WRAP Document
A guide to your Health Plan Benefits: Summary Plan Description WRAP Document (WRAP Document)
Changes to your plan since the last printed Summary Plan Description.
| Amendment Date | Amendment | Participation |
|---|---|---|
| 2023 | Wrap Document | All Eligible Plan Participants |
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 | |
|---|---|---|---|
| November 17, 2020 | New COBRA Options – Correction | All Eligible Participants | |
| November 13, 2020 | New COBRA Options | All Eligible Plan Participants | |
| August 19, 2020 | Extended Eligibility due to COVID-19 | All Eligible Plan Participants | |
| March 20, 2020 | SMM – Response to COVID-19 Outbreak | All Eligible Plan Participants | |
| March 10, 2023 | Eligibility Rules | ||
| January 1, 2024 | Nondiscrimination Notice – Kaiser Permanente – 2024 | ||
| May 1, 2024 | Benefit Summary – Kaiser – Core HMO – 2024 |
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 |
|---|---|---|
| November 17, 2020 | New COBRA Options – Correction | All Eligible Plan Participants |
| November 13, 2020 | New COBRA Options | All Eligible Plan Participants |
| August 19, 2020 | Extended Eligibility due to COVID-19 | All Eligible Plan Participants |
| March 20, 2020 | SMM – Response to COVID-19 Outbreak | All Eligible Plan Participants |
| March 10, 2023 | Eligibility Rules – 2023 | All Eligible Plan Participants |
| January 1, 2024 | Nondiscrimination Notice – Kaiser Permanente – 2024 | All Eligible Plan Participants |
| May 1, 2024 | Benefit Summary – Kaiser – Buy Up – 2024 | All Eligible Plan Participants |
Delta Dental of WA Plan
A guide to your Health Plan Benefits: Delta Dental Summary (Dental Plan Booklet).
Changes to your plan since the last printed Summary Plan Description.
| Amendment Date | Amendment | Participation |
|---|---|---|
| October 1, 2013 | Privacy Statement – Delta Dental of WA | All Participants |
| March 10, 2023 | Eligibility Rules – 2023 | |
| May 1, 2024 | Delta Dental – Benefit Summary – 2024 |