102 2024 Evidence of Coverage for WA PEBB Kaiser Permanente Senior Advantage Chapter 9: Legal notices chapter, and for primary payments in workers' compensation cases, see Section 19 in this chapter. You must tell us if you have other health care coverage, and let us know whenever there are any changes in your additional coverage. Section 10 — Employer responsibility For any services that the law requires an employer to provide, we will not pay the employer, and when we cover any such services, we may recover the value of the services from the employer. Section 11 — Evidence of Coverage binding on members By electing coverage or accepting benefits under this Evidence of Coverage, all members legally capable of contracting, and the legal representatives of all members incapable of contracting, agree to all provisions of this Evidence of Coverage. Section 12 — Government agency responsibility For any services that the law requires be provided only by or received only from a government agency, we will not pay the government agency, and when we cover any such services we may recover the value of the services from the government agency. Section 13 — Member nonliability Our contracts with network providers provide that you are not liable for any amounts we owe. However, you are liable for the cost of noncovered services you obtain from network providers or out-of-network providers. Section 14 — No waiver Our failure to enforce any provision of this Evidence of Coverage will not constitute a waiver of that or any other provision, or impair our right thereafter to require your strict performance of any provision. Section 15 — Notices Our notices to you will be sent to the most recent address we have. You are responsible for notifying us of any change in your address. If you move, please call Member Services (phone numbers are printed on the back of this document) and Social Security at 1-800-772-1213 (TTY 1-800-325-0778) as soon as possible to report your address change. kp.org
