Kaiser Permanente Health Maintenance Organization (HMO)

You and your family can count on quality care and coverage under the County's Kaiser Permanente HMO. Call the Member Services line about questions regarding benefits, claims or eligibility, if you need a member identification (ID) card, or if you want to file a grievance. Lines are open 24 hours, seven (7) days a week, except holidays.

Website: kp.org     

County Kaiser Website: http://my.kp.org/sbcounty/

Toll Free Member Services: 1.800.464.4000   Telephone Appointments (Now Available): Click here for more details

Kaiser Permanente Plans

The HMO plan offered by Kaiser Permanente includes:

KP HMO Evidence of Coverage  Benefit Summary

Summary of Benefits & Coverage
 English      Spanish

KP COBRA  Evidence of Coverage  Benefit Summary

Summary of Benefits & Coverage

View the Summary of Benefits and Coverage (SBC) Uniform Glossary.

Additional Resources

To be eligible for this benefit, you must be an employee in a regular position scheduled to work a minimum of 40 hours per pay period and have received pay for at least one half plus one hour of your scheduled hours. If you are eligible to participate in County-sponsored medical and dental plans, your eligible dependents may also participate. Your eligible dependents are:

  • Your qualifying children
  • Your qualifying children include children up to age 26 that are born to you, your stepchildren, children legally adopted by you (including those children during any waiting period before the finalization of their adoption), children for whom you are the permanent legal guardian, and children you support as a result of a valid court order. Qualifying children over the age of 26 that are supported primarily by you and incapable of self-sustaining employment by reason of total and permanent mental or physical disability are also eligible for coverage.

  • Your qualifying relative
  • Qualifying relatives who are eligible for medical and dental coverage are limited to your spouse, your domestic partner's children, and your grandchildren (for Kaiser Permanente members only). Grandchildren are eligible only if the dependent child (grandchild’s parent) was enrolled on the County’s Kaiser Permanente plan prior to the birth of the grandchild, and may remain enrolled as long as they have no break in coverage and meet the following criteria: 1) the dependent child is covered; 2) the grandchild permanently resides with you or your spouse; and 3) the grandchild receives all financial support and maintenance from you or your spouse. Other plan providers do not allow for coverage of grandchildren. Please consult with the applicable Evidence of Coverage or contact the plan provider directly for clarification before you submit your enrollment.

    Parents, grandparents, grandchildren, common-law spouses, divorced spouses, roommates, and relatives other than those listed above are not eligible for County-sponsored medical and dental plans.

  • Your state registered domestic partner

The Kaiser Permanente HMO is available only to employees and their eligible dependents living within the Kaiser Permanente zip code service areas of the following counties:
  • Kern
  • Los Angeles
  • Orange
  • Riverside
  • San Bernardino
  • San Diego
  • Ventura
Certain outlying zip codes within the County are not eligible for coverage through Kaiser Permanente. Please contact Kaiser Permanente at 1.800.464.4000 to verify that you are in an eligible service area.

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