Kaiser Permanente Health Insurance | Affordable Health Insurance Plans

Customer Service

Our number one priority is to provide our customers with quality customer service and resources.
Here you will find printable forms, search physician directories, and locate contact information.

Have questions? Would you like to speak to one of our representatives, please call us at (800) 915-0501

Live Chat Software

Downloadable Application Forms:
Download printable Employer and Employee health insurance applications. You may also request an application kit be mailed to you. Applications are Adobe Acrobat PDF documents and require free Acrobat Reader.

Group Enrollment Forms

Individual/Family Application

This form is in the PDF format. In order to print this form, you must have Adobe Acrobat Reader. This software is available for FREE from the Adobe Acrobat Web Site. Click the icon below and verify that your version of Acrobat Reader is the most current version available. Please note that Alden and Associates does not provide technical Support for Acrobat Reader Software. For technical support, contact Adobe.

Order Application Kit / Brochure Request:
Get application and detailed plan descriptions mailed to you. You will receive the necessary information and material to help you enroll.

For Current Clients - Download Administration Forms
Download printable Employee Application, Change Forms and more.

	General Administration Forms		New Employer/Employee Enrollment Forms

	Cobra Application Cobra Election Form Declination of Coverage Form Deductible Plan Sample Fee Schedule 2006 Family Account Change Form Multi Plan Change Request Form Plan Change Request Form Proprietor Partner Form Student Verification Form Termination and Transfer Form Web Registration Form		New Group Enrollment Form Employee Enrollment Form Group Address Change Form HSA Designation Change of Beneficiary HSA Employee Enrollment Form HSA Employer Application
	Delta PPO Forms		Individual/Family Administration Forms

	Bay Area Coachella Valley North Valley Southern California		Individual HSA Enrollment HSA Designation Change of Beneficiary HSA Direct Deposit 2007 Hipaa Application
	Delta Care DMO Forms

	Northern California Southern California

Physician Network Directories:
Looking for a doctor or hospital? Use the Provider Networks to locate a doctor near you. You may also find out if a particular physician or practitioner participates in the network you belong to.

Member Services
Get answers to health questions, request appointments, take a personal health assessment, and much more. All services are free to Kaiser Permanente members. Enter your Kaiser Medical #, choose your area, and click "Sign On" to get these special services, available only to Kaiser Permanente members.

Contact Us:
If for any reason you cannot find answers to your questions or concerns on our website, you may call our customer service department. You may reach us by email 24/7. A customer representative will respond within a 24 hour time period. We are dedicated to providing honest and hassle free health insurance at your convenience.

Stephen Masula, CFP, EA. - 6641 Calle Ponte Bella
Rancho Santa Fe, California 92091 - License Number: 0589948
1 (800) 915-0501 - info@eKaiserInsurance.com