Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 5.00 - HEALTH AND OTHER BENEFIT PLANS › Section 5.02 - Changes in Enrollment; Effective Dates of Coverage

Current through June, 2024
(a)
Additions of Dependents Due
				to Changes in Marital, Partnership, Legal Guardianship, or Family
				Status
. An employee-beneficiary may change his or her enrollment
				to add coverage for dependent-beneficiaries in the Fund health benefit plans in
				which the employee-beneficiary is currently enrolled upon the occurrence of any
				of the following events: marriage, entry into a partnership, birth of a child,
				adoption of a child, addition of an eligible foster child, the issuance of a
				qualified medical support order, or when a dependent-beneficiary joins the
				employee-beneficiary's household. At the option of the employee-beneficiary,
				the effective date of the change in enrollment shall be one of the following
				dates:
(1) the date of the event;
				or
(2) the first day of the first
				pay period following the date of the event; or
(3) the first day of the second pay period
				following the event, except for a qualified medical support child support
				order, which shall be limited to the date of the event, provided an enrollment
				application is filed with the employer for active employee-beneficiaries and to
				the Fund for retirees within forty five (45) days of the event, except in the
				event of a birth of a child in which case the enrollment application shall be
				filed with the employer or in the case of a retired employee-beneficiary with
				the Fund within one hundred eighty (180) days of the birth.
(1) With respect to the addition of a spouse
				or civil union partner, as well as dependent(s) of a new spouse or civil union
				partner, the event date shall be the date indicated on the marriage or civil
				union certificate.
(2) With respect
				to the addition of a domestic partner, as well as the dependent(s) of a
				domestic partner, the event date shall be the date the notary notarizes the
				Declaration of Domestic Partnership.
(3) With respect to the birth of a child, the
				event date shall be the birth date.
(4) With respect to the addition of an
				eligible foster child, the event date shall be the date indicated on the State
				of Hawaii Department of Human Services Form, Admission to Foster
				Home.
(5) With respect to the
				adoption of a child, the event date shall be the date of the adoption (which
				may occur up to 1 year after the child was initially placed for adoption). For
				placement of adoption or legal guardianship, the event date shall be the date
				of guardianship.
(6) With respect
				to a qualified medical child support order, the event date shall be the date
				specified in the order, or if no date is specified, the date that the order is
				issued.
(7) With respect to a
				dependent-beneficiary joining the employee-beneficiary's household; the event
				date shall be the date the dependent-beneficiary joined the
				employee-beneficiary's household if the dependent-beneficiary lived in a
				residence outside of the geographic areas covered by the employee-beneficiary's
				present benefit plan.
The Fund shall determine the required proof documents for
				  each of the above events.