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ENROLLMENT FORM HAWAII LABORERS HEALTH AND WELFARE TRUST FUND PACIFIC ADMINISTRATORS, INC. 1440 Kaplan Blvd., Suite 800 Honolulu, Hawaii 96814 Phone: Oahu (808× 4418600; Neighbor Islands Dial Direct
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How to fill out hawaii laborers health and
How to fill out Hawaii Laborers Health and?
01
Start by entering your personal information such as your name, address, social security number, and date of birth in the designated fields.
02
Provide your employment details, including the name of your employer, job title, and any other relevant information. This is important for verifying your eligibility for the health benefits.
03
Next, indicate whether you are applying for individual coverage or coverage for your entire family. Depending on your situation, you may need to provide additional information for each family member.
04
Fill out the section related to your current health insurance coverage, if any. Indicate if you have any other insurance plans and provide the necessary details. This information helps determine the coordination of benefits, if applicable.
05
Make sure to accurately report your annual income and employment status. This is crucial for determining your eligibility for government subsidies or other assistance programs.
06
Review all the information you have entered and confirm its accuracy. Pay attention to any additional documents or signatures required to complete the application.
07
Sign and date the form to provide your consent and acknowledgment that the information provided is true and accurate.
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Submit the completed form by mail or online, depending on the submission instructions provided.
Who needs Hawaii Laborers Health and?
01
Workers in Hawaii who are members of the Laborers' International Union of North America (LIUNA) and their eligible dependents are typically the ones who need Hawaii Laborers Health and coverage.
02
Employees engaged in construction, maintenance, and other related activities represented by the Hawaii Laborers Union often benefit from the health and welfare benefits provided by this program.
03
Eligibility criteria may vary, so it is essential to refer to the program's guidelines and consult with the appropriate authorities to determine specific requirements and whether you qualify for Hawaii Laborers Health and coverage.
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What is hawaii laborers health and?
Hawaii Laborers Health and Welfare Trust Fund is a health and welfare fund that provides benefits to eligible laborers and their dependents.
Who is required to file hawaii laborers health and?
Employers in Hawaii who have collective bargaining agreements with labor unions that require contributions to the Hawaii Laborers Health and Welfare Trust Fund are required to file.
How to fill out hawaii laborers health and?
Employers must complete the necessary forms provided by the Hawaii Laborers Health and Welfare Trust Fund, including information on their employees and contributions.
What is the purpose of hawaii laborers health and?
The purpose of Hawaii Laborers Health and Welfare Trust Fund is to provide healthcare and other benefits to eligible laborers and their dependents.
What information must be reported on hawaii laborers health and?
Employers must report information such as employee names, hours worked, wages paid, and contributions made to the Trust Fund.
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