How to get appointed with Kaiser Permanente Hawaii

To request an appointment with Kaiser Permanente Hawaii, simply fill out the appropriate forms below and send them to our Broker Compensation Shared Services (BCSS) team at hi-bkrlac@kp.org or call them at 1-844-268-2943 and they will walk you through the entire process.

Initial set up for an Agency:

For a new appointment of an agency, please download, fill out and return the forms below to the BCSS team. At this time, all forms require a wet signature.


Along with the above, please include:

  • State of HI License
  • Current E&O Certification

Adding a sub-agent

If you would like to add a sub-agent to an agency who is already appointed with us, please download, fill out and return the forms below to the BCSS team. At this time, all forms require a wet signature.


Along with the above, please include:

  • State of HI License