Hawaii Work Request Cover Sheet

State:
Multi-State
Control #:
US-212-AZ
Format:
PDF; 
Rich Text
Instant download

Description

A cover sheet is an informational form required to be filed in certain cases. The coversheet contains names and addresses of parties, the case type, and other organizational information. The court uses this information for statistical purposes and to organize the case for hearing. This form, a Work Request Cover Sheet for the type of case indicated (or a general cover sheet) is available for download now in standard format(s). USLF control no. US-212-AZ

How to fill out Work Request Cover Sheet?

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FAQ

This 1974 state law requires private employers in the state to provide approved health insurance for their employees who work at least 20 hours per week for four weeks in a row. See the Hawaii Department of Labor and Industrial Relations website for details.

COBRA coverage lasts for up to 18 months and is available to employees who left their job for any reason other than gross misconduct. To enroll in COBRA, the employee must notify their former employer within 60 days of losing their job-based coverage and make monthly payments to continue their coverage.

To date, Hawaii is the only state to have implemented near-universal health insurance. The cornerstone of this program is the country's only requirement that employers provide health insurance for all employees who work at least 20 hours per week.

Employers can require employees to contribute to the cost of coverage, but the required contribution can't exceed the lesser of 50% of the coverage cost or 1.5% of the employee's monthly wages. Wages include salary, tips, commissions and the cash value of any other noncash compensation.

Hawaii Form HC 5 is an application for Hawaii health insurance coverage. The form is used to apply for health coverage under the Hawaii Prepaid Health Care Act, which requires employers to provide health insurance coverage to their employees.

Under the Hawaii Prepaid Health Care Act, employees get employer-sponsored health insurance as long as they work at least 20 hours per week. The employee's share of the premium (for self-only coverage) is very minimal, and the maximum waiting period for coverage eligibility is much shorter than federal law allows.

Average cost of health insurance by family size in Hawaii Family sizeAverage monthly cost of health insuranceIndividual and child$771Couple, age 40$965Family of three (adult couple and a child)$1,254Family of four (adult couple and two children)$1,5421 more row ?

For more information go to the IRS website at: . The Hawaii State UI Division tax withholding ID is 093-185-7408-01.

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Hawaii Work Request Cover Sheet