Health plan & appeal guide

Kaiser Foundation Health Plan, Inc.

Oakland, CA · Form 5500 filing, plan year 2024

For current employees

Both kinds Kaiser Foundation Health Plan, Inc. Health and Welfare Plan · 145,206 people

This employer has both kinds of coverage. The company on your insurance card decides which rules apply to you.

How we know · medium confidence
  • The filing says benefits are paid from the employer's general assets.
  • Medical insurance bought from Kaiser Permanente, HMSA (Blue Cross Blue Shield of Hawaii) is on file, covering about 229,057 people.
  • We ignored 1 low-cost supplemental policy(ies) such as accident or hospital cover; they don't decide how your medical claims are handled.
  • Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.

Not counted

  • Kaiser Foundation Health Plan, Inc. Health Care Spending Account Plan (32,671 people): The plan name shows a spending account or employee assistance program, not medical coverage.

Double-check in 30 seconds: “Self-funded”, “administered by” or “ASO” on your card or plan summary means self-funded. “Insured by” or “underwritten by” means insured.

  1. Which company is on your insurance card?

    It’s printed on the front of the card. The filing shows which companies sell insured options here and which ones run the self-funded plan.

  2. Send your appeal here

    Unlocks after you answer the question above

  3. Know your deadlines

    Unlocks after you answer the question above

  4. What happens next

    Unlocks after you answer the question above

  5. Get free help

    Unlocks after you answer the question above

For retirees

Both kinds Kaiser Foundation Health Plan, Inc. Retiree Health and Welfare Plan · 32,122 people

This employer has both kinds of coverage. The company on your insurance card decides which rules apply to you.

How we know · medium confidence
  • The filing says benefits are paid from a trust the plan controls.
  • Medical insurance bought from Kaiser Permanente is on file, covering about 50,415 people.
  • We ignored a small insurance contract with Medical Mutual Of Ohio covering about 21 people; it is too small to be the main plan.
  • Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.

Not counted

  • Kaiser Foundation Health Plan, Inc. Retiree Medical Health Reimbursement Account Plan (5,577 people): The plan name shows a spending account or employee assistance program, not medical coverage.

Double-check in 30 seconds: “Self-funded”, “administered by” or “ASO” on your card or plan summary means self-funded. “Insured by” or “underwritten by” means insured.

  1. Which company is on your insurance card?

    It’s printed on the front of the card. The filing shows which companies sell insured options here and which ones run the self-funded plan.

  2. Send your appeal here

    Unlocks after you answer the question above

  3. Know your deadlines

    Unlocks after you answer the question above

  4. What happens next

    Unlocks after you answer the question above

  5. Get free help

    Unlocks after you answer the question above

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