General Information
Criteria | Information |
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Carrier size | No information yet |
Carrier info | No information yet |
Ownership / Sister Companies | No information yet |
Appointment Info | No information yet |
General Agent | No information yet |
Service Area and Network
Criteria | Information |
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Service Area | No information yet |
PPO Network | No information yet |
HMO Network | No information yet |
Provider Search | No information yet |
Formulary | No information yet |
Plans and Rates
Criteria | Information |
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Overview | No information yet |
PPO Plan Options | No information yet |
HMO Plan Options | No information yet |
Multiple Plan Offerings | No information yet |
Composite and Age Rating | No information yet |
Formulary | No information yet |
Underwriting Guidelines
Criteria | Information |
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Underwriting Guide | No information yet |
Small Group Definition | No information yet |
Employer Contribution | No information yet |
Carve-Outs / Varied Offerings | No information yet |
Participation Requirements | No information yet |
NPNC Groups | No information yet |
Valid Waivers |
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Residency Requirements | No information yet |
W-2 Enrollment Requirements | W2 common law employee may waive as long as group meets all participation requirements. |
Owner Only Groups | Kaiser will write Owner Only groups as long as the group’s business entity is a type of Corporation such as LLC, S-Corp or C-Corp. At least one owner must be a W2 employee who will appear on DE9C with eligible wages Group may consist of only 1 eligible W2 owner. |
Husband & Wife Only Groups |
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One-Person Groups | No information yet |
Slice Business | No information yet |
Employers Replacing Coverage | No information yet |
Start-Up Group Requirements |
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Common Ownership Guidelines |
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Spin-Off Groups | No information yet |
Employers with Union Employees | No information yet |
Employers Leaving a PEO | No information yet |
Employee Eligibility
Criteria | Information |
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Full-Time Status | No information yet |
Part-Time Eligibility | No information yet |
New-Hire Waiting Period | No information yet |
1099 Workers | No information yet |
Owner Eligibility | No information yet |
Spouses working for same company | No information yet |
Domestic Partners | No information yet |
Ineligible Employees | No information yet |
Enrollment Paperwork and Documentation
Criteria | Information |
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Enrollment Checklist | No information yet |
Employer App | No information yet |
Employee App | No information yet |
Enrollment Spreadsheet | No information yet |
Wage & Tax Statement |
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Other Forms/Documentation | No information yet |
Initial Payment | No information yet |
Effective Date Options | No information yet |
More Info Coming Soon
Just in time for Q4, Kaiser Permanente is making it easier for sole proprietors to enroll. Effective immediately, sole proprietors who apply for Kaiser Permanente small business coverage in California only need to submit a Schedule C tax form, also known as Form 1040, Profit or Loss From Business (Sole Proprietorship). They no longer need to submit Form 1040, U.S. Individual Income Tax Return.
This change also applies to a single-member limited liability company (LLC):
- That doesn’t choose to be treated as a corporation
- Whose owner files a Schedule C
“Kaiser,” “Kaiser Permanente,” “Kaiser Foundation Health Plan” and the Kaiser Permanente Logo are registered trademarks or service marks of Kaiser Foundation Health Plan, Inc., in the United States.
Contact your LISI Regional Sales Manager for more information.
Good info bout Kaiser from an agency: https://www.calhealth.net/california_health_insurance_group_kaiser.htm