Human Resources
Benefits, Policies, & Forms
Some of the links listed below are linked to documents that can be completed online and electronically signed. A copy of the eSigned document will automatically get sent to an email address you provide and to the HR office. Contact the HR office if you prefer a pdf or hard copy of the forms or are having problems with any of the links.
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Notice
Hawai‘i Labor Relations Board (HLRB) Decision No. 523
Benefits for Probational, Civil Service & Exempt Employees
The benefits information provided below is not a contract or binding agreement. It does not supersede laws, rules, collective bargaining agreements, executive orders, policies and procedures, and benefit plan documents pertaining to the various subject matters covered. Benefits vary by type of employment appointment, collective bargaining agreement and federal and state law, and are subject to change.
Summary of Benefits for State of Hawaii Employees
Health and Life Insurance Benefits
Health Insurance
The State offers eligible employees a choice of health insurance plans – medical, drug, chiropractic, dental, and vision – through the Hawai‘i Employer-Union Health Benefits Trust Fund (EUTF). The EUTF is administratively attached to the Department of Budget and Finance and is under the direction of a Board of Trustees. For more information on the State’s health care plans, please visit the EUTF website at: https://eutf.hawaii.gov/
Premium Conversion Plan
The State’s Premium Conversion Plan (PCP) provides an opportunity to most health care plan participants to save some tax dollars and make the most of their paychecks. Employees of the State who are enrolled in any health care plan offered through the EUTF that qualifies under the PCP Rules, may participate and have their income taxed after their health care plan contributions are deducted, so their take-home pay should be greater than if not enrolled in the PCP.
Group Life Insurance
The State currently pays the monthly premium for group life insurance coverage for eligible employees. No employee contributions are required. This is offered through the Hawai‘i Employer-Union Health Benefits Trust Fund (EUTF). For more information on the Group Life Insurance Plan, visit the EUTF website at www.eutf.hawaii.gov.
Also, some employee organizations (such as unions) offer additional group life insurance plans on a voluntary, self-pay basis. For more information on the alternative group life insurance plans, please call your Employee Organization Representative, as appropriate.
Retirement
Employees’ Retirement System (ERS)
The ERS was established in 1926 to provide retirement allowances and other benefits to State and county government employees. The general administration of the ERS is under the direction of a Board of Trustees, with certain areas of administrative control with the Department of Budget and Finance.
Unlike most private employers’ pension plans, the State’s employee retirement plan has no “offset.” This means that your retirement benefits will not be reduced if you become eligible for Social Security. The ERS will help you keep up with inflation by providing an automatic 2.5% post-pension increase on your original retirement allowance effective July 1, beginning the calendar year after retirement. Members are covered by the provisions of the Contributory, Hybrid and Non-Contributory retirement plans. Visit the ERS website: https://ers.ehawaii.gov/
Retiree Health Benefits
As a State retiree, you may be eligible for health benefits through the Hawaii Employer-Union Health Benefits Trust Fund (EUTF). For information on the health benefit plans offered by the EUTF, please visit the EUTF website at: https://eutf.hawaii.gov/
Deferred Compensation
One of the most important retirement benefits State employees have is the opportunity to participate in the Island $avings Plan, the State of Hawai‘i deferred compensation plan. This is a voluntary pre-tax retirement savings plan designed to give employees a tax break today and build a “nest egg” for their future.
- Deferred Compensation Plan – Island $avings Plan (Empower/Prudential)
- Island Savings Plan Orientation Video
- Island Savings Plan Overview Video
- The Power of Ahupua’a – Pre-recorded presentation incorporating Hawaiian cultural themes into an informational video about the State’s Deferred Compensation Plan: Island Savings Plan by Prudential (a quick registration is required and then the presentation will start automatically)
Vacation Pay Deferral Program
This is a program that provides State employees the ability to defer, to the employee’s deferred compensation plan, pay or compensation that he or she receives for unused vacation leave credits due to separation from service (i.e. resignation, retirement, termination, etc.). Deferring pay for unused vacation leave credits (usually a sizeable amount) can provide tax-savings on such pay in addition to significantly increasing an employee’s retirement savings.
- Vacation Pay Deferral Program Information Sheet ♦ Post-Separation Vacation Pay Deferral Program Forms
Tax Savings Benefits
- Island Flex – The Island Flex Plan is an employee benefit program that provides employees with a way to pay for their eligible health care expenses and dependent care expenses with TAX FREE money. By directing “before tax” money from the employee’s paycheck into one or both of these accounts, they can put up to 41% of the money they are spending on eligible expenses back into their pocket. For many State employees, Island Flex is a great way to turn certain out-of-pocket medical, dental, drug, and vision expenses and dependent care expenses into tax savings and greater spendable income. More information about the benefit, including a brief video, can be found on their website. Island Flex Video
- Premium Conversion Plan – The State’s Premium Conversion Plan (PCP) provides an opportunity to most employees who are health care plan participants to save some tax dollars and make the most of their paychecks. An employee of the State who is enrolled in any health care plan offered through the EUTF that qualifies under the PCP Rules may have their income taxed aftertheir health care plan contributions are deducted, so their take-home pay should be greater than if they do not enroll in the PCP.
- Flex Parking – This benefit program enables State employees of the Executive Branch to have eligible parking fees payroll deducted before Federal, State, and FICA taxes are calculated. Eligible parking fees are those for parking assignments in a lot administered by the Department of Accounting & General Services.
- Pre-Tax Monthly Bus Passes for Oahu – This benefit program enables eligible Oahu employees of the State Executive Branch to purchase monthly bus passes for TheBus, fare coupons for TheHandi-Van and pay vRide (formerly known as Vanpool Hawaii) participation fees through payroll deductions taken prior to Federal, State and FICA taxes being computed.
HI 529 – Hawaii’s College Savings Program (IRC 529)
Because the cost of a college education keeps increasing, the State implemented “HI529 – Hawai`i’s College Savings Program” (“HI529”) to help families save for college. HI529 is a voluntary program designed to assist families to save for a child’s future education, and is administered by the State of Hawai`i’s Department of Budget and Finance.
Once you choose to participate, your contributions are made with after-tax dollars, and you can select from different investment options to suit your personal investment preferences. The earnings on your account grow tax-deferred and qualified withdrawals are tax-free (both federal and Hawaii state taxes).
To make it easier for State employees to participate in HI529, the State now allows employees to contribute to HI529 through payroll deduction.
Resource for Employee Assistant Counseling Help (REACH)
The REACH Program provides confidential, short-term professional counseling services to employees who may be experiencing personal problems that are affecting job performance. The services are free, up to a maximum of three (3) sessions. WorkLife Hawai‘i has been contracted to provide services employee assistance services through a voluntary program that permits employees to seek help on their own. Their services are available 24 hours a day, 365 days a year, for the duration of the contract.
A WorkLife Hawaii counselor, who specializes in the assessment of personal problems, will meet with the employee to explore options and possible resoluions.
Visit the Department of Human Resources Development Employee Benefits page for more information
Benefits for 89-day Hires
Health
PTS Deferred Compensation Retirement Plan
- PTS Deferred Compensation Retirement Plan ♦ PTS Enrollment Form ♦ Deferred Compensation Plan: PTS Video
Policies
Workplace Violence Action Plan/Workplace Violence Program
- DOA Workplace Violence Action Plan Pursuant to Workplace Violence Program (DHRD P&P 800.002) ♦ DOA Workplace Violence Action Plan Acknowledgment ♦ Employee’s Report of Workplace Violence
Discrimination Harassment-Free Workplace Policy
- Discrimination/Harassment-Free Workplace Policy (DHRD P&P 601.001) ♦ Discrimination/Harassment-Free Workplace Policy Acknowledgment ♦ Discrimination Complaint Form (HRD 613 rev 6/13)
Harassment in the Workplace
Acceptable Usage of Information Technology Resources
- Acceptable Usage of Information Technology Resources (DHRD P&P 103.001) ♦ Acceptable Usage of IT Resources Acknowledgment
- 2015-08-07 Memo Reminder of Acceptable Usage of IT Resources Memo & 2015-08-11 Memo Blocking of Media Streaming Services on the State Network
Reasonable Accommodations for Employees and Applicants with Disabilities
- Reasonable Accommodations for Employees and Applicants with Disabilities (DHRD P&P 601.002) ♦ Request for Accommodation for Employees and Applicants
Drug and Alcohol Testing Programs
- UPW Employees (Employees belonging to BU 1 ) ♦ UPW Educational Materials and Employer’s Designee Acknowledgment ♦ UPW Exhibit 63A.09a Resignation Agreement ♦ UPW Supplemental Agreement Alcohol and Controlled Substance Test For Employees Covered Under Section 63A (12 October 2018)
- HGEA Employees (Employees belonging to BU 2, 3, 4, 13) ♦ HGEA Educational Materials, Employer’s Designee, and Employee Receipt Acknowledgment ♦ Drug and Alcohol Testing Memorandum of Agreement (BU 2, 3, 4, 9, and 13) (14 February 2003)
- Executive Order 03-10 (Employees excluded from BU 2, 3, 4, 9, 13, including 89-day hires) ♦ (HGEA handbook)
Ethics
- The State Ethics Code – A Quick Guide for New Employees
- The State Ethics Code – A Quick Guide on Second Jobs and Other Private Business Activities
- The State Ethics Code – A Quick Guide for Employees at State Base Yards and Repair Shops
- The State Ethics Code – A Quick Guide on Post-Employment Laws
- Guide to the State Ethics Code
- Gifts Guidelines
- Campaigning Guidelines
- Fundraising Guidelines
- Other Ethics Guidelines
- Online Ethics Training – At the conclusion of the training, request a completed training certificate to be emailed to the HR Office and not your personal work email address. Contact our office if you have questions.
Leave Policies
- FMLA – Family and Medical Leave Act of 1993 – Contact our office if you may need to go on Hawaii Family Leave or FMLA
- FMLA Fact Sheet #28
- FMLA Poster – Employee Rights Under the Family and Medical Leave Act
- Application for Family Leave under Federal & Medical Leave Act of 1993 (FMLA) (HRD FL-2)
- Certification of Health Care Provider for Employee’s Serious Health Condition (WH 380-E)
- Certification of Health Care Provider for Family Member’s Serious Health Condition (WH 380-F)
- Hawaii Family Leave – Contact our office if you may need to go on Hawaii Family Leave or FMLA
- What You May Need To Know About Your Benefits When You Go On Military Leave
- Leave Share Guidelines
- Other Leaves
- Application for Leave of Absence (G-1)
Other Policies & Notices
- Affordable Care Act Notice
- DOA Internal Complaint Procedure ♦ DOA Internal Complaint Form ♦ Appeals to MAB Fact Sheet
- Emergency Evacuation Notice
- Payroll Payment Policy for New Employees Hired On or After July 1, 1998 (Comptroller’s Memorandum No. 1998-15)
- Positions Requiring a Driver’s License
Collective Bargaining Agreements
Contact the HR office for applicable collective bargaining agreements, MOUs & MOAs
Hawaii Government Employees Association (HGEA)
- Bargaining Unit 2 – Supervisory employees in blue-collar positions
- Bargaining Unit 3 – Non-supervisory employees in white-collar positions
- Bargaining Unit 4 – Supervisory employees in white-collar positions
- Bargaining Unit 13 – Professional and scientific employees
United Public Workers (UPW)
- Bargaining Unit 1 – Non-supervisory employees in blue-collar positions
Other Forms & HR Information
HR Forms
- Employment Eligibility Verification (USCIS I-9) (Provide original identifying document(s) listed on page 4 on your first day of work so your supervisor, secretary, or HR staff can complete Section 2)
- Certificate of Hawaii Residency (HRD 319b) ♦ Certification of Hawaii Residency (HRD 319a) (To be completed only if necessary)
- Act 179 (Retiree) Information & Acknowledgment (HRD 380) ♦ Certification of Compliance with Requirements For Employment of a Retirant (ERS 209) (To be completed only if necessary)
- Personal Information Form
- Emergency Contact
- Voluntary Request for Emergency Evacuation Assistance
- Verification of Prior Government Service (For service computation date)
- Applicant Data Survey (HRD 330)
- Employee Designation of Beneficiary (SA D-90) (For data gathering only)
New hires click here to complete onboarding forms
Application for Non-Civil Service Appointments (89-day & Exempt) & Application for Internal Vacancy Appointments & Applicant Data Survey
- Application for Non-Civil Service Appointments (89-day & Exempt) (HRD 278) (Application should be submitted directly to the HR Office) (pdf only)
- Application for Internal Vacancy Announcement (HRD 315A) (Application should be submitted directly to the HR Office) (pdf only)
- Applicant Data Survey (HRD 330) (pdf only)
Request for Criminal History Record Clearance for State Employment
Payroll Forms
Performance Appraisal System
- Annual Employee Performance Appraisal System (PAS) – Guidelines for Employees (HRD 526A)
- Performance Appraisal System (PAS) – Summary for Employees on Probational Appointment (HRD 526)
Guide for Significant Life Events