PLEASE NOTE: The links on this page open in a new window & the majority are PDFs.
Benefit Resource Center Flyer for Employees
Eligibility Information
To be eligible to enroll in your employer’s benefit plans, you must be a full time W-2 employee working 30 or more hours a week for the company and satisfy the new hire probation period.
Please refer to the Probation Calendar below and contact the person responsible at your employer for your company benefits. Also refer to the enrollment guidelines in the next section.
1st of the month after 60 days (FOMA-60D) (effective 12-1-2015)
Enrollment Guidelines
Please read the Enrollment Guidelines to learn when you can come on the plan, add dependents and make other changes.
Health Plan Enrollment Guidelines
Premium Charts
Page 1 – Monthly Premium Chart
Page 2 – Employer Monthly Benefit Allowance Chart
Page 3 – Employee Payroll Deductions per pay period after Employer Contribution
Page 4 – Tips for calculating deductions
For Federal COBRA Premiums, add 2% to premium table
COBRA Center
Your Group is Subject to Fed COBRA
The Initial Notice should be provided to the employee AND spouse (if covered) within 90 days of becoming covered. One notice to the home is allowed if both live at the same address but it must be addressed to both parties.
Please contact your employer for more information.
Kaiser Fed-COBRA Enrollment Form
Help & Support
PLAN DEPARTMENTS | PHONE/MEMBER SERVICES | PLAN/POLICY# |
---|---|---|
Kaiser HMO Member Services | 1-800-464-4000 | 207348 |
Kaiser HMO Member Services (Spanish) | 1-800-788-0616 | 207348 |
Kaiser California Service Center (Employer Use) | 1-858-614-3792 | 207348 |
Wayco Insurance Services, Inc. (Broker) | 1-951-699-6000 x10 | john@wayco.com |
Cafeteria Plan
Your Cafeteria “Section 125” Pre-Tax Premium plan allows payroll deductions to be taken “off the top line” before taxes are calculated ~ saving from 25% to 40% depending on your personal tax bracket.
Example of Cafeteria Plan Savings
Medical Plan
BENEFIT SUMMARIES | FORMS LIBRARY | WEB SITE LINKS |
---|---|---|
At A Glance Highlights of 4 plans | Kaiser New Member Enrollment Form | Kaiser Website |
Kaiser HMO Bronze HMO – Matrix | Kaiser Member Change Form | |
Kaiser HMO Silver HMO – Matrix | Kaiser Temporary ID Card | KP Mobile App Flyer |
Kaiser HMO Gold 80 – Matrix | Kaiser Employee Waiver Form | |
Kaiser HMO Platinum – Matrix Fed SBC available on plan website. |
Kaiser Termination Form (Employer use) | |
Sample KP Fees (for HSA members) | RX Drug Formulary 2024 |