To be eligible for coverage, the group/company must have an active Department of Labor number from the State of Hawaii, which can be obtained by calling 808-586-8914.
1. Download our eligibility requirements to find out if your business is eligible for coverage.
2. Download and complete the customer rate request form:
The Hawaii Prepaid Health Care Act's definition of an eligible employee is as follows: Active employees who work 20 hours or more per week for four consecutive weeks and earn a monthly wage of at least 86.67 times the Hawaii minimum hourly wage are deemed eligible.
3. Download the Employee Census Grid (EXCEL FILE) (1-50 Hawaii eligible employees only)
4. Email, mail, or fax the completed forms to:
Email: Hi-Sales@kp.org
Kaiser Foundation Health Plan, Inc.
Attention: New Group Sales
711 Kapiolani Blvd.
Tower Building, 4th Floor
Honolulu, HI 96813
Fax: 1-877-661-2747
Download the forms that you use most.
Manage your account
» Contact an account manager
Call Client Services at 808-432-5256 or 1-888-352-4737
Sales representative
» Small business representative
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