Use our new electronic signature form – completed documents will route directly to KP for processing
DC, MD, and VA MID/LARGE employer application for groups of 51 or more employees
English (PDF)
Risk questionnaire must be completed along with the DC, MD, and VA MID/LARGE employer application
English (PDF)
DC, MD, and VA MID/LARGE employer application for groups of 51 or more employees
English (PDF)
Risk questionnaire must be completed along with the DC, MD, and VA MID/LARGE employer application
English (PDF)
DC, MD, and VA MID/LARGE employee enrollment and change form for groups of 51 or more employees
English (PDF)
DC, MD, and VA MID/LARGE employee enrollment and change form for groups of 51 or more employees
English (PDF) | Español (PDF)
Review the 2026 MAS 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.
Enrollment and plan change materials below are in market on November 1, 2024, for January 1, 2025 effective dates.
