Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 4.00 - ENROLLMENT PROCEDURES › Section 4.13 - Reinstatement of Enrollment

Current through June, 2024
(a)
General Rule
. Unless another rule of the Fund
				expressly applies, an employee-beneficiary whose enrollment in any of the
				Fund's benefit plans has been cancelled or terminated may not apply for
				reinstatement in those benefit plans. The employee-beneficiary may only apply
				for a new enrollment during the Fund's open enrollment period or upon
				experiencing a mid-year qualifying event in any plan year following the
				cancellation. Any such new enrollment may be conditioned upon the
				employee-beneficiary meeting all the Fund's rules for eligibility and
				enrollment, curing any past deficiencies or failures that led to the
				employee-beneficiary's cancellation or termination, and providing adequate
				assurance that the employee-beneficiary will not further engage in the conduct
				that previously led to the employee-beneficiary's cancellation or termination.
				Nothing in this rule shall be deemed to require the Fund to re-enroll any
				employee-beneficiary whose enrollment has been previously cancelled or
				terminated.
(b)
Contribution Shortage Cancellation.
If an
				employee-beneficiary's enrollment in the Fund's benefit plan or plans has been
				cancelled under Rule 4.11(b), the
				employee-beneficiary's enrollment in such benefit plan or plans may be
				reinstated if the employee-beneficiary makes full payment of all contributions
				due from the employee-beneficiary within sixty (60) days from the date of the
				notice of cancellation in accordance with cancellation of enrollment under Rule
				4.11(b) and
				whose enrollment has not been cancelled under Rule
				4.11(b) within
				twelve (12) months of the date of the notice of cancellation. The reinstatement
				shall be made so that the employee-beneficiary and his or her
				dependent-beneficiaries shall suffer no break in coverage.
				Employee-beneficiaries who are currently on leave of absence covered under the
				FMLA or Uniform Services Employment and Reemployment Rights Act (USERRA) shall
				be allowed to re-enroll in coverage as per Rule
				5.06(c).
(c)
Reinstatement Upon Return
				From Lawful Strike.
If an employee-beneficiary's enrollment is
				cancelled for non-payment during a lawful strike, the employee-beneficiary may
				re-enroll upon return from the lawful strike without the requirement to pay
				back premiums and without coverage during the non-payment period under the
				following conditions:
(1) The
				employee-beneficiary files an enrollment application within forty five (45)
				days of returning from the lawful strike, and
(2) The employee-beneficiary and any covered
				dependent-beneficiaries had no covered services during the non-payment
				period.
(3) The
				employee-beneficiary enrolls in the same plans and at the same tier the
				employee-beneficiary was enrolled in prior to the lawful strike.
The effective date of coverage shall be the date the
				  employee-beneficiary returns from the lawful strike.