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
Bishop's Bible Study
Diocesan Support Center
Our Churches
Our Schools
Our Camp
Supply Clergy
Governance
>
Convention
>
Convention 54
General Convention
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
Committee on Native Hawaiian Ministry (CONHM)
Daughters of the King
Deacons
Episcopal Church Women (ECW)
Iolani Guild
>
Overview
Special Programs & Projects
Kamehameha IV Prayer Book
Scholarships
Missions Beyond the Church
Outreach
Prison Ministry
Retired Clergy
SPICE: Clergy Spouses
Worship Ministries
>
Acolytes
Altar Guild
Eucharistic Ministers/Visitors
Worship Leaders
Youth & Campus Ministry
>
Youth
College Campus Ministry
EYE20
Youth Design Team
EDUCATION
Christian Formation
Continuing Education
EfM: Education for Ministry
Godly Play
Red Cross Training
Safe Church Trainings
Teachings by Clergy
Waiolaihui'ia Center for Ministry
RESOURCES
Forms & Documents
Annual Meeting Resources
Bible Links Online
Church Pension Fund
COMMUNICATIONS
>
Overview
CHATS
Media
Online Tips
Social Media
Tech Stuff
Zoom Training
Evangelism
Grants
>
Grant Opportunities
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
Stewardship
Supply Clergy
WORSHIP
>
Worship
Online Worship
OPEN POSITIONS
Ordained
Come Serve in Hawaii Short Term
Lay
Contact
NEWS
Coronavirus
60th Anniversary TEC-IFI
NEWS WEBSITE
Diocesan Calendar
Community Calendars
Photo/Video Gallery
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
Bishop's Bible Study
Diocesan Support Center
Our Churches
Our Schools
Our Camp
Supply Clergy
Governance
>
Convention
>
Convention 54
General Convention
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
Committee on Native Hawaiian Ministry (CONHM)
Daughters of the King
Deacons
Episcopal Church Women (ECW)
Iolani Guild
>
Overview
Special Programs & Projects
Kamehameha IV Prayer Book
Scholarships
Missions Beyond the Church
Outreach
Prison Ministry
Retired Clergy
SPICE: Clergy Spouses
Worship Ministries
>
Acolytes
Altar Guild
Eucharistic Ministers/Visitors
Worship Leaders
Youth & Campus Ministry
>
Youth
College Campus Ministry
EYE20
Youth Design Team
EDUCATION
Christian Formation
Continuing Education
EfM: Education for Ministry
Godly Play
Red Cross Training
Safe Church Trainings
Teachings by Clergy
Waiolaihui'ia Center for Ministry
RESOURCES
Forms & Documents
Annual Meeting Resources
Bible Links Online
Church Pension Fund
COMMUNICATIONS
>
Overview
CHATS
Media
Online Tips
Social Media
Tech Stuff
Zoom Training
Evangelism
Grants
>
Grant Opportunities
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
Stewardship
Supply Clergy
WORSHIP
>
Worship
Online Worship
OPEN POSITIONS
Ordained
Come Serve in Hawaii Short Term
Lay
Contact
NEWS
Coronavirus
60th Anniversary TEC-IFI
NEWS WEBSITE
Diocesan Calendar
Community Calendars
Photo/Video Gallery
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 2022
We're Here For You Brochure
Benefits At-a-Glance 2022
Guide to Benefits HPHa-Jan2022
Summary of Benefits HPH HMO Dental 2022
Summary of Benefits HPH PPO Dental 2022
Prescription Drug Rider 2022
Vision Care Rider 2022
HPH Provider Directory 2021
PPP Provider Directory 2021
My Account Tutorial Rack Card
Online Care Rack Card
Travel with HMSA flyer
ACA required documents for ELIGIBLE employees (even if they decline coverage)
Women's Health Notice
CHIP
Special Enrollment Notice
Privacy Notice
Nondiscrimination Notice
ONLY IF the employee is eligible, but declines health insurance
HC-5 Form
for 2022
Documents for Employers
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 Part B: (pages 2 & 3)