Hawaii Administrative Rules › Title 24 - HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND ADMINISTRATIVE RULES › Sec2 3.00 - ELIGIBILITY FOR ENROLLMENT › Section 24-3.01 - Health Benefits

Current through June, 2024
(a)
			 Emplovee-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, provided the
			 surviving spouse or partner does not remarry or enter into a 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 1.02 or is an
			 adult disabled child in accordance with Rule 3.01(b)(3) and does not have a
			 surviving parent who is eligible to be an employee-beneficiary;
(5) The surviving spouse or partner of a
			 deceased retired employee, provided the surviving spouse or partner does not
			 remarry or enter into another partnership; and
(6) The unmarried child of a deceased retired
			 employee, provided the child is under the age of nineteen and does not have a
			 surviving parent who is eligible to be an employee-beneficiary.
With respect to subsections (3) and (5) 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
				subsections (3) or (5) because the death of the employee or retired employee
				prevents him or her from further meeting die requirements of parts (1), (2),
				(3), (6), and (8) of the definition of "domestic or civil union partner" in
				Rule 1.02. With respect to subsection (4), 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, or is an adult disabled child in accordance with
				Rule 3.01(b)(3). With respect to subsection (6), an unmarried child ceases to
				be eligible as of midnight of the birthday in which the child reaches the age
				of nineteen.
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 enrolls in the Medicare Part B medical insurance plan 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.