Hawaii Administrative Rules
Title 17 - DEPARTMENT OF HUMAN SERVICES
Department of Human Services
Chapter 1709.2 - STATE FUNDED HAWAII PREMIUM PLUS
Subchapter 2 - HAWAII PREMIUM PLUS
Section 17-1709.2-11 - Application for Hawaii premium plus

Universal Citation: HI Admin Rules 17-1709.2-11

Current through August, 2024

(a) The statewide maximum number of individuals determined to be qualified employees shall be 6,450.

(b) After the cumulative statewide number of individuals determined to be qualified individuals reaches 6,450, the department may determine an individual to be a qualified employee if:

(1) The number of participating qualified employees on the date of determination is less than 6,450; and

(2) There is available funding which meets the amount equal to twelve months of premium subsidy to be paid to the employer for the individual.

(c) An employer shall submit a completed application to become a Hawaii premium plus eligible employer in a format prescribed by the department. At a minimum, the employer shall:

(1) Attest that the employer meets all of the criteria in section 17-1709.2-7;

(2) Provide the total number of the employer's full-time employees on January 1, 2010; and

(3) Agree to the terms of the employer participation agreement established by the department.

(d) An eligible employer shall submit a completed application to enroll an employee separately for each employee, in a format prescribed by the department. At a minimum, the employer shall:

(1) Attest that the employee meets all the criteria in section 17-1709.2-8; and

(2) Provide the total number of full-time employees that are not enrolled in Hawaii premium plus as of the date of the employee's employment.

(e) The number of full-time employees described in subsection (d)(2) must be equal to or greater than the number described in subsection (c)(2) for an application to enroll an employee to be considered for determination.

(f) An application to enroll an employee or to enroll an employer shall be considered complete when all required information is provided. If all required documents are received but information is missing or incomplete, the application shall be denied for being incomplete. The employer may resubmit a complete application.

(g) The department shall accept and process an application to enroll an employee in Hawaii premium plus until the statewide number of qualified employees reaches the maximum allowed under this section

(1) Completed applications shall be processed in an order as determined by the department.

(2) Once the statewide number of qualified employees reaches the maximum allowed under this section, all received completed applications without a determination shall be placed on a waitlist for determination as described in subsection (b).

(3) The determination for participation in Hawaii premium plus shall be made by the department.

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