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Health Care Benefits: Hawaii

Health Care Benefits requirements for other states

Federal law and guidance on this subject should be reviewed together with this section.

Author: Anna Elento-Sneed, Alston Hunt Floyd & Ing

Summary

  • Hawaii requires employers to provide employer-paid, comprehensive medical care benefits to employees. The state law is exempt from preemption by the Employee Retirement Income Security Act. See General Overview.
  • The Hawaii Prepaid Health Care Act is administered and enforced by the Disability Compensation Division of the Hawaii Department of Labor and Industrial Relations. See General Overview and Enforcement.
  • Employees must meet certain requirements to be eligible for coverage. See Coverage for Employees.
  • Employers may be required to pay a portion of dependent coverage for certain types of plans. See Coverage for Eligible Dependents of Employees.
  • Employers may be required to continue coverage and payment of premiums for a limited period of time for employees who are unable to work due to hospitalization or sickness. See Continued Coverage for Employees Unable to Work.
  • Employers must purchase health care coverage from pre-approved plans or obtain approval for plans, including self-insured plans, from the Disability Compensation Division of the Hawaii Department of Labor and Industrial Relations. See Approved Plans.
  • Hawaii regulates the minimum standards for coverage. See Mandatory Coverage.
  • Employers must conspicuously post a notice to employees. See Posting Requirement.
  • Employers who violate Hawaii's Prepaid Health Care Act may be subject to significant penalties. See Enforcement.
  • Hawaii chose to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
  • Same-sex marriage is legal in Hawaii. See Same-Sex Partner Benefits.