The Hawaii Health Care Coverage Questionnaire is a form used by the Hawaii Department of Human Services to determine a person's eligibility for health care coverage. The questionnaire is intended to collect information on an applicant’s income, assets, and family size to determine if they are eligible for Medicaid or other health care coverage programs. Depending on the applicant’s circumstances, they may be asked to complete one of two types of questionnaires: the Long Form Health Care Coverage Questionnaire or the Short Form Health Care Coverage Questionnaire. The Long Form is designed for individuals and families that are not currently receiving health care coverage benefits, while the Short Form is for those who are already receiving benefits and need to update their information. Both forms require information such as the applicant’s name, address, contact information, and income information. Once completed, the form is sent to the Hawaii Department of Human Services for review and approval.
Hawaii Health Care Coverage Questionnaire
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How to fill out Hawaii Health Care Coverage Questionnaire?
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FAQ
Employers must provide health care coverage to employees who work at least twenty (20) hours per week and earn 86.67 times the current Hawaii minimum wage a month (see the Maximum Weekly Wage Base and Maximum Weekly Benefit Amount).
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.
Use this form if the employee works at least 20 hours per week and: ? Works for 2 or more employers or. ? Claims an exemption or waiver from health care coverage or. ? Terminates an exemption or. ? Changes principal and/or secondary employer designation
Hawaii requires employers to provide employees not only health coverage but also temporary disability insurance (TDI).
Hawaii's Prepaid Health Care Act was enacted in 1974. This made the state the first in the nation to require employers to provide health coverage to workers.
We have year-round sun, surf, and the Hawaii Prepaid Health Care Act. 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.
Employers must provide coverage to any employee who works in Hawaii for 20 or more hours a week for four consecutive weeks and earns a monthly wage at least 86.67 times the state's minimum hourly wage. Employers don't have to provide coverage for retirees, and public employers are exempt.
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.