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.
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:
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:
