March 9, 2018 Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 Re: Closure of Oakland Pharmaceutical Warehouse on Coliseum Way Dear Mr. Tyson, I am writing because I understand that Kaiser Permanente is considering closing the Oakland Pharmacy District Warehouse facility currently located in Oakland. Staff currently employed at that facility are concerned about their potential loss of a high-quality job. I know that Kaiser has existing provisions in your Labor Manager Partnership (LMP) with SEIU, that provide compensation for a limited time to employees who are laid off. I appreciate that commitment. However, as I am sure Kaiser itself knows, quality jobs that pay a living wage are hard to find and a person who loses one is understandably concerned. I hope that Kaiser Permanente is able to find a solution that either retains the facility or retains all of the employees. If I may be of assistance, please do not hesitate to reach out to my District Director, Tasha Henneman, at 510.286.1333 or tasha.henneman@sen.ca.gov. Sincerely, Nancy Skinner State Senator, District 9 cc: Dennis L. Dabney Senior Vice President National Labor Relations Kaiser Foundation Health Plan, Inc. One Kaiser Plaza, 24 Lakeside, #2435 Oakland, CA 94612 Janet A. Liang President, Northern California Region Kaiser Foundation Health Plan, Inc. and Hospitals 1950 Franklin Street, 20th Floor Oakland, CA 94612

May 24, 2018 Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 Dear Mr. Tyson, I have been informed by SEIU United Healthcare Workers-West that Kaiser Permanente is preparing to outsource 81 pharmacy warehouse jobs from the North Hollywood site to outside of the San Fernando Valley. I am writing you this letter out of concern for my constituents potentially losing their jobs and benefits on which they rely to support themselves and their families. According to Census Bureau data, only 5.8 percent of the jobs in the North Hollywood region are healthcare practitioners, health support, or health technicians. Additionally, the annual median household income in this region of the San Fernando Valley is $47,591, a figure I am concerned will decline should jobs be outsourced from this region. I am concerned about the negative consequences that this potential outsourcing move would have on the economy and residents in my district. I hope you will consider these economic factors of the San Fernando Valley and the families that would be potentially impacted by the outsourcing of 81 jobs from the region. Should you have any questions, please contact Raj Dhillon in my District Office at (818) 901-5588 or at Raj.Dhillon@sen.ca.gov. Sincerely, H ROBERT M. HERTZBERG

March 2, 2018 Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 Dear Mr. Tyson, I have been informed that Kaiser Permanente Baldwin Park is preparing to relocate 300 call-center jobs in my District to Riverside County. I know that it is important to maintain the utmost quality of care when serving patients and to ensure the financial viability of such a vital organization within our community. I want to see Kaiser Permanente continue to flourish by providing quality healthcare to patients while also being a good partner when it comes to providing good jobs in our community. Relocating jobs goes against Kaiser s mission of maintaining an environment where everyone thrives. By relocating these jobs out of my district, Kaiser Permanente will be hurting my constituents who rely on these jobs to make a living. In addition, the ripple effect of losing these jobs will have a negative effect on the larger community. My understanding is that Kaiser s balance sheet has only improved in recent years, and it is my strong belief that what little might be saved from moving these jobs is not worth the impact to my constituents. I urge you to reconsider your current proposal in relocating 300 jobs from the community I represent. When our community wins, Kaiser wins. If I may be of assistance please do not hesitate to contact Jorge Marquez in my District Office at (626) 430-2499. Sincerely, DR. ED HERNANDEZ, O.D., State Senator 22nd California State Senate District

cc: Dennis L. Dabney Senior Vice President National Labor Relations Kaiser Foundation Health Plan, Inc. One Kaiser Plaza, 24 Lakeside, #2435 Oakland, CA 94612 Julie Miller-Phipps President, Southern California Region Kaiser Foundation Health Plan, Inc. and Hospitals 393 East Walnut Street, 7 th Floor Pasadena, CA

March 07, 2018 Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 Dear Mr. Tyson, I have been informed that Kaiser Permanente Los Angeles Medical Center (LAMC) is preparing to relocate 192 call-center jobs in my District to Riverside County. I know that it is important to maintain the upmost quality of care when serving patients and to ensure the financial viability of such a vital organization within our community. It is imperative that Kaiser Permanente continue to flourish by providing quality healthcare to patients while also being a good partner when it comes to job creation which benefits our community. For the last year, the President and Congress has subjected millions of Americans to repeated attacks when it comes to their healthcare, including a proposed repeal of the Affordable Care Act, going after Medicaid and Medicare and rendering our nation s healthcare system less accessible, more expensive, less stable and less humane. In response, Americans have responded by demonstrating historic levels of support for the Affordable Care Act, Medicaid and Medicare and a system that is more affordable and accessible. Relocating jobs goes against Kaiser s mission of maintaining an environment where everyone thrives. By cutting good paying jobs, while also raising premiums, you run the risk of alienating many of my constituents who rely on affordable healthcare and quality jobs like the ones you are cutting, to make a living each and every day. In addition, I understand that Kaiser s profit margin increased 60% between 2016 and 2017, under-cutting the case for outsourcing jobs to achieve savings. I urge you to reconsider your current proposal in relocating 192 jobs from the community I represent. When our community wins, Kaiser wins. If I may be of assistance, please do not hesitate to contact my Deputy Chief of Staff Steve Veres in my District Office at (213) 483-9300. Sincerely, KEVIN DE LEÓN Senate President Pro Tempore 24 th Senate District cc: Dennis L. Dabney Julie Miller-Phipps Senior Vice President President, Southern California Region National Labor Relations Kaiser Foundation Health Plan, Inc. Kaiser Foundation Health Plan, Inc. Kaiser Foundation Hospitals, Inc.

STATE CAPITOL P.O. BOX 942849 SACRAMENTO, CA 94249-0018 (916) 319-2018 FAX (916) 319-2118 DISTRICT OFFICE ELIHU M. HARRIS STATE BUILDING 1515 CLAY STREET, SUITE 2204 OAKLAND, CA 94612 (510)286-1670 FAX (510)286-1888 April 25, 2018 ROB BONTA ASSEMBLYMEMBER, EIGHTEENTH DISTRICT LEADERSHIP ASSISTANT MAJORITY LEADER COMMITTEES MEMBER, APPROPRIATIONS MEMBER, COMMUNICATIONS AND CONVEYANCE MEMBER, GOVERNMENTAL ORGANIZATION MEMBER, HEALTH CAUCUSES CHAIR, ASIAN PACIFIC ISLANDER LEGISLATIVE CAUCUS Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 Dear Mr. Tyson, I write regarding Kaiser Permanente s potential plans to outsource 57 pharmaceutical warehouse workers on Coliseum Way in my District, part of a plan to take 96 middle class jobs out of Alameda County by 2020. I value Kaiser s partnership in providing healthcare to my constituents and appreciate the candor of your Government Relations team during our discussions of this matter. My primary concern here is the loss of these jobs in my district to automation or outsourcing. While I understand the pressures on businesses to reduce cost, I strongly urge you to reconsider this proposal and also consider the positive impact on our East Bay economy of the productive and quality work force at these facilities. Moreover, I understand that Kaiser s profit margin increased 60% between 2016 and 2017, undercutting the case for outsourcing jobs to achieve savings. Laying off, or outsourcing, workers goes against Kaiser s mission of maintaining an environment where everyone thrives. By cutting local jobs while also raising premiums in the Bay Area, you run the risk of alienating many of my constituents who rely on affordable healthcare and quality jobs like the ones you are cutting to make a living each and every day. It is important to maintain the upmost quality of care when serving patients and to ensure the financial viability of such a vital organization within our community. The Alameda County pharmaceutical warehouse workers contribute immensely to this high level of patient care and customer service. In the event Kaiser continues down the path of outsourcing these services, please provide me with a detailed description of Kaiser s plans for these workers, including retraining and other job placement opportunities. It is critical that these employees be provided other opportunities in the Kaiser organization. I also encourage you to begin conversations with your bargaining units, if you haven t already, on guaranteeing the job security of these hard-working employees. I hope Kaiser Permanente can continue to flourish by providing quality healthcare to patients while also being a good partner when it comes to job creation which benefits our community.

If I may be of further assistance on this issue, please do not hesitate to contact me in my District Office at (510) 286-1670. I look forward to working with you on a solution to this matter that benefits all Kaiser patients and employees. Sincerely, Rob Bonta Assemblymember, 18th District cc: Dennis L. Dabney Senior Vice President National Labor Relations Kaiser Foundation Health Plan, Inc. One Kaiser Plaza, 24 Lakeside, #2435 Oakland, CA 94612 Janet A. Liang President, Northern California Region Kaiser Foundation Health Plan, Inc. and Hospitals 1950 Franklin Street, 20th Floor Oakland, CA 94612

July 2, 2018 Bernard Tyson, CEO Kaiser Permanente One Kaiser Plaza 1550 Ordway Oakland, CA 94621 Dear Mr. Tyson: The labor management partnership that Kaiser Permanente has had with its unions has been a model of labor relations throughout the country. It has resulted in Kaiser becoming a financially successful organization with a rapidly growing membership. It has created secure, middle class healthcare jobs and a model of care focused on affordability and quality. It is something that we in California leadership have been proud of. That is why I am writing to weigh in on the ongoing labor dispute with the Coalition of Kaiser Partnership Unions (CKPU). Picketing has been occurring at Kaiser hospitals throughout the state for months. Heartbreaking stories of workers losing their jobs to outsourcing continue to surface. Now I have been told that you are refusing to negotiate a new National Agreement with the Coalition of Kaiser Permanente Unions, which represents 85,000 workers, 64,000 here in California. I believe in balanced partnership. I believe that it s appropriate for unions with a common employer to negotiate together in a coalition in order to bring balance to the labor-management power dynamic. I do not want to see workers displaced by outsourcing. I am appealing to you to lead Kaiser back to labor management partnership with the CKPU. Specifically, I ask that you: Resume negotiations with the CKPU, without pre-conditions, for a new National Agreement to replace the one that will expire on September 30, 2018. Work with Kaiser unions to find alternatives to outsourcing of jobs.

Work with Kaiser unions to defend and expand access to quality, affordable healthcare for all Californians. Should you have any questions, please contact me at (916) 319-2025. Sincerely, KANSEN CHU Assemblymember, 25 th District Cc: Coalition of Kaiser Permanente Unions SEIU-UHW SEIU State Council

March 21, 2018 Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 Dear Mr. Tyson, I have been informed that Kaiser Permanente Los Angeles Medical Center is preparing to relocate 192 call center jobs in my district to Riverside County. I know that it is important to maintain the upmost quality of care when serving patients and to ensure the financial viability of such a vital organization within our community. It is imperative that Kaiser Permanente continue to flourish by providing quality healthcare to patients while also being a good partner when it comes to job creation which benefits our community. For years, California has worked to ensure access to health care for all. We ve extended vital benefits to millions, and partnered with health care providers to improve care quality and expand our network of providers in communities across the state. Kaiser Permanente has been at the table and worked in support of many of these efforts. In contrast to the collaboration we ve seen to improve access to care, relocating jobs goes against Kaiser s mission of maintaining an environment where everyone thrives. By cutting good paying jobs, while also raising premiums, you run the risk of alienating many of my constituents who rely on affordable healthcare and quality jobs like the ones you are cutting, to make a living each and every day. In addition, I understand that Kaiser s profit margin increased 60% between 2016 and 2017, undercutting the case for outsourcing jobs to achieve savings. I urge you to reconsider your current proposal in relocating 192 jobs from the community I represent. When our community wins, Kaiser wins. If I may be of assistance please do not hesitate to contact my District Office at (818) 558-3043. Sincerely, LAURA FRIEDMAN Assemblymember, 43 rd District

STATE CAPITOL P.O. BOX 942849 SACRAMENTO, CA 94249-0070 (916) 319-2080 FAX (916) 319-2180 COMMITTEES CHAIR: APPROPRIATIONS SELECT COMMITTEE CHAIR: WOMEN IN THE WORKPLACE DISTRICT OFFICE 1350 FRONT ST, SUITE 6022 SAN DIEGO, CA 92101 (619) 338-8090 FAX (619) 338-8099 WEB SITE www.asm.cagov/gonzalez LORENA GONZALEZ FLETCHER ASSEMBLYWOMAN, EIGHTIETH DISTRICT Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 May 23, 2018 Dear Mr. Tyson, I have been informed that Kaiser Permanente is preparing to relocate and outsource more than 1,000 jobs in the State of California, including call-center and pharmacy warehouse jobs in many Cities. I know that it is important to maintain the upmost quality of care when serving patients and to ensure the financial viability of such a vital organization within our community. I am sure that you understand how imperative it is that Kaiser Permanente continues to flourish by providing quality healthcare to patients while also being a good partner when it comes to job creation which benefits our community. For the last year, millions of Americans have suffered the effects of repeated attacks when it comes to their healthcare, including a proposed repeal of Obamacare, which would render our nation s healthcare system less accessible, more expensive, less stable and less humane. In response, Americans have responded by demonstrating historic levels of support for Obamacare, Medicaid and Medicare and a system that is more affordable and accessible. Relocating and outsourcing jobs goes against Kaiser s mission to provide highquality, affordable health care services and to improve your members health and the communities you serve, while maintaining an environment where everyone thrives. Cutting good paying jobs, while raising premiums on patients puts a target on community members who rely on access to affordable healthcare and quality jobs like the ones being eliminated to make a living each and every day. I urge you to reconsider your current proposal to relocate and outsource jobs that have benefited hardworking Californians. When our communities thrive, Kaiser thrives. If I may be of assistance, please do not hesitate to contact Diamond Wallace in my District Office at 619-338-8090. Sincerely, LORENA GONZALEZ FLETCHER Assemblywoman, 80th District

Wilma Chan, SUPERVISOR, THIRD DISTRICT PRESIDENT, ALAMEDA COUNTY BOARD OF SUPERVISORS COMMITTEES: Health, Chair Personnel & Legislative Unincorporated Services February 26, 2018 Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 Dear Mr. Tyson, I have been informed that Kaiser Permanente s Oakland facilities are preparing to lay off a total of 57 Kaiser employees in my Supervisorial District, part of a plan to lay off 96 workers at Kaiser facilities in Alameda County and outsource them to another organization. I know that it is important to maintain the upmost quality of care when serving patients and to ensure the financial viability of such a vital organization within our community. It is imperative that Kaiser Permanente continue to flourish by providing quality healthcare to patients while also being a good partner when it comes to job creation which benefits our community. For the last year, the President and Congress has subjected millions of Americans to repeated attacks when it comes to their healthcare, including a proposed repeal of the Affordable Care Act, going after Medicaid and Medicare and rendering our nation s healthcare system less accessible, more expensive, less stable and less humane. In response, Americans have responded by demonstrating historic levels of support for the Affordable Care Act, Medicaid and Medicare and a system that is more affordable and accessible. I believe laying off workers goes against Kaiser s mission of maintaining an environment where everyone thrives. I urge you to reconsider your current proposal of eliminating 57 jobs from the District I represent, and nearly 100 jobs from my County. When our community wins, Kaiser wins. If I may be of assistance please do not hesitate to contact Vanessa Cedeño in my Office at (510) 272-6693. Sincerely, Supervisor Wilma Chan cc: Dennis L. Dabney Senior Vice President National Labor Relations Kaiser Foundation Health Plan, Inc. One Kaiser Plaza, 24 Lakeside, #2435 Oakland, CA 94612 OAKLAND OFFICE: 1221 Oak Street, Room 536, Oakland, CA 94612 (510) 272-6693 FAX (510) 268-8004 DISTRICT OFFICE: 15903 HESPERIAN BLVD., SAN LORENZO, CA 94580 (510) 278-0367 FAX (510) 278-0467

Janet A. Liang President, Northern California Kaiser Foundation Hospitals & Health Plan, Inc. 1950 Franklin Street, 20th Floor Oakland, CA 94612

Member, Board of Supervisors District 7 City and County of San Francisco NORMAN YEE May 11, 2018 Guy Chicoine Medical Group Administrator Kaiser Permanente Medical Group 2425 Geary Blvd. San Francisco, CA 94115 Dear Mr. Chicoine, I have been informed that Kaiser Permanente is preparing to eliminate 16 jobs in San Francisco associated with the parking attendants at the Geary Boulevard facility and outsource them to another organization. I know that it is important to maintain the upmost quality of care when serving patients and to ensure the financial viability of such a vital organization within our community. It is imperative that Kaiser Permanente continue to flourish by providing quality healthcare to patients while also being a good partner when it comes to job creation which benefits our community. Laying off workers goes against Kaiser s mission of maintaining an environment where everyone thrives. By cutting good paying jobs while also raising premiums, you run the risk of alienating many of my constituents who rely on affordable healthcare and quality jobs like the ones you are cutting to make a living each and every day. In addition, I understand that Kaiser s profit margin increased by $300 million between 2016 and 2017, undercutting the case for outsourcing jobs to achieve savings. I urge you to reconsider your current proposal to eliminate 16 jobs from the community I represent. When our community wins, Kaiser wins. If I may be of assistance please do not hesitate to contact Jarlene Choy in my District Office at (415) 554-6519. Sincerely, cc: Ron Groepper Service Vice President for Greater San Francisco Area 2425 Geary Blvd.-L140 San Francisco, CA 94115 City Hall 1 Dr. Carlton B. Goodlett Place, Room 244 San Francisco, California 94102-4689 (415) 554-6516 Fax (415) 554-6546 TDD/TTY (415) 554-5227 E-mail: Norman.Yee@sfgov.org

Member, Board of Supervisors District 7 City and County of San Francisco NORMAN YEE Dennis L. Dabney Senior Vice President National Labor Relations Kaiser Foundation Health Plan, Inc. One Kaiser Plaza, 24 Lakeside, #2435 Oakland, CA 94612 Linda Liang President, Northern California Region Kaiser Foundation Health Plan, Inc. and Hospitals 1950 Franklin Street, 20th Floor Oakland, CA 94612 Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 City Hall 1 Dr. Carlton B. Goodlett Place, Room 244 San Francisco, California 94102-4689 (415) 554-6516 Fax (415) 554-6546 TDD/TTY (415) 554-5227 E-mail: Norman.Yee@sfgov.org

Member, Board of Supervisors District 8 City and County of San Francisco JEFF SHEEHY 史義 May 9, 2018 Guy Chicoine Medical Group Administrator Kaiser Permanente Medical Group 2425 Geary Blvd. San Francisco, CA 94115 Dear Mr. Chicoine, I have been informed that Kaiser Permanente is preparing to eliminate 16 jobs in San Francisco associated with the parking attendants at the Geary Boulevard facility and outsource them to another organization. I know that it is important to maintain the upmost quality of care when serving patients and to ensure the financial viability of such a vital organization within our community. It is imperative that Kaiser Permanente continue to flourish by providing quality healthcare to patients while also being a good partner when it comes to job creation which benefits our community. Laying off workers goes against Kaiser s mission of maintaining an environment where everyone thrives. By cutting good paying jobs while also raising premiums, you run the risk of alienating many of my constituents who rely on affordable healthcare and quality jobs like the ones you are cutting to make a living each and every day. In addition, I understand that Kaiser s profit margin increased by $300 million between 2016 and 2017, undercutting the case for outsourcing jobs to achieve savings. I urge you to reconsider your current proposal to eliminate 16 jobs from the community I represent. Sincerely, JEFF SHEEHY Supervisor for District 8 City Hall! 1 Dr. Carlton B. Goodlett Place! Room 284! San Francisco, California 94102-4689! (415) 554-6968 Fax (415) 554-6909! TDD/TTY (415) 554-5227! E-mail: Jeff.Sheehy@sfgov.org 1

Member, Board of Supervisors District 8 City and County of San Francisco JEFF SHEEHY 史義 cc: Ron Groepper Service Vice President for Greater San Francisco Area 2425 Geary Blvd.-L140 San Francisco, CA 94115 Dennis L. Dabney Senior Vice President National Labor Relations Kaiser Foundation Health Plan, Inc. One Kaiser Plaza, 24 Lakeside, #2435 Oakland, CA 94612 Linda Liang President, Northern California Region Kaiser Foundation Health Plan, Inc. and Hospitals 1950 Franklin Street, 20th Floor Oakland, CA 94612 Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 City Hall! 1 Dr. Carlton B. Goodlett Place! Room 284! San Francisco, California 94102-4689! (415) 554-6968 Fax (415) 554-6909! TDD/TTY (415) 554-5227! E-mail: Jeff.Sheehy@sfgov.org 2

April 25, 2018 Bernard J. Tyson, CEO Kaiser Permanente 1 Kaiser Plaza Oakland, CA 94612 RE: Relocation of Call Center and Pharmacy Warehouse Jobs in Los Angeles Dear Mr. Tyson, I have been informed that Kaiser Permanente Los Angeles Medical Center is preparing to relocate 192 call-center jobs and Kaiser Woodland Hills is preparing to relocate 160 call-center jobs. In addition, Kaiser plans to outsource 81 Pharmacy Warehouse jobs based in North Hollywood. Kaiser is a strong economic driver in our region and in my district. Relocating this many jobs within the City could cause substantial disruption and difficulty to our local economy and residents in my District who work at Kaiser. Due to the importance of these jobs to the 4 th District, I request that you consider retaining these important positions in the City and San Fernando Valley. Sincerely, David E. Ryu Councilmember, District 4

CITY OF OAKLAND CITY HALL 1 FRANK H. OGAWA PLAZA OAKLAND, CALIFORNI A 94612 REBECCA KAPLAN (510) 238-7008 Councilmember At-Large FAX: (510) 238-6910 atlarge@oaklandnet.com TDD: (510) 839-6451 6 March, 2018 Bernard J. Tyson, CEO Dennis L. Dabney, Senior Vice President Kaiser Permanente 1 Kaiser Plaza, Oakland, CA 94612 Janet A. Liang President, Northern California Region 1950 Franklin Street, 20 th Floor, Oakland, CA 94612 RE: Reconsider your Current Proposal in Eliminating Kaiser Permanente jobs out of Alameda County Dear Mr. Tyson, I have heard that Kaiser Permanente may be planning layoffs in a proposal to cut ties with 57 workers associated with the pharmaceutical warehouse on Coliseum Way as a plan to outsource them to another organization outside of Oakland and Alameda County. I am writing to verify these claims and express, why I would be against it should they hold true. I know that it is important to maintain the upmost quality of care when serving patients and to ensure the financial viability of such a vital organization within our community. It is imperative that Kaiser Permanente continue to flourish by providing quality healthcare to patients while also being a good partner when it comes to job creation which benefits our community. For the last year, the President and Congress has subjected millions of Americans to repeated attacks when it comes to their healthcare, including a proposed repeal of the Affordable Care Act, going after Medicaid and Medicare and rendering our nation s healthcare system less accessible, more expensive, less stable and less humane. In response, Americans have responded by demonstrating historic levels of support for the Affordable Care Act, Medicaid and Medicare and a system that is more affordable and accessible. Laying off workers goes against Kaiser s mission of maintaining an environment where everyone thrives. By cutting good paying jobs while also raising premiums, you run the risk of alienating many of our residents, who rely on affordable healthcare and quality jobs to make a living while offering necessary services. I am concerned about the risk to the public health of our community should vital medical materials become less available in an emergency due to such a plan, which could require them to come from further away, and not have adequate staffing here to deal with needs in this area. Additionally, I understand that Kaiser s profit margin increased 60% between 2016 and 2017, undercutting the case for outsourcing jobs to achieve savings. Can you please write back to let me know what your plans are regarding these jobs? If I may be of assistance, please do not hesitate to contact my office at (510) 238-7008. Sincerely, Rebecca Kaplan Oakland City Councilmember At-Large