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.

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Prescription Information

Commonly Prescribed Medications

Specialty Medications

Medical Plan Documents

EPO Medical Benefit Plan

EPO SurgeryPlus Plan Amendment

PPO & HD Medical Benefit Plan

PPO & HD SurgeryPlus Plan Amendment

KP-DHMO 1000 Benefits

KP-DHMO 1500 Benefits

KP-DHMO 2500 Benefits

KP-HDHP 2500 Benefits

Dental Plan Documents

Dental Plan Document (Plans A, B & C)

Delta Dental Plan A Summary

Delta Dental Plan B Summary

Delta Dental Plan C Summary

Delta Dental FAQ's

Vision Plan Documents

Vision A (UMR)

Vision B (VSP)

Vision C (VSP)

VSP Rules and Regulations

Hospital Reimbursement Plan (HRP)

Hospital Reimbursement Plan Highlights

HRP Memo

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.

Estimate Your Costs

KP Formulary List Link: (HMO): DB & NoCO

KP Formulary List Link: (HMO): Southern CO

KP Specialty Drug List

Kaiser Maternity

Summary of Benefits and Coverage (SBC)

SBC-EPO3 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-EPO4 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-EPO5 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-HD2700 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-HD3500 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-HD5000 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-PPO2 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-PPO3 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-PPO4 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-PPO5 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-PPO6 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-PPO7 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC-PPO8 - 7/1/2019-12/31/2019 1/1/2020-12/31/2020

SBC – Kaiser Permanente Plans

SBC-KP-HMO 40 - 7/1/2019-6/30/2020

SBC-KP-HMO 45 - 7/1/2019-6/30/2020

SBC-KP-DHMO 750 - 7/1/2019-6/30/2020

SBC-KP-DHMO 1000 - ]7/1/2019-6/30/2020

SBC-KP-DHMO 1500 - 7/1/2019-6/30/2020

SBC-KP-DHMO 2500 - 7/1/2019-6/30/2020

SBC-KP-HDHP 1500 - 7/1/2019-6/30/2020

SBC-KP-HDHP 2500 - 7/1/2019-6/30/2020

Life Coverage

Voluntary Life Certificate

Basic Life Certificate

Basic & Voluntary Life Portability Application

CEBT Voluntary Life Benefit Booklet

Travel Assistance Flyer

Travel Assistance Policies

Special District Association Disability

LTD 90 Days Certificate

LTD 90 Days Benefit Description

LTD 180 Days Certificate

LTD 180 Days Benefit Description

STD Certificate

STD Benefit Description

EAP Flyer

Preventative Services

Preventative Services Men/Women

Preventative Services Children

Kaiser Preventative Services