Health and Welfare, Hawaii Teamsters

Participant Notices

Year 2023
DECEMBER 2023  COBRA Program New Rates effective December 2023
AUGUST 2023  Summary Annual Report (Plan year 9-1-21 Through 8-31-22)
JUNE 2023  Annual Notice - WHCRA - NMPHA - GINA - MHPAEA
JANUARY 2023  Update to ESI
Year 2022
DECEMBER 2022  New Pharmacy Benefits Manager Effective January 1st - Express Scripts
SEPTEMBER 2022  COBRA Program New Rates effective October 2022
AUGUST 2022  Summary Annual Report (Plan year 9-1-20 Through 8-31-21)
JUNE 2022  Annual Notice - WHCRA - NMPHA - GINA - MHPAEA
APRIL 2022  Closure of Foodland Pharmacies
Year 2021
OCTOBER 2021  Dental Special Open Enrollment
SEPTEMBER 2021  COBRA Program New Rates effective October 2021
AUGUST 2021  Summary Annual Report (Plan year 9-1-19 Through 8-31-20)
JUNE 2021  Annual Notice - WHCRA - NMPHA - GINA - MHPAEA
JUNE 2021  Termination of Dental Care Centers of Hawaii (DCCH)
JUNE 2021  UHA Active and Fit Program
APRIL 2021  Indemnity Prescription Drug Plan – Times Pharmacy
Year 2020
SEPTEMBER 2020  COBRA Program New Rates effective October 2020
SEPTEMBER 2020  VSP Vision Enhancements
AUGUST 2020  Summary Annual Report (Plan year 9-1-18 Through 8-31-19)
JUNE 2020  Indemnity Prescription Drug Plan - Program Changes
JUNE 2020  Annual Notice - WHCRA - NMPHA - GINA - MHPAEA
MARCH 2020  COVID-19 Testing and Telehealth Services
MARCH 2020  Essential Medical Eye Care Services
Year 2019
SEPTEMBER 2019  Teamsters UHA 600 Medical Plan, Rx Drug Plan (Self-Insured), and Trust Notification Requirements
AUGUST 2019  Summary Annual Report (Plan year 9-1-17 Through 8-31-18)
AUGUST 2019  COBRA Program New Rates effective September 2019
JUNE 2019  Annual Notice - WHCRA - NMPHA - GINA - MHPAEA
JUNE 2019  Diabetic Sense Program
Year 2018
AUGUST 2018  COBRA Program New Rates effective September 2018
AUGUST 2018  Summary Annual Report (Plan year 9-1-16 Through 8-31-17)
June 2018  Annual Notice - WHCRA - NMPHA - GINA - MHPAEA
Year 2017
DECEMBER 2017  Teamsters Special Notice - PPO Members
SEPTEMBER 2017  HIPAA Privacy Notice
AUGUST 2017  Summary Annual Report (Plan year 9-1-15 Through 8-31-16)
JUNE 2017  Annual Notice - WHCRA - NMPHA - GINA - MHPAEA
MAY 2017  HCHA Introductory Letter (HMO Members)
MARCH 2017  HCHA Introductory Letter (PPO Members)
FEBRUARY 2017  COBRA Program New Rates effective April 2017
Year 2016
SEPTEMBER 2016  HIPAA Privacy Notice
AUGUST 2016  Summary Annual Report (Plan year 9-1-14 Through 8-31-15)
JUNE 2016  Annual Notice - WHCRA - NMPHA - GINA - MHPAEA
MARCH 2016  Non-Grandfathered Status for the Medical and Prescription Drug Plans
FEBRUARY 2016  COBRA Program New Rates effective April 2016
Year 2015
SEPTEMBER 2015  HIPAA Privacy Notice
SEPTEMBER 2015  Updated Chiropractic Care Providers List
AUGUST 2015  Summary Annual Report (Plan Year 9-1-13 Through 8-31-14)
FEBRUARY 2015  COBRA Program and Employee Self-Payment Program New Rates effective April 2015
Year 2014
NOVEMBER 2014  Statue of Limitations
SEPTEMBER 2014  HIPAA Privacy Notice
AUGUST 2014  Summary Annual Report (Plan year 9-1-12 Through 8-31-13)
JUNE 2014  Affordable Care Act Changes (effective September 1, 2014)
MARCH 2014  ChiroPlan Hawaii Inc. and Self-Funded PPO - HPV Vaccination
MARCH 2014  Chiropractic Care Providers List
FEBRUARY 2014  COBRA Program and Employee Self-Payment Program New Rates effective April 2014
Year 2013
DECEMBER 2013  Self Funded Comprehensive Medical Plan (Actives Only) - Lodging Benefit
OCTOBER 2013  Self-Funded PPO Comprehensive Medical Plan and Self-Funded HMO Medical Plan
SEPTEMBER 2013  HIPAA Privacy Notice
AUGUST 2013  Summary Annual Report (9-1-11 Through 8-31-12)
MAY 2013  HMO Pharmacy Listing
MAY 2013  Self-Funded HMO Prescription Drug Plan and Self-Funded Comprehensive (PPO) Medical Plan
FEBRUARY 2013  COBRA Program, Employee Self-Payment Program and Self-Funded HMO Plan - Physical Examinations
FEBRUARY 2013  Urgent Care Center Provider List - Self-Funded HMO Plan
Year 2012
NOVEMBER 2012  Self-Funded Prescription Drug Plan
SEPTEMBER 2012  North Hawaii Community Hospital
AUGUST 2012  Summary Annual Report (Plan year 9-1-10 Through 8-31-11)
AUGUST 2012  Self-Funded PPO Comprehensive Medical Plan and Gentle Dental Plan
JUNE 2012  Open Enrollment Period and Self-Funded HMO Plan
MARCH 2012  Central Fill Pharmacy Directory
MARCH 2012  COBRA Program, Employee Self-Payment Program, Self-Funded PPO Prescription Drug Plan, and Medicare Part D Premium Reimbursement
Year 2011
DECEMBER 2011  Self-Funded HMO Plan and Self-Funded PPO Comprehensive Medical Plan
SEPTEMBER 2011  Self-Funded PPO Comprehensive Medical Plan, Self-Funded PPO Prescription Drug Plan, For OTS Retirees and their Spouses under Age 65, HDS Plan, and Notification of a Disabled Child
AUGUST 2011  Summary Annual Report (Plan year 9-1-09 Through 8-31-10)
AUGUST 2011  Kaiser Prescription Drug Refills
JULY 2011  Kaiser Permanente Authorization for Release of Protected Health Information Form
JULY 2011  Self-Funded HMO Plan (through Queen’s Health Systems)
JULY 2011  Self-Funded HMO Plan Summary of Benefits
JULY 2011  Self-Funded HMO Plan Provider Directory
JULY 2011  Self-Funded HMO Plan Pharmacy Directory
JULY 2011  Self-Funded HMO Plan Connection Line
FEBRUARY 2011  VSP Vision Benefits Summary
FEBRUARY 2011  VSP Vision Care Advantage Network Doctor List
FEBRUARY 2011  COBRA Program, Employee Self-Payment Program, and Student Self-Payment Program
FEBRUARY 2011  Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, and VSP Advantage Plan
Year 2010
DECEMBER 2010  Self-Payment Program, COBRA Program, Vision Care Program, and Medicare Part D Premium Reimbursement
NOVEMBER 2010  Patient Protection and Affordable Care Act National Health Care Reform
NOVEMBER 2010  Eligibility Requirements for Extension of Dependent Coverage to Age 26
NOVEMBER 2010  Hawaii Declaration of Adult Dependent Status Form
SEPTEMBER 2010  Gentle Dental, Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, Pacific Guardian Life, and Vision Care Program
AUGUST 2010  Kaiser Health Plan Changes
MARCH 2010  Michelle’s Law, GINA, Prescription Drug Plan and Vision Care
Year 2009
DECEMBER 2009  Kaiser Drug Plan, Self-Payment Program, COBRA Program and Vision Care Program
AUGUST 2009  Comprehensive Medical Plan And Vision Care Program
JUNE 2009  Prilosec Over-The-Counter (OTC) $0 Copay Benefit
MAY 2009  Indemnity Prescription Drug Plan And Vision Care Program
FEBRUARY 2009  Summary Plan Description, Comprehensive Medical Plan, HDS Dental Plan And Vision Care Program
Year 2008
DECEMBER 2008  Comprehensive Medical Plan, Indemnity Prescription Drug Plan, Vision Care Program And Chiro Plan Hawaii
DECEMBER 2008  Indemnity Prescription Drug Plan Changes
DECEMBER 2008  COBRA Program, Self-Payment Program For Employees Of Delinquent Employers And Student Self-Pay Program
SEPTEMBER 2008  Central Fill Pharmacy Locations (Maintenance Rx)
JULY 2008  Hawaii Dental Service (HDS)
APRIL 2008  Reminder of Privacy Practices
JANUARY 2008  COBRA Program, Self-Payment Program for EEs of Delinquent Employers and Student Self-Pay Program
Year 2007
DECEMBER 2007  Comprehensive Medical Plan Vision Care Program and Chiro Benefits
AUGUST 2007  Human Papilloma Virus (HPV) Immunization
AUGUST 2007  Self-Funded Prescription Drug, Self-Funded Medical, Kaiser Health, Hawaii Dental Service, Gentle Dental & Self-Funded Vision
MAY 2007  Human Papilloma Virus (HPV) Immunization and Vision Care Providers
FEBRUARY 2007  Newborn Eligibility Procedures and Indemnity Prescription Drug Plan Changes
JANUARY 2007  COBRA Rates, Self-Payment Program for EEs of Delinquent Employers, Student Self- Pay Program & Vision Care Providers
Year 2006
OCTOBER 2006  Plan Amendment and Vision Care Providers
MAY 2006  Vision Care Providers
APRIL 2006  Change of Trust Administrator
JANUARY 2006  COBRA Rates
Year 2005
NOVEMBER 2005  Kaiser Plan
SEPTEMBER 2005  COBRA Rates, Self-Payment Program For EEs of Delinquent Employers, Student Self-Pay and Re-employment Provision For The Supplemental Health Plan
SEPTEMBER 2005  Vision Care Providers
Year 2004
AUGUST 2004  Kaiser E12 Plan
JUNE 2004  Correction to Summary Plan Description Booklet for Actives (Dated July 1999)
MAY 2004  Comprehensive Medical Plan Changes
MARCH 2004  COBRA Continuation of Coverage Rates
Year 2003
AUGUST 2003  Kaiser Plan and Vision Care Providers
MAY 2003  Vision Care Providers
APRIL 2003  HIPAA Privacy Rule
MARCH 2003  Big Island, Kauai, Maui and Molokai - Indemnity Prescription Drug Plan Mail Order Program
MARCH 2003  COBRA Rates, Self-Payment Program For EEs of Delinquent Employers, Student Self-Pay and Vision Care Providers
MARCH 2003  COBRA Rates Self-Payment Program For EEs of Delinquent Employers, Student Self-Pay, Re-employment Provision For Supplemental Health For OTS Retirees and Vision Providers
MARCH 2003  OAHU - Indemnity Prescription Drug Plan Changes Effective April 1 2003
MARCH 2003  Outside HI - Indemnity Prescription Drug Plan Mail Order Program
Year 2002
NOVEMBER 2002  Vision Care Providers
SEPTEMBER 2002  Kaiser Plan Changes and Vision Care Providers
AUGUST 2002  Summary Plan Description Changes Required by Dept. of Labor & Health Insurance Portability & Accountability Act (HIPPA)
AUGUST 2002  Transfer in Claims Administrator
JUNE 2002  Vision Care Providers
FEBRUARY 2002  COBRA Rates and Vision Care Providers
Year 2001
AUGUST 2001  Kaiser Plan Changes, Dental Care Centers of Hawaii and Vision Care Providers
AUGUST 2001  Vision Care Providers
MARCH 2001  Comprehensive Medical Plan, Women’s Health & Cancer Rights Act, COBRA Rates & Vision Care Providers
Year 2000
DECEMBER 2000  Comprehensive Medical Plan, Vision Care Providers, Indemnity Prescription Drug Plan Point of Service Providers
AUGUST 2000  Final Re-Enrollment Notice
JUNE 2000  Re-Enrollment
JUNE 2000  Vision Care Providers
MAY 2000  Kauai Medical Clinic
APRIL 2000  Kauai Medical Clinic Termination
FEBRUARY 2000  COBRA Continuation of Coverage Schedule - Medical
FEBRUARY 2000  Comprehensive Medical Plan & Vision Care Providers
FEBRUARY 2000  COBRA Continuation of Coverage Schedule - Dental
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