To download a copy of the form visit the brochures and Forms page at the Kaiser Permanente Federal Employees site. Information such as your name, address, date of birth, and telephone number need to be updated with the Social Security Administration and the Kaiser Permanente Medicare Department.ĭownload, print, and return an Enrollment Change Form.
Change your address with your employer group by contacting the employer directly.Change your address with Kaiser Permanente Medicare Department by sending a message to Member Services with the subject "other." Include your new address and specify whether you wish to change the address on file with your account, or the mailing address where you receive communications from Kaiser Permanente.Change your address with the Social Security Administration.
Information such as your name, address, date of birth, and telephone number need to be updated with the Social Security Administration, the Kaiser Permanente Medicare Department, and your employer. KP Individual and Family Plans purchased from a Health Insurance ExchangeĬontact the Health Insurance Exchange in your area for assistance in updating records: Note: Updating your address or date of birth may cause your plan rates to change. To change your name, date of birth, Social Security Number, or gender:Ĭomplete an Account Change Form (available below) and follow the instructions. Send a message to Member Services with the subject “other.” If you are not the account holder, you may only change the address used for your own medical-related information. Send a message to Member Services with the subject “other.” Include your new address and the names of all dependents covered by your plan. KP Individual and Family plans not purchased from a Health Insurance Exchange