Accessing the right forms for your clients is easy. Below are commonly used forms for the KPIF line of business.
Kaiser Permanente Individual and Family quotes and enrolling
We offer tools and resources to help you advise your clients on the right individual and family plan, whether you're selling through the exchange or directly from Kaiser Permanente. Visit buykp.org, Kaiser Permanente’s online quoting tool, to compare on- and off-exchange plans, see if your client may be eligible for a subsidy, and get a fast quote.
Once your client is ready, you can submit an application for new enrollment in one of the following ways.
Kaiser Foundation Health Plan of Washington
Membership Administration
P.O. Box 23127
San Diego, CA 92193-9921
Or send it by secure fax to: 1-855-355-5334.
Get to know the Sign Me Up tool
Learn how to use the Kaiser Permanente Washington SMU tool with the training videos and resources below.
2026 English (PDF) | 2026 Spanish (PDF)
2025 English (PDF)
2026 English (PDF)
2025 English (PDF)
2025 English (PDF) | 2025 Español (PDF)
2026 English (PDF)
2025 English (PDF) | 2025 Español (PDF)
2026 English (PDF)
2025 English (PDF) | 2025 Español (PDF)
2026 English (PDF)
2025 English (PDF)
2026 English (PDF)
2025 English (PDF)
2026 English (PDF)
2025 English (PDF)
2026 English (PDF)
2025 English (PDF)
2025 English (PDF)
2026 English (PDF)
2025 English (PDF)
Build a healthier future for your organization
At Kaiser Permanente, we know your organization has unique needs. That's why we offer a variety of provider networks, benefit options, and services for you to choose from. Whether you are looking for the quality and value of our Core plan or more provider choice with a PPO plan, you'll have access to our high-performing health system.1
Washington Permanente Medical Group is the highest-ranked medical group in the state for quality of care, and among the highest-ranked for lower cost of care.2
Recognized with 17 awards for best practices by the Bree Collaborative Trailblazer awards in 2024.3
Employer includes the forms and documents as Producer.
This interactive PDF is an overview of our 2026 Complete Suite portfolio and is created to easily explore a wide range of Kaiser Permanente plans. It also enables you to get quick side-by-side comparisons of the different plans we have to offer.
English (PDF)
Your guide to large group plans and products with Kaiser Permanente. This document features content outlining the Large Group plans for 2026. Also includes value prop information such as value-added services for members and employers.
English (PDF)
This interactive PDF is an overview of our 2025 Complete Suite portfolio and is created to easily explore a wide range of Kaiser Permanente plans. It also enables you to get quick side-by-side comparisons of the different plans we have to offer.
English (PDF)
Your guide to large group plans and products with Kaiser Permanente. This document features content outlining the Large Group plans for 2025. Also includes value prop information such as value-added services for members and employers.
English (PDF)
Employee fitness and well-being support from Optum. Memberships and services to boost healthier lifestyles.
English (PDF)
B2B flyer explaining the features and benefits of Health360, KPWA's bundled plan with Delta Dental of Washington.
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
B2C flyer for the One Pass Select Affinity from Optum fitness program.
English (PDF)
Resource for KPWA members that outlines our online tools, wellness support and resources.
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
1 Criteria established by American Medical Group Association
2 Washington Health Alliance 2024 Community Checkup report.
3 Bree Collaborative Awards, accessed February 28, 2024.
Resources to support your clients for a smooth enrollment process.
Use our new electronic signature form – completed documents will route directly to KP for processing.
English (PDF) | Espanol (PDF) – Coming soon
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (Excel)
English (PDF)
English (PDF)
English (PDF)
Use our new electronic signature form – completed documents will route directly to KP for processing.
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (Excel)
English (PDF)
2026 Employer includes the forms and documents as Producer.
Coming soon
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
Our high quality Medicare Advantage (HMO) health plans combine both care and coverage. As a care provider and a health plan, we work to ensure our mutual clients have the best experience, both as plan members and as patients.
Kaiser Foundation Health Plan of Washington offers individual Medicare Advantage (HMO) plans in the following Washington state counties: Island, King, Kitsap, Lewis, Pierce, Skagit, Snohomish, Spokane, Thurston, Whatcom and partial counties Grays Harbor and Mason.1
1 Grays Harbor County service area ZIP codes: 98541, 98557, 98559, 98568. Mason County service area ZIP codes: 98524, 98528, 98546, 98548, 98555, 98584, 98588, 98592.
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)
English (PDF)