Be an informed Kaiser Permanente member (and go green)

Know your rights before, during, and after enrollment.

Thank you

Please allow up to 15 business days for your 2024 Annual Subscriber Notice to arrive.

Download your 2024 Annual Subscriber Notice below.

We’ve also sent an email confirming your form submission which includes a link to the Annual Subscriber Notice document should you need it again in the future.

Download now

How do you want your Annual Subscriber Notice? Digital or printed — the choice is yours.

The Annual Subscriber Notice (ASN) is a great way to get the latest information about your benefits with Kaiser Permanente. It’s also an important resource when you want details about your member rights and responsibilities, our privacy practices, and more. And staying informed about these matters can help you make the most of your health care.

To get the 2024 ASN, simply tell us how you want to receive your copy — downloaded now or printed in the mail. We have an active commitment to positive environmental stewardship, and we hope you will take the opportunity to go green and request a digital copy of your ASN.

YES — I want the digital version of the ASN.

I’ll download my copy of the notice instantly. (You’ll need Adobe Acrobat to view the document.)

NO — I want to continue to have the ASN mailed to me.

I’d rather have my notice mailed to me.

(Please allow up to 15 business days for the ASN to arrive in your mailbox.)

Get the 2024 Annual Subscriber Notice

To receive a digital copy of the Annual Subscriber Notice, fill out the form below and click Submit.
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Send me a printed copy of the Annual Subscriber Notice

To receive a printed copy of the 2024 Annual Subscriber Notice by mail, please fill out the form below and click Submit.
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Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii • Kaiser Foundation Health Plan of Colorado • Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 • Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 • Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 • Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc., 1300 SW 27th St., Renton, WA 98057

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© 2024 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.

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By completing this form, you are agreeing that a Kaiser Permanente sales representative may contact you to discuss Kaiser Permanente Medicare Advantage (HMO and HMO-POS) plan options for 2025. You are agreeing that a sales representative may contact you even if your telephone number or email address is on our Do Not Contact List.