How do I apply for Kaiser Permanente individual or family coverage?
You have a number of ways to apply directly through Kaiser Permanente.
However, keep in mind that if you think you may qualify for federal financial assistance, you'll need to apply through Covered California.
Online
- If you'd like to shop for a new plan, go to buykp.org.
- If you've already started an online application with Kaiser Permanente, and there's still time to apply, you can complete your application now. Simply go back to your application if you have it open, or click here to sign in again.
- If required, supply proof of your qualifying life event. Include your name, address, phone number, and medical record number (if you have one) on each page of your proof.
By mail or fax
Send these 3 documents:
- KPIF Application for health coverage (PDF) (Español) (Chinese) (Vietnamese)
- Proof of qualifying life event form (PDF) (Español) (Chinese) (Vietnamese)
- Proof of your qualifying life event (if required)
Include your name, address, phone number, and medical record number (if you have one) on each page of your proof.
Mail to:
Kaiser Permanente for Individuals and Families
P.O. Box 23127
San Diego, CA 92193-3127
Fax to:
1-855-355-5334
Send these 3 documents:
- KPIF Application for health coverage (PDF) (Español) (Chinese) (Vietnamese)
- Proof of qualifying life event form (PDF) (Español) (Chinese) (Vietnamese)
- Proof of your qualifying life event (if required)
Include your name, address, phone number, and medical record number (if you have one) on each page of your proof.
Mail to:
Kaiser Permanente for Individuals and Families
P.O. Box 23127
San Diego, CA 92193-3127
Fax to:
1-855-355-5334
Need help applying?
Call us at 1-800-475-6621 or contact your agent or broker/producer. TTY, call 711.
Important notice
By submitting a signed application and proof of your qualifying life event, you’re saying that the qualifying life event happened. It’s important that we get proof of your qualifying life event. We will rely on your signature and proof to decide if you can enroll during a special enrollment period. If we determine that the qualifying life event didn’t happen, or we learn of any other inaccuracy in the information that is included in the application, Account Change Form or any other information that you submit, we may take legal action. The legal action may include but is not limited to canceling your coverage retroactively to the day it started. You may also be responsible for the full charges of any services that you received.
Need Help? Simply call: 1-800-475-6621 (TTY 711)