Forms & Documents

PSH Insurance, Inc. has access to over 40 high-quality insurance companies. After a review of your specific insurance needs, we can select a company to provide the type of benefit, design, and cost to meet your individual goals and objectives.

 I-9 Form
The purpose is to verify the identity and employment authorization of individuals hired for employment in the United States. Form must be retained and stored by the employer either for three years after the date of hire or one year after employment is terminated.
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> Download I-9 Instructions

 

HC-5 Form

The purpose of this form is used for the following reasons: a) If you work for two or more employers, you must notify each employer whether the employer is the principal employer (the employer responsible for providing health care coverage), b) If you are claiming exemption or waiver from health care coverage. C) If you are changing your principal and or secondary employer designation or if you are terminating your exemption.

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W-4 Form

The purpose is so that your employer can withhold the correct amount of Federal income tax from your pay.

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HW-4 Form

The purpose is so that your employer can withhold the correct amount of State of Hawaii income tax from your pay.

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HMAA PHI Release Form

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HMSA PHI Release Form

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Kaiser PHI Release Form

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UHA PHI Release Form

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Highlights of the Hawaii Prepaid Health Care Law
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Highlights of the Hawaii Worker’s Compensation Law
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Highlights of Temporary Disability Insurance Law

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U.S. Department of Labor Guide to COBRA Benefits

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U.S. Department of Labor Guide to HIPAA

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Frequently Asked Questions on the Hawaii Family Leave Law
> Download Form 

Employee Benefits

Pet Insurance

Make your employees a part of our team and offer them supplementary voluntary Employee Benefit options.

Because pets are family too. Unexpected accidents and illnesses can wreak havoc on your family budget. 

737 Bishop Street, Suite 2120  |  Phone: 531-6211 |  Fax: 531-6216  |  psh@pshinsurance.com
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