Kaiser Permanente

Standard Broker Commissions

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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
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.
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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.

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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.

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New Hire Rating Rules

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

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Pharmacy BIN & PCN 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

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Prior Carrier Deductible Credit

Prior Carrier Deductible Credit is not available. Kaiser Permanente does not apply prior carrier deductible or out-of-pocket maximum (OOPM) accumulations (applicable to Small Groups only).

OOPM carryover may be available in accordance with Kaiser Permanente crossover guidelines.

No Prior Carrier Deductible Credit form is required. For additional details, refer to the Kaiser Permanente crossover guidelines or contact Kaiser Permanente directly.

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Renewal Alignment Process

Existing Kaiser Permanente Groups Affected by Health Net Exit

Q1 2027 Anniversary Alignment:
Eligible groups may move their effective date to 1/1, 2/1, or 3/1 to align with another carrier renewal.

Mid-Year Plan Changes:
Eligible groups may request plan upgrades or downgrades.

For additional plan offerings, including Kaiser Permanente Plus™, requests must be made within 60 days of losing Health Net coverage.

When adding a Kaiser Permanente PPO, submit the Health Net bill, Plan Change Form, and DE-9C or payroll documentation.

Required Documentation –

Groups must request the Renewal Date Change Request Form, and new groups must submit proof of the other carrier’s new policy.  No separate alignment request is needed.

Please refer to the Underwriting Guidelines.

**Documents can be found in the Forms section on the Word & Brown website.

Notification Timeline –

Existing groups – must request this change if the new renewal date is on January 1 of the following year.

New groups – may request within 30 days of the original effective date.  The new renewal effective date must be within 6 months of the original effective date.

Submission –

New groups may contact their assigned sales associate, and existing groups may email the Account Management Support Team at: AMT@kp.org.

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Medicare Part D Creditable Coverage (2027)
All Kaiser Permanente Small Group plans are considered creditable for the 2027 plan year.

Page Last Updated: October 9, 2026