OAHU TRANSIT RETIREES

Participant Notices

Year 2023
DECEMBER 2023  COBRA Program New Rates effective December 2023
JUNE 2023  Annual Open Enrollment Notification
Year 2022
OCTOBER 2022  Transition to Humana Effective January 1, 2023
SEPTEMBER 2022  COBRA Program New Rates effective October 2022
SEPTEMBER 2022  Creditable Coverage - Prescription Drug Coverage and Medicare
JUNE 2022  Annual Open Enrollment Notification
APRIL 2022  Closure of Foodland Pharmacies
Year 2021
SEPTEMBER 2021  COBRA Program New Rates effective October 2021
JUNE 2021  Annual Open Enrollment Notification
APRIL 2021  Indemnity Prescription Drug Plan – Times Pharmacy
Year 2020
SEPTEMBER 2020  COBRA Program New Rates effective October 2020
SEPTEMBER 2020  Creditable Coverage - Prescription Drug Coverage and Medicare
JUNE 2020  Indemnity Prescription Drug Plan - Program Changes
JUNE 2020  Annual Open Enrollment Notification
MARCH 2020  COVID-19 Testing and Telehealth Services
MARCH 2020  Essential Medical Eye Care Services
JANUARY 2020  Out of State Medical & Medicare Part D Reimbursement Rates
Year 2019
SEPTEMBER 2019  Creditable Coverage - Prescription Drug Coverage and Medicare
AUGUST 2019  COBRA Program New Rates effective September 2019
JUNE 2019  Annual Open Enrollment Notification
Year 2018
SEPTEMBER 2018  Creditable Coverage - Prescription Drug Coverage and Medicare
AUGUST 2018  COBRA Program New Rates effective September 2018
June 2018  Annual Open Enrollment Notification
Year 2017
DECEMBER 2017  Teamsters Special Notice - PPO Members
SEPTEMBER 2017  Creditable Coverage - Prescription Drug Coverage and Medicare
SEPTEMBER 2017  HIPAA Privacy Notice
JUNE 2017  Annual Open Enrollment Notification
FEBRUARY 2017  COBRA Program New Rates effective April 2017
Year 2016
SEPTEMBER 2016  HIPAA Privacy Notice
SEPTEMBER 2016  Creditable Coverage - Prescription Drug Coverage and Medicare
JUNE 2016  Annual Open Enrollment Notification
MARCH 2016  Non-Grandfathered Status for the Medical and Prescription Drug Plans
FEBRUARY 2016  COBRA Program New Rates effective April 2016
Year 2015
DECEMBER 2015  Out-of-State Medicare Reimbursement and HMSA Akamai Advantage
NOVEMBER 2015  Out-of-State Medicare Part D Premium Reimbursement for 2016
SEPTEMBER 2015  Creditable Coverage - Prescription Drug Coverage and Medicare
SEPTEMBER 2015  HIPAA Privacy Notice
JULY 2015  Annual Open Enrollment Notification
FEBRUARY 2015  COBRA Program and Employee Self-Payment Program New Rates effective April 2015
Year 2014
NOVEMBER 2014  Medical Coverage for Medicare Retirees and Spouses Residing Outside the State of Hawaii and Statue of Limitations
NOVEMBER 2014  Teamsters Out of State Retiree Medicare Eligible
SEPTEMBER 2014  Creditable Coverage - Prescription Drug Coverage and Medicare
SEPTEMBER 2014  HIPAA Privacy Notice
SEPTEMBER 2014  HMSA Akamai Advantage Notices
FEBRUARY 2014  COBRA Program and Employee Self-Payment Program New Rates effective April 2014
Year 2013
OCTOBER 2013  Creditable Coverage Notice - Prescription Drug Coverage and Medicare
OCTOBER 2013  Self-Funded PPO Comprehensive Medical Plan and Self-Funded HMO Medical Plan
OCTOBER 2013  Self-Funded HMO Medical Plan and Kaiser Health Plan
SEPTEMBER 2013  HIPAA Privacy Notice
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
OCTOBER 2012  Creditable Coverage - Prescription Drug Coverage and Medicare
SEPTEMBER 2012  North Hawaii Community Hospital
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
OCTOBER 2011  Creditable Coverage - Prescription Drug Coverage and Medicare
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  Kaiser Prescription Drug Refills
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
JULY 2011  Kaiser Permanente Authorization for Release of Protected Health Information Form
FEBRUARY 2011  Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, and VSP Advantage Plan
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
Year 2010
DECEMBER 2010  Self-Payment Program, COBRA Program, Vision Care Program, and Medicare Part D Premium Reimbursement
NOVEMBER 2010  Eligibility Requirements for Extension of Dependent Coverage to Age 26
NOVEMBER 2010  Hawaii Declaration of Adult Dependent Status Form
NOVEMBER 2010  Patient Protection and Affordable Care Act National Health Care Reform
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  Medicare Prescription Drug (Part D) Coverage
MARCH 2010  Michelle’s Law, GINA, Prescription Drug Plan and Vision Care
Year 2009
AUGUST 2009  Vision Care Program
JUNE 2009  Prilosec Over-The-Counter (OTC) $0 Copay Benefit
MAY 2009  Indemnity Prescription Drug Plan And Vision Care Program
MAY 2009  Vision Care Program
FEBRUARY 2009  Summary Plan Description, Comprehensive Medical Plan And Vision Care Program
FEBRUARY 2009  Retirees & Spouses Residing Out-Of-State Medicare Part D Reimbursement Policy For 2009
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 Rates
SEPTEMBER 2008  Central Fill Pharmacy Locations (Maintenance Rx)
JANUARY 2008  COBRA Program Rates
Year 2007
DECEMBER 2007  Comprehensive Medical Plan and Vision Care Program
AUGUST 2007  Kaiser Health Plan & Senior Advantage & Self-Funded Vision Care Benefits
MAY 2007  Human Papilloma Virus (HPV) Immunization and Vision Care Providers
FEBRUARY 2007  Indemnity Prescription Drug Plan Change
JANUARY 2007  COBRA Rates & Vision Care Providers
Year 2006
DECEMBER 2006  Drug Co-Pay for Medicare Retirees Under HMSA 65C Plus
OCTOBER 2006  Vision Care Providers
MAY 2006  Medicare Drug (Part D) for Medicare Retirees & Sps Covered Under HMSA 65C Plus
MAY 2006  Vision Care Providers
APRIL 2006  Change of Trust Administrator
JANUARY 2006  COBRA Continuation of Coverage Rates
Year 2005
DECEMBER 2005  HMSA 65C Plus Enrollment
NOVEMBER 2005  Medicare Part D
NOVEMBER 2005  Medicare Prescription Drug Coverage (Medicare Part D)
SEPTEMBER 2005  COBRA Continuation of Coverage Rates
SEPTEMBER 2005  Vision Care Providers
Year 2004
AUGUST 2004  Kaiser E12 Plan
MAY 2004  Comprehensive Medical Plan Changes
MARCH 2004  COBRA Continuation of Coverage Rates
Year 2003
APRIL 2003  HIPAA Privacy Rule
APRIL 2003  Summary Plan Description Amendment for Supplemental Health Plan for OTS Retirees
MARCH 2003  COBRA Rates, Re-employment Provision for the Supplemental Health Plan for OTS Retirees and Vision Care Providers
JANUARY 2003  Retirees - Eligibility
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
MARCH 2002  COBRA Rates and 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
MARCH 2001  Comprehensive Medical Plan, Women’s Health & Cancer Rights Act, COBRA Rates & Vision Care Providers
Year 2000
FEBRUARY 2000  Retirees COBRA Continuation of Coverage Schedule
FEBRUARY 2000  Vision Care Providers

Summary Annual Reports

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