Kaiser Permanente HMO Core Plan

A guide to your Health Plan Benefits: Summary Plan Description (Health Plan Booklet).


Changes to your plan since the last printed Summary Plan Description.

Amendment Date Amendment Participation
Amendment DateNovember 17, 2020Amendment New COBRA Options - CorrectionParticipationAll Eligible Participants
Amendment DateNovember 13, 2020Amendment New COBRA OptionsParticipationAll Eligible Plan Participants
Amendment DateAugust 19, 2020Amendment Extended Eligibility due to COVID-19ParticipationAll Eligible Plan Participants
Amendment DateMarch 20, 2020Amendment SMM - Response to COVID-19 OutbreakParticipationAll Eligible Plan Participants
Amendment DateAmendment Kaiser Non-Discrimination NoticeParticipation
Amendment DateAmendment Eligibility RulesParticipation
Amendment DateAmendment Benefits Summary - 1/1/2021Participation

Kaiser Permanente PPO Buy-Up Plan

A guide to your Health Plan Benefits: Summary Plan Description (Health Plan Booklet).


Changes to your plan since the last printed Summary Plan Description.

Amendment Date Amendment Participation
Amendment Date2November 17, 2020Amendment New COBRA Options - CorrectionParticipationAll Eligible Plan Participants
Amendment DateNovember 13, 2020Amendment New COBRA OptionsParticipationAll Eligible Plan Participants
Amendment DateAugust 19, 2020Amendment Extended Eligibility due to COVID-19ParticipationAll Eligible Plan Participants
Amendment DateMarch 20, 2020Amendment SMM - Response to COVID-19 OutbreakParticipationAll Eligible Plan Participants
Amendment DateAmendment Kaiser Non-Discrimination NoticeParticipation
Amendment DateAmendment Eligibility RulesParticipation
Amendment DateAmendment Benefits Summary - 1/1/2021Participation

Delta Dental of WA Plan

A guide to your Health Plan Benefits: Summary Plan Description (Dental Plan Booklet).


Changes to your plan since the last printed Summary Plan Description.

Amendment Date Amendment Participation
Amendment Date05/01/2022Amendment Benefit Summary -Delta Dental ParticipationAll Participants
Amendment Date10/01/2013Amendment Privacy Statement - Delta Dental of WAParticipationAll Participants
Amendment DateAmendment Eligibility RulesParticipation