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HOW DOES AN EMPLOYER PROVIDE PHC COVERAGE?

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HOW DOES AN EMPLOYER PROVIDE PHC COVERAGE?

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• 1) purchasing an approved health care plan from a health care contractor or a Hawaii licensed insurance carrier; • 2) adopting an approved self-insured health care plan (Form HC-4, Form HC-61); or • 3) purchasing an insured plan of its choice. The employer selects the health care contractor and the plan type. As a self-insurer, the employer must show proof of financial solvency and ability to pay benefits by furnishing this Division with the latest audited financial statements for review. Following the initial approval, the audited financial statements must be filed annually for continued approval of the employer’s self-insured plan. All health care plans must be approved by the Department of Labor and Industrial Relations as meeting prescribed minimum standards. Such determination is made by the Director under the advisement of a seven-member Prepaid Health Care Advisory Council consisting of representatives from the medical and public health professions, from consumer interests, an

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