2025

HMAA Enrollment Form

HMAA Termination/Change Form

HMAA Group Information Change Form

HMAA Continuity of Care Form

HMSA Enrollment Form

HMSA Membership Report Form

HMSA Coordination of Benefits

HDS Enrollment Form

HDS Change Form

HDS Termination Form

HDS COBRA Coverage Election

Kaiser Enrollment/Change/Termination Form

Kaiser New Member Registration

UHA Enrollment Form

UHA Termination Form

UHA Change Form

UHA Group Information Change Form

UHA Transition of Coverage Questionnaire

Learn more about the Hawaii state law mandating medical insurance coverage for employees here.

Learn more about the Hawaii state TDI requirement here

Tax Rate Schedule and Weekly Benefit Amount

Learn more about the Hawaii state WC requirements here

National requirement information for the Patient Protection and Affordable Care Act here

Generally a requirement for groups with over 100 covered participants under their employer sponsored benefit plan. DOL information here.

CMS outlines the information and notices required when a plan has Medicare eligible individuals covered under the group sponsored health plan.