Benefits Open Enrollment 2011-2012

The RCUH Benefits Open Enrollment Period (BOEP) is finally here.  BOEP forms will be mailed to all RCUH benefits-eligible employees on April 18, 2011.  Please review ALL of the materials provided. There are important changes detailed in these documents that will affect employees’ benefit elections for the upcoming plan year (e.g., Flexible Spending Plan).  If you do not receive a packet by Monday, April 25, 2011, please call Dayna Tsue at (808) 956-8953 or email her at [email protected] to request for a duplicate packet.

During this Open Enrollment period, you can:

  • Cancel/Change your health (medical & dental) insurance plan (submit Document 2).

·         Enroll into a health insurance plan for employees who previously waived coverage (submit Document 2).

·         Add eligible dependents not already on your health insurance plan (submit Document 2).

·         Enter into an annual *Flexible Spending Plan for the Plan Year 7/1/2011-6/30/2012 *Even though you are currently enrolled, you must submit Document 2 if you want to participate in this benefit during the next plan year 7/1/2011-6/30/2012.

·         Enroll into, cancel or change Supplemental/Voluntary Insurance Plans offered through RCUH (submit Document 2).


The following is a list of documents/forms included in your BOEP packet:


(click on link to download form)

Type of Information

#1 – Benefits Statement


Mailed out to employees on 4/18/11 (call 956-8953 or email [email protected] for duplicate copy)

Personalized informational sheet listing your current benefits (as of April 14, 2011)

#2Health Insurance & Flexible Spending Enrollment Form

HEALTH INSURANCE:  Submit this enrollment form only if you will be making plan changes or newly enrolling into a medical &/or dental plan.


FLEXIBLE SPENDING ACCOUNT (FSA):  Submit this enrollment form if you want to participate in or continue in an FSA Medical Expense Reimbursement Account &/or Dependent Care Expense Account for the 07/01/2011 – 06/30/2012 plan year.


VOLUNTARY INSURANCES:  Submit this enrollment form to elect, change, or cancel Voluntary Life, A/D&D, Cancer Care, Critical Care, Accident Guard, or Long-Term Care Insurance Plans.

#3Health Insurance Summary – HMSA



Informational sheet highlighting HMSA Health Plan Hawaii Plus (HPHP), Health Plan Hawaii Basic (HPH-B), Preferred Provider (PPO), & Comprehensive Medical (CompMED) plan benefits/coverage/rates.

#4 Health Insurance Summary – Kaiser Permanente



Informational sheet highlighting Kaiser A & B plan benefits/coverage/rates.

#5 Dental Insurance Summary – Hawaii Dental Service (HDS)



Informational sheet highlighting HDS (Dental) plan benefits/coverage/rates.

#6Flexible Spending Account (FSA) Plan Highlights



Informational sheet highlighting Flexible Spending Plan benefits.






v  NEW Third-Party Administrator (TPA) for Flexible Spending Plan Accounts

Effective July 1, 2011, the RCUH’s Flexible Spending TPA will change from Total Administrative Services Corporation (TASC) to National Benefit Services (NBS).  As a participant, you will be receiving a “NBS Flexcard” debit card which can be used at various health care establishments like pharmacies, physician/dental offices, hospitals, optical providers, and mail order prescription programs that accept Visa.  If you currently have a “TASC” debit card, it will be deactivated on June 30, 2011.


v  NEW Dependent Age and Student Status Requirements

Effective July 1, 2011, dependents can be covered on your Health Plans until turning age 26, regardless of student-status (i.e., Your dependent does not need to be a full-time student to be covered on your Health Plans), due to the changes under the Health Care Reform Act.


v  Benefits Open Enrollment Meetings

We will be having three (3) Open Enrollment benefits meetings this year.  The meetings will be held on Oahu (University of Hawaii at Manoa campus) and broadcasted out to various sites on the outer islands. Representatives from our health/flexible spending vendors will be available to answer your questions, so we encourage all employees to take the time to learn your benefits options to ensure you are electing the best plan(s) to meet your needs.  





(UH Hilo)

Media Services Room 350


(Kauai CC)

Learning Center Room 122



(Maui CC)

Ka’aike Room 105


(UH Manoa Campus)

Kuykendall Hall 201

Friday, April 29, 2011

10:00 am – 12:00 pm


Friday, April 29, 2011

10:00 am – 12:00 pm


*This session will be recorded and will be available for future viewing.

Friday, April 29, 2011

10:00 am – 12:00 pm


Friday, April 29, 2011

10:00 am – 12:00 pm


Wednesday, May 4, 2011

10:00 am – 12:00 pm

Not Available

Not Available

Wednesday, May 4, 2011

10:00 am – 12:00 pm

Friday, May 6, 2011

1:00 pm – 3:00 pm

Friday, May 6, 2011

1:00 pm – 3:00 pm

Friday, May 6, 2011

1:00 pm – 3:00 pm

Friday, May 6, 2011

1:00 pm – 3:00 pm



Meetings are accessible for individuals with disabilities. To request an accommodation due to your disability, please call Dayna Tsue at (808) 956-8953 or email [email protected].






è DEADLINE:  All Benefits Open Enrollment Forms must be received by Thursday, May 19, 2011




RCUH — Human Resources Department

2530 Dole Street, Sakamaki Hall D-100, Honolulu, HI 96822

FAX #: (808) 956-5022


è QUESTIONS?  Contact:  Kristen Stevens                                   

Phone: (808) 956-6979;  E-Mail:  [email protected]