Year 2025 |
| MARCH 2025 |
|
COBRA Program and Employee Self-Payment Program |
Year 2024 |
| NOVEMBER 2024 |
|
2025 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA |
| NOVEMBER 2024 |
|
2025 HIPAA Privacy Notice |
| NOVEMBER 2024 |
|
2025 Open Enrollment Highlights of HDS Dental Plan |
| NOVEMBER 2024 |
|
2025 Open Enrollment Cover Letter for Actives and Retirees Under 65 |
| NOVEMBER 2024 |
|
2025 Summary of Benefits and Coverage - Kaiser Permanente |
| NOVEMBER 2024 |
|
2025 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2024 |
|
HDS Dental Plan 2025 Benefit Improvements |
| SEPTEMBER 2024 |
|
Indemnity Prescription Drug Plan: Claims and Appeals Procedures |
| MARCH 2024 |
|
COBRA Program and Employee Self-Payment Program |
| JANUARY 2024 |
|
Coverage for Immunizations at Participating Pharmacies |
Year 2023 |
| NOVEMBER 2023 |
|
2024 Open Enrollment Highlights of HDS Dental Plan |
| NOVEMBER 2023 |
|
2024 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA |
| NOVEMBER 2023 |
|
2024 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2023 |
|
2024 Summary of Benefits and Coverage - Kaiser Permanente |
| NOVEMBER 2023 |
|
2024 HIPAA Privacy Notice |
| NOVEMBER 2023 |
|
2024 Open Enrollment Cover Letter for Actives and Retirees Under 65 |
| JUNE 2023 |
|
Expiration of Extended Plan Deadlines During National Emergency |
| MAY 2023 |
|
Expiration of COVID-19 |
| MARCH 2023 |
|
COBRA Program and Employee Self-Payment Program |
Year 2022 |
| DECEMBER 2022 |
|
New Pharmacy Benefits Manager Effective January 1, 2023 |
| NOVEMBER 2022 |
|
2023 Open Enrollment Cover Letter for Actives and Retirees Under 65 |
| NOVEMBER 2022 |
|
2023 HIPAA Privacy Notice |
| NOVEMBER 2022 |
|
2023 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA |
| NOVEMBER 2022 |
|
2023 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2022 |
|
2023 Summary of Benefits and Coverage - Kaiser Permanente |
| NOVEMBER 2022 |
|
2023 Open Enrollment Highlights of HDS Dental Plan |
| MAY 2022 |
|
Indemnity Prescription Drug Plan Changes |
| APRIL 2022 |
|
Closure of Foodland Pharmacies |
| MARCH 2022 |
|
COBRA Program and Employee Self-Payment Program |
| JANUARY 2022 |
|
Addition of Provider Network of America (PNOA) |
Year 2021 |
| DECEMBER 2021 |
|
Special Open Enrollment |
| DECEMBER 2021 |
|
Plan Changes Effective January 1, 2022 Kaiser Benefits (Active - KBU) and ChiroPlan |
| NOVEMBER 2021 |
|
Open Enrollment for 2022 - Postponed |
| JUNE 2021 |
|
Termination of Dental Care Centers of Hawaii (DCCH) |
| MARCH 2021 |
|
COBRA Program and Employee Self-Payment Program |
| JANUARY 2021 |
|
COVID-19 Vaccine, Comprehensive Medical Plan and Indemnity Prescription Drug Plan |
Year 2020 |
| OCTOBER 2020 |
|
Open Enrollment Postponed 2021 |
| MARCH 2020 |
|
COBRA Program and Employee Self-Payment Program |
| MARCH 2020 |
|
COVID-19 Testing and Telehealth Services |
Year 2019 |
| NOVEMBER 2019 |
|
2020 Open Enrollment Cover Letter for Actives and Retirees Under 65 |
| NOVEMBER 2019 |
|
2020 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2019 |
|
2020 Summary of Benefits and Coverage - Kaiser Permanente |
| NOVEMBER 2019 |
|
2020 Open Enrollment Highlights of Dental Plans |
| NOVEMBER 2019 |
|
2020 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA |
| NOVEMBER 2019 |
|
2020 HIPAA Privacy Notice |
Year 2018 |
| NOVEMBER 2018 |
|
2019 Open Enrollment Cover Letter for Actives and Retirees Under 65 |
| NOVEMBER 2018 |
|
2019 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2018 |
|
2019 Summary of Benefits and Coverage - Kaiser Permanente |
| NOVEMBER 2018 |
|
2019 Open Enrollment Highlights of Dental Plans |
| NOVEMBER 2018 |
|
2019 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA |
| NOVEMBER 2018 |
|
2019 HIPAA Privacy Notice |
| AUGUST 2018 |
|
COBRA Program and Employee Self-Payment Program |
Year 2017 |
| NOVEMBER 2017 |
|
2018 Open Enrollment Cover Letter for Actives and Retirees Under 65 |
| NOVEMBER 2017 |
|
2018 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2017 |
|
2018 Summary of Benefits and Coverage - Kaiser Permanente |
| NOVEMBER 2017 |
|
2018 Open Enrollment Highlights of Dental Plans |
| NOVEMBER 2017 |
|
2018 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA |
| NOVEMBER 2017 |
|
2018 HIPAA Privacy Notice |
| AUGUST 2017 |
|
COBRA Program and Employee Self-Payment Program |
Year 2016 |
| NOVEMBER 2016 |
|
Dental and Vision Benefit Improvements |
| NOVEMBER 2016 |
|
Special Announcement - Change in Claims Administrator |
| NOVEMBER 2016 |
|
2017 Open Enrollment Letter for Actives |
| NOVEMBER 2016 |
|
2017 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2016 |
|
2017 Summary of Benefits and Coverage - Kaiser Permanente |
| NOVEMBER 2016 |
|
2017 Open Enrollment Highlights of Dental Plans |
| NOVEMBER 2016 |
|
2017 Annual Notice – WHCRA – PPACA – NMPHA – GINA – MHPAEA |
| NOVEMBER 2016 |
|
2017 HIPAA Privacy Notice |
| JUNE 2016 |
|
COBRA Program and Employee Self-Payment Program |
| APRIL 2016 |
|
Self-Funded Vision Care Program and Provider List |
Year 2015 |
| DECEMBER 2015 |
|
Self-Funded Vision Care Program and Provider List |
| NOVEMBER 2015 |
|
2016 Open Enrollment Highlights of Dental Plans |
| NOVEMBER 2015 |
|
2016 Summary of Benefits and Coverage - Kaiser Permanente |
| NOVEMBER 2015 |
|
2016 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2015 |
|
2016 Open Enrollment Letter for Actives |
| OCTOBER 2015 |
|
Women's Health and Cancer Rights Act of 1998 Notice |
| SEPTEMBER 2015 |
|
Creditable Coverage - Prescription Drug Coverage and Medicare |
| SEPTEMBER 2015 |
|
2015 AFL Hotel Industry HIPAA Privacy Notice |
| SEPTEMBER 2015 |
|
Self-Funded Vision Care Program |
| JUNE 2015 |
|
COBRA Program and Employee Self-Payment Program |
Year 2014 |
| NOVEMBER 2014 |
|
2015 Open Enrollment Letter for Actives and Retirees Under 65 |
| NOVEMBER 2014 |
|
2015 Summary of Benefits and Coverage – Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2014 |
|
2015 Summary of Benefits and Coverage – Kaiser Permanente |
| NOVEMBER 2014 |
|
2015 Open Enrollment Highlights of Dental Plans |
| SEPTEMBER 2014 |
|
Creditable Coverage - Prescription Drug Coverage and Medicare |
| SEPTEMBER 2014 |
|
2014 AFL Hotel Industry HIPAA Privacy Notice |
| APRIL 2014 |
|
COBRA Program, Employee Self-Payment Program and Self-Funded Comprehensive Medical Plan - Human Papilloma Virus (REVISED) |
Year 2013 |
| NOVEMBER 2013 |
|
Actives Dependent Eligibility and Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2013 |
|
2014 Open Enrollment Letter for Actives and Retirees Under 65 |
| NOVEMBER 2013 |
|
2014 Summary of Benefits and Coverage – Self-Funded Comprehensive Medical Plan |
| NOVEMBER 2013 |
|
2014 Open Enrollment Highlights of Dental Plans |
| NOVEMBER 2013 |
|
2014 Summary of Benefits and Coverage – Kaiser Permanente |
| SEPTEMBER 2013 |
|
Creditable Coverage - Prescription Drug Coverage and Medicare |
| SEPTEMBER 2013 |
|
2013 AFL Hotel Industry HIPAA Privacy Notice |
| JULY 2013 |
|
Annual Limits - Active Self-Funded Comprehensive Medical Plan |
| JULY 2013 |
|
Annual Limits - Retiree Self-Funded Comprehensive Medical Plan |
| APRIL 2013 |
|
COBRA Program and Employee Self-Payment Program
|
| FEBRUARY 2013 |
|
Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, and Gentle Dental Plan |
| FEBRUARY 2013 |
|
Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, Gentle Dental Plan, and Medicare Part D Premium Reimbursement for 2013
|
| JANUARY 2013 |
|
2013 Open Enrollment Letter for Actives and Retirees Under 65 |
| JANUARY 2013 |
|
2013 Summary of Benefits and Coverage - Self Funded Comprehensive Medical Plan |
| JANUARY 2013 |
|
2013 Summary of Benefits and Coverage - Kaiser Permanente |
| JANUARY 2013 |
|
2013 Open Enrollment Highlights of Dental Plans |
Year 2012 |
| NOVEMBER 2012 |
|
Open Enrollment Period, Self-Funded Prescription Drug Plan, Self-Funded Comprehensive Medical Plan, and Self-Funded Vision Care Plan |
| OCTOBER 2012 |
|
Creditable Coverage - Prescription Drug Coverage and Medicare |
| SEPTEMBER 2012 |
|
North Hawaii Community Hospital and Non-Emergency Inter-Island Travel Benefit |
| APRIL 2012 |
|
COBRA Program and Employee Self-Payment Program |
| FEBRUARY 2012 |
|
Coverage for Domestic Partners Civil Union Certificates |
| JANUARY 2012 |
|
Self-Funded Comprehensive Medical Plan, 2012 Kaiser Plan Changes, and Self-Funded Vision Care Program |
| JANUARY 2012 |
|
Vision Care Providers |
Year 2011 |
| NOVEMBER 2011 |
|
Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, and Vision Care Program |
| NOVEMBER 2011 |
|
Vision Care Providers |
| NOVEMBER 2011 |
|
Catalyst Prior Authorization Form |
| OCTOBER 2011 |
|
Creditable Coverage - Prescription Drug Coverage and Medicare |
| SEPTEMBER 2011 |
|
Vision Care Program |
| SEPTEMBER 2011 |
|
Vision Care Providers |
| MAY 2011 |
|
Notification of a Disabled Child and Vision Care Program |
| MAY 2011 |
|
Vision Care Providers |
| MARCH 2011 |
|
COBRA Program |
| FEBRUARY 2011 |
|
Vision Care Program – Kaiser Foundation’s Health Plan |
| FEBRUARY 2011 |
|
2011 Kaiser Plan Changes, Student Self-Payment Program, Dental Plans, HMSA Akamai Advantage Medicare Plan, COBRA Program, Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, and Vision Care Plan |
| FEBRUARY 2011 |
|
Medicare Part D Prescription Drug Coverage |
Year 2010 |
| OCTOBER 2010 |
|
Patient Protection and Affordable Care Act National Health Care Reform |
| OCTOBER 2010 |
|
Hawaii Declaration of Adult Dependent Status Form |
| OCTOBER 2010 |
|
Open Enrollment Letter for Retirees 62 - 64 |
| OCTOBER 2010 |
|
Open Enrollment Letter for Retirees 65 and Over |
| JUNE 2010 |
|
Prescription Drug Plan and Vision Care Program |
| JUNE 2010 |
|
Kaiser Plan Changes and Vision Care Program |
| JUNE 2010 |
|
Vision Care Providers |
| MARCH 2010 |
|
Kaiser Plan 2010 Changes, Self-Pay, COBRA, Michelle’s Law, GINA, Rx and Vision |
| MARCH 2010 |
|
Retiree's Medicare Prescription Drug (Part D) Coverage |
Year 2009 |
| DECEMBER 2009 |
|
Comprehensive Medical Plan & Vision Care Program |
| AUGUST 2009 |
|
Comprehensive Medical Plan |
| AUGUST 2009 |
|
Summary Plan Description And Vision Care Program |
| AUGUST 2009 |
|
Kaiser Re-enrollment Project |
| JUNE 2009 |
|
Prilosec Over-The-Counter (OTC) $0 Copay Benefit |
| APRIL 2009 |
|
Comprehensive Medical Plan, Indemity Presciption Drug Plan, Revised COBRA Rates And Vision Care Providers |
| APRIL 2009 |
|
Vision Care Providers |
| FEBRUARY 2009 |
|
Retirees And Spouses Residing Out-Of-State Medicare Part D Reimbursement Policy For 2009 |
| JANUARY 2009 |
|
Central Fill Pharmacy Locations (Maintenance Rx) |
| JANUARY 2009 |
|
Indemnity Prescription Drug Plan Changes |
| JANUARY 2009 |
|
Comprehensive Medical Plan And COBRA Rates |
Year 2008 |
| JULY 2008 |
|
Indemnity (Self-Funded) Comprehensive Medical Plan and Vision Care Providers |
| APRIL 2008 |
|
HIPAA Privacy Rule |
| APRIL 2008 |
|
Reminder of Privacy Practices |
| MARCH 2008 |
|
Vision Care Providers |
Year 2007 |
| DECEMBER 2007 |
|
Kaiser Health Plan Changes, Comprehensive Medical Plan, Vision Care Providers, COBRA Rates, Self-Payment Program Rates, And Retiree Copay |
| OCTOBER 2007 |
|
Comprehensive Medical Plan Indemnity, Vision Care Benefit and Vision Care Providers |
| AUGUST 2007 |
|
Vision Care Program |
| APRIL 2007 |
|
Reminder Of Privacy Practices |
| APRIL 2007 |
|
Medicare Part D Prescription Drug Plan |
| APRIL 2007 |
|
Vision Care Providers |
| APRIL 2007 |
|
Retirees Vision Care Providers |
| APRIL 2007 |
|
Comprehensive Medical Plan, HPV Immunization and Vision Care Providers |
| FEBRUARY 2007 |
|
Kaiser Plan Changes For All Retirees |
| FEBRUARY 2007 |
|
Comprehensive Medical Plan |
| FEBRUARY 2007 |
|
Retirees Update to Participant Notice Dated Dec 2006 Kaiser Plan Changes For All Retirees |
| JANUARY 2007 |
|
Kaiser Plan Changes, Gentle Dental, Vision Care Providers, COBRA Rates, Student Self-Payment Program Rates And Retiree Copay |
| JANUARY 2007 |
|
Kaiser Plan Changes, Gentle Dental, Vision Care Providers, COBRA, Student Self-Payment and Retiree Copay |
Year 2006 |
| AUGUST 2006 |
|
Retirees Medical and Drug Benefits, SPD Correction and Vision Providers |
| MAY 2006 |
|
Retirees Discontinuation of Trust Fund Benefits |
| MAY 2006 |
|
Vision Care Providers |
| MARCH 2006 |
|
Vision Care Providers |
| JANUARY 2006 |
|
Kaiser Plan, Comprehensive Medical and Retiree Copays |
Year 2005 |
| DECEMBER 2005 |
|
Kaiser Plan, Comprehensive Medical, COBRA and Self-Payment Rates and Retiree Copayments |
| DECEMBER 2005 |
|
Retirees Prescription Drug Coverage (Medicare Part D) |
| NOVEMBER 2005 |
|
Retirees Medicare Part D |
| MARCH 2005 |
|
Comprehensive Medical Plan and Vision Care Providers |
| JANUARY 2005 |
|
Oahu Indemnity Prescription Drug Plan |
| JANUARY 2005 |
|
Big Island, Kauai, Maui Molokai - Indemnity Prescription Drug Plan |
Year 2004 |
| JUNE 2004 |
|
Comprehensive Medical Plan Changes |