View 2025 FEHB Plan Documents
-
2025 FEHB Enrollment Guide Northern California
-
2025 FEHB Benefits & Rates Northern California
-
2025 FEHB Brochure Northern California RI 73-003
-
2025 CA Delta Dental Kaiser Permanente Program
-
2025 NCAL FEHB High Option SBC
-
2025 NCAL FEHB Standard Option SBC
-
2025 NCAL FEHB Prosper SBC
View 2025 FEHB Medicare Plan Documents
Additional 2025 Medicare Documents
-
2025 FEHB Senior Advantage 2 Enrollment Application
-
2025 FEHB Senior Advantage 2 Program Description
-
2025 FEHB Senior Advantage 2 Part B Premium Reimbursement Instruction Flyer
-
2025 FEHB Senior Advantage 2 Proof of Part B Premium Instructions Form
-
2025 FEHB Senior Advantage NCAL Summary of Benefits
-
2025 Northern California FEHB Senior Advantage EOC
Attention members with TRICARE and Part D drug coverage: Payments for Part D drugs made on your behalf by TRICARE do not count toward your out-of-pocket costs.
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.
-
Enrollment Change Form
Other forms and publications
-
Getting Care While Traveling for Federal Members
-
Visiting Member Services
-
FEHB Claims Appeal Form
-
Glossary of Health Coverage and Medical Terms
-
Bariatric Surgery Criteria Overview
-
Kaiser Permanente FEHB Plans Infertility Coverage
-
Transgender Care and Coverage for FEHB Members
-
Kaiser Permanente FEHB Contraceptive Exception Overview