Hawaii Certificate of Group Health Plan Coverage

State:
Multi-State
Control #:
US-332EM
Format:
Word; 
Rich Text
Instant download

Description

This certificate provides evidence of prior health insurance coverage.

The Hawaii Certificate of Group Health Plan Coverage is a document that provides detailed information about the health insurance coverage of a group health plan in the state of Hawaii. It serves as proof of coverage for individuals who are enrolled in the group health plan. The certificate contains key information related to the coverage including the name and contact information of the insurance company or health plan administrator, the policy or group number, and the effective dates of coverage. It outlines the various benefits and services covered under the plan, such as preventive care, hospitalization, emergency services, prescription drugs, and other medical treatments. In addition to describing the covered benefits, the certificate also includes vital details about any limitations or exclusions, such as pre-existing condition waiting periods, specific restrictions on certain procedures or treatments, or any other factors that may affect the coverage. It is crucial for individuals to thoroughly review the certificate to understand what services are covered and any associated costs or restrictions. There are different types of Hawaii Certificates of Group Health Plan Coverage depending on the specific group health plan or insurance policy. Some common types include: 1. Employer-Sponsored Plan Certificate: This certificate is issued to employees who are covered under a group health plan offered by their employer. It provides details about the plan's coverage, cost-sharing arrangements, and any other specific provisions relevant to the employer-sponsored plan. 2. Individual and Family Plan Certificate: Individuals or families who purchase health insurance coverage on their own reception this certificate. It outlines the coverage provided by the insurance policy, including premiums, deductibles, co-payments, and other important information. 3. Government-Sponsored Plan Certificate: This certificate is for individuals enrolled in government-sponsored healthcare programs like Medicaid or the Children's Health Insurance Program (CHIP). It specifies the benefits and services available under the program, eligibility criteria, and any additional requirements. 4. Union-Sponsored Plan Certificate: Unions may offer group health plans to their members, and this certificate describes the coverage provided by such plans. It may include specialized benefits or arrangements negotiated by the union on behalf of its members. 5. Association-Sponsored Plan Certificate: Associations or professional organizations sometimes offer group health plans to their members. This certificate details the coverage provided by the association-sponsored plan and any unique features specific to the organization. It is important to note that the exact content and format of the Hawaii Certificate of Group Health Plan Coverage may vary depending on the insurance company, plan type, and any state-specific requirements. Individuals should carefully review their certificate to understand the specifics of their health insurance coverage and seek clarification from their plan administrator or insurance company if needed.

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FAQ

A certificate of coverage (CoC) is a contract that lists an individual's health insurance coverage with their payor.

Who is required to provide health care insurance coverage? All employers with one or more employees, whether full-time or part-time, permanent or temporary, are required to provide Prepaid Health Care Act coverage to their eligible employees in Hawaii unless the employees fall into an excluded category.

The Hawaii Prepaid Health Care Act (HPHCA) requires employers to offer health coverage to all eligible employees in the state. The HPHCA predates ERISA and is exempt from ERISA preemption. The law strictly limits employee contributions and requires minimum benefit levels and certain plan provisions.

Individuals can get insurance directly from HMSA or through the federal health insurance marketplace at HealthCare.gov . Depending on your financial situation, you may be eligible for financial help, which is only available through the federal marketplace.

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.

Waiving medical coverage If an employee wishes to waive medical coverage, they must submit an HC-5 Waiver form to their employer, The form can be found on the State of Hawaii Disability Compensation Division website. The employer is responsible for filing the document with the DLIR.

This document explains the health benefits you and your dependents have under the plan. It details the services that will and will not be covered. Services that are not covered are called exclusions.

Hawaii Medicaid Fee-For-Service Program provides free or low cost health coverage to people age 65 and older or people with certain disabilities.

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If you do not want any plan coverage, mark the “Cancel/Waive” box. If you have other health plan coverage and do not want to participate in the EUTF plans, mark ... Eligibility for coverage is determined by the Hawaii Revised Statute and by the Administrative Rules adopted by the EUTF Board of Trustees.Feb 18, 2022 — Employees waiving coverage for any reason must file Form HC-5 with the employer and annually resubmit the waiver request. If the waiver is due ... Group health plans and health insurance issuers are required to furnish you a certificate of creditable coverage. The certificate describes how much creditable ... To sign up for either the. Employer Portal or Online Bill Pay, complete the “Online Agreement Authorization and Certification. Form” (see Exhibit M) which can ... You'll need to submit an application for the exemption and get an Exemption Certificate Number (ECN) to enroll in the "Catastrophic" health plan. If you're ... You may use this certificate as evidence of your creditable coverage to reduce the length of any preexisting condition exclusion if you enroll in another plan. Jun 15, 2012 — Fully insured plans must file a Schedule A for each insurance (or similar organization) contract providing benefits under the plan. Additionally ... Dec 14, 2022 — However, health insurance issuers are required to file Form 1095-B to report on coverage for employees obtained through the Small Business ... You'll need to submit an application for the exemption and get an Exemption Certificate Number (ECN) to enroll in the "Catastrophic" health plan. If you're ...

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Hawaii Certificate of Group Health Plan Coverage