Kaiser permanente individual family plan disenrollment request form 2025

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Here are the general rules: You can cancel your plan anytime if you purchased self-only or family coverage on the individual health insurance market. However, you can typically only select a new health plan during the annual Open Enrollment Period. Open Enrollment is from November 1 to January 15 in most states.
If you have a Kaiser Permanente Individual and Family plan: Submit a Kaiser Permanente Individual Family plan Disenrollment Request form, or contact Member Services at 1-800-464-4000 (TTY 711), 8 a.m. to 8 p.m., 7 days a week, for more information.
If you miss an appointment, or do not cancel your appointment within a reasonable amount of time, we might charge you a cancellation fee, depending upon the type of service. Your insurance will not pay these fees. They are your responsibility and will be billed directly to you.
Each individual disenrolling will need to complete his/her own form. If you have any questions, please call Kaiser Permanente at 1-800-443-0815 (TTY 711), seven days a week, 8 a.m. to 8 p.m.