Kaiser Permanente Added Choice with 80%/20% Out-of-network plan 2007 long benefits summaryBenefits Summary • September 17th, 2020
Contract Type FiledSeptember 17th, 2020This is only a summary. It does not fully describe your benefit coverage. For complete details on your benefit coverage, including exclusions, limitations, and plan terms, please refer to your employer’s applicable Face Sheet, Group Medical and Hospital Service Agreement, benefit schedule, and Riders (collectively known as “Service Agreement”), and the Kaiser Permanente Insurance Company (KPIC) Group Policy and Certificate of Insurance. The Service Agreement and KPIC Group Policy are the legal binding documents between Health Plan, KPIC, and your employer. In event of ambiguity, or a conflict between this summary and the Service Agreement and KPIC Group Policy, the Service Agreement and KPIC Group Policy shall control.