How do I change my Kaiser Permanente individual or family plan?
You can fill out and send in an Account Change Form. If required, you'll need to provide proof of your qualifying life event and fill out and send in our Proof of qualifying life event form.
As a reminder, if you got your coverage through your state health benefit exchange, contact them to make plan changes.
By mail or fax
Send in these 3 documents:
-
Account Change Form (PDF)
(Español)
(Chinese)
(Vietnamese)
If you purchased your current plan on or before March 23, 2010, when the Affordable Care Act (ACA) was signed into law, you can't make a plan change unless you change to an ACA plan. And you would lose your grandfathered plan if you did this. For more information on applying for an ACA plan, click here. - Proof of Qualifying Life Event Form (PDF) (Español) (Chinese) (Vietnamese)
-
Proof of 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 in these 3 documents:
-
Account Change Form (PDF)
(Español)
(Chinese)
(Vietnamese)
If you purchased your current plan on or before March 23, 2010, when the Affordable Care Act (ACA) was signed into law, you can't make a plan change unless you change to an ACA plan. And you would lose your grandfathered plan if you did this. For more information on applying for an ACA plan, click here. - Proof of Qualifying Life Event Form (PDF) (Español) (Chinese) (Vietnamese)
-
Proof of 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
By phone:
Call 1-800-464-4000 (TTY 711) to make your account change over the phone.
Important notice
By submitting a signed Account Change Form 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)