News and Information

October 21, 2019 • News

2020 Form HC-5 Available for Use

The State of Hawaii Department of Labor and Industrial Relations (DLIR) Form HC-5 (Employee Notification to Employer for Calendar Year 2020)(Rev. 09/19) is now accessible on the DLIR website. Use this form if the employee works at least 20 hours per week and:

Employees who elect to waive an employer’s health insurance coverage must sign this form annually.

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