To: All RCUH Benefits-eligible Employees
IMPORTANT: This communication was distributed to all Regular-status RCUH employees eligible for health insurance benefits as of April 23, 2025. Communications from Hawaii Employer-Union Health Benefits Trust Fund EUTF and Island Flex are not applicable to RCUH employees.
ALL RCUH benefits-eligible employees are required to submit an electronic Open Enrollment form this year.
Why do all employees need to complete the electronic form?
- Confirm your current enrollments. This is a good time to review your Employee Benefits Summary and ensure you understand what you are enrolled in and what you are paying for (Employee cost).
- Compliance: RCUH is required to report all medical insurance offers to the IRS on an annual basis. A medical insurance waiver is an acknowledgement of the offer of medical insurance.
- Full transparency on changes to monthly premium rates effective July 1st.
The annual benefit open enrollment period is a crucial time to review and adjust your voluntary benefit coverage for the plan year starting July 1, 2025. The mandatory Electronic Open Enrollment Form is now available via RCUH Employee Self-Service.
What you can do during Benefit Open Enrollment:
- Enroll/change your medical and/or dental insurance and add eligible dependents
- Enroll in Flexible Spending Accounts (FSA Healthcare or FSA Dependent Care) for the new plan year
Employees 75-100% FTE may also:
- Request to increase or decrease Group Life Insurance maximum coverage amount
- Request to buy-up Supplemental Long-Term Care Insurance for you and/or eligible family members (must be enrolled in the base plan)
How to Submit the Medical eWaiver:
Please complete this in your Open Enrollment form.
- Log in to your Employee Self-Service
- Click on the Employee Benefits tile to open the electronic form

- Click on the Medical/Vision/Drug button under Benefit Plan to open the Medical page
- Click on Medical Waiver (B5W) Form
- Return and Save
- Don’t forget to Submit

Reminders:
- FSA Healthcare and Dependent Care enrollments do not carry over to the next plan year automatically! Unlike health plans, if you are currently enrolled in the Flexible Spending Healthcare or Dependent Care Account and you wish to continue your benefit, you must re-enroll for the new plan year (July 1, 2025 – June 30, 2026) as plan elections do not rollover.
- Current FSA Enrollees: Use or Lose reminder – If you are currently enrolled in an FSA Healthcare or FSA Dependent Care benefit, any remaining funds must be spent by June 30, 2025 or they will be forfeited. You will have until September 28, 2025 to submit any remaining receipts (of any funds spent before or on June 30, 2025) to National Benefit Services (NBS).
- Contact Information: Please ensure your mailing address and phone numbers are correct on the Employee Self-Service. This is where your health/FSA cards (if applicable) will be mailed and how we will confirm your benefit enrollments for the new plan year. Outside of the annual open enrollment communications, these are the contacts RCUH HR will use to contact you regarding eTimesheets, tax forms, and other important communications.
Helpful Resources:
- RCUH Open Enrollment Webpage: Your go-to resource for everything RCUH Benefit Open Enrollment, including the RCUH Guide to Health and Welfare Benefits, Health insurance rates and comparisons, Benefit Building Block Series/Open House webinar meetings, and more!
- Open Enrollment Quick Guide
- RCUH Guide to Health and Welfare Benefits
- RCUH Health Insurance Rate Sheet (Plan Year: July 1, 2025 – June 30, 2026)
- RCUH Medical Insurance Comparison Chart (Plan Year: July 1, 2025 – June 30, 2026)
- Supplemental Long Term Care Application Instructions
- Benefit Spotlight Series: Understanding Your Benefits Summary
Questions about Open Enrollment? Contact the RCUH Employee Benefits Section at [email protected] or (808) 956-7055 or (808) 956-2326.
For assistance with Employee Self-Service (ESS) access, contact RCUH HR Help Desk at [email protected] or (808) 956-8900.