wa-business.kaiserpermanente.org
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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
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
Form analysis
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Text Content
KP.org/wa Coronavirus/Covid-19 Information Employer Sign On Account Registration Toggle navigation * The KP Difference * Care Management * Occupational Health * Employee Engagement * Funding Options * Private Exchange * Workforce Health * Health Plans * Large Group * Small Group * Network * HMO Core Plans * Access PPO Plans * Elect PPO Plans * Resources * Forms * News * Contact Us 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 Learn More * The KP Difference * Health Plans * News Blog * Forms & Resources * Contact Us * Find a Doctor * Locate Services Visit our Other Sites * kp.org/wa * businesshealth.kp.org * About Us Legal * Privacy * Non-discrimination policy * Language Assistance * Disclaimer Social LINKEDIN YOUTUBE All plans offered and underwritten by Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc. © 2021 Kaiser Foundation Health Plan of Washington GET THE PLAYBOOK Fill out the form below to download the COVID-19 Return to Work Playbook. 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