Open Enrollment in the GCA MEWA Plan Closed on June 30, 2024

Before completing the Participation Agreement below, GCA member-employers must satisfy the following qualification requirements:

  • General Requirements – Employers must certify to having a current federal employer identification number, Hawaii GE tax license and Department of Labor Number, unemployment and temporary disability insurance for each of its employees, worker’s compensation insurance for each employee, deducting FICA taxes from employees, and being in compliance with Hawaii’s Prepaid Health Care Act and the Public Health Service Act Section 2708 as to enrollment of and waiting periods applicable to eligible employees and eligible dependents.
  • Active Employees – Only active employees working at least twenty (20) hours a week for four (4) consecutive weeks will be eligible to participate in the MEWA.
  • Employer Requirements – For employers who are sole proprietorships, partnerships, limited liability companies and corporations with only one shareholder, the owner-employees of the business are eligible to participate in the MEWA Group Plan only if the employer has additional non-owner employees who will also participate in the Group Plan. For corporations with more than one shareholder, shareholder-employees are eligible to participate if either (1) there is more than one shareholder-employee participating in the Group Plan or (2) there are non-owner employees who will participate in the Group Plan.

GCA MEWA Participation Agreement

If your company meets the requirements shown above, you are considered eligible to enroll in the GCA MEWA Group Plan. To apply, please download and complete the following documents:

  1. GCA MEWA Participation Agreement
  2. GCA MEWA Enrollment Application

Send both completed forms to the GCA MEWA Plan Administrator (Group Plan Administrators, Inc.) who will work with GCA of Hawaii to verify eligibility of your firm. After your firm has been deemed eligible for participation in the GCA MEWA Group Plan, the Participation Agreement will be fully-executed and returned to you. The open enrollment period for receipt of the participation agreement and application form is now closed.

Send both forms to:

Group Plan Administrators, Inc.
222 S. Vineyard Street, PH4
Honolulu, HI 96813
Tel: (808) 523-9411 | Fax: (808) 533-6789

Please note that your Enrollment Application Form will not be processed until your Participation Agreement has been approved and executed.