Required Notices

2022-23 Plan Year

Medicare Creditable Coverage Notice - 2022: For the 2022-23 plan year, all Kaiser Permanente Medical Plans (1, 2A, 2B, 3, & Bronze), as well as Moda Health Medical Plans 1, 2, 3, 4, 5, 6, & 7 are considered creditable coverage. This notice applies to members enrolled in those plans.

Medicare Non-Creditable Coverage Notice - 2022: For the 2022-23 plan year, only the Moda Health Bronze Plan is considered non-creditable coverage. This notice only applies to members enrolled in the Moda Health Bronze Plan.

Newborn & Mothers' Health Protection Act Notice

Notice of Special Enrollment Rights

Provider Choice Rights Notice

Timing Extensions for HIPAA special enrollment, COBRA, ERISA claims & appeals

Women’s Health & Cancer Rights Act Notice

2021-22 Plan Year

2021-22 Kaiser Permanente Summaries of Benefits and Coverage (SBCs)

2021-22 Moda Health Summaries of Benefits and Coverage (SBCs)

CHIP - Medicaid Children's Health Insurance Program Notice

COBRA - Initial Notice of COBRA Rights

Medicare Creditable Coverage Notice - 2021: For the 2021-22 plan year, all Kaiser Permanente Medical Plans (1, 2A, 2B, 3, & Bronze), as well as Moda Health Medical Plans 1, 2, 3, 4, 5, 6, & 7 are considered creditable coverage. This notice applies to members enrolled in those plans.

Medicare Non-Creditable Coverage Notice - 2021: For the 2021-22 plan year, only the Moda Health Bronze Plan is considered non-creditable coverage. This notice only applies to members enrolled in the Moda Health Bronze Plan.

Women's Health and Cancer Rights