Small Group

Forms and sales tools

Small group forms and resources

Small group contacts

View our Small Group Sales directory.

Find the right plan in 3 easy steps

Customize a health plan that fits your company’s size, needs, and budget. (Adult and family dental benefits are optional.)

View our plans

1. Determine whether you’ll offer multiple plans

To offer 3 plans:

  • Groups must have 10 to 24 employees
  • You can offer any combination of Core and Access PPO plans

To offer up to 5 plans:
  • Groups must have 25 to 50 employees
  • If more than 3 plans are offered, one plan must be Core network

Groups must have at least 1 employee enrolled in each plan offered.

Federal regulations require that groups must have at least one common law employee enrolled to offer coverage. That means there must be at least one employee on the payroll who is not the owner or spouse of the owner.

2. Decide on your provider network(s)

CORE | Offered by Kaiser Foundation Health Plan of Washington

  • More than 1,000 providers2 — the highest-ranked medical group in the state1 — at Kaiser Permanente medical offices
  • 30 Kaiser Permanente medical offices and pharmacies2
  • More than 9,000 additional network providers and facilities2

ACCESS PPO | Offered by Kaiser Foundation Health Plan of Washington Options, Inc.

  • Kaiser Permanente medical offices and pharmacies
  • Most providers and designated pharmacies in our service area, including UW Medicine, Swedish Physicians, MultiCare, CHI Franciscan, PeaceHealth, Providence, and more
  • First Choice Health network providers for Oregon, Alaska, Montana, Idaho, and Washington
  • First Health Network providers for all other states in the United States
  • OptumRx network pharmacies

1Washington Health Alliance, 2017 Community Checkup www.wacommunitycheckup.org; Ranking applies to Kaiser Permanente Washington’s medical group, Washington Permanente Medical Group, P.C.
2OIC Provider Network Form A

3. Choose your coverage level(s)

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

LevelsBronzeSilverGoldPlatinum
Monthly Premium$$$$$$$$$$
Cost to members when they get care
(Copays, deductible, coinsurance)
$$$$$$$$$$

4. Consider dental coverage

We work with Delta Dental of Washington to offer your employees dental coverage when paired with one of our 2019 medical plans. There are two optional plans to select from—Basic and Standard—that include coverage for your employees and their families.

Both plans fulfill the federal mandate to provide pediatric coverage for members up to age 19. If your employee does not choose one of them, the employee's medical plan will be automatically paired with a pediatric-only dental plan offered by Delta Dental.

Adult/Family Dental Summary of Benefits (PDF)

Pediatric-Only Dental Summary of Benefits (PDF)

Kaiser Permanente Small Group support

Kaiser Permanente's Small Group team is here to support you. We are available to answer questions regarding the following topics.

  • Enrollment materials/brochure
  • Group quotes
  • Contract administration
  • Open enrollment
  • Producer Change
  • Provider Directories
  • Quoting portal questions

Small Group support can be reached at 1-800-542-6312 (WWA) / 1-800-497-2210 (EWA) or via email at smallbusinessgroup@kp.org.

Get the right mix of care, coverage, and convenience

All our plans feature access to Kaiser Permanente's high-performing care system. 1No matter which plan type a business owner chooses, Kaiser Permanente plans give employees the options they need to find the right solution. And the business gets the support they need to manage costs and improve employee health.

Employee Health Coverage is Only 4 Steps Away

1. Learn About Our Plans

We have 16 health plan options for small groups of every size, from 1 employee to 502. Our 2018 Core HMO plans are designed to offer the highest quality plans at the best value. Or choose our Access PPO plan that offers broader provider choice but at a higher cost.

2018 Core Network Plans

2018 Access PPO Network Plans

2. Determine Whether You Will Offer 1 or 2 Plans

To offer two plans:

  • Group must have at least 10 employees.
  • Any combination of Core network and Access PPO plans is available.
  • Groups with 10-24 employees must have at least 3 employees enrolled in each plan.
  • Groups with 25-50 employees must have at least 5 employees enrolled in each plan.
  • Federal regulations require that groups have at least one common law employee in order to offer group medical coverage. This means there must be at least one employee on the payroll who is not the owner or spouse of the owner.

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

4. Consider dental coverage

We work with Delta Dental of Washington to offer your employees dental coverage when paired with one of our 2018 medical plans. There are two optional plans to select from—Basic and Standard—that include coverage for your employees and their families.

Both plans fulfill the federal mandate to provide pediatric coverage for members up to age 19. If your employee does not choose one of them, the employee's medical plan will be automatically paired with a pediatric-only dental plan offered by Delta Dental.

Adult/Family Dental Summary of Benefits (PDF)

Pediatric-Only Dental Summary of Benefits (PDF)

1 Criteria established by American Medical Group Association

2Federal regulations require that in order to offer a small group medical coverage, the group must have at least one common law employee on payroll. Sole proprietors and their spouses with no employees, and self-employed individuals and their spouses are not eligible to purchase or renew small group coverage.

For 2018 Small Groups forms please visit our Forms and Resources page.

2019 Small Group Forms
Plan and benefit details

Lab & X-ray (LX) plans
These plans include unlimited lab tests and basic X-ray for only a copay, and are not subject to the deductible.

VisitsPlus plans
These include unlimited office visits for only a copay and are not subject to the deductible.

Plan availability
All our small business plans are available in these Washington counties: Benton, Columbia, Franklin, Island, King, Kitsap, Kittitas, Lewis, Mason, Pierce, San Juan, Skagit, Snohomish, Spokane, Thurston, Walla Walla, Whatcom, Whitman, Yakima.


Get Sales Packets

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