wa-business.kaiserpermanente.org Open in urlscan Pro
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Submitted URL: http://kp.org/wa/smallgroup
Effective URL: https://wa-business.kaiserpermanente.org/health-plans/small-group/?kp_shortcut_referrer=kp.org%2Fwa%2Fsmallgroup
Submission: On April 27 via api from US — Scanned from DE

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Text Content

KP.org/wa

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SMALL GROUP


BIG HEALTH CARE SOLUTIONS FOR SMALL BUSINESS NEEDS

You want small group health plans that are simple and easy to use — for you and
your workforce. With Kaiser Permanente, you get plan flexibility, help managing
your health care dollars, and tools and resources that empower your employees to
be healthier and more productive.




CHOOSING THE RIGHT PLAN MIX FOR YOUR BUSINESS AND YOUR EMPLOYEES

We offer a mix-and-match solution so you can build the right plan portfolio for
your business needs. Here are some things to think about when selecting
coverage.

1. DETERMINE WHETHER YOU’LL OFFER MULTIPLE PLANS

Groups with 1 to 5 employees can offer up to 3 plans. You can offer any
combination of Core or Access PPO plans.

Groups with 6 to 50 employees can offer any number of plans. You can offer any
combination of Core or Access PPO plans. Offering up to 4 plans may be ideal for
groups of this size. 

For a plan to be available to new group members during the contract year, a
group must have at least one employee enrolled in the plan at the time of a new
group setup or at renewal. Federal regulations require that groups must have at
least one common law employee enrolled to offer coverage. That means there must
be at least one employee on the payroll who is not the owner or spouse of the
owner.

2. DECIDE ON YOUR PROVIDER NETWORK(S)



Central to all our plans is care from Kaiser Permanente providers. Our doctors,
specialists, nurses, and other health professionals all work as a team to
support our members’ health. This coordinated, patient-centered care can help
employees live healthier, happier, more productive lives — which all contribute
to the growth and success of your business. 


We have a portfolio of 21 options to choose from. Core, Connect, and PPO plans
cover all metal levels: bronze, silver, gold, and platinum.

 * 9 value-driven Core Network plans

 * 2 affordability-driven Connect Network plans

 * 10 choice-driven Access PPO plans


Offering plans across several networks might be a good choice if you have
employees who travel frequently or satellite offices in different parts of the
state.





3. CHOOSE THE RIGHT COVERAGE LEVEL

All our plans include the same benefits. The main differences are seen in the
monthly premiums versus the member's cost shares.

Levels Bronze Silver Gold Platinum Monthly premium $ $$ $$$ $$$$ Cost to members
when they get care (Copays, deductible, coinsurance) $$$$ $$$ $$ $







4. SELECT YOUR HEALTH PLAN(S)



Kaiser Permanente offers choices that allow you to build your plan(s) based on
network, coverage level, and health needs. Whether you are looking for a
high-deductible plan, coverage for employees only, in- and out-of-network
benefits, or even an HSA, we’ve got you covered.

 * Core HMO plans are designed to offer high-quality plans with exceptional
   value.
 * Our Access PPO plans offer broader provider choice but at a higher cost.
 * Our Virtual Plus plans offer your employees convenient and affordable ways to
   get care virtually* — when and where they want it — and in-person care when
   they need it.

View all our 2022 plan options.



Note: Federal regulations require that in order to offer a small group medical
coverage, the group must have at least one common law employee on payroll and
enrolled on the group plan. Sole proprietors and their spouses with no employees
and self-employed individuals and their spouses are not eligible to purchase or
renew small group coverage.



Consider dental coverage

We work with Delta Dental of Washington to offer your employees dental coverage
when paired with one of our medical plans. There are 2 optional plans to select
from — Basic and Standard — that include coverage for your employees and their
families.

Both plans fulfill the federal mandate to provide pediatric dental coverage for
members up to age 19. If your employee does not choose one of them, the
employee's medical plan will automatically be paired with a pediatric-only
dental plan offered by Delta Dental.



*Virtual care is offered when appropriate and available. If you travel out of
state, virtual care could be limited due to state laws that may prevent doctors
from providing care across state lines. Laws differ by state.
*Every year, Medicare evaluates plans based on a 5-star rating system. Formerly
Group Health Cooperative, which was acquired by Kaiser Permanente on February 1,
2017.



INDIVIDUAL PLAN DOCUMENTS

Benefit Summaries and Summaries of Benefits and Coverage



SMALL GROUP FORMS



Busy entrepreneurs want health plans that are simple and easy to use — for the
entrepreneurs and their workforce. Kaiser Permanente offers tools and resources
that empower employees to be healthier and more productive.

2022 Enrollment Guide (PDF)

2022 Underwriting Guidelines (PDF)

Access PPO FAQ (PDF)

Administrative Guide (PDF)

Combo Notice of Declining Coverage and Waiver Form (PDF)

Compare Your Options Plan Brochure (PDF)

Deductible & Out-of-Pocket Crediting Form (PDF)

Disclosure Document (PDF)

Employee Enrollment and Change Form (PDF)

Employer Attestation (PDF)

Group Master Application (PDF)

Health Plans for Small Business (PDF)

Quote Request Form (PDF)

Small Group Census Template (XLS)

Small Group Rating Areas (PDF)

Virtual Plus 2022 Enrollment Guide (PDF)

Virtual Plus B2B Highlights (PDF)

Virtual Plus Overview for Consumers (PDF)

Virtual Plus Service Area Map (PDF)

Contact us for customized plans and quotes   

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All plans offered and underwritten by Kaiser Foundation Health Plan of
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© 2021 Kaiser Foundation Health Plan of Washington



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