View and Search Current Benefit Booklets.
Here you can find the details regarding your plan coverage. Please choose the plan you are interested in from the options below. After clicking on a link, use your browser's FIND menu item to search for specific words within the booklet.
Prescription Information
Commonly Prescribed Medications
Specialty Medications
Medical Plan Documents
EPO SurgeryPlus Plan Amendment
PPO & HD SurgeryPlus Plan Amendment
Dental Plan Documents
Dental Plan Document (Plans A, B & C)
Vision Plan Documents
Hospital Reimbursement Plan (HRP)
Hospital Reimbursement Plan Highlights
Kaiser Permanente
For covered drugs in your area, click here. Once you are directed to the page, click the Find out what drugs are covered in your area link.
KP Formulary List Link: (HMO): DB & NoCO
Summary of Benefits and Coverage (SBC)
SBC-EPO3 - 7/1/2019-12/31/2019
SBC-EPO4 - 7/1/2019-12/31/2019
SBC-EPO5 - 7/1/2019-12/31/2019
SBC-HD2700 - 7/1/2019-12/31/2019
SBC-HD3500 - 7/1/2019-12/31/2019
SBC-HD5000 - 7/1/2019-12/31/2019
SBC-PPO2 - 7/1/2019-12/31/2019
SBC-PPO3 - 7/1/2019-12/31/2019
SBC-PPO4 - 7/1/2019-12/31/2019
SBC-PPO5 - 7/1/2019-12/31/2019
SBC-PPO6 - 7/1/2019-12/31/2019
SBC-PPO7 - 7/1/2019-12/31/2019
SBC-PPO8 - 7/1/2019-12/31/2019
SBC – Kaiser Permanente Plans
SBC-KP-HMO 40 - 7/1/2018-6/30/2019
SBC-KP-HMO 45 - 7/1/2018-6/30/2019
SBC-KP-DHMO 750 - 7/1/2018-6/30/2019
SBC-KP-DHMO 1000 - ]7/1/2018-6/30/2019
SBC-KP-DHMO 1500 - 7/1/2018-6/30/2019
SBC-KP-DHMO 2500 - 7/1/2018-6/30/2019
SBC-KP-HDHP 1500 - 7/1/2018-6/30/2019
SBC-KP-HDHP 2500 - 7/1/2018-6/30/2019
Life Coverage
Basic & Voluntary Life Portability Application
Special District Association Disability
LTD 90 Days Benefit Description
LTD 180 Days Benefit Description
Preventative Services
Preventative Services Men/Women