Kaiser Permanente

Standard Broker Commissions

View:
Product Icon Medical
5% for annualized premium up to $1,000,000.

Once the annualized premium reaches $1,000,000, commissions will be paid at 1%.
Group Size: 1-100
5%
Group Size: 101-300
Product Icon DPPO
$2.80 PMPM
Group Size: 1-100
Product Icon DHMO
$1.40 PMPM
Group Size: 1-100
  • Contract limits are based on eligible employees for groups 101+.

The information herein was collected from sources deemed reliable including information from various carriers. We have not verified nor can we guarantee the accuracy, timeliness or completeness of such information, which is provided on an “AS-IS” basis. It is solely your responsibility to verify this information before making decisions or incurring costs based on such information.  Further, you should contact the carrier for full details regarding the products and programs contained herein.

Carrier Contacts & Renewal Services

Carrier Contacts

Broker Support
Broker Portal Access
Employee Add/Term/Change Form Submission
Employer Change Form Submission
Invoice Request
Carrier Appointment
Broker of Record Changes

Renewal Services

Contact Info
Due Date

Renewal changes must be submitted by the 15th of the month by 5 pm, to be effective by the 1st of the renewal month. Changes submitted after the 16th of the month will take effect on the first of the following month.

Renewal Portal

Services: Access renewal, submit group plan changes, and obtain plan benefits.

Renewal Billing & Enrollment Issues

Guides & Resources

Enrollment Kit Icon
Small Group Enrollment Kit

Find everything you need to enroll with confidence. Our Carrier Enrollment Kits include the most up-to-date forms, applications, and brochures for each health plan we represent.

Organized by carrier and region, these kits make it easy for you and your clients to get started quickly and accurately.

SBC Icon
Summary of Benefits & Coverage

Summary of Benefits & Coverage provides a centralized location to view and download standardized summaries for each carrier and plan.

These documents help your clients make informed decisions by clearly outlining coverage details, cost-sharing, and what to expect from their plan.

Provider Search Icon
Provider & Rx Search

Help clients find their doctors and medications with ease. Our Provider & Rx Search gives you direct access to each carrier’s search portal, so you can quickly verify doctors, specialists, hospitals, and covered prescriptions.

Extra Resource Icon
RX and Bin Numbers

Northern California

Rx BIN: 11842
Rx Group: NC
Tax ID: 94-1340523
P.O. Box 7012, Downey, CA 90242

Rx PCN: NCCMS

Southern California

Rx BIN: 11172
Rx Group: SC
Tax ID: 94-1340523
P.O. Box 7012, Downey, CA 90242

Rx PCN: SCCMS

Extra Resource Icon
New Hire Rating Rules

New Hire rates will be based on the member’s age at the group’s effective date.

Extra Resource Icon
Newborn Coverage

What is the effective date of coverage for a newborn, and how are premiums requested?

All plans provide coverage for services the newborn receives during the newborn eligibility period under the parent’s or guardian’s health plan.

Is there an additional cost for covering the newborn during the first 30 days?

No, services that fall under a supplemental benefit are covered if that supplemental benefit is included in the parent’s or guardian’s plan.

Does this apply to both the mother and the father?

Yes, during the newborn eligibility period, the applicable cost share is the parent’s or guardian’s cost share for any services the newborn receives.

Extra Resource Icon
ID Cards

Member App for downloading ID cards 

Once members are registered on kp.org, they can access a digital version of their membership ID card for most plans (some out of area plans not available) right from smart/mobile devices using the Kaiser Permanente mobile app for all markets. KP.org provides convenient, secure access to members’ Kaiser Permanente membership information, including their membership ID card, anytime, anywhere so members can check in for appointments, pick up their prescriptions, and access their family’s membership information.

Member Web access instructions on how to access online account

Visit kp.org/register

Can a broker download ID cards?

Yes. Steps to access the digital membership ID card:

  • Register with kp.org or kp.org/wa.
  • Download and / or update to the latest version of the Kaiser Permanente app from favorite app store*.
  • Log in to Kaiser Permanente app using kp.org credentials.
  • Tap on card icon to access the digital membership card. Members have access to email a version of their own and / or registered family members ID cards once logged into kp.org. *The KP App is only available on Google Play and Apple App Store.
Extra Resource Icon
Prior Carrier Deductible Credit

Prior Carrier Deductible Credit is not available. Kaiser Permanente does not credit expenses applied toward deductibles or out-of-pocket maximums under a prior medical or dental plan.

Out-of-Pocket Maximum (OOPM) carryover credit may be available under Kaiser Permanente crossover guidelines.

No Prior Carrier Deductible Credit form is required.

For additional information, refer to Kaiser Permanente crossover guidelines or contact Kaiser Permanente.

Extra Resource Icon
Medicare Part D Creditable Coverage (2026)

All Kaiser Permanente Small Group plans are considered creditable for the 2026 plan year.

View Kaiser’s Medicare Part D Creditable Coverage PDF.

Page Last Updated: July 13, 2026