Kaiser Bargaining Unit

Year 2024

NOVEMBER 2024   2025 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA
NOVEMBER 2024   2025 HIPAA Privacy Notice
NOVEMBER 2024   2025 Open Enrollment Highlights of HDS Dental Plan
NOVEMBER 2024   2025 Open Enrollment Cover Letter for Actives and Retirees Under 65
NOVEMBER 2024   2025 Summary of Benefits and Coverage - Kaiser Permanente
NOVEMBER 2024   2025 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan
NOVEMBER 2024   HDS Dental Plan 2025 Benefit Improvements
MARCH 2024   COBRA Program and Employee Self-Payment Program
JANUARY 2024   Coverage for Immunizations at Participating Pharmacies

Year 2023

NOVEMBER 2023   2024 Open Enrollment Highlights of HDS Dental Plan
NOVEMBER 2023   2024 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA
NOVEMBER 2023   2024 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan
NOVEMBER 2023   2024 Summary of Benefits and Coverage - Kaiser Permanente
NOVEMBER 2023   2024 HIPAA Privacy Notice
NOVEMBER 2023   2024 Open Enrollment Cover Letter for Actives and Retirees Under 65
JUNE 2023   Expiration of Extended Plan Deadlines During National Emergency
MAY 2023   Expiration of COVID-19
MARCH 2023   COBRA Program and Employee Self-Payment Program

Year 2022

DECEMBER 2022   New Pharmacy Benefits Manager Effective January 1, 2023
NOVEMBER 2022   2023 Open Enrollment Cover Letter for Actives and Retirees Under 65
NOVEMBER 2022   2023 HIPAA Privacy Notice
NOVEMBER 2022   2023 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA
NOVEMBER 2022   2023 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan
NOVEMBER 2022   2023 Summary of Benefits and Coverage - Kaiser Permanente
NOVEMBER 2022   2023 Open Enrollment Highlights of HDS Dental Plan
MAY 2022   Indemnity Prescription Drug Plan Changes
APRIL 2022   Closure of Foodland Pharmacies
MARCH 2022   COBRA Program and Employee Self-Payment Program
JANUARY 2022   Addition of Provider Network of America (PNOA)

Year 2021

DECEMBER 2021   Special Open Enrollment
DECEMBER 2021   Plan Changes Effective January 1, 2022 Kaiser Benefits (Active - KBU) and ChiroPlan
NOVEMBER 2021   Open Enrollment for 2022 - Postponed
JUNE 2021   Termination of Dental Care Centers of Hawaii (DCCH)
MARCH 2021   COBRA Program and Employee Self-Payment Program
JANUARY 2021   COVID-19 Vaccine, Comprehensive Medical Plan and Indemnity Prescription Drug Plan

Year 2020

OCTOBER 2020   Open Enrollment Postponed 2021
MARCH 2020   COBRA Program and Employee Self-Payment Program
MARCH 2020   COVID-19 Testing and Telehealth Services

Year 2019

NOVEMBER 2019   2020 Open Enrollment Cover Letter for Actives and Retirees Under 65
NOVEMBER 2019   2020 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan
NOVEMBER 2019   2020 Summary of Benefits and Coverage - Kaiser Permanente
NOVEMBER 2019   2020 Open Enrollment Highlights of Dental Plans
NOVEMBER 2019   2020 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA
NOVEMBER 2019   2020 HIPAA Privacy Notice

Year 2018

NOVEMBER 2018   2019 Open Enrollment Cover Letter for Actives and Retirees Under 65
NOVEMBER 2018   2019 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan
NOVEMBER 2018   2019 Summary of Benefits and Coverage - Kaiser Permanente
NOVEMBER 2018   2019 Open Enrollment Highlights of Dental Plans
NOVEMBER 2018   2019 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA
NOVEMBER 2018   2019 HIPAA Privacy Notice
AUGUST 2018   COBRA Program and Employee Self-Payment Program

Year 2017

NOVEMBER 2017   2018 Open Enrollment Cover Letter for Actives and Retirees Under 65
NOVEMBER 2017   2018 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan
NOVEMBER 2017   2018 Summary of Benefits and Coverage - Kaiser Permanente
NOVEMBER 2017   2018 Open Enrollment Highlights of Dental Plans
NOVEMBER 2017   2018 Annual Notice - WHCRA - PPACA - NMPHA - GINA - MHPAEA
NOVEMBER 2017   2018 HIPAA Privacy Notice
AUGUST 2017   COBRA Program and Employee Self-Payment Program

Year 2016

NOVEMBER 2016   Dental and Vision Benefit Improvements
NOVEMBER 2016   Special Announcement - Change in Claims Administrator
NOVEMBER 2016   2017 Open Enrollment Letter for Actives
NOVEMBER 2016   2017 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan
NOVEMBER 2016   2017 Summary of Benefits and Coverage - Kaiser Permanente
NOVEMBER 2016   2017 Open Enrollment Highlights of Dental Plans
NOVEMBER 2016   2017 Annual Notice – WHCRA – PPACA – NMPHA – GINA – MHPAEA
NOVEMBER 2016   2017 HIPAA Privacy Notice
JUNE 2016   COBRA Program and Employee Self-Payment Program
APRIL 2016   Self-Funded Vision Care Program and Provider List

Year 2015

DECEMBER 2015   Self-Funded Vision Care Program and Provider List
NOVEMBER 2015   2016 Open Enrollment Highlights of Dental Plans
NOVEMBER 2015   2016 Summary of Benefits and Coverage - Kaiser Permanente
NOVEMBER 2015   2016 Summary of Benefits and Coverage - Self-Funded Comprehensive Medical Plan
NOVEMBER 2015   2016 Open Enrollment Letter for Actives
OCTOBER 2015   Women's Health and Cancer Rights Act of 1998 Notice
SEPTEMBER 2015   Creditable Coverage - Prescription Drug Coverage and Medicare
SEPTEMBER 2015   2015 AFL Hotel Industry HIPAA Privacy Notice
SEPTEMBER 2015   Self-Funded Vision Care Program
JUNE 2015   COBRA Program and Employee Self-Payment Program

Year 2014

NOVEMBER 2014   2015 Open Enrollment Letter for Actives and Retirees Under 65
NOVEMBER 2014   2015 Summary of Benefits and Coverage – Self-Funded Comprehensive Medical Plan
NOVEMBER 2014   2015 Summary of Benefits and Coverage – Kaiser Permanente
NOVEMBER 2014   2015 Open Enrollment Highlights of Dental Plans
SEPTEMBER 2014   Creditable Coverage - Prescription Drug Coverage and Medicare
SEPTEMBER 2014   2014 AFL Hotel Industry HIPAA Privacy Notice
APRIL 2014   COBRA Program, Employee Self-Payment Program and Self-Funded Comprehensive Medical Plan - Human Papilloma Virus (REVISED)

Year 2013

NOVEMBER 2013   Actives Dependent Eligibility and Self-Funded Comprehensive Medical Plan
NOVEMBER 2013   2014 Open Enrollment Letter for Actives and Retirees Under 65
NOVEMBER 2013   2014 Summary of Benefits and Coverage – Self-Funded Comprehensive Medical Plan
NOVEMBER 2013   2014 Open Enrollment Highlights of Dental Plans
NOVEMBER 2013   2014 Summary of Benefits and Coverage – Kaiser Permanente
SEPTEMBER 2013   Creditable Coverage - Prescription Drug Coverage and Medicare
SEPTEMBER 2013   2013 AFL Hotel Industry HIPAA Privacy Notice
JULY 2013   Annual Limits - Active Self-Funded Comprehensive Medical Plan
JULY 2013   Annual Limits - Retiree Self-Funded Comprehensive Medical Plan
APRIL 2013   COBRA Program and Employee Self-Payment Program
FEBRUARY 2013   Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, and Gentle Dental Plan
FEBRUARY 2013   Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, Gentle Dental Plan, and Medicare Part D Premium Reimbursement for 2013
JANUARY 2013   2013 Open Enrollment Letter for Actives and Retirees Under 65
JANUARY 2013   2013 Summary of Benefits and Coverage - Self Funded Comprehensive Medical Plan
JANUARY 2013   2013 Summary of Benefits and Coverage - Kaiser Permanente
JANUARY 2013   2013 Open Enrollment Highlights of Dental Plans

Year 2012

NOVEMBER 2012   Open Enrollment Period, Self-Funded Prescription Drug Plan, Self-Funded Comprehensive Medical Plan, and Self-Funded Vision Care Plan
OCTOBER 2012   Creditable Coverage - Prescription Drug Coverage and Medicare
SEPTEMBER 2012   North Hawaii Community Hospital and Non-Emergency Inter-Island Travel Benefit
APRIL 2012   COBRA Program and Employee Self-Payment Program
FEBRUARY 2012   Coverage for Domestic Partners Civil Union Certificates
JANUARY 2012   Self-Funded Comprehensive Medical Plan, 2012 Kaiser Plan Changes, and Self-Funded Vision Care Program
JANUARY 2012   Vision Care Providers

Year 2011

NOVEMBER 2011   Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, and Vision Care Program
NOVEMBER 2011   Vision Care Providers
NOVEMBER 2011   Catalyst Prior Authorization Form
OCTOBER 2011   Creditable Coverage - Prescription Drug Coverage and Medicare
SEPTEMBER 2011   Vision Care Program
SEPTEMBER 2011   Vision Care Providers
MAY 2011   Notification of a Disabled Child and Vision Care Program
MAY 2011   Vision Care Providers
MARCH 2011   COBRA Program
FEBRUARY 2011   Vision Care Program – Kaiser Foundation’s Health Plan
FEBRUARY 2011   2011 Kaiser Plan Changes, Student Self-Payment Program, Dental Plans, HMSA Akamai Advantage Medicare Plan, COBRA Program, Self-Funded Comprehensive Medical Plan, Self-Funded Prescription Drug Plan, and Vision Care Plan
FEBRUARY 2011   Medicare Part D Prescription Drug Coverage

Year 2010

OCTOBER 2010   Patient Protection and Affordable Care Act National Health Care Reform
OCTOBER 2010   Hawaii Declaration of Adult Dependent Status Form
OCTOBER 2010   Open Enrollment Letter for Retirees 62 - 64
OCTOBER 2010   Open Enrollment Letter for Retirees 65 and Over
JUNE 2010   Prescription Drug Plan and Vision Care Program
JUNE 2010   Kaiser Plan Changes and Vision Care Program
JUNE 2010   Vision Care Providers
MARCH 2010   Kaiser Plan 2010 Changes, Self-Pay, COBRA, Michelle’s Law, GINA, Rx and Vision
MARCH 2010   Retiree's Medicare Prescription Drug (Part D) Coverage

Year 2009

DECEMBER 2009   Comprehensive Medical Plan & Vision Care Program
AUGUST 2009   Comprehensive Medical Plan
AUGUST 2009   Summary Plan Description And Vision Care Program
AUGUST 2009   Kaiser Re-enrollment Project
JUNE 2009   Prilosec Over-The-Counter (OTC) $0 Copay Benefit
APRIL 2009   Comprehensive Medical Plan, Indemity Presciption Drug Plan, Revised COBRA Rates And Vision Care Providers
APRIL 2009   Vision Care Providers
FEBRUARY 2009   Retirees And Spouses Residing Out-Of-State Medicare Part D Reimbursement Policy For 2009
JANUARY 2009   Central Fill Pharmacy Locations (Maintenance Rx)
JANUARY 2009   Indemnity Prescription Drug Plan Changes
JANUARY 2009   Comprehensive Medical Plan And COBRA Rates

Year 2008

JULY 2008   Indemnity (Self-Funded) Comprehensive Medical Plan and Vision Care Providers
APRIL 2008   HIPAA Privacy Rule
APRIL 2008   Reminder of Privacy Practices
MARCH 2008   Vision Care Providers

Year 2007

DECEMBER 2007   Kaiser Health Plan Changes, Comprehensive Medical Plan, Vision Care Providers, COBRA Rates, Self-Payment Program Rates, And Retiree Copay
OCTOBER 2007   Comprehensive Medical Plan Indemnity, Vision Care Benefit and Vision Care Providers
AUGUST 2007   Vision Care Program
APRIL 2007   Reminder Of Privacy Practices
APRIL 2007   Medicare Part D Prescription Drug Plan
APRIL 2007   Vision Care Providers
APRIL 2007   Retirees Vision Care Providers
APRIL 2007   Comprehensive Medical Plan, HPV Immunization and Vision Care Providers
FEBRUARY 2007   Kaiser Plan Changes For All Retirees
FEBRUARY 2007   Comprehensive Medical Plan
FEBRUARY 2007   Retirees Update to Participant Notice Dated Dec 2006 Kaiser Plan Changes For All Retirees
JANUARY 2007   Kaiser Plan Changes, Gentle Dental, Vision Care Providers, COBRA Rates, Student Self-Payment Program Rates And Retiree Copay
JANUARY 2007   Kaiser Plan Changes, Gentle Dental, Vision Care Providers, COBRA, Student Self-Payment and Retiree Copay

Year 2006

AUGUST 2006   Retirees Medical and Drug Benefits, SPD Correction and Vision Providers
MAY 2006   Retirees Discontinuation of Trust Fund Benefits
MAY 2006   Vision Care Providers
MARCH 2006   Vision Care Providers
JANUARY 2006   Kaiser Plan, Comprehensive Medical and Retiree Copays

Year 2005

DECEMBER 2005   Kaiser Plan, Comprehensive Medical, COBRA and Self-Payment Rates and Retiree Copayments
DECEMBER 2005   Retirees Prescription Drug Coverage (Medicare Part D)
NOVEMBER 2005   Retirees Medicare Part D
MARCH 2005   Comprehensive Medical Plan and Vision Care Providers
JANUARY 2005   Oahu Indemnity Prescription Drug Plan
JANUARY 2005   Big Island, Kauai, Maui Molokai - Indemnity Prescription Drug Plan

Year 2004

JUNE 2004   Comprehensive Medical Plan Changes
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