News & Announcements

Form HC-5 Now Available for 2022

Published Tuesday, October 19, 2021 1:00 pm



Hawaii's Department of Labor and Industrial Relations Disability Compensation Division recently published Form HC-5 Employee Notification to Employer for Calendar Year 2022. Employers must ensure employees who choose to waive health care coverage under Hawaii's Prepaid Health Care Act, complete Form HC-5 annually. Companies with employees who waived coverage in 2021 should follow up with these employees. If employees intend to waive coverage in 2022, they should indicate as such on the 2022 HC-5 form. Employers must keep the signed Form HC-5 and give a copy to the employee.

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