RCUH Policies and Procedures

RCUH Retiree Monthly Premium Rate Sheets

Related Information
RCUH Retiree Monthly Premium Rate Sheet: January - June
RCUH Retiree Monthly Premium Rate Sheet: July - December - LINK PENDING

Active Employees Transitioning to RCUH Retiree Status

Forms/Related Information
RCUH Retiree Guide - LINK PENDING
RCUH Retiree Planning Template
RCUH Retiree Group Health & Life Insurance Initial Enrollment Application (Form B-27)
MetLife Life Insurance Policy (RCUH Retirees)
TIAA (Retirement Account) Options When Terminating with RCUH

Active RCUH Retirees (no longer employed by RCUH)

Forms/Related Information
RCUH Open Enrollment Retiree Group Health & Life Insurance Enrollment - LINK PENDING
Contact Information Update Form

Retiree Hawaii Medical Service Association (HMSA)

Forms/Related Information
HMSA Akamai Advantage Summary of Benefits
HMSA Akamai Advantage Form
HMSA Automatic Payment Application
HMSA Authorized Contact Form

Retiree Kaiser Permanente (HMO)

Forms/Related Information
Kaiser Senior Advantage Summary of Benefits - LINK PENDING
Kaiser Senior Advantage Form
Kaiser Automatic Payment Application