COBRA Continuation in Hawaii

When someone loses their job, they may have limited options to keep their health insurance. In Hawaii, most workers at large companies qualify for federal COBRA, which lets them stay on their employer’s plan by paying the full cost. Others may need to explore private health plans through the federal marketplace or a licensed agent.
However, continuation of employer health coverage for ill or incapacitated workers is a state mandate. Hawaii's Prepaid Health Care Act is a protection for employees who are unable to work due to sickness, hospitalization, or a disabling condition. It requires employers to pay their portion of the health insurance cost for up to three months after the month the employee became unable to work.
Continuation Coverage Under Hawaii’s Prepaid Health Care Act
Hawaii's Prepaid Health Care Act requires employers to provide health insurance to eligible employees who work at least 20 hours per week for four consecutive weeks. If an employee becomes sick or is hospitalized and can’t work, the law says the employer must continue to pay for that employee’s health coverage. This must be done for up to three months following the month the employee became unable to work.
This continuation only applies when the employee is not working because of a medical condition. The employer must keep paying their part of the insurance cost during this time, as if the employee were still on the job. The goal of this rule is to make sure people don’t lose their health insurance just because they are too sick to work.
COBRA Costs an Average of $583 per Month in Hawaii
In Hawaii, if you choose to continue your work health insurance you will be responsible for the full premium, including the portion previously paid by your employer.
Applying for COBRA in Hawaii
The federal COBRA law allows you to keep your employer-sponsored health insurance if your employer has 20 or more full-time workers participating in the company health plan.
To continue your work health plan, you will need to apply through your employer or a third-party administrator responsible for managing COBRA benefits.
Helpful Resources in Hawaii
Affordable Alternatives to COBRA in Hawaii
In Hawaii, the average health insurance premium is $583/mo per individual. If COBRA is unavailable or is outside of your budget, here are affordable other options for health coverage.
The cost of health insurance is determined by your age and state of residency.
Affordable Care Act for Pre-Existing Conditions Hawaii
Like employer-sponsored group health plans, all Affordable Care Act (ACA) marketplace plans are required to cover pre-existing conditions without exception. These plans also include a comprehensive set of essential health benefits, which means they must cover doctor visits, hospital care, emergency services, surgeries, maternity and newborn care, mental health treatment, and prescription medications. This ensures that individuals and families receive broad, reliable coverage regardless of their health history.
Get an ACA Health Plan QuoteBudget-Friendly Health Coverage Solutions
In Hawaii you can bridge a gap using one of the following plans:
Health Continuation Laws by State
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Colorado
- Connecticut
- Delaware
- Florida
- Georgia
- Idaho
- Illinois
- Indiana
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maine
- Maryland
- Massachusetts
- Michigan
- Minnesota
- Mississippi
- Missouri
- Montana
- Nebraska
- Nevada
- New Hampshire
- New Jersey
- New Mexico
- New York
- North Carolina
- North Dakota
- Ohio
- Oklahoma
- Oregon
- Pennsylvania
- Rhode Island
- South Carolina
- South Dakota
- Tennessee
- Texas
- Utah
- Vermont
- Virginia
- Washington
- West Virginia
- Wisconsin
- Wyoming

