HOUSE OF REPRESENTATIVES

H.C.R. NO.

192

TWENTY-FIRST LEGISLATURE, 2002

 

STATE OF HAWAII

 
   


HOUSE CONCURRENT

RESOLUTION

 

REQUESTING THE DIRECTOR OF LABOR AND INDUSTRIAL RELATIONS and the insurance commissioner TO ISSUE A joint WRITTEN CLARIFICATION TO EMPLOYERS, employees, HEALTH INSURERS, HEALTH MAINTENANCE ORGANIZATIONS, AND MUTUAL BENEFIT SOCIETIES on precisely what health benefits are mandated by THE HAWAII PREPAID HEALTH CARE ACT and whether employers are required to provide other mandated health benefits pursuant to certain provisions contained in chapters 431:10a, 432, and 432D, Hawaii revised statutes.

 

 

WHEREAS, the Legislature enacted the Hawaii Prepaid Health Care Act, codified as chapter 393, Hawaii Revised Statutes, in 1974; and

WHEREAS, the Hawaii Prepaid Health Care Act requires employers in the State to provide health care coverage for their regular employees, who work for their employers at least twenty hours per week, through a prepaid group health care plan; and

WHEREAS, most of this coverage has been provided by health insurers under chapter 431:10A, Hawaii Revised Statutes, health maintenance organizations under chapter 432D, Hawaii Revised Statutes, and mutual benefit societies that offer coverage through medical indemnity or hospital service associations under chapter 432, Hawaii Revised Statutes; and

WHEREAS, all these health care coverage providers also typically offer additional benefits including vision, dental, and prescription drug coverage, either independently or as part of a larger benefits package; and

WHEREAS, the Hawaii Prepaid Health Care Act, under section 393-7(c), Hawaii Revised Statutes, specifically requires only hospital, surgical, medical, diagnostic laboratory, maternity, and substance abuse benefits to be provided; and

WHEREAS, the Hawaii Prepaid Health Care Act does not require employers to provide dental, vision, prescription drug, or other benefits coverage to their regular employees; and

WHEREAS, certain provisions in chapters 431:10A, 432, and 432D, Hawaii Revised Statutes, also require the provision of various health benefits coverage, but under varying circumstances and conditions; and

WHEREAS, with the costs of health insurance again spiraling up after several years of relative cost containment, especially during the State's protracted economic downturn and exacerbated by the tragic terrorist attacks on September 11, it must be made clear to employers precisely what health benefits they are required to provide to their regular employees under the Hawaii Prepaid Health Care Act and under certain provisions of chapters 431:10A, 432, and 432D, Hawaii Revised Statutes; and

WHEREAS, in addition, all health insurers, health maintenance organizations, and mutual benefit societies must also be made aware so that they may create and offer appropriate packages of health benefits coverage to employers; now, therefore,

BE IT RESOLVED by the House of Representatives of the Twenty-first Legislature of the State of Hawaii, Regular Session of 2002, the Senate concurring, that the Director of Labor and Industrial Relations and the Insurance Commissioner are requested to issue a joint written clarification to employers, employees, health insurers, health maintenance organizations, and mutual benefit societies on precisely what health benefits are mandated by the Hawaii Prepaid Health Care Act and whether employers are required to provide other mandated health benefits pursuant to certain provisions contained in chapters 431:10A, 432, and 432D, Hawaii Revised Statutes; and

BE IT FURTHER RESOLVED that health insurers, health maintenance organizations, and mutual benefit societies that provide health care coverage in Hawaii are strongly encouraged to create and offer appropriate health benefits coverage packages that conform to the joint written clarification issued by the Director of Labor and Industrial Relations and the Insurance Commissioner; and

BE IT FURTHER RESOLVED that Director of Labor and Industrial Relations and the Insurance Commissioner are requested to submit a copy of their joint written clarification to the Legislature, accompanied by supporting justifications, no later than October 1, 2002; and

BE IT FURTHER RESOLVED that certified copies of this Concurrent Resolution be transmitted to Director of Labor and Industrial Relations and to the Insurance Commissioner who, in turn, is requested to distribute copies to health insurers, health maintenance organizations, and mutual benefit societies offering coverage in Hawaii.

 

 

 

OFFERED BY:

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Report Title:

Medical Insurance