Individual and Family

View or print commonly used forms.

Review the 2025 CO KPIF Broker Training Guide (PDF) to get the updates you need for 2025 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.

2025 enrollment and plan change materials below are in market on November 1, 2024, for January 1, 2025 effective dates.

Enrollment Forms

KPIF Application

2025 English (PDF) | 2025 Espanol (PDF)
2024 English (PDF) | 2024 Espanol (PDF)

SEP

KPIF Special Enrollment Period Qualifying Life Event Guide

2025 English (PDF) | 2025 Espanol (PDF)
2024 English (PDF) | 2024 Espanol (PDF)

KPIF Special Enrollment Period Proof of Qualifying Life Event Form

2025 English (PDF) | 2025 Espanol (PDF)
2024 English (PDF) | 2024 Espanol (PDF)

Enrollment Guide and Rates

KPIF Enrollment Guide

2025 English (PDF) | 2025 Espanol (PDF)
2024 English (PDF) | 2024 Espanol (PDF)

KPIF Rates

2025 English (PDF) | 2025 Espanol (PDF)
2024 English (PDF) | 2024 Espanol (PDF)

Support Documents

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

Kp.org Flyers

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
2025 Off Exchange Employee Enrollment Roster

Employer Forms – Level Funded

Level Funded Application
Level Funded Authorized PHI Contacts Form

Employee Forms

Employee Forms – Fully Insured

DORA Application
KPIC Employee Supplement Application

Support Documents

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