reglab/statecodes huggingface dataset:
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - PUBLIC UTILITIES COMMISSION › Chapter 83 - HAWAII ONE CALL CENTER SUBSURFACE INSTALLATION DAMAGE PREVENTION PROGRAM › Subchapter 6 - ENFORCEMENT PROCEDURES › Section 6-83-100 - Formal complaints

Current through June, 2024
(a) The State or
				  any county, excavator, or operator may file a formal complaint against any
				  excavator or facility operator subject to chapter
				  269E, HRS.
(b) Formal complaints shall:
(1) Be in writing;
(2) Comply with sections 6-61-15 to 6-61-24,
				  HAR;
(3) State the full name and
				  address of each complainant and of each respondent;
(4) Set forth fully and clearly the specific
				  act or acts complained of in ordinary and concise language; and
(5) Advise the respondent and the commission
				  completely of the facts constituting the grounds of the complaint, the injury
				  complained of, and the exact relief desired.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - PUBLIC UTILITIES COMMISSION › Chapter 83 - HAWAII ONE CALL CENTER SUBSURFACE INSTALLATION DAMAGE PREVENTION PROGRAM › Subchapter 6 - ENFORCEMENT PROCEDURES › Section 6-83-101 - Answer to formal complaints

Current through June, 2024
The respondent shall, within the time specified in the
					 order or any extension thereof as the commission grants, file its answer with
					 proof of service on the complainant and the consumer advocate. All grounds of
					 defense, both of law and of fact, shall be raised in the answer. If the
					 respondent has no information or belief upon the subject sufficient to enable
					 an answer to the allegation, it may so state in the answer and place its denial
					 upon that ground.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - PUBLIC UTILITIES COMMISSION › Chapter 83 - HAWAII ONE CALL CENTER SUBSURFACE INSTALLATION DAMAGE PREVENTION PROGRAM › Subchapter 6 - ENFORCEMENT PROCEDURES › Section 6-83-102 - Motion to dismiss or to make more definite and certain

Current through June, 2024
(a) Respondent may file with its answer a
				  motion that the allegations in the complaint be made more definite and certain.
				  The motion shall specify the defects complained of and the details desired. The
				  respondent may also file a motion to dismiss a complaint because the complaint
				  fails to state a claim upon which relief can be granted or for other valid
				  reasons. If a motion to dismiss is filed before the answer, the commission
				  shall set the date for filing the answer when it rules upon the
				  motion.
(b) No reply to the answer
				  shall be filed, but the complainant, within ten days after the filing of the
				  answer, may file a motion that the answer be made more definite and certain.
				  The motion shall specify the defects complained of and the details desired.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - PUBLIC UTILITIES COMMISSION › Chapter 83 - HAWAII ONE CALL CENTER SUBSURFACE INSTALLATION DAMAGE PREVENTION PROGRAM › Subchapter 6 - ENFORCEMENT PROCEDURES › Section 6-83-103 - Hearing on formal complaints

Current through June, 2024
When a respondent has filed its answer, the commission
					 shall set a hearing on the formal complaint. The commission shall mail the
					 notice of hearing by first class mail to the complainant and the
					 respondent.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.01 - Purpose

Current through June, 2024
Chapter
				  87A of the Hawaii Revised Statutes
				  establishes a health trust fund known as the Hawaii Employer-Union Health
				  Benefits Trust Fund. The Fund is to be used to provide eligible state and
				  county employees, retirees, and their dependents with health and other benefit
				  plans at a cost affordable to both the public employers and the public
				  employees. The board is to administer and carry out the purposes of the Fund.
				  These rules are adopted by the board pursuant to Section
				  87A-26 of the Hawaii Revised
				  Statutes to implement the administration and purposes of the
				  Fund.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.02 - Definitions

Current through June, 2024
As used in these rules, unless otherwise indicated by the
				  context, the following terms shall have the following meanings:
"Administrator" means the administrator of the Fund appointed
				  by the board or the duly authorized representative of the administrator.
"Benefit plan" means a health benefit plan, a group life
				  insurance plan that is subject to Section 79 of the Internal Revenue Code, or
				  any other type of benefit plan except for a long-term care benefit plan.
"Board" shall have the meaning as set forth in Section
				  87A-1 of the Hawaii Revised
				  Statutes.
"Cancellation Non-Payment Status" means an
				  employee-beneficiary whose plans have been cancelled for the remainder of the
				  plan year due to failure to pay the required semi-monthly or monthly
				  contributions.
"Carrier" shall have the meaning as set forth in Section
				  87A-1 of the Hawaii Revised
				  Statutes.
"Child" means an employee's, spouse's or partner's as defined
				  in these rules, legally adopted child, child placed for adoption, stepchild,
				  foster child of a retired employee hired prior to July 1, 2024, or recognized
				  natural child but excluding a child born or legally adopted more than ten
				  months after the date of death of:
(1)
				an active employee killed in the performance of duty;
(2) an active employee who was eligible to
				retire on the date of death; or
(3)
				a retired employee-beneficiary. For non-excepted benefits, a child may be
				unmarried or married and does not need to live with or be financially dependent
				on the employee-beneficiary. For excepted benefits, a child must be unmarried
				and live with the employee-beneficiary. A child has been placed for adoption
				when an employee-beneficiary, spouse, or partner has assumed custody of and the
				obligation to support a child in anticipation of adopting the child. A foster
				child is a child:
(1) who lives with an
				employee in a regular parent-child relationship; and
(2) for whom the employee has become the
				child's guardian and has been awarded legal and physical custody of the child
				pursuant to a valid court order.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.03 - Public Information

Current through June, 2024
To the extent permitted by applicable federal or state law,
				  the public records of the Fund shall be available for inspection at the Fund's
				  office during regular business hours. All requests for inspection of public
				  records shall be in writing and addressed to the administrator or any other
				  person designated by the board to receive such requests. The Fund may charge a
				  minimum of twenty-five cents per page, or an amount to be approved by the
				  board, for each copy of a document that it reproduces under Section
				  92-21, HRS, pursuant to a public
				  record request under chapter
				  92F, HRS, and shall include, but not
				  be limited to, the labor, material, electricity, equipment, certification, and
				  other related costs for reproduction.
Protected health information about employee-beneficiaries and
				  dependent-beneficiaries are not public records. Employee-beneficiaries,
				  dependent-beneficiaries, and others may have access to such information only in
				  conformance with the Health Insurance Portability and Accountability Act of
				  1996 and the rules passed under that Act ("HIPAA"), and the Fund's HIPAA
				  Privacy Policies and Procedures.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.04 - Computation of Time

Current through June, 2024
Whenever a period of time is stated in these rules as a
				  number of days from or after an event:
(a) the period shall be computed in calendar
				days;
(b) the day of the event shall
				not be included in the calculation; and
(c) the last day of the period shall be
				included in the calculation.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.05 - Officers of the Board

Current through June, 2024
(a) The board shall
				elect a chairperson, vice-chairperson, and secretary-treasurer.
(b) Both the chairperson and vice-chairperson
				shall be elected from the same trustee group. The secretary-treasurer shall be
				elected from the other trustee group.
(c) Officer terms shall be for one year
				beginning July 1, 2002, and shall rotate between the trustee groups annually.
				The terms of all elected officers shall terminate on June 30 of each succeeding
				year and such officers shall vacate their offices at that time.
(d) Except as otherwise provided by law or by
				rules or policies adopted by the board, the duties of the officers shall be as
				provided in the current version of
Robert's Rules of Order, Newly
				Revised.
(e) The
				chairperson or vice-chairperson and secretary-treasurer shall coordinate
				assignments to the administrator and other Fund staff, requests for
				information, and other matters concerning the administration and operation of
				the board.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.06 - Committees of the Board

Current through June, 2024
(a) Standing
				committees shall be established by the board to address critical issues in the
				major functional areas of the Fund:
(1) The
				Administrative Committee will have combined administrative and finance
				committee functions;
(2) The
				Benefits Committee will have benefits and communication committee
				functions.
(3) The Investment
				Committee will review the reports of the Investment Consultant and report to
				the Board of Trustees on the Fund's investments.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.07 - Meetings of the Board

Current through June, 2024
(a) To the extent
				permitted by applicable federal or state law, the meetings of the board shall
				be open to the public. Without limiting the foregoing, board meetings shall
				comply with Part 1 of Chapter
				92 of the Hawaii Revised Statutes,
				including the provisions therein requiring:
(1) written and electronic notice of board
				meetings at least six days prior to each meeting; and
(2) written minutes.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.08 - Appearances Before the Board

Current through June, 2024
(a) All persons
				shall comply with this rule when appearing before the board. Unless otherwise
				required by applicable federal or state law, the board shall have the
				discretion to prescribe additional standards and procedures for all appearances
				and proceedings before the board. The board may waive or suspend the provisions
				of this rule with respect to any particular appearance or proceeding before
				it.
(b) Any person appearing before
				the board may appear in person, by an officer, partner or regular employee of
				the party, or be represented by an authorized representative. The board may at
				any time require any person transacting business with the board in a
				representative capacity to prove or authenticate the person's authority and
				qualification to act in such capacity.
(c) The board shall afford all interested
				persons an opportunity to present oral testimony or submit data, views, or
				arguments, in writing, on any agenda item.
(1)
				Persons providing written testimony shall provide thirty copies of their
				testimony of which twenty (20) copies shall be made available to the public.
				Twenty (20) copies of materials provided to the board for or during a meeting
				that are determined to be disclosable shall be made available for distribution
				to the public.
(2) The board shall
				hear oral testimony on an agenda item after it has completed discussion of that
				item. At that time, the presiding officer shall invite members of the public to
				ask questions or provide comments on the agenda item prior to any action by the
				board. After the public has had an opportunity to provide input on the agenda
				item, the board may discuss the agenda item further and act on the item or move
				on to the next agenda item.
(3) A
				person may speak at a board meeting only when recognized to do so by the
				presiding officer. Comments are limited to three minutes per speaker. Time
				limitations may be adjusted at the discretion of the presiding officer or at
				the request of any three trustees. A person may not speak a second time on the
				same question unless authorized by the presiding officer to do so.
(4) The board may refuse to hear any
				testimony that is irrelevant, immaterial, or unduly repetitious and may from
				time to time impose additional conditions as are necessary or desirable for the
				orderly, efficient, and convenient presentation of oral testimony to the board.
				The board may request that the person providing oral testimony submit the
				testimony in writing to the board.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.09 - Delegation of Authority

Current through June, 2024
To the extent permitted by law, the board may delegate
				  authority to act on its behalf in accordance with board policies and standards
				  to a committee of the board, an administrator, a carrier, a third party
				  administrator, or to such other persons and entities as it deems necessary or
				  reasonable for the effective and efficient administration of the Fund and the
				  provisions of Chapter
				  87A of the Hawaii Revised Statutes;
				  provided, however, that nothing in this rule shall permit the board to delegate
				  its power to adopt, amend or repeal any rules.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.11 - Controlling Law

Current through June, 2024
To the extent that federal or state law governs any matter
				  covered by these rules, the Fund and the board shall comply with and follow
				  such federal or state law. To the extent that any matter is not completely
				  governed by federal or state law, the Fund and the board shall apply these
				  rules to the extent reasonable and practicable.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.12 - Authority of the Board to Waive Rule Provisions

Current through June, 2024
Subject to statutory requirements and limitations, the Board
				  may waive an employee-beneficiary's compliance with any provision of the Fund's
				  rules when the Board determines that:
(a) good cause exists for such a waiver;
				and
(b) such waiver does not involve
				any increase in the obligations or liabilities of the Fund beyond that which
				would have been involved if the employee-beneficiary had fully complied with
				the Fund's rules. Each waiver by the Board must be in writing and supported by
				documentation of the pertinent facts and grounds.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 1.00 - GENERAL PROVISIONS › Section 1.13 - Responsibilities of Employee-Beneficiaries and Public Employers; Enforcement Actions of the Fund

Current through June, 2024
(a)
				Employee-beneficiaries are responsible for:
(1) Providing current and accurate personal
				information as per Rules 4.06 and 4.07 within the times prescribed in these
				Rules;
(2) Paying the employee's
				premium contributions in the amount or amounts provided by statute, an
				applicable bargaining unit agreement, or by the applicable Fund benefit
				plan;
(3) Paying the employee's
				premium contributions at the times and in the manner designated by the board;
				and
(4) Complying with the Fund's
				rules.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 2.00 - ADMINISTRATIVE PROCEDURES › Section 2.01 - Adoption, Amendment or Repeal of Rules

Current through June, 2024
(a) The board may
				adopt, amend or repeal any rule of the Fund upon a motion of any trustee or
				upon the petition of an interested person or organization.
(b) In the case of an interested person or
				organization, the petition shall be in writing and shall be submitted in
				duplicate to the board. The petition need not be in any particular form but
				shall contain:
(1) The petitioner's name,
				address, and telephone number;
(2)
				A statement of the nature of the petitioner's interest;
(3) A statement of the reasons for the
				proposed rule, amendment or repeal;
(4) A draft of the proposed rule, amendment
				or repeal; and
(5) The signature of
				the petitioner.
The board may reject any petition that does not contain the
				  foregoing information.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 2.00 - ADMINISTRATIVE PROCEDURES › Section 2.02 - Policies, Standards, and Procedures

Current through June, 2024
Policies, standards and procedures to be adopted amended or
				  repealed may, at the discretion of the board, be transmitted to public
				  employers and affected employee organizations for consultation purposes.
				  Nothing herein shall require the board to consult with public employers or
				  affected employee organizations concerning the board's adoption, amendment or
				  repeal of policies, standards and procedures or to transmit any such policies,
				  standards or procedures to public employers or affected employee organizations
				  for consultation purposes.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 2.00 - ADMINISTRATIVE PROCEDURES › Section 2.03 - Declaratory Rulings

Current through June, 2024
(a) Any interested
				person may petition the board for a declaratory ruling as to the applicability
				of any statutory' provision administered by the board or of any rule or order
				of the Fund.
(b) Every petition
				shall be in writing and shall be submitted in duplicate to the board. The
				petition need not be in any particular form but shall contain the following:
(1) The petitioner's name, address, and
				telephone number;
(2) A designation
				of the specific statute, rule or order in question;
(3) A statement of the nature of the
				petitioner's interest, including the reasons for the submittal of the
				petition;
(4) A complete statement
				of the relevant and material facts;
(5) A statement of the position or
				contentions of the petitioner; and
(6) A full discussion of the reasons,
				including any legal authorities, in support of the petitioner's position or
				contention.
The board may reject any petition that does not contain the
				  foregoing information.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 2.00 - ADMINISTRATIVE PROCEDURES › Section 2.04 - Administrative Appeals (not related to Claim Filing and Appeals Information for Self-Insurance Plan Administered Benefits, which are discussed in Rule 2.06)

Current through June, 2024
(a) A person aggrieved by one of the
				following eligibility decisions by the Fund may appeal to the board for relief
				from that decision:
(1) A determination that
				the person is not an employee-beneficiary, dependent-beneficiary or
				qualified-beneficiary, or that the person is not eligible to enroll in or be
				covered by a benefit plan offered or sponsored by the Fund;
(2) A determination that the person cannot
				make a change in enrollment, a change in coverage, or a change in
				plans;
(3) A cancellation or
				termination of the person's enrollment in or coverage by a benefit plan,
				offered or sponsored by the Fund: or
(4) A refusal to reinstate the person's
				enrollment in or coverage by a benefit plan, offered or sponsored by the
				Fund.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 2.00 - ADMINISTRATIVE PROCEDURES › Section 2.05 - Emergency Appeals of Eligibility

Current through June, 2024
(a) The Board may
				appoint a sub-committee made up of two trustees, one from the employer group
				and one from the employee group, to hear and make final decisions on emergency
				appeals. The Board Chair shall appoint the sub-committee chair, which shall
				rotate between employer trustee and employee trustee every six
				months.
(b) An employee-beneficiary
				("appellant") who is aggrieved by a plan administrator's decision denying or
				limiting eligibility for benefits provided under a plan offered by the Fund to
				the employee-beneficiary or a dependent-beneficiary enrolled by the employee
				beneficiary may make an emergency appeal directly to the Board where a delay in
				following the Fund's normal appeal process could in the opinion of a physician
				with knowledge of the medical condition of the employee-beneficiary or
				dependent-beneficiary:
(1) Seriously
				jeopardize the life or health of the employee-beneficiary or
				dependent-beneficiary;
(2)
				Seriously jeopardize the employee-beneficiary's or dependent-beneficiary's
				ability to regain maximum functioning; or
(3) Subject the employee-beneficiary or
				dependent-beneficiary to severe pain that cannot be adequately managed without
				the care or treatment that is the subject of the appeal.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 2.00 - ADMINISTRATIVE PROCEDURES › Section 2.06 - Claim Filing and Appeals Information for Self-Insured Plan Administered Benefits

Current through June, 2024
(a) This section describes the self-insured
				plans appeals timing and processes if an employee-beneficiary or
				dependent-beneficiary receives an adverse benefit determination. The process
				will be in conformance with 29CFR 2560.503 and amendments
				thereto. The processes are comprised of the following:
(1) Internal standard appeal;
(2) External Appeal using the Independent
				Review Organization (IRO):
(3)
				Internal expedited appeal for urgent care;
(4) External appeal using an IRO for urgent
				care.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 3.00 - ELIGIBILITY FOR ENROLLMENT › Section 3.01 - Health Benefits

Current through June, 2024
(a)
Employee-beneficiaries
. The following persons shall be
				eligible to enroll as employee-beneficiaries in the benefit plans offered or
				sponsored by the Fund:
(1) An
				employee;
(2) A retired
				employee;
(3) The surviving spouse
				or partner of an employee who is killed in the performance of the employee's
				duty or of a deceased retired employee, provided the surviving spouse or
				partner does not remarry or enter into another partnership;
(4) The unmarried child of an employee who is
				killed in the performance of the employee's duty, provided the child is under
				the limiting age as defined in Rule
				102 or is an adult disabled
				child in accordance with Rule
				301(b)(3) and
				does not have a surviving parent who is eligible to be an employee-beneficiary;
				and
(5) The unmarried child of a
				deceased retired employee, provided the child is under the limiting age, as
				defined in Rule 102, and does not have a
				surviving parent who is eligible to be an employee-beneficiary.
With respect to subsection (3) above, a surviving spouse or
				  partner ceases to be an eligible employee-beneficiary once the spouse or
				  partner remarries or enters into another partnership even though the spouse or
				  partner may subsequently become single again as a result of an annulment,
				  divorce, legal separation, dissolution of partnership, termination of a civil
				  union or death A surviving partner shall not cease to be eligible under
				  subsection (3) because the death of the employee or retired employee prevents
				  him or her from further meeting the requirements of parts (1), (2), (3), (6),
				  and (8) of the definition of "domestic or civil union partner" in Rule
				  102 With respect to subsection
				  (4) and (5), an unmarried child ceases to be eligible as of midnight of the
				  birthday in which the child reaches the limiting age, as defined in Rule
				  1.02
Notwithstanding any other provision in these rules to the
				  contrary, a retired employee-beneficiary who is eligible to enroll in the
				  Medicare Part B medical insurance plan shall not be eligible for medical or
				  prescription drug coverage offered or sponsored by the Fund until the
				  employee-beneficiary's Medicare Part B medical insurance plan is effective and
				  provides satisfactory proof to the Fund of that enrollment as defined by the
				  Fund.
An employee-beneficiary who is in Cancellation Non-Payment
				  Status is not eligible for enrollment in Fund health benefit plans until the
				  plan year following the cancellation The employee-beneficiary may enroll during
				  the Fund's open enrollment period or upon experiencing a mid-year qualifying
				  event in a plan year following the cancellation
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 3.00 - ELIGIBILITY FOR ENROLLMENT › Section 3.02 - HSTA VB Health Benefits Offered by the Fund

Current through June, 2024
(a)
Eligibility
. Employee-beneficiaries who were enrolled
				in the HSTA VB health benefit plan(s) effective January 1, 2011 upon the
				dissolution of the HSTA Voluntary Employees Beneficiary Association Trust and
				their dependent-beneficiaries who meet the eligibility requirements detailed in
				Rule 3.01.
(b) An employee-beneficiary who voluntarily
				enrolls in a non-HSTA VB plan offered by the Fund shall permanently forfeit
				their eligibility in the HSTA VB health benefit plans. This shall include a
				bargaining unit change even if the employee-beneficiary subsequently returns to
				bargaining unit 05. This shall not apply to an employee-beneficiary who enrolls
				as a dependent-beneficiary in a non-HSTA VB plan offered by the Fund provided
				the employee-beneficiary remains enrolled in the HSTA VB life
				insurance.
Hawaii Administrative Rules › Title 6 - DEPARTMENT OF BUDGET AND FINANCE › Division - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Chapter 3.00 - ELIGIBILITY FOR ENROLLMENT › Section 3.03 - Group Life Insurance

Current through June, 2024
Employees and retired employees are eligible to enroll for
				  any group life insurance plans offered or sponsored by the
				  Fund.
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 4.01 - Application for Enrollment

Current through June, 2024
(a) An
				employee-beneficiary shall file an enrollment application, in the form
				prescribed by the board or by the board's policy, to enroll, change or cancel
				an enrollment in any benefit plan offered or sponsored by the Fund. Unless
				otherwise provided by the board or by the board's policy, all enrollment
				applications shall be filed by the employee-beneficiary with:
(1) in the case of an employee, the
				employee's employer; and
(2) in all
				other cases, the Fund. Notwithstanding the foregoing, upon retirement and
				thereafter, an employee-beneficiary shall file an enrollment application to
				enroll or change enrollment in the benefit plans offered or sponsored by the
				Fund with the Fund.
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 4.02 - Rejection of an Enrollment Application

Current through June, 2024
(a) Any enrollment
				application may be partially or fully rejected if it is incomplete or does not
				contain all information required to be provided by the
				employee-beneficiary.
(b) An
				enrollment application shall be rejected if:
(1) The application seeks to enroll a person
				who is not eligible to enroll in the benefit plan for which enrollment is
				requested;
(2) The application is
				not filed within the time limitations prescribed by these rules;
(3) The application contains an intentional
				misstatement or misrepresentation of a material fact or contains other
				information of a fraudulent nature;
(4) The employee-beneficiary is ineligible
				due to outstanding past due contributions or other amounts to the Fund, or is
				ineligible due to Cancellation Non-Payment Status; or
(5) Acceptance of the application would
				violate applicable federal or state law or any other provision of these
				rules.
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 4.03 - Dual and Split Enrollment

Current through June, 2024
(a) No person may
				be enrolled simultaneously in any benefit plan offered or sponsored by the Fund
				as both an employee-beneficiary and a dependent-beneficiary, nor may children
				be enrolled by more than one employee-beneficiary. The Fund shall cancel such
				dual coverage enrollments.
(b)
				Employee-beneficiaries who are married or in a domestic partnership and have an
				enrolled dependent-beneficiary are limited to employer contributions for a
				family plan. If the employee-beneficiaries elect to enroll in a self and
				two-party or self and family coverage, the employee-beneficiaries shall be
				responsible for health benefit premium in excess of the maximum employer
				contribution for a family plan. The additional premium must be paid directly to
				the Fund within the month for which coverage was provided. Failure to make a
				timely payment in full shall be treated as a shortage as defined in Rule
				4.10.
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 4.04 - Date of Filing

Current through June, 2024
An employee-beneficiary's enrollment application, beneficiary
				  designation, or any other form required to be filed with the Fund shall be
				  deemed to have been filed with the Fund on the date that the following
				  entities, as applicable, actually receive such forms:
(1) the employee's employer;
(2) in the case of a retired employee,
				surviving spouse or partner under Rule
				3.01, and unmarried child under
				Rule 3.01, the Fund;
(3) or others, as specified by the Fund.
				However, if filed before the time or times prescribed in these rides, an
				enrollment application, or other form shall be deemed to have been filed on the
				date that the person would have been first eligible to file that
				document.
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 4.05 - Failure to File Properly Completed Enrollment Application Within the Prescribed Time; Effect on Coverage Dates

Current through June, 2024
Except as otherwise provided in these rules or by applicable
				  federal or state law, the following shall apply to all applications to enroll
				  in the benefit plans offered or sponsored by the Fund, to add or delete
				  dependent-beneficiaries, or to change enrollments or coverages:
(a) No enrollment of an employee-beneficiary,
				addition or deletion of a dependent-beneficiary, or change in an enrollment or
				coverage shall be effective without the filing of a properly completed
				enrollment application and any required proof documents within forty five (45)
				days of the specified event that allows the filing of the application except
				for the following events:
(1) termination of
				employment for which the enrollment application must be filed within thirty
				(30) days of the termination of employment;
(2) newborns for which the enrollment
				application and required proof documents must be filed within one hundred
				eighty (180) days of the birth;
(3)
				retirement, and surviving spouse, partner or child who become eligible as an
				employee-beneficiary under Rule
				3.01 for which an enrollment
				application and required proof documents must be filed within sixty (60) days
				of the event;
(4) cancellation of
				enrollment in a Fund benefit plan upon acquiring coverage from a non-Fund plan
				must be filed within ninety (90) days of the event.
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 4.06 - Notification of Changes in Personal Information

Current through June, 2024
Each employee-beneficiary shall immediately notify the Fund
				  in writing of any changes in the employee-beneficiary's name or address or
				  marital or partnership status, the birth or adoption of a child or any other
				  changes in the family status of the employee-beneficiary, and any other
				  material changes in the information previously filed by the
				  employee-beneficiary as part of an enrollment application. Each notice to the
				  Fund shall be submitted through the employee-beneficiary's employer or. if
				  none, shall be submitted directly to the Fund.
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 4.07 - Verification of Eligibility

Current through June, 2024
The board may require periodic verification of eligibility
				  for employee-beneficiaries and dependent-beneficiaries enrolled by an
				  employee-beneficiary in Fund benefit plans. The board may set standards and
				  procedures for the required verification. If verification is not provided in
				  accordance with the standards and procedures established by the board, the
				  employee-beneficiary or dependent-beneficiary's enrollment shall be cancelled
				  as set forth in Rule 4.11(c).
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 4.08 - Regular Open and Additional Limited Enrollment Periods

Current through June, 2024
Except as otherwise provided by these rules, an
				  employee-beneficiary may file an enrollment application during a regular open
				  or additional limited enrollment period to make any one or a combination of
				  enrollment changes that have been approved by the board for that regular open
				  or additional limited enrollment period. The changes that the board may approve
				  include, but are not limited to, changes from non-enrolled to enrolled status,
				  changes between plans, changes in levels of coverage, and cancellations. All
				  changes made shall become effective on the date approved by the board for the
				  regular open or additional limited enrollment period.
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 4.09 - Continuation of Coverage

Current through June, 2024
Subject to applicable federal and state law, coverage under
				  the benefit plans offered or sponsored by the Fund shall continue:
(a) Provided the employee-beneficiary meets
				the eligibility provisions of Rule
				3.01 and pays the
				employee-beneficiary's premium contribution as provided by statute, the
				employer's administrative rules, or an applicable bargaining unit
				agreement;
(b) While the
				employee-beneficiary participates in an employee strike authorized by chapter
				89, Hawaii Revised Statutes, provided
				that nothing in this rule shall limit the right or ability of the Fund to
				collect premium contributions from any public employer or
				employee-beneficiaries or the remedies available to the Fund to collect such
				premium contributions.
(c) When an
				employee terminates employment and is rehired by the same public employer
				within the same pay period or the next consecutive pay period, the employee
				shall be considered as having transferred employment, such as when the employee
				terminates employment with the state and is rehired with the state, or when the
				employee terminates employment with a county and is rehired by the same county.
				The employee shall be treated as if continuously enrolled in the Fund benefit
				plans in which the employee was enrolled at the time of termination and shall
				be required to pay the full cost of coverage to the extent that such is not
				paid by the employee's public employer. When an employee terminates employment
				and is rehired by a different public employer within the same pay period or the
				next consecutive pay period, such as when the employee terminates employment
				with the state and is hired by a county or terminates one county and is rehired
				by a different county, the employee shall be allowed to change between plans,
				including adding or dropping dependents and changing tiers. Notwithstanding the
				definitions of "employer" and "public employer" set forth and used in these
				rules, for purposes of this section only, the different public employers are:
1) State, including executive, legislative,
				and judicial branches, Department of Education, University of Hawaii, Hawaii
				Health Systems Corporation, Office of Hawaiian Affairs, and all Charter
				Schools;
2) City and County of
				Honolulu;
3) County of
				Hawaii;
4) County of Maui,
				and
5) County of Kauai. Changes
				shall become effective at the beginning of the next pay period in which the
				termination of employment occurred, without a break in coverage.
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 4.10 - Contribution Shortage

Current through June, 2024
A notice of contribution shortage shall be sent to an
				  employee-beneficiary at his or her last known address if any portion of the
				  employee-beneficiary's required semi-monthly or monthly contributions is not
				  paid or is not withheld from the employee-beneficiary's earnings and
				  transmitted to the Fund. The notice shall be sent within thirty (30) days of
				  the date on which the required semimonthly or monthly contribution payment was
				  due. Cancellation of the employee-beneficiary's enrollment due to any
				  contribution shortage shall be as per Rule
				  4.11(b), and
				  reinstatement of the employee-beneficiary's enrollment after any such
				  cancellation shall be as per Rule
				  4.13(b).
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 4.10.5 - Contribution Refund

Current through June, 2024
The Fund may refund employee-beneficiaries or
				  dependent-beneficiaries any amounts deemed owing, provided that at the time of
				  the disbursement of such refunds, no refund need be made where the amount
				  thereof is less than one dollar.
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 4.10.7 - Overdraft or Non-Sufficient Funds Fees

Current through June, 2024
Employee-Beneficiaries may be required to reimburse the Fund
				  for any amounts relating to overdraft or non-sufficient funds
				  fees.
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 4.11 - Cancellation of Enrollment; Effective Dates of Cancellation

Current through June, 2024
(a)
Cancellation Due to
				Ineligibility
. The enrollment of any ineligible person who was
				enrolled in error or is ineligible to enroll in or be covered in a benefit plan
				offered or sponsored by the Fund shall be canceled:
(1) When the person is notified by the Fund
				of the error or ineligibility prior to the effective date of the enrollment,
				the person shall be treated as if the enrollment application was not
				submitted.
(2) When the person is
				notified by the Fund in writing after the effective date of the enrollment, but
				at least thirty (30) days in advance, the enrollment may be canceled
				retroactively (a rescission) to the date the person was ineligible if
				cancellation is due to Fraud or Intentional Misrepresentation of a material
				fact, as defined in Rule
				1.02 or
(3) When the person is notified by the Fund
				in writing after the effective date of the enrollment, the enrollment will be
				cancelled prospectively effective the first day of the first pay period
				following the date that ineligibility is determined by the Fund.
				Employee-beneficiaries may be liable for the employer portion of premiums paid
				for any ineligible person and/or any benefits that were provided as per Rule
				4.12(d).
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 4.14 - Mandatory Enrollment in Recurring Electronic Premium Deductions

Current through June, 2024
(a) Employee-beneficiaries who retire or
				become a surviving-beneficiary on or after September 15, 2020 and who are
				required to pay all or a portion of their premiums shall have their share of
				premiums electronically deducted and transmitted to the Fund monthly by the
				Employees' Retirement System of the State of Hawaii or the
				employee-beneficiary's financial institution. Premium payments shall be made
				electronically unless waived by the Fund and another method is determined to be
				more appropriate.
(b)
New Enrollment in Recurring Electronic Premium
				Deductions.
Employee-beneficiaries who are required to pay a
				portion of their retiree premiums shall submit an Electronic Deduction
				Authorization Form within sixty (60) days of the effective date of the event
				that results in the required premium. Failure to submit an Electronic Deduction
				Authorization Form within sixty (60) days shall result in either the rejection
				of the employee-beneficiary's enrollment application or termination of health
				benefit plans as of the first day following the last period for which full
				payment was received by the Fund.
If the Electronic Deduction Authorization Form is submitted
				  after rejection of an enrollment application or termination of health benefit
				  plans, the changes requested in the enrollment application or reinstatement of
				  terminated health benefit plans, respectively, shall be effective retroactively
				  to the effective date of enrollment application changes or the termination
				  date, respectively.
(c)
Returned Recurring Electronic Premium Deduction
. If an
				employee-beneficiary's recurring electronic deduction is returned by the
				Employees' Retirement System of the State of Hawaii or financial institution, a
				notice from the Fund will be sent to the employee-beneficiary. The
				employee-beneficiary has thirty (30) days from the date of the notice to submit
				a valid Electronic Deduction Authorization Form. Failure to provide a valid
				Electronic Deduction Authorization Form within thirty (30) days of the date of
				the notice will result in termination of health benefit plans as of the first
				day following the last period for which full payment was made. Health benefit
				plan(s) may be reinstated if their enrollment has not been terminated within
				twelve (12) months of the date of the notice of cancellation and the
				employee-beneficiary submits a valid Electronic Deduction Authorization Form
				within sixty (60) days from the date of the notice of cancellation. The
				reinstatement shall be made so that the employee beneficiary and
				dependent-beneficiaries suffer no break in coverage.
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 4.15 - Overpayments

Current through June, 2024
If an employee-beneficiary is overpaid for a reimbursement,
				  refund, or any other reason, the Fund may automatically withdraw the over-paid
				  amount from the financial account on record for the
				  employee-beneficiary.
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 5.01 - Enrollment; Effective Dates of Coverage

Current through June, 2024
(a)
New
				Employee
. An employee-beneficiary may enroll in the health benefit
				plans offered or sponsored by the Fund and obtain coverage for eligible
				dependent-beneficiaries when the employee-beneficiary is first eligible as an
				employee as defined in 87A-1, Hawaii Revised Statutes. At the option of the
				employee-beneficiary, the effective date of coverage shall be one of the
				following dates:
(1) the date the employee
				beneficiary is first eligible; or
(2) the first day of the first pay period
				following the date the employ ee-beneficiary is first eligible; or
(3) the first day of the second pay period
				following the date the employee-beneficiary is first eligible. The
				employee-beneficiary shall select the effective date of coverage in an
				enrollment application that must be filed within forty five (45) days of the
				date that the employee-beneficiary is first eligible. If the
				employee-beneficiary fails to make an effective date of coverage selection, the
				effective date of coverage shall be the date the employee-beneficiary is first
				eligible.