Medical Plan Options
The UHA 3000 Plan has the following features: - Annual deductible $200 per person, $600 per family
- Out-of-Pocket Maximum $2,200 per person, $6,600 per family
- The participant pays a $12 co-pay for physician services
- UHA pays 80% of hospital and emergency room charges
- UHA pays for 100% of maternity charges
Additional ResourcesUHA 3000 Benefit Summary.pdf UHA 3000 Drug Plan T and Vision 100 2022.pdf |
Changes to Plan - effective 1.1.2022
Additional Coverage Included with both UHA Plans
Monthly Premium Rates starting July 1, 2024
Plan type | Employee only | Employee + 1 spouse or child | |
---|
UHA 600 | 525.81 | 1,051.61 | 1,577.43 | UHA 3000 | 516.67 | 1033.33 | 1,550.01 |
EligibilityEmployees are eligible for coverage (based on Hawaii's ACA guidelines) after they have worked 20 hours or more per week for 4 weeks. This is DIFFERENT than Reliant's normal eligibility of employees working 30 hours or more having coverage offered the day of their hire. |
EnrollmentEmployees must be enrolled within 31 days of hire. Coverage always begins on the 1st of a month and always terminates on the last day of a month. If an employee has not reached their 4 weeks (of working 20 hours per week) by the 1st of the month after their hire, they will be enrolled for coverage the second month following their hire (starting on the 1st of that month), and that enrollment must occur within 31 days of their hire. Example #1 - someone hired August 1st - would be eligible for coverage Sept 1st, and their enrollment must happen by August 31st Example #2 - someone hired August 15th would be eligible for coverage October 1st, and their enrollment must be completed by September 15th Qualifying Events:- Initial hire working 20 or more hours per week
- Loss of other medical coverage due to turning age 26 or spouse/parents loss of employer coverage
- Qualified Medical Child Support Order (authorizing the addition of a child to the plan)
- Annual Open enrollment
Enrollment Form
Additional Plan Features:Active & Fit Program |