Get Your Personalized Quote
 
You can get a personalized quote based on the information you enter below. All of the information you provide is for quoting and application purposes only and will be kept confidential.
 
If you would like to apply for coverage with a July 2013 effective date, please return to our website on or after May 16, 2013. Otherwise, please select an earlier effective date and continue with the application.

If you would like coverage effective June 15, 2013, we must receive your application on or before 9 p.m., June 8, 2013. Otherwise, you will need to reapply for coverage effective July 1, 2013.
If you are applying for coverage with a 2012 effective date, please continue with the application process.

If you would like to apply for coverage with a 2013 effective date, please return to our website after October 30, 2012, when our 2013 plans and rates will be available.
If you are applying for coverage with a 2012 effective date, please continue with the application process.

If you would like to apply for coverage with a 2013 effective date, please return to our website on or after November 1, 2012, when our 2013 plans and rates will be available.
If you are applying for coverage with a 2012 effective date, please continue with the application process.

If you would like to apply for coverage with a 2013 effective date, check back soon. We expect our updated rates and plans to be available shortly.
The benefits and monthly rates listed are valid through December 31, 2012. If you would like to apply for these plans with a 2012 effective date, we must receive your application by December 8, 2012. Beginning January 1, 2013, the plans, benefits, and monthly rates for Kaiser Permanente for Individuals and Families plans will change.

If you would like to apply for coverage with a 2013 effective date, please return to our website on or after December 8, 2012, when our 2013 plans and rates will be available.
If you are applying for coverage with a 2012 effective date, please continue with the application process.

If you would like to apply for coverage with a 2013 effective date, please return to our website on or after October 31, 2012, when our 2013 plans and rates will be available.
If you are applying for coverage with a 2012 effective date, please continue with the application process.

If you would like to apply for coverage with a 2013 effective date, please return to our website on or after December 8, 2012, when our 2013 plans and rates will be available.
If you are applying for coverage with a 2012 effective date, please continue with the application process to lock in your 2012 rate.

If you would like to apply for coverage with a 2013 effective date, please come back on or after December 20, 2012, when our 2013 plans and rates should be available.
 
If you are 65+ years of age and Medicare eligible, or are under age 65 and entitled to Medicare on the basis of Social Security disability, call 1-877-408-3495, (TTY 888-758-6054) for information about our Kaiser Permanente Medicare Plus plans.
 
Kaiser Permanente of Hawaii has established an open enrollment period during the month of November 2011 for applicants under the age of 19 who are seeking their own individual health coverage plan or a child-only plan.

A child under the age of 19 may apply to enroll in our KP 20/Rx or KP 30/Rx plans only during this open enrollment period unless he or she experiences certain qualifying events and submits an application and supporting documentation within 31 days of the qualifying event. For more information on qualifying events and how to apply, call 1-800-494-5314.

A child who has not experienced a qualifying event can still get coverage outside the open enrollment period by enrolling in our KP Basic Plan.
Kaiser Permanente of Hawaii has established an open enrollment period during the month of November for applicants under the age of 19 who are seeking health coverage.

A child under the age of 19 may apply to enroll in our KP 20/Rx, KP 30/Rx, and KP Basic plans only during this open enrollment period unless he or she experiences certain qualifying events and submits an application and supporting documentation within 31 days of the qualifying event. For more information on qualifying events and how to apply, call 1-800-494-5314.

A child who has not experienced a qualifying event can still get coverage outside the open enrollment period by enrolling in our KP for Children Plan.
The state of Maryland has established annual open enrollment periods during the months of January and July for applicants under the age of 19 who are seeking individual health coverage.

Outside of these open enrollment periods, a child under the age of 19 may only apply for coverage on his or her own plan due to a valid court order for health benefits for the child.

Children can enroll as dependents on family plans throughout the year.
The District of Columbia has established annual open enrollment periods during the months of January and July for applicants under the age of 19 who are seeking individual health coverage.

Outside of these open enrollment periods, a child under the age of 19 may only apply for coverage on his or her own plan due to a valid court order for health benefits for the child.

Children can enroll as dependents on family plans throughout the year.
The state of Colorado has established annual open enrollment periods during the months of January and July for applicants under the age of 19 who are seeking individual health coverage.

Outside of those periods, single-subscriber coverage is available only in the case of a qualifying event: birth or adoption; marriage or dissolution of marriage; death of a policyholder; loss of employer-sponsored insurance; loss of eligibility under the Colorado Medical Assistance Act or the Children's Basic Health Plan; entry of a valid court order mandating that a child be covered; or loss of other existing coverage for any reason other than fraud, misrepresentation, or failure to pay premium. You may enroll your child at any point during the year within 30 days of a qualifying event.

Children can enroll as dependents on family plans throughout the year.
Getting Coverage for Children

If you plan to apply for coverage for a child under age 19, you must do so during our open enrollment periods, March 15 through April 30 and September 15 through October 31. If your child has experienced a qualifying event (divorce; loss of employer-sponsored coverage; loss of Medicaid or other public program's benefits; moving from his or her health plan's service area; birth; or adoption), you may submit an application outside the open enrollment periods within 31 days of the qualifying event. In addition, we will accept applications received within 60 days of the birth or adoption of a child. Simply call 1-800-280-7329.

You will need to submit a paper application with the appropriate support documentation. Please refer to the "Getting Coverage for Children" brochure and "Application" located on the left side of the page for instructions on how to apply.

For additional coverage options for children available through the Washington State Health Insurance Pool (WSHIP) or the federal Pre-existing Condition Insurance Plan (PCIP-WA), contact WSHIP at 1-800-877-5187 or PCIP-WA at 1-877-505-0514.

The plans, benefits and monthly rates listed on this site are valid only through December 31, 2011. If you would like to apply for these plans, we must receive your enrollment application by December 8, 2011. Beginning January 1, 2012, the plans, benefits, and monthly rates for Kaiser Permanente for Individuals and Families plans will change. To apply for one of our 2012 plans, please use the 2012 application. Please note that rates for existing members also changes on January 1, 2012.
Thank you for choosing to apply for a Kaiser Permanente Individual and Families plan.

We can help you find affordable health care coverage that starts in 2014. To start shopping for a great plan, visit Buykp.org.

For assistance, please call us at 1-800-494-5314 or contact your agent or broker.
 
Your Information *Required
* ZIP Code:
State:
    County:
* Requested Effective Date:
We will notify you of your effective date in your acceptance letter, if we approve your application. We will do our best to honor your desired effective date. If for some reason there is a delay in processing your application, we will select the next available effective date.  
We will notify you of your effective date in your acceptance letter, if we approve your application. We will do our best to honor your desired effective date. If for some reason there is a delay in processing your application, we will select the next available effective date.  
Note: Premiums for enrollments beginning on the 15th of the month will be prorated for that month only, after which the standard billing cycle (1st of the month) will apply.  
We will do our best to honor your desire effective date if you are approved. If for some reason there is a delay in processing your application, we may need to select the next available effective date.  
Note: Effective dates for applicants under the age of 19 may vary.  
Welcome to our new Kaiser Permanente for individuals and families online website, designed for coverage starting February 1, 2010 and beyond.

Please note: Because you selected an effective date of January 1, 2010, or January 16, 2010, you'll need to use our previous site to help you find the plan that's right for you, get a quote, and apply online. Please click here to apply for January 2010 effective dates. We apologize for any inconvenience.

If you have any questions, please contact your agent, broker or call us at 1-301-816-6767 to get started today!
 

Welcome to our new Kaiser Permanente for Individuals and Families online Web site.

Please note: The site is under construction for our Georgia region. Because you selected a Georgia ZIP code, you'll need to click here to find the plan that's right for you, get a quote, and apply online.

If you have trouble with the link, simply copy this url into your browser:
https://kaiserga.inshealth.com

If you have any questions, please contact your agent or call us at 1-800-538-5064 to get started today!

We apologize for any inconvenience.
 
The earliest your coverage will begin is the first or 15th of the month following receipt of a completed application and first month's premium. Coverage will not be back dated.

For California Residents Only: You may get a quote and apply for individual coverage. If family members want to get a quote or apply for coverage, each family member will need to fill out their quote and/or application separately.
For Hawaii Residents Only: You may get a quote and apply for individual coverage. If family members want to get a quote or apply for coverage, each family member will need to fill out their quote and/or application separately.

Is this a child-only quote?

 

 

Person(s) Covered *Date of Birth Gender Smoker
* Primary Applicant
Spouse
Child
Child
Child
A domestic partner is a person legally recognized as your domestic partner in a valid Certificate of Registered Domestic Partnership issued by the state of Oregon.
*If you are 65+ years of age and Medicare eligible, or are under age 65 and entitled to Medicare on the basis of Social Security disability, call 1-866-949-5142 for information about our Kaiser Permanente Medicare Plus plans.
**Partner means a Domestic Partner, and, with respect to District of Columbia applicants only, it also includes a Legal Partner (any same-sex relationship recognized as valid by any other jurisdiction, such as civil unions). This definition of Partner applies whenever this term is used in this application.
**The term "Partner" includes both a Domestic Partner, and a Legal Partner (any same-sex relationship recognized as valid by any other jurisdiction, such as civil unions) and applies whenever used in this application. A copy of your certificate of domestic partnership or a domestic partner affidavit must accompany the application prior to the application processing.
**The term "Partner" means a Domestic Partner, whenever used in this application.
 
60092805/CO/2013
FWIDAPP0113
60084305
60093433 07/12
FOIDAPPXX0112
FOIDAPP0113