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  • Home
  • THE DIOCESE
    • WHO WE ARE >
      • Welcome from the Bishop
      • Where We've Been
      • Where We're Going
      • What is the Episcopal Church?
    • THE BISHOP >
      • Meet the Bishop
      • Bishop's Calendar
      • Bishop's Messages >
        • Bishop's Message Archive
      • Ask the Bishop
      • Bishop's Bible Study
    • Diocesan Support Center
    • Our Churches
    • Our Schools
    • Our Camp
    • Supply Clergy
    • Governance >
      • Overview
      • Convention >
        • Convention 57
        • C57 Education Day
        • General Convention
        • GC Connection
        • Past Meetings of Convention
      • Commission on Ministry >
        • COM Overview
        • Discernment for Ministry
        • Ordination Process
      • Diocesan Council
      • Standing Committee
      • Commission on Finance & Budget
      • Commission on Investments
      • Commission on Property & Insurance
  • Ministries
    • A Cup of Cold Water
    • Daughters of the King
    • Deacons
    • kahuaola
    • Episcopal Church Women (ECW)
    • Missions Beyond the Church
    • Native Hawaiian Ministry Committee
    • Outreach
    • Prison Ministry
    • Racial Reconciliation
    • Retired Clergy
    • SPICE: Clergy Spouses
    • Worship Ministries >
      • Acolytes
      • Altar Guild
      • Eucharistic Ministers/Visitors
      • Worship Leaders
    • Youth & Campus Ministry >
      • Youth
      • EYE23
  • EDUCATION
    • Waiolaihui'ia >
      • Waiolaihui'ia Center for Ministry
      • WCM Ordained
      • WCM Licensed Lay
    • 2025 Clergy Conference
    • HULI
    • Christian Formation
    • Continuing Education
    • EfM: Education for Ministry
    • Godly Play
    • Red Cross Training
    • Safe Church Trainings
    • StoryMakers
    • Teachings by Clergy
  • RESOURCES
    • Forms & Documents
    • Bible Links Online
    • Church Pension Fund
    • COMMUNICATIONS >
      • Overview
      • CHATS
      • Media
      • Online Tips
      • Social Media
      • Tech Stuff
      • Zoom Training
    • Discernment Process
    • Evangelism
    • Grants-Scholarships >
      • Grant Opportunities
      • Student Scholarships
      • Chang Clergy Children's Fund
    • Lay Leadership >
      • Lay Leadership Resources
      • Coffee Hour
    • Lectionary Page
    • Licensed Ministries
    • Links to the Wider Church
    • Marriages in Hawaii
    • Music
    • Ordination Process
    • Parochial Report Stats
    • Planned Giving
    • Prayer Calendar
    • Safe Church >
      • Misconduct
    • Stewardship
    • Supply Clergy
    • WORSHIP >
      • Worship
      • Online Worship
  • OPEN POSITIONS
    • Ordained
    • Come Serve in Hawaii Short Term
    • Lay
  • Contact
  • NEWS
    • NEWS WEBSITE
    • MAUI RELIEF
    • Diocesan Calendar
    • Community Calendars
    • Photo/Video Gallery

HEALTH INSURANCE

Open Enrollment: October 16 to November 8, 2024 for 2025 plan year

  • HMSA Annual (Open) Enrollment letter with rates for 2025
  • ​Benefits At-a-Glance for 2025 (comparison guide)
  • 2025 Summary of Benefits Med 734/Drg 860/Vis 0GA/Den C51 
  • 2025 Summary of Benefits Med 735/Drg 860/Vis 0GA/Den C54
  • 2025 Summary of Benefits Med Q-A/Drg 861/Vis 0HA/Den C51
  • 2025 Summary of Benefits Med Q-A/Drg 861/Vis 0HA/Den C54
  • 2025 Renewal Brochure
  • 2025 Dental Flyer
  • 2025 Vision Flyer
  • 2025 Drug Flyer​
  • For additional resources from HMSA, please visit their website HERE

Documents for Employees

Documents below are available to be downloaded, you may click on the link to do so:
HMSA documents
  • Application
  • Well-Being Guide
  • Premiums Rates for plan year 2025
  • Benefits At-a-Glance 2025​
  • We're Here For You Brochure
  • HMSA's Online Care
  • Behavioral Health Program
  • My Account Guide
  • Online Care Rack Card
  • Travel with HMSA flyer
ACA required documents for ELIGIBLE employees (even if they decline coverage)
  • Healthcare Compliance Notices 2022
  • No Surprises Act Notice
  • Nondiscrimination Notice 
  • ACA Model Cover Letter to Employees (ask your church for a copy)
  • ACA Model Notice Health Plan (ask your church for a copy)

ONLY IF the employee is eligible, but declines health insurance​
  • HC-5 Form for 2024
  • HC-5 Form for 2025

Documents for Employers to complete and then give to Employee(s)

​
  • ACA Model Cover Letter to employee
    • Copy and paste the ACA Model Cover Letter to Employees to your church's letterhead, make appropriate changes, sign, and give to the employee.
  • ACA Model Notice Health Plan
    • Complete yellow highlighted question 13. 

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QUICK LINKS:
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The Episcopal Church
Anglican Communion
Episcopal Church Foundation
Episcopal News Service
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The Episcopal Diocese of Hawai'i | 229 Queen Emma Square | Honolulu, HI  96813
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