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Individual and Family

View or print commonly used forms.

Review the 2026 CO KPIF Broker Training Guide (PDF) to get the updates you need for 2026 Open Enrollment, including plan and product updates, an overview of KPIF sales tools and enhancements, compensation details and more.

Review the KPIF Broker Frequently Asked Questions below for answers to common questions about selling Kaiser Permanente for Individual and Family Plans (KPIF) and working with KP.

2026 enrollment and plan change materials below are in market on November 1, 2025, for January 1, 2026 effective dates.

Enrollment Forms

KPIF Application

2026 English (PDF) | 2026 Espanol (PDF)

2025 English (PDF) | 2025 Espanol (PDF)

SEP

KPIF Special Enrollment Period Qualifying Life Event Guide

2026 English (PDF) | 2026 Espanol (PDF)

2025 English (PDF) | 2025 Espanol (PDF)

KPIF Special Enrollment Period Proof of Qualifying Life Event Form

2026 English (PDF) | 2026 Espanol (PDF)

2025 English (PDF) | 2025 Espanol (PDF)

Enrollment Guide and Rates

KPIF Enrollment Guide

2026 English (PDF) | 2026 Espanol (PDF)

2025 English (PDF) | 2025 Espanol (PDF)

KPIF Rates

2026 English (PDF) | 2026 Espanol (PDF)

2025 English (PDF) | 2025 Espanol (PDF)

Support Documents

Broker Client Inquiry Form (Excel file)
HIPAA Authorization Form
Out-of-area care for dependents

Large Business

Find, download, and print commonly used forms to help you administer your plan quickly and easily.

Member Forms

Members can view, download, or print commonly used forms, guidebooks, handbooks, and other publications related to their plan by visiting the Forms and Publications section of kp.org.

Other Forms and Support

Consolidated Appropriations Act and Transparency in Coverage LOA
Employee Assistance Program (EAP) from TELUS Health:

Small Business

View, download, and print commonly used forms.

Employer Forms

Employer Forms – Fully Insured

          Off Exchange Application
          KPIC Employer Supplement Application
          Electronic Transfer for Initial and Recurring Payments
          Paperless Billing Opt-in
          Off Exchange Employee Enrollment Roster
          Group Medicare Enrollment form

          Employer Forms – Level Funded

            Level Funded Application
            Level Funded Stop Loss Application and Disclosures
            Level Funded Authorized PHI Contacts Form

            Employee Forms

            Employee Forms – Fully Insured

            DORA Application
            KPIC Employee Supplement Application

            Support Documents

            Underwriting Guidelines
            Administrators Overview
            Consolidated Appropriations Act and Transparency in Coverage LOA
            Employee Assistance Program (EAP) from TELUS Health: