Enroll your employees

After you have accepted your customized rate proposal quote along with your employee's health benefit plans, the next step is to enroll your employees.

“I have been very pleased with the services that UHA provides, especially Online Enrollment. This service provides instant verification of employee enrollment and allows me to perform my duties more efficiently.”

– Lynn Higa, Human Resources Manager, Maui Chemical & Paper Products, Inc.

Requests for enrollment are only accepted during qualifying enrollment events. View the list of qualifying events.

Member Enrollment

Submit for all regular employees within 31 days of the date the employee becomes eligible for coverage. Employees’ spouses, dependent children to age 26 regardless of marital status, enrollment in school, or residency or disabled children are also eligible to be enrolled.*

*Please note: Spouses and children of adult dependents do not qualify for this coverage.

Dependent Disability Certification

Submit if the member’s child is disabled.

Managing your members is just as easy as enrolling. Most changes in enrollment are only accepted during qualifying enrollment events. View the list of qualifying events.

Member Change Form

Submit if there are changes to a members’ name, address, phone number, or transferring a member to a different division.

Member Termination

Member eligibility terminates on the last day of the month even if the employee was not employed up to the last day of the month. Mid-month terminations are not allowed, and retroactive terminations for prior months will not be accepted. (For COBRA services, submit COBRA Continuation Coverage Election Form)

Eligibility changes will be effective on the first of the month, following receipt of the appropriate form(s). Newborn eligibility begins from the date of birth, if the Member Enrollment form is received by UHA within 31 days from the newborn’s date of birth.