Brochures & Forms
View or download plan information and commonly used forms here.
View 2024 Plan Documents
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2024 Enrollment Guide
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2024 Benefits & Rates
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2024 FEHB Brochure (RI 73-003)
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2024 Summary of Benefits and Coverage High Option
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2024 Summary of Benefits and Coverage Standard Option
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2024 Summary of Benefits and Coverage Prosper
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2024 CA Dental Programs for KP FEHB Members
View 2024 Medicare Plan Documents
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2024 FEHB Guide to Medicare
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2024 Senior Advantage Enrollment Kit
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2024 Senior Advantage 2 Enrollment Application
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Senior Advantage 2 Program Description
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Senior Advantage 2 Part B Premium Reimbursement Instruction Flyer
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2024 Senior Advantage 2 Proof of Part B Premium Submission Form
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Silver&Fit Exercise and Health Aging Program flyer
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Over-the-Counter Wellness Benefit Flyer
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Non-Emergency Transportation Benefit Flyer
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Meal Delivery Benefit Flyer
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2024 Northern California FEHB Senior Advantage EOC
Enrollment Change Form
Use this form to add or remove an eligible dependent if you currently have Kaiser Permanente Self and Family coverage and adding or removing a dependent will not change your FEHB plan, plan option or enrollment type.
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Enrollment Change Form
Other forms and publications
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Getting Care While Traveling for Federal Members
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Visiting Member Services
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FEHB Claims Appeal Form
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Glossary of Health Coverage and Medical Terms
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Bariatric Surgery Criteria Overview
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Kaiser Permanente FEHB Plans Infertility Coverage
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Transgender Care and Coverage for FEHB Members