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 5.05 - Termination of Enrollment; Effective Dates of Termination

Current through June, 2024
(a)
Termination Due to Surviving
				Spouse's or Partner's Remarriage or Entry into Another
				Partnership
. A surviving spouse's or partner's enrollment in all
				benefit plans offered or sponsored by the Fund and all coverages for
				dependent-beneficiaries under that enrollment shall be terminated upon the
				surviving spouse's or partner's remarriage or entry into another partnership.
				The effective date of the termination shall be the first day of the pay period
				following the date of the surviving spouse's or partner's remarriage or entry
				into another partnership. The surviving spouse or partner shall be responsible
				for paying all claims incurred or for the employer contributions paid from the
				first day of the pay period following the date of the surviving spouse's or
				partner's remarriage or entry into a partnership for enrollment applications
				received more than forty five (45) days after the remarriage or entry into
				another partnership. Notwithstanding the foregoing, a child that is eligible to
				be an employee-beneficiary under Rules 3.01(a)(4) or Rule
				3.01(a)(5) may
				continue his or her coverages by filing an enrollment application under Rule
				5.01(f). The
				effective date of coverage shall be the date of termination of coverage due to
				the surviving spouse's or partner's remarriage or entry into a
				partnership.
(b)
Termination Due to Child's Loss of Eligibility
. A
				child's enrollment in all benefit plans offered or sponsored by the Fund shall
				be terminated upon the occurrence of any of the following events:
(1) The child reaches the limiting age, as
				defined in Section 1.02 and does not qualify as an adult disabled child under
				Section 3.01; or
(2) The
				employee-beneficiary fails to complete a legal adoption of the child within
				twelve (12) months of the date that the child is covered by the Fund's benefit
				plans; or
(3) The child no longer
				meets the requirements to be considered an adult disabled child as stated in
				Section 3.01.
With regards to subsection (1), a child that reaches the
				  limiting age, as defined in Section 1.02, whose coverages were cancelled due to
				  failure to show proof of student certification, may be reinstated with no break
				  in coverage in the same benefit plans upon submission of proof documents within
				  forty five (45) days of the birthdate.
Notwithstanding Rule
				  5.05 (b)(2),
				  the enrollment of a child placed for adoption shall not be terminated if the
				  employee-beneficiary has custody of and an obligation to support the child
				  under a court order or agreement with a government agency or licensed child
				  placing organization.
Unless provided otherwise by these rules or applicable
				  federal or state law, the effective date of the termination shall be the first
				  day of the pay period following the date of the event or, in an event under
				  Rule 5.05 (b)(2),
				  the date stated in a written notice to the
				  employee-beneficiary.