General Information and Forms

Retiree Benefits Handbook

This handbook provides a summary of benefit coverages that retirees, their spouses/domestic partners and dependents may be eligible to receive after the physician’s retirement.

To request a copy of the Retiree Benefits Handbook, please contact PHR Shared Services at 1-877-608-0044 or PHRSharedServices@kp.org.

Authorization/Revocation to Release Confidential Information

Spouses/domestic partners and/or dependents may contact Permanente Human Resources regarding their own benefits but cannot inquire about the physician’s benefits, compensation, or retirement without this completed form on file. Fax completed form to PHR Shared Services at 626-628-3789.

To request a copy of the form, please contact PHR Shared Services at 1-877-608-0044.

Update Your Personal Information

Contact PHR Shared Services at 1-877-608-0044 or PHRSharedServices@kp.org to update your personal information, including:

Name
Address
Phone numbers
Marital status
Email address
Emergency contact

Tax Withholding Forms (For a Partner Emeritus Only)

Partner Physicians who have already retired but resume working as a Partner Emeritus may adjust their State and/or Federal tax withholdings with the forms below. Fax completed forms to PHR Shared Services at 626-628-3789 or email to PHRSharedServices@kp.org.