Eligibility
- Employees and their family
dependents (spouse, unmarried children to age 19, and students to age
24) are eligible for coverage if they live within our service area.
Annual Open Enrollment
- Once a year, employees must be given
the opportunity to change plans or add dependents not previously
enrolled.
- Employees and/or dependents who do
not enroll when first eligible must wait until the annual open
enrollment period to enroll unless enrollment is due to new dependents
or loss of other coverage.
Subscriber Minimum
- Your company qualifies for our small
group coverage if you have had at least 2 and no more than 50
full-time (at least 20 hours per week)
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employees for
at least 50% of the previous calendar quarter from the
date of sale. Eligibility is defined as those living in the
Service Area as defined below.
California Enrollment Guidelines: Minimum of 1 enrolled, with at least
70% of eligible employees covered by an group health plan (I.e.
through their employer or their spouse's).
Employer's Contribution and Payroll
Deduction
- Your contribution must be at least
50% of the Kaiser Permanente rate for single subscribers. Any part of
the cost not paid by your company must be collected from the employees
through payroll deductions.
Full-Month Coverage
- Kaiser Permanente membership begins
on the first day of the month following the waiting period that you
specify and continues through the end of the termination month.
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