producer of Record changes
  • Online Quoting Tool

Sales Support can be reached at 1-800-474-1079 or via email at ifsales@kp.org.

Note: Please do not send Individual and Family applications to this email address.

Kaiser Permanente Individual and Family Submissions

Individual and Family enrollment can be submitted either online or via a paper application or member account change form. Enrollment cutoff date for the first of the month coverage is the 15th of the month.

  1. Online enrollment through the Agent Quote Tool

    This is the preferred method of submission for both timeliness and accuracy. You can either assist your clients in completing their enrollment online through our producer Quote Tool, or by sending them your individual sales URL and they complete their enrollment.

  2. Paper application and member account change forms

    You can submit a paper application or member account change form to KPWA 2 ways:
    1. By mail to Kaiser Permanente Individual and Family Sales
      PO Box 35002, RCB-C1W-02
      Seattle, WA 98124-3402
    2. By fax to 206-877-0655

1. Learn about our plans

Your clients can choose from an updated portfolio of individual health plans for 2018, including plans direct from Kaiser Permanente, as well as plans through Washington Healthplanfinder. Our plans offer great benefit coverage, value for the money, and a choice of high-quality providers.

Plans direct from Kaiser Permanente
Plans through Washington Healthplanfinder

2. Review our provider network

Core offered by Kaiser Permanente

Thousands of quality providers and facilities, including:

  • More than 1,000 providers1 at 25 Kaiser Permanente medical offices and pharmacies
  • More than 9,000 contracted providers and facilities, including 49 hospitals1

3. Choose the right coverage level

All our plans include the same benefits. The main differences are seen in the monthly premiums and the member's cost shares.

LevelsBronzeSilverGoldPlatinum
Monthly Premium$$$$$$$$$$
Cost to members when they get care*$$$$$$$$$$

*Copays, deductible, coinsurance

2018 Open Enrollment deadlines

Nov. 1, 2017–Jan. 31, 2018

For coverage beginningOff-exchange with Kaiser PermanenteThrough Washington Healthplanfinder
Jan. 1, 2018Dec. 31, 2017Dec. 23, 2017
Feb. 1, 2017Jan. 31, 2017Jan. 23, 2017
March 1, 2018Jan. 31, 2018Jan. 31, 2018


1OIC Provider Network Form A
Certain qualifying events—such as if your client loses their minimum essential coverage, or there is a birth or adoption in their family—allow members to enroll in a health plan, or modify their coverage, at any time during the year, as long as it's no more than 60 days from the date of the qualifying event.

4. Consider dental coverage

We work with Delta Dental of Washington to offer your clients dental coverage when paired with one of our 2018 direct individual plans. Both of the following options fulfill the federal mandate to provide pediatric dental coverage to anyone under age 19.

Option 1. An adult/family plan that includes dental coverage for members over and under age 19. This plan is available for adults and families who purchase their medical plan direct from Kaiser Permanente. For clients who enroll through the Washington Healthplanfinder, they will now be able to purchase adult/family dental along with their medical plan.

Option 2. A pediatric-only plan that includes dental coverage only for those under age 19.

  • This plan is only available if your clients purchase their medical plan direct from Kaiser Permanente.
  • If your clients purchase their medical plan through Washington Healthplanfinder and are under age 19 or have dependents under age 19, they must purchase pediatric dental coverage through Washington Healthplanfinder, too.

Dental plans summary of benefits (PDF)
Also see: Using Your Dental Benefits

For members enrolling direct with Kaiser Permanente
Dental coverage can be elected when enrolling in a medical plan online or by using the Individual & Family application. If your clients prefer their current medical plans and are not making any changes during open enrollment, they must complete, print, sign, and send the Dental application (PDF) if they want to add one of our dental plans.

If your clients plan to enroll, or have already enrolled, in dental plans through an employer or another dental carrier, they must complete and submit an attestation of pediatric dental coverage form (PDF). They'll also need to submit proof of coverage with the coverage effective date, such as a copy of a dental ID card, billing statement, or benefit booklet. This is a requirement to attest and provide proof of coverage annually to Kaiser Permanente within 60 days of your medical coverage effective date.

Dental application (PDF)
Pediatric Dental Attestation (PDF)
Individual & Family application (PDF)

For 2018 Individual and Family forms please visit our Forms and Resources page.

2019 Individual and Family

2019 Service Area map (PDF)

Sales Contacts for Producers (PDF)

Individual and Family Enrollment Guide and Rates (PDF)

Account Change Form (PDF)

Affidavit of Non-Tobacco Use (PDF)

Attestation of Pediatric Dental Coverage (PDF)

Dental Application (PDF)

Enrollment Application (PDF)

SEP Documentation of Triggering Event Form (PDF)

SEP Guide (PDF)

Individual and Family Plans Member Website (Kaiser Permanente's member website for individuals and families)

Tax Credit (Subsidy) Calculator (Website)

Washington Healthplanfinder (Online Exchange marketplace)


New Individual and Family Sales Tool

Get Our value stories (PDF) that highlight the benefits of Kaiser Permanente for your individual and family prospects. Now you can have proof points and more all in one document


Get Sales Packets

E-mail us with your request and you should receive packets within 5 to 7 business days.