You can request a rate quote by email or fax. Once we receive your request, a Kaiser Permanente representative will contact you within five business days. Just follow these easy steps to request a quote:
1. Large business Download the customer rate request form (51 plus eligibles)
2. Download the employee census grid (EXCEL FILE)
3. Complete the forms
4. Email or fax the completed forms to:
Download our eligibility requirements to find out if you're eligible for coverage.
