EMPLOYEES ARE THE MOST IMPORTANT FOR
YOUR SMALL BUSINESS

Business People
 
 
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24/7 virtual care now available to your employees

Your clients’ employees with Kaiser Permanente coverage can now talk with a clinician 24/7 by video or phone in most areas. This makes it even easier to get fast, high-quality care — at no cost to members on most plans.

Plus, when employees connect by video or phone, their visits get tracked in their electronic health record. That means other clinicians can continue making informed care decisions and streamline follow-up care.

To get started, members can sign in to kp.org or the Kaiser Permanente app and answer a few questions to help us learn about their symptoms. We’ll recommend how members can get care quickly—either by phone, video, or both. Where available, members can also see estimated wait times to help them choose the best option for their needs.

Clinicians are available to deliver care to the member based on their needs. During the visit, the clinician will update the member’s health record to help coordinate follow-up care.

Daytime, nighttime, anytime. That’s care at a speed of your clients’ workforce. To learn more, visit kp.org/getcare or contact your Kaiser Permanente representative.

 

What you should know

Summary of Benefits and Coverage (SBC) documents summarize important information about our health coverage options in a standard format developed by the Department of Health and Human Services. Your clients can use SBCs to easily compare benefits and coverage offered by Kaiser Permanente and other carriers.

Getting Started

 

Now you're ready to enroll or renew! To help you make the right choice, you can perform:

  • Quick quotes – Get a quote on multiple plans.

  • Plan comparisons – Compare your current plan with other plans to find the best benefit options.

  • Detailed quotes – Select a specific plan for each employee when offering Multiple Plan Options (MPO).


Visit the Help Center to access additional information such as Small Business Guidelines, a Summary of Benefits and Coverage (SBC) and more. Click the Help Center cards to learn more about:

  • Eligibility Guidelines

  • Rating and Policy information

  • Plan and benefit options

  • Contact information

All Business required at least three documents:
  • To validate the business
  • To validate the employer-
      Employee relationship
  • To Validate ownership                                  
 
In some cases additional documentation is needed to validate ownership and offices
 
Please note: Sole proprietor and partners are ineligible to enroll without a W-2 employee form.
It doesn't include a sole proprietor owner, partners, their spose or legal domestic partner.

Sole Proprietorship

  • Business license

  • Fictitious business name filling

  • Schedule C

  • Business license with owner name printed on certificate

  • Fictitious business name filing

  • Schedule C  

Type of business

Required to validate business

Required to validate business ownership

(for enrolling owners not appearing on the DE 9C /payroll or appearing with low wages)

Qualified Join Venture

  • Business license

  • Fictitious business name filing

  • Schedule C- & 1040 form

  • Jointly filed current 1040 & schedule C/F

  • Business license

Corporation

  • Confirm the website 

  • One or more of the following, listing enrolling corporate officers

  • Statement of information

  • Tax form 1120 with schedule 1125-E/for C-Corporation

  • Schedule K-1/ 1120 for S-Corporation

Corporation- Foreign

  • Website confirmation

  • One or more of the following, listing enrolling corporate officers

  • Statement and designation by foreign corporation 

  • Statement of information- Foreign

  • Tax form 1120 with schedule 1125-E/for C-Corporation

  • Schedule K-1/ 1120 for S-Corporation

Partnership

  • Schedule K-1 (form 1065)

  • Statement of partnership authority - (filed)

  • General partner agreement & Federal tax id (FIN) appointment letter

  • One or more of the following, listing enrolling partnership

  • Schedule K-1 (form 1065)

  • Statement of partnership authority - (filed)

  • General partner agreement & Federal tax id (FIN) appointment letter

Limited Partnership

  • Website confirmation

  • Schedule K-1 (form 1065)

  • Certificate of limited partnership authority - (filed)

Limited Partnership (LP)-

Foreign

  • Website confirmation with jurisdiction

  • One or more of the following listing enrolling partners

  • Registration form #LP-5 application for registration

  • Schedule K-1 (form- 1065)

  • Partnership agreement 

How many employees?    

Type of business

Required to validate business

Required to validate business ownership

(for enrolling owners not appearing on the DE 9C /payroll or appearing with low wages)

Limited liability partnership
(LLP)- Foreign

  • LLP-1 registration form & Certificate of good standing or certificate of qualification

One or more of the following, listing enrolling partners:

  • Tax form

  • Partnership agreement

Limited liability partnership

(LLP)

  • Schedule k-1 (form 1065)

  • State certified application to register LLP

One or more of the following, listing enrolling partners

  • Schedule K-1 (form 1065)

  • State certified application to register LLP

  • Partnership agreement & Federal tax id (FIN) appointment letter

Nonprofit

  • Web confirmation (nonprofit) or

  • IRS 501 c-3 or

  • IRS application for exempt status

All enrolling employees documented on DE 9C or payroll

Limited liability company

(LLC)

Web confirmation

One or more of the following, listing enrolling LLC member

  • Statement of information (filed)

  • Schedule C

  • Schedule k-1 (1120-s)

  • Schedule k-1 (form 1065)

  • Tax form 1120 with schedule 1125-E

Church

  • IRS LETTER 501- c3 or

  • Application for recognition of exemption (form 1023)

  • Web confirmation (nonprofit)

The following- to validate exempt employees:

  • Letter from church

  1. California small group legal requirements include the California small group reform act of 1992 (AB 1672), as amended AB 1083, set forth in the California health and safety code starting with section 1357.

  2. All enrolling proprietors, partnership, or corporate officers not on payroll must be linked to the company, so more than one form should be submitted, for example: If multiple partners are listed on separate forms or business validations.

  3. The form DE 9C isn't required for groups with a minimum of 6 or more eligible employees . Two weeks of payroll or payroll attestation may be submitted in lieu of a DE 9C  for a new business (start-up, breakaway or establishing a payroll from an existing business) that doesn't have two weeks of payroll. The new employee benefits form may be submitted in lieu of payroll for new employees hired in the last 45 days.

  4. If newly married? A marriage license may be substitute for the 1040.

  5. From California Secretary of the State the website.

  6. If the CA SOS web confirmation is unavailable, please provided web confirmation with jurisdiction from the home state or statement and designation by foreign corporation (filed) and certificate of good standing or certificate of qualification.

  7. If a partnership agreement isn't filed, additional documentation is required- business license or fictitious name statement.

  8. If the web confirmation hasn't been received., the documents may be submitted instead- Registration form #LP-5 application for registration and certificate of good standing.

  9. If foreign LLC and the CA SOS web confirmation is unavailable, please provided web confirmation with jurisdiction from the home State or registration form #LLC-5 and certificate of good standing.

  10. The letter must be sing by a contact listed on the employer application and must be accompanied with the following information for all exempt employees- full name/day of hire and number of hours worked each week with a minimum of twenty (20) hours. 

    

Eligibility Guidelines

  • Eligibility

  • Ineligibility

  • Re-Enrollment and Reinstatement

  • General Rules and Requirements

  Plan and Benefit Options

  • Chiropractic/acupuncture

  • Infertility

  • Supplemental Family dental plans

  • Child dental

  • Child vision

  • Durable Medical Equipment

Rating and Policy Information

  • General Rating Information

  • Multiple Plan Options (MPO)

  • PPO

Help Center Eligibility Guidelines

What You Need to Apply for Small Business

 

To apply, employers will need:

  • Their employer's name, as reported to the California Employment Development Department.

  • Their federal Employer Identification Number (FEIN) and state Employer Identification Number (SEIN).

  • A copy of their local business license.

  • A DE-9C reconciled by the employer.

  • The total number of employees.

  • The total number of full-time employees.

  • The total number of part-time employees working 20 to 29 hours per week (if offering part-time employees' coverage).

  • Their employee roster, including addresses, hire dates, dates of birth and Social Security numbers or tax identification numbers.

  • Dependent information (if offering dependents coverage), including the dependents’ dates of birth to determine their age.

  • DOWNLOAD BROKER OF RECORD AUTHORIZATION

  • Broker Lic.# 6003156 

  • Agency Lic.# 4024173

  • Broker Firm ID# 389082

APPLICATION 2022 ENGLISH-INDIVIDUAL & FAMILY

APPLICATION 2022 ENGLISH-SMALL BUSINESS CONTACT US DIRECTLY.

COBRA 

Under the federal Consolidated Omnibus Budget Reconciliation Act (COBRA), employees and their families can continue to get group health coverage for a period of time after the employee no longer works for the company. Employees and their families may qualify for COBRA coverage in these situations:

  • Voluntary or involuntary job loss

  • Reduction in hours worked

  • Divorce from the covered employee

  • Death of the covered employee

For more information on COBRA, please see the “COBRA regulations” section of the Government guidelines page.

 

1. How to know who’s enrolled in COBRA?

Only clients with active COBRA members, will receive a Billed Federal COBRA Activity Report from Kaiser Permanente listing current COBRA members for that month.

The report also lists former employees who:

  • have missed COBRA payments

  • are being terminated from COBRA, either for nonpayment, or because they’ve reached the maximum period of COBRA continuation coverage