The renewal decision form is the tool used to change benefits at renewal, or to simply renew with no additional changes. The rates and benefits chosen will begin on the date of the renewal. Return of this form is required for all renewals
Consider the options carefully as changes can only be made at the time of renewal.
Replying to us with the renewal changes 7 weeks prior to the effective date will allow us time to process changes and provide an accurate bill for the renewal month. Benefit changes can be requested up to the 15th of the month prior to the date of renewal; however, the bill may not reflect the change/adjustment until the [following] month after the renewal.
Mail: Kaiser Permanente
Small Business Group
500 NE Multnomah St., Suite 100
Portland, OR 97232
Email: email@example.com .
Please contact a representative if you have questions regarding the renewal process.