2024 Evidence of Coverage for WA PEBB Kaiser Permanente Senior Advantage 99 Chapter 8: Ending your membership in our plan Section 5.3 – You have the right to make a complaint if we end your membership in our plan If we end your membership in our plan, we must tell you our reasons in writing for ending your membership. We must also explain how you can file a grievance or make a complaint about our decision to end your membership. Section 5.4 – What happens if you are no longer eligible for group coverage After your group notifies us to terminate your group membership, we will send a termination letter to the subscriber's address of record. The letter will include information about options that may be available to you to remain a Health Plan member. • If you are no longer eligible for group membership, you can request enrollment in our Senior Advantage Individual Plan if you still meet the eligibility requirements for Senior Advantage. The premiums and coverage under our individual plan will differ from those under this EOC and will include Medicare Part D prescription drug coverage. • You may not be eligible to enroll in our Senior Advantage individual plan if your membership ends for the reasons stated under Section 5.1. For more information or information about other individual plans, call Member Services. Phone numbers are printed on the back cover of this document. 1-877-221-8221 (TTY 711), 7 days a week, 8 a.m. to 8 p.m.