apply-individual-family-perf.kaiserpermanente.org
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https://apply-individual-family-perf.kaiserpermanente.org/
Submission: On June 10 via api from US — Scanned from DE
Submission: On June 10 via api from US — Scanned from DE
Form analysis 1 forms found in the DOM
<form _ngcontent-ccn-c97="" novalidate="" class="ng-untouched ng-pristine ng-valid">
<div _ngcontent-ccn-c97="" id="notification-error" class="notify container padding-adjustment"><!----></div><img _ngcontent-ccn-c97="" alt="" data-analytics-click="logo" data-analytics-type="link" data-analytics-location="global"
class="hidden-device hero center" src="/etc.clientlibs/org/kp/smu/clientlibs/clientlib-structural/resources/images/SMUShopPlans_Hero.png">
<div _ngcontent-ccn-c97="" id="page__quote">
<section _ngcontent-ccn-c97="" class="section__marketing"><!----><br _ngcontent-ccn-c97="">
<div _ngcontent-ccn-c97="" class="container adjust">
<div _ngcontent-ccn-c97="" class="column-12">
<h2 _ngcontent-ccn-c97="" data-aemkey="authoredData.shop_step_closer" class="styling-3 -light">You're one step closer <span _ngcontent-ccn-c97="" data-aemkey="contentFragmentJSON.quote-one-step-closer" class="adjust-header"><span>to care
and coverage that meets your needs<br>
</span></span></h2>
</div>
</div>
</section>
<section _ngcontent-ccn-c97="" class="section__select-year">
<div _ngcontent-ccn-c97="" class="container">
<div _ngcontent-ccn-c97="" class="column-10 select-year">
<h2 _ngcontent-ccn-c97="" data-aemkey="authoredData.shop_plan_year" class="styling-3 -book">Select plan year</h2>
<fieldset _ngcontent-ccn-c97="" class="fieldset plan start adjust">
<p _ngcontent-ccn-c97="" data-aemkey="authoredData.shop_plan_start" class="styling-6 adjust-asterisk" style="margin-top: unset !important;">When do you want your new plan to start?*</p><!---->
<div _ngcontent-ccn-c97="" class="option-list">
<div _ngcontent-ccn-c97="" class="option option-plan-year"><input _ngcontent-ccn-c97="" type="radio" name="year" class="radio-button" id="year-0" value="2024"><label _ngcontent-ccn-c97="" for="year-0">2024</label></div><!---->
</div>
<p _ngcontent-ccn-c97="" id="content3" shop_plan_start="" data-aemkey="contentFragmentJSON.quote-qualifying-life-event" data-analytics-type="link" data-analytics-click="Learn more" class="styling-6 enrollment margin"
aria-label="Click to learn more if you had a qualifying life event to enroll in 2024"></p>
<p>*To enroll in 2024, you must have had a qualifying life event. <a href="https://kp.org/specialenrollment" target="_blank" class="content-bold">Learn more</a>.<br>
</p>
<p></p><!---->
</fieldset>
</div>
</div>
</section>
<section _ngcontent-ccn-c97="" class="section__set-geo">
<div _ngcontent-ccn-c97="" class="container">
<h2 _ngcontent-ccn-c97="" data-aemkey="authoredData.shop_choose_plan" class="styling-3 -book">Get Started</h2>
<p _ngcontent-ccn-c97="" data-aemkey="contentFragmentJSON.quote-choose-plan" class="styling-6"></p>
<p class="styling-6">What's the ZIP code for your home address?<br>
</p>
<p></p>
<div _ngcontent-ccn-c97="" class="column-12">
<div _ngcontent-ccn-c97="" aria-labelledby="zipcode-label" class="form-group form-group__zipcode"><label _ngcontent-ccn-c97="" id="zipcode-label" for="zip" data-aemkey="authoredData.shop_zipcode">ZIP CODE</label>
<div _ngcontent-ccn-c97="" class="form-textbox"><input _ngcontent-ccn-c97="" autocomplete="postal-code" id="zip" type="text" name="zipcode" value="" style="width: 245px;" placeholder="Enter ZIP code" class="ng-untouched ng-pristine"
maxlength="5" disabled=""><i _ngcontent-ccn-c97="" class="close-icon"></i></div>
</div>
<div _ngcontent-ccn-c97="" aria-labelledby="county-label" class="form-group form-group__county align-drop"><label _ngcontent-ccn-c97="" id="county-label" for="county" data-aemkey="authoredData.shop_county">COUNTY</label>
<div _ngcontent-ccn-c97="" class="select-dropdown select-dropdown-shop">
<div _ngcontent-ccn-c97="" aria-hidden="false" class="dropdown-overlay"><span _ngcontent-ccn-c97="" aria-hidden="false">Select</span><i _ngcontent-ccn-c97="" aria-hidden="true" class="icon-chevron-down"></i></div><label
_ngcontent-ccn-c97="" for="county" data-aemkey="authoredData.shop_county" class="screenreader-only">COUNTY</label><select _ngcontent-ccn-c97="" id="county" name="county" class="select-menu ng-untouched ng-pristine ng-valid"
aria-label="Select County">
<option _ngcontent-ccn-c97="" value="null">Select</option><!---->
</select>
</div>
</div><button _ngcontent-ccn-c97="" tabindex="0" data-analytics-type="button" data-analytics-click="Submit" data-aemkey="authoredData.shop_submit" class="button" disabled="" data-analytics-location="non member:shopplan"> Submit
</button><!----><!----><!---->
</div>
</div>
</section>
<div _ngcontent-ccn-c97=""><!----></div><!---->
<section _ngcontent-ccn-c97="" class="section__faq">
<div _ngcontent-ccn-c97="" class="faq_background_color">
<div _ngcontent-ccn-c97="" class="container">
<div _ngcontent-ccn-c97="" class="column-10">
<h2 _ngcontent-ccn-c97="" data-aemkey="authoredData.shop_faq" class="styling-3 -book spacing-adjust-faq-header">Frequently Asked Questions</h2>
<div _ngcontent-ccn-c97="" content-toggle="" data-behavior="accordion" class="content-toggle -variation-4 content-toggle--initialized" id="contentToggle-0">
<hr _ngcontent-ccn-c97="" class="-variation-1 content-toggle-height">
<a _ngcontent-ccn-c97="" data-analytics-type="link" href="javascript:void(0);" class="expandable-heading" data-analytics-location="non member:shopplan" id="contentToggle-0-tab-0" aria-controls="contentToggle-0-panel-0" aria-expanded="false" data-posinset="1" data-setsize="1" data-analytics-click="Already a member?"><i _ngcontent-ccn-c97="" class="expandable-heading-icon icon-plus" aria-hidden="true" tabindex="-1"></i><span _ngcontent-ccn-c97="" id="already_member_shop_plan" data-aemkey="authoredData.shop_already_member" class="expandable-heading-text" style="padding-bottom: 0px; padding-top: 0px;"> Already a member? </span></a>
<div _ngcontent-ccn-c97="" class="content" style="padding-bottom: 0px;" id="contentToggle-0-panel-0" aria-labelledby="contentToggle-0-tab-0" aria-hidden="true" role="region">
<p _ngcontent-ccn-c97="" data-aemkey="contentFragmentJSON.already-member-popup" class="styling-6 -book content7"></p>
<p><b>If you're a current member with an individual or family plan</b> and would like to change plans, please call us so we can help you with next steps. You won't be able to change plans on this website.</p>
<p> </p>
<p><b>If you're a current member with a group plan</b> and would like to enroll in an individual or family plan because you'll be losing your group coverage soon, please use this website to apply.</p>
<p></p>
</div>
<hr _ngcontent-ccn-c97="" class="-variation-1 content-toggle-height">
</div>
<div _ngcontent-ccn-c97="" content-toggle="" data-behavior="accordion" class="content-toggle -variation-4 content-toggle--initialized" id="contentToggle-1">
<a _ngcontent-ccn-c97="" data-analytics-type="link" href="javascript:void(0);" class="expandable-heading" data-analytics-location="non member:shopplan" id="contentToggle-1-tab-0" aria-controls="contentToggle-1-panel-0" aria-expanded="false" data-posinset="1" data-setsize="1" data-analytics-click="Need financial help?"><i _ngcontent-ccn-c97="" class="expandable-heading-icon icon-plus" aria-hidden="true" tabindex="-1"></i><span _ngcontent-ccn-c97="" id="need_help_shop_plan" data-aemkey="authoredData.shop_need_help" class="expandable-heading-text" style="padding-bottom: 0px; padding-top: 0px;"> Need financial help? </span></a>
<div _ngcontent-ccn-c97="" class="content" style="padding-bottom: 0px;" id="contentToggle-1-panel-0" aria-labelledby="contentToggle-1-tab-0" aria-hidden="true" role="region">
<p _ngcontent-ccn-c97="" data-aemkey="contentFragmentJSON.quote-bullet-financial-help" class="styling-6 -book content7"></p>
<p>If you think you may qualify for financial help, you'll need to apply for a plan through your state’s online health benefit
exchange. <a href="https://individual-family.kaiserpermanente.org/healthinsurance" target="_blank">See if you qualify and get a quote</a>.</p>
<p></p>
</div>
<hr _ngcontent-ccn-c97="" class="-variation-1 content-toggle-height">
</div>
<div _ngcontent-ccn-c97="" content-toggle="" data-behavior="accordion" class="content-toggle -variation-4 content-toggle--initialized" id="contentToggle-2">
<a _ngcontent-ccn-c97="" data-analytics-type="link" href="javascript:void(0);" class="expandable-heading" data-analytics-location="non member:shopplan" id="contentToggle-2-tab-0" aria-controls="contentToggle-2-panel-0" aria-expanded="false" data-posinset="1" data-setsize="1" data-analytics-click="Do you qualify for a special enrollment period?"><i _ngcontent-ccn-c97="" class="expandable-heading-icon icon-plus" aria-hidden="true" tabindex="-1"></i><span _ngcontent-ccn-c97="" id="shop_outside_oe_shop_plan" data-aemkey="authoredData.shop_outside_oe" class="expandable-heading-text" style="padding-bottom: 0px; padding-top: 0px;"> Do you qualify for a special enrollment period? </span></a>
<div _ngcontent-ccn-c97="" class="content" style="padding-bottom: 0px;" id="contentToggle-2-panel-0" aria-labelledby="contentToggle-2-tab-0" aria-hidden="true" role="region">
<p _ngcontent-ccn-c97="" data-aemkey="contentFragmentJSON.quote-bullet-outside-open-enrollment" class="styling-6 -book content7"></p>
<p>In general, you can only change or apply for health care coverage during the yearly open enrollment period. But if you have a certain type of event in your life (called a qualifying life event), you can change or apply for coverage
for a limited time after your qualifying life event. This is called a special enrollment period. To qualify, you must apply within 60 days of your life event. For some events, you can apply before your event.
Visit <a href="http://kp.org/specialenrollment" target="_blank">kp.org/specialenrollment</a> for more information.<br>
</p>
<p></p>
</div>
<hr _ngcontent-ccn-c97="" class="-variation-1 content-toggle-height">
</div>
<div _ngcontent-ccn-c97="" content-toggle="" data-behavior="accordion" class="content-toggle -variation-4 content-toggle--initialized" id="contentToggle-3">
<a _ngcontent-ccn-c97="" data-analytics-type="link" href="javascript:void(0);" class="expandable-heading" data-analytics-location="non member:shopplan" id="contentToggle-3-tab-0" aria-controls="contentToggle-3-panel-0" aria-expanded="false" data-posinset="1" data-setsize="1" data-analytics-click="Questions?"><i _ngcontent-ccn-c97="" class="expandable-heading-icon icon-plus" aria-hidden="true" tabindex="-1"></i><span _ngcontent-ccn-c97="" id="shop_questions_shop_plan" data-aemkey="authoredData.shop_questions" class="expandable-heading-text" style="padding-bottom: 0px; padding-top: 0px;"> Questions? </span></a>
<div _ngcontent-ccn-c97="" class="content" style="padding-bottom: 0px;" id="contentToggle-3-panel-0" aria-labelledby="contentToggle-3-tab-0" aria-hidden="true" role="region">
<p _ngcontent-ccn-c97="" data-aemkey="contentFragmentJSON.quote-bullet-questions" class="styling-6 -book content7"></p>
<p>For information on plans, rates, or how to apply, contact your agent, or call us at <b>1-800-494-5314 </b>(TTY <b>711</b>).</p>
<p></p>
</div>
<hr _ngcontent-ccn-c97="" class="-variation-1 content-toggle-height">
</div><!---->
</div>
</div>
</div>
</section>
</div>
</form>Text Content
Skip to main content Language English * English * Español | Register * Consumer register * Broker register | Sign in Phone1-800-494-5314 TTY: 711 YOU'RE ONE STEP CLOSER TO CARE AND COVERAGE THAT MEETS YOUR NEEDS SELECT PLAN YEAR When do you want your new plan to start?* 2024 *To enroll in 2024, you must have had a qualifying life event. Learn more. GET STARTED What's the ZIP code for your home address? ZIP CODE COUNTY Select COUNTYSelect Submit FREQUENTLY ASKED QUESTIONS -------------------------------------------------------------------------------- Already a member? If you're a current member with an individual or family plan and would like to change plans, please call us so we can help you with next steps. You won't be able to change plans on this website. If you're a current member with a group plan and would like to enroll in an individual or family plan because you'll be losing your group coverage soon, please use this website to apply. -------------------------------------------------------------------------------- Need financial help? If you think you may qualify for financial help, you'll need to apply for a plan through your state’s online health benefit exchange. See if you qualify and get a quote. -------------------------------------------------------------------------------- Do you qualify for a special enrollment period? In general, you can only change or apply for health care coverage during the yearly open enrollment period. But if you have a certain type of event in your life (called a qualifying life event), you can change or apply for coverage for a limited time after your qualifying life event. This is called a special enrollment period. To qualify, you must apply within 60 days of your life event. For some events, you can apply before your event. Visit kp.org/specialenrollment for more information. -------------------------------------------------------------------------------- Questions? For information on plans, rates, or how to apply, contact your agent, or call us at 1-800-494-5314 (TTY 711). -------------------------------------------------------------------------------- Other Languages AccessibilityNondiscrimination NoticePrivacy StatementTerms & Conditions Copyright © 2024 Kaiser Foundation Health Plan, Inc. You will need the free Adobe Acrobat Reader to read PDFs. All information is kept safe and secure. X close Need some help determining what plans would be best for you? Chat now! Chat Unavailable Chat is currently unavailable, please check back soon during our hours of operation.