Form HC-6 Employer's Request for Premium Supplementation - Hawaii

Form HC-6 Employer's Request for Premium Supplementation - Hawaii

What Is Form HC-6?

This is a legal form that was released by the Hawaii Department of Labor & Industrial Relations - a government authority operating within Hawaii. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form HC-6?
A: Form HC-6, also known as the Employer's Request for Premium Supplementation, is a document used in Hawaii to request premium supplementation for employees who are eligible for health insurance through their employer but choose to enroll in the state's Prepaid Health Care Act instead.

Q: Who can use Form HC-6?
A: Employers in Hawaii can use Form HC-6 to request premium supplementation for their employees who are eligible for health insurance through the employer but choose to enroll in the state's Prepaid Health Care Act.

Q: What is premium supplementation?
A: Premium supplementation is financial assistance provided by the employer to employees who choose to enroll in the state's Prepaid Health Care Act instead of obtaining health insurance through the employer. It helps to offset the cost difference between the employer's health insurance plan and the state's Prepaid Health Care Act.

Q: How do I fill out Form HC-6?
A: Form HC-6 requires information about the employer, employee, and the health insurance plan. You will need to provide the employee's name, Social Security number, and information about the health insurance plan offered by the employer. It is important to accurately complete all sections of the form to ensure timely processing.

Q: When should I submit Form HC-6?
A: Form HC-6 should be submitted to the Hawaii Department of Labor and Industrial Relations within 15 days of the employee's enrollment in the state's Prepaid Health Care Act. It is recommended to submit the form as soon as possible to avoid any delays in receiving premium supplementation.

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Form Details:

  • Released on December 1, 2017;
  • The latest edition provided by the Hawaii Department of Labor & Industrial Relations;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form HC-6 by clicking the link below or browse more documents and templates provided by the Hawaii Department of Labor & Industrial Relations.

Download Form HC-6 Employer's Request for Premium Supplementation - Hawaii

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