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Kaiser Medical Plan Options
SPD and Plan Document
This section provides a summary of the Medical Plan (the "Plan") options available through Kaiser as of January 1, 2017.
This section, together with the Administrative Information section and the applicable section about participation, as well as the Kaiser Evidence of Coverage (EOC) forms the Summary Plan Description and plan document of the Plan.
Selecting a medical plan option for 2017 involves three key choices for eligible individuals.
  • Select one of four medical plan options. A range of coverage levels and costs is offered.
  • Select coverage for:
    • yourself only-- Employee
    • yourself and your spouse or domestic partner--Employee + Spouse
    • yourself and your child or children--Employee + Child(ren)
    • yourself, your spouse or domestic partner, and children-- Family
  • Select your medical plan carrier
    • All eligible individuals resident in any state except Hawaii may choose from among:
      • Aetna
      • Anthem BlueCross BlueShield (Anthem BCBS)
      • United Healthcare (UHC)
Information about the Aetna, Anthem BCBS and UHC administered medical plan options is covered in a separate section of the Benefits Handbook.
    • Eligible individuals resident in CA, CO, GA, MD, VA, OR, WA, and Washington DC, have an additional choice to consider:
      • Kaiser Permanente (Kaiser)
Note: This section of the Benefits Handbook provides information about the Kaiser administered medical plan options only.
    • Eligible individuals who are resident in Hawaii, may only choose between:
      • HMSA's Health Plan Hawaii Plus HMO (HMO)
      • HMSA's Preferred Provider Plan (PPP)
Information about the Hawaii medical plan options is covered in a separate section of the Benefits Handbook.
All medical plan options described in this section of the Benefits Handbook offer comprehensive health services.
Note: Be sure to read about Health Care Flexible Spending Accounts (HCFSAs), Health Savings Accounts (HSAs) and Limited Purpose Health Care Flexible Spending Accounts (LPHCFSAs). Understanding these tax-advantaged arrangements may be important to your selection of a medical plan.
A Note about ERISA
The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law that governs many employer-sponsored plans including this medical plan. Your ERISA rights in connection with this Plan are detailed in the Administrative Information section.