- 1974the year Hawaii's Prepaid Health Care Act began requiring most employers to cover workers
- 23,380people in Hawaii chose a marketplace plan for 2026
- $0what it costs you to have a Hawaii licensed broker sort out your options
Most of Hawaii is covered through work, by law
Under the Prepaid Health Care Act, employers must provide health coverage to employees who work at least 20 hours a week and earn at least 86.67 times the Hawaii minimum wage in a month. Coverage generally starts after four consecutive weeks on the job. The employer pays at least half the premium, and the employee's share is capped at the lesser of half the premium or 1.5 percent of their gross monthly earnings. That is a far stronger rule than the federal one, which only looks at people working 30 hours or more.
So who needs a broker in Hawaii? People the law does not cover. That means the self employed, contractors and gig workers, people working fewer than 20 hours a week or juggling several part time jobs, early retirees who are not yet on Medicare, people between jobs, and anyone who just moved to the islands. If that describes you, the individual market is where your coverage comes from.
A small market with two carriers
Because so many people are covered at work, Hawaii's individual market is small. 23,380 people chose a marketplace plan for 2026, down about 5 percent from 24,606 the year before after the enhanced federal tax credits expired. Only two insurers sell marketplace plans in Hawaii, and both are back for 2027.
With two carriers, the real choice is not the company. It is the plan design. Metal level, deductible, the doctors and hospitals in network on your island, and whether your prescriptions are covered all matter more than the logo. About 71 percent of 2026 enrollees received a premium subsidy, averaging about $568 a month, and subsidized enrollees paid about $243 a month on average. Getting your income estimate right is what keeps that subsidy accurate.
What changes for 2027
Both Hawaii carriers raised full price rates for 2027, one by about 13 percent and the other by about 9 percent, before subsidies. No carrier is leaving, so this is a price change rather than a forced switch, but it is still worth comparing instead of auto renewing.
There is also a federal change with a particular Hawaii angle. Starting in 2027, the only noncitizens who qualify for marketplace subsidies are lawful permanent residents, Cuban and Haitian entrants, and COFA migrants from the Compact of Free Association nations. COFA migrants, a large community in Hawaii, keep their eligibility. Some other lawfully present immigrants lose it. If that might affect your household, check before you renew.
Hawaii expanded Medicaid in January 2014, so adults earning up to 138 percent of the federal poverty level may qualify for the state's Medicaid program instead, and people who are eligible can enroll at any time. If that is you, it is usually the better answer, and I will tell you so.
Open enrollment dates for 2027 coverage in Hawaii
Hawaii ran its own exchange in 2014 and 2015 but now uses the federal marketplace at HealthCare.gov, so Hawaii follows the federal calendar.
- November 1, 2026Open enrollment begins for 2027 coverage
- December 15, 2026Last day to choose a plan that starts January 1, 2027
- January 15, 2027Open enrollment closes
Outside that window you need a qualifying life event, such as losing job based coverage, marriage, a new baby, or a permanent move, and each usually opens a 60 day special enrollment period. Losing an employer plan when your hours drop below 20 a week counts as losing coverage. American Indians and Alaska Natives can enroll at any time.
Every 2027 change in Hawaii, carrier by carrier →
How to choose a health insurance broker in Hawaii
Anyone can put "broker" on a website. These are the questions that separate the real ones, and you can ask every one of them in a five minute phone call.
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Verify the license before anything else
Ask for the license number and the NPN, then look them up yourself. Hawaii agents can be checked through the Hawaii Insurance Division, with links to the official license lookup, and every agent in the country is searchable through the NAIC lookup. An agent who hesitates to give you those numbers has told you everything you need to know. Mine are on this page and on my license page.
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Ask whether they are independent or captive
A captive agent works for one insurance company and can only sell you that company's plans. An independent broker is appointed with many carriers and compares across them. Neither is dishonest, but only one of them can tell you when a competitor has the better plan for you.
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Ask what it costs, and be suspicious of any answer other than nothing
Brokers are paid by the insurance carriers. The premium is identical whether you enroll through a broker, on your own, or directly with the carrier. Nobody should charge you a fee to enroll you in an individual marketplace plan.
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Ask how many carriers they can actually quote
"We shop the whole market" is a slogan until someone puts a number on it. Ask which carriers they are appointed with in Hawaii, and ask them to show you the comparison rather than describe it.
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Ask whether they will still be there in March
Plenty of agents are enthusiastic in December and unreachable in the spring, which is exactly when a claim gets denied or a doctor turns out to be out of network. Ask who you call when something goes wrong. The answer should be a person, not a call center.
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Read the reviews, and look at the dates
A handful of genuine reviews spread over time tells you more than a wall of them that all landed in the same week. Mine are on my Google profile and they arrived one at a time, from clients who agreed to write one.
What working with me looks like
You tell me your ZIP code, who needs coverage, and roughly what you expect to earn this year. I check your subsidy eligibility properly, then compare the plans you qualify for side by side, with the real monthly cost after any subsidy is applied. You pick. I handle the enrollment paperwork, and I stay your point of contact afterward for claims questions, renewals, and life changes.
Most first conversations take about ten minutes. There is no cost and no obligation, and I am not going to pressure you into a plan, because a client who was pushed into the wrong coverage is a client who leaves.
Where I work in Hawaii
Statewide. Most of my work happens over the phone or a video call, so where you are in Hawaii changes nothing about the process.
- Honolulu
- East Honolulu
- Pearl City
- Hilo
- Kailua
- Waipahu
- Kaneohe
- Mililani
- Kahului
- Ewa Gentry
- Kihei
- Makakilo
- Wahiawa
- Kapolei
- Kailua Kona
- Waimea
- Lihue
- Kapaa
- Lahaina
- Wailuku
I am also licensed in every other state, so if you are moving or splitting time between two states, that usually is not a problem either.
Who I help most in Hawaii
According to the U.S. Census Bureau, 3.5 percent of people in Hawaii had no health insurance in 2024, below the national rate of 8.2 percent.
Self employed people and 1099 contractors, gig and hospitality workers with fewer than 20 hours a week at any one job, small business owners, people between jobs, early retirees bridging the gap to Medicare, and people who just moved to Hawaii and need coverage before an employer plan starts.
Get your Hawaii quote
Tell me your ZIP and who needs coverage, and I will compare every plan you qualify for with your subsidy applied. Free, no pressure, usually same day.
Get my free quote → Or book a callSources
- Hawaii Department of Labor and Industrial Relations, About the Hawaii Prepaid Health Care Act
- healthinsurance.org, Hawaii health insurance marketplace guide
- healthinsurance.org, Medicaid eligibility and enrollment in Hawaii
- healthinsurance.org, ACA open enrollment deadlines
- U.S. Census Bureau, Health Insurance Coverage by State: 2023 and 2024 (ACSBR-024), Appendix Table 2: Percentage of Uninsured People by State