Help Your Clients Apply Online

Once youget appointed with Kaiser Permanente and create an account you can get individual and family quotes, and choose the right plan for your clients. You can also get a personalized URL so your clients can enroll in the plan of their choice through your online quoting tool account. This quoting and online application guide (PDF) will help you learn more about the service.

Already have an account? Log in now to access your account information.

Premium Payment Website

Your clients may register here to pay premiums online.

Help Your Clients Apply By Mail

You can download this form for your clients so that they can enroll by mail.

2019 Application (PDF)
2018 Application (PDF)