This Memorandum is directed to all insurance companies, mutual benefit societies, and health maintenance organizations authorized to write health insurance in the State of Hawaii (collectively, “health insurers”).

It remains vital to public health that individuals across all age groups maintain access to COVID-19 vaccinations to prevent severe illness and hospitalization. Accordingly, the Commissioner expects health insurers to continue providing COVID-19 vaccination coverage for individuals aged six months and older without imposing cost-sharing requirements and utilization management even for off-label indications.