Policy Change: Out-of-Area (OOA)/Out-of-State (OOS) PPO Subscribers

Effective January 1, 2022, the max OOA subscribership in the Small Group market is changing to 49% across all Kaiser Permanente regions. For example, a group with 10 total subscribers may have a maximum of 4 OOA subscribers.

OOA employees include those employees who live, work, or reside outside of the defined Kaiser Permanente Service area.

If you have any questions regarding this change, please reach out to your Kaiser Permanente Small Group Sales Executive or Account Management representative.


The Small Group Guidelines and the new Sales Checklist are updated and will be available on BrokerNet soon!