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)
Account Change Form
Use this form to assist your clients in making plan and account changes
KPIF Account Change Form
2025 English (PDF) | 2025 Espanol (PDF)
2024 English (PDF) | 2024 Espanol (PDF)
KPIF Account Change Form – Grandfathered
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
Kp.org registration flyer
Kp.org teen flyer
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:
- EAP Group Contract (Order Form)
- EAP Group Amending Agreement
- TELUS Health EAP Launch Packet Toolkit
- EAP with TELUS Evidence of Coverage
Small Business
View, download, and print commonly used forms.