Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Kaiser Permanente before sending sensitive documents. FaxFlow is not affiliated with this organization.
Kaiser Permanente fax number
(855) 355-5334
Enrollment & Eligibility (Small Business Services) - California Service Center
Used for: Enrollment applications and account changes; eligibility/plan-change submissions (faxed to 1-855-355-5334).
Fax destination details
- Department
- Enrollment & Eligibility (Small Business Services) - California Service Center
- Purpose
- Enrollment applications and account changes; eligibility/plan-change submissions (faxed to 1-855-355-5334).
- Form
- Account Change Form — Account Change Form
- Address
- Kaiser Permanente California Service Center: Northern California — P.O. Box 23219, San Diego, CA 92193-3219; Southern California — P.O. Box 23250, San Diego, CA 92193-3250
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Kaiser Permanente Account Change Form instructions: fill out Section A with member information, select the desired changes in Section B, and complete any relevant sections for added/terminated coverages; WA version includes guidance on open enrollment and special enrollment events.
Official form instructions are published as a downloadable file on the organization's website.
Sources and verification
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