Page 13 - Dawson
P. 13
Hawaii Employee
Medical and Prescription
Drug Benefits
Hawaii based employees are offered two medical plans from which
to choose:
1. UHA PPO plan
2. Kaiser HMO plan
All Hawaii-based employees must elect or waive coverage. If you do
not waive medical coverage and complete waiver form, DAWSON will
automatically enroll you in the Kaiser HMO plan for single coverage and
$40.10 will be deducted from your pay check for coverage. As a reminder,
you will not be permitted to terminate this coverage unless you have a life
event.
The UHA PPO plan provides both in and out of network beneits,
with better beneits and discounts if care is provided by participating
providers. You and your covered family members are not required to
select a Primary Care Physician (PCP), nor obtain a referral to seek
specialist care.
The Kaiser HMO plan only provides services from participating
HMO providers. You and each covered family member must designate
a PCP and obtain a referral prior to seeking specialist, outpatient or
inpatient services.
Hawaii Pretax Full Time Medical Contributions
Medical
Bi-Weekly* Weekly
UHA PPO
Employee $47.73 $22.03
Employee/Spouse $199.71 $92.17
Family $298.36 $137.70
Kaiser HMO
Employee $40.10 $18.51
Employee/Spouse $165.73 $76.49
Family $248.59 $114.73
* During the two months in a year that have three pay periods (January and July), beneits will
only be deducted from the irst two paychecks.
Dawson 13
Medical and Prescription
Drug Benefits
Hawaii based employees are offered two medical plans from which
to choose:
1. UHA PPO plan
2. Kaiser HMO plan
All Hawaii-based employees must elect or waive coverage. If you do
not waive medical coverage and complete waiver form, DAWSON will
automatically enroll you in the Kaiser HMO plan for single coverage and
$40.10 will be deducted from your pay check for coverage. As a reminder,
you will not be permitted to terminate this coverage unless you have a life
event.
The UHA PPO plan provides both in and out of network beneits,
with better beneits and discounts if care is provided by participating
providers. You and your covered family members are not required to
select a Primary Care Physician (PCP), nor obtain a referral to seek
specialist care.
The Kaiser HMO plan only provides services from participating
HMO providers. You and each covered family member must designate
a PCP and obtain a referral prior to seeking specialist, outpatient or
inpatient services.
Hawaii Pretax Full Time Medical Contributions
Medical
Bi-Weekly* Weekly
UHA PPO
Employee $47.73 $22.03
Employee/Spouse $199.71 $92.17
Family $298.36 $137.70
Kaiser HMO
Employee $40.10 $18.51
Employee/Spouse $165.73 $76.49
Family $248.59 $114.73
* During the two months in a year that have three pay periods (January and July), beneits will
only be deducted from the irst two paychecks.
Dawson 13
