Enrolling with a Special Enrollment Period qualifying event

The new Medicare Open Enrollment Period (OEP) closed Mar. 31. Beneficiaries might still be able to enroll in a Medicare Advantage plan if they experience a qualifying event that makes them eligible for a Special Enrollment Period (SEP). A few examples include:

  • Aging in to Medicare
  • A loss of employer-sponsored or group coverage
  • A move out of your current plans' service area

Beneficiaries may also qualify for Extra Help costs related to their Medicare Prescription Drug plan. More information on qualifying events can be found at medicare.gov. 

Get quotes and process enrollments through our online Agent Quoting Tool

Agent Quoting Tool

Get Sales Packets

E-mail us with your request and you should receive packets within 3 to 5 business days.

Email us

Kaiser Foundation Health Plan of Washington Medicare Advantage HMO Plans

Puget Sound Area 1 Rates and Benefits

Plans available in King, Pierce, and Thurston counties.
Medicare Advantage Key (HMO)
Medicare Advantage Vital (HMO)
Medicare Advantage Essential (HMO)
Medicare Advantage Optimal (HMO)
Medicare Advantage Basic (HMO)

Puget Sound Area 2 Rates and Benefits

Plans available in King, Kitsap, Lewis, Pierce, Snohomish, and Thurston counties, and parts of Grays Harbor and Mason counties.1
Medicare Advantage Vital (HMO)
Medicare Advantage Essential (HMO)
Medicare Advantage Optimal (HMO)
Medicare Advantage Basic (HMO)

Northwest Counties Rates and Benefits

Medicare Advantage Harbor (HMO)
Medicare Advantage Basic (HMO)
Plans available in Island, San Juan, Skagit, and Whatcom counties.

Spokane County Rates and Benefits

Medicare Advantage Centennial (HMO)
Medicare Advantage Columbia (HMO)
Medicare Advantage Basic (HMO)

Medicare Advantage Part D Comprehensive Formulary (PDF)

Medicare Advantage HMO Dental Benefits (PDF)

HMO Service Area (PDF)

1. Grays Harbor County service area ZIP codes: 98541, 98557, 98559, 98568. Mason County service area ZIP codes: 98524, 98528, 98546, 98548, 98555, 98584, 98588, 98592.

Kaiser Permanente Medicare Sales support

Kaiser Permanente Medicare Sales support is available to answer questions regarding the following topics:

  • Medicare Certification and Training
  • 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 1-800-581-8252 or via email at KPWA.Medicare@kp.org.

Note: Please do not send Medicare Advantage elections forms to this email address.

Kaiser Permanente Medicare Advantage Quotes and Enrolling

Medicare Advantage enrollment can be submitted either online or via a paper Election form.

  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 election forms

    You can submit paper elections form to KPWA 3 ways:

    1. By mail to Kaiser Permanente Medicare Enrollment
      PO Box 34255
      Seattle, WA 98124-1255
    2. By Fax to 206-988-7543
    3. By encrypted email to KPWA.medicaremembership.kp.org

      Enrollment forms submitted via email must be encrypted. If you’re unable to meet this email requirement, please use one of the alternate forms of submission listed above.

Note that Election forms must be submitted to KPWA within 24 hours of receipt by the agent.

Medicare Advantage Group Retirees

For information Group Retiree plans, contact Large Group Sales and Account Management.

Kaiser Permanente is an HMO plan with a Medicare contract. Enrollment in Kaiser Permanente depends on contract renewal.

2019 Medicare Forms

MA Commission Supplement (PDF)

Medicare VP Placemat (PDF)

Sales Contacts for Producers (PDF)

Medicare Advantage Part D Comprehensive Formulary (PDF)

Star Rating Flyer (PDF)

Medicare Advantage HMO Optional Dental Benefits (PDF)

Enrollment Form (PDF; CMS requires that potential enrollees receive a Summary of Benefits and Star Ratings Document when given an Enrollment Form)

Service Area Map (PDF)

Scope of Appointment Form (PDF)

Summary of Benefits Vital, Essential, Optimal (HMO) (PDF)

Summary of Benefits Harbor (HMO) (PDF)

Summary of Benefits Centennial and Columbia (HMO) (PDF)

Summary of Benefits Basic (HMO) (PDF)

Summary of Benefits Key (HMO) (PDF)

Premium Pay (Website)

Agent of Record Form (PDF)

Certifications and Commissions

The Medicare Certification period for plan year 2019 has ended. More information on certifications or selling our Medicare Advantage plans can be found here.