RCUH HR URGENT – RCUH Benefits Open Enrollment Period Ending Soon – All forms DUE Friday, May 15

To:      All RCUH Regular-status (50-100% FTE) Employees

Friendly reminder to please submit any Benefits Enrollment/Change election forms to RCUH by this Friday, May 15. RCUH’s 2020 Benefits Open Enrollment period is May 4-15, 2020 for the plan year July 1, 2020 – June 30, 2021.


Monday, May 4, 2020 –

Friday, May 15, 2020

RCUH Open Enrollment Period

Review the Open Enrollment Information and online videos

Friday, May 15, 2020 DEADLINE to submit Benefit Enrollment/Change/Waiver Forms to RCUH Benefits – Fax: (808) 956-5022 or Email: [email protected]
Wednesday, July 1, 2020 Start date of Benefit Enrollment/Change

Submission of Forms

If you need assistance with the submission of your forms, please email [email protected] or call (808) 956-3100.

Medical and Dental Coverage

No change: If you have no changes to your medical and dental coverage, there is no action needed.

Any changes to your plan, coverage tier, or dependents can be submitted using the Open Enrollment RCUH Group Health Plan Enrollment Form (OEB-5Ha).

Waiver Form Required

Employees who wish to waive health benefits must submit the Open Enrollment RCUH Group Health Waiver Form (OEB-5Wb) to RCUH Human Resources as an agreement that he/she is opting to waive health coverage at this time. Even if you have previously waived medical coverage with the RCUH, a new waiver MUST be received for the plan year 2020-2021 or corrective action may occur.

Flexible Spending Accounts (FSA)
For all employees currently enrolled or who wish to enroll in Healthcare FSA and/or Dependent Care FSA, you are required to re-enroll every plan year (during this open enrollment period) using Open Enrollment RCUH Flexible Spending Enrollment & Change Form (OEB-5F). These plans do not rollover into the new plan year.

Supplemental Long-Term Care Insurance (LTC)

If you wish to enroll in supplemental coverage, please contact 956-3100 or email [email protected] for assistance.

** NEW: Benefits Summary on Employee Self-Service (ESS)

All Open Enrollment materials will be available in the Enhanced Benefits Summary on ESS (Employee Self-Service). Please see the Attachment: How to Access your Benefits Summary OE Materials for instructions on how to find open enrollment materials on ESS, view your current benefits, and important things to consider about Open Enrollment. If you are having difficulty logging in to ESS, please contact RCUH HR Information Systems at: [email protected].

Relevant Policies

Contact Information
Contact RCUH Employee Benefits for general inquiries on Open Enrollment, eligibility, and assistance with forms.

Phone: (808) 956-2326 or (808) 956-3100
Email: [email protected]
Fax: (808) 956-5022

Contact RCUH HR Information Systems if you are having difficulty logging in to ESS.

Phone: (808) 956-8376 or (808) 956-5799
Email: [email protected]

Contact carriers (i.e., HMSA, Kaiser, HDS, NBS, etc.) directly with any specific coverage inquiries or for assistance on current claims.

Current Members, please call a customer service representative based on your existing plan:

  • Preferred Provider Plan & CompMED: (808) 948-6111
  • Health Plan Hawai’i & Health Plan Hawai’i Plus: (808) 948-6372

Prospective members, email rcuh_benefits.com with your specific questions or if you would like a hard copy of the materials mailed to you.

Kaiser Member Services: (808) 432-5955

Care Transition Team (for selecting a primary care physician, appointment scheduling): (808) 643-5744

Customer Service: (808) 529-9248

National Benefit Services (NBS)
Current members, please let the Customer Service Representative know that you are with RCUH.

Phone: (855) 399-3035 **Service Center now available 2am – 5pm Hawai’i Standard Time
Email: [email protected]

Attachment: Reviewing Your Enhanced Benefits Summary in Employee Self-Service (ESS) & Important Information about Open Enrollment