Brochures and Forms

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Service at Your Fingertips

Whether you’re a shopper who wants to learn more, or a member looking for forms or information, you’ll find what you need here.

Download 2016 Plan Documents

2015 Archive

Adding or removing a dependent

Use this form to add or remove a dependent if you currently have Kaiser Permanente Self and Family coverage and adding or removing a dependent will not change your enrollment, type of enrollment, FEHB plan, or option. You may also use this form to change the name of a dependent. Submit the enrollment change form and supporting documents directly to Kaiser Permanente. Our mailing address and fax numbers are on the bottom of the instructions page. Do not use this form if you need to enroll, change the type of enrollment (Self Only or Self and Family), change health plans or options, or cancel your FEHB enrollment. Instead, follow instructions to enroll in a health plan for either employees or annuitants on OPM’s website.