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Get the free Hawaii Employer-Union Health Benefits Trust Fund Enrollment Guide - state hi

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This guide provides retirees in Hawaii with important information regarding the open enrollment period for health benefits, including plan options, instructions for making changes, and important dates
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How to fill out hawaii employer-union health benefits

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How to fill out Hawaii Employer-Union Health Benefits Trust Fund Enrollment Guide

01
Obtain the Hawaii Employer-Union Health Benefits Trust Fund Enrollment Guide from your employer or the official website.
02
Read through the guide to understand the benefits and coverage options available.
03
Fill out the personal information section, including your name, address, and contact information.
04
Indicate your employment details, such as your position and department.
05
Choose the health plan option that best fits your needs from the provided options.
06
Fill out the dependent information section if you are enrolling family members.
07
Review the information you've entered to ensure it is accurate and complete.
08
Sign and date the enrollment form to certify the information and your agreement to the terms.
09
Submit the completed form to your employer or designated representative as instructed.

Who needs Hawaii Employer-Union Health Benefits Trust Fund Enrollment Guide?

01
Individuals who are employed by agencies that participate in the Hawaii Employer-Union Health Benefits Trust Fund.
02
New employees who are eligible for health benefits upon hiring.
03
Current employees who are making changes to their health plan or adding dependents.
04
Employees seeking to understand their health coverage options and enrollment process.
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The Hawaii Employer-Union Health Benefits Trust Fund is responsible for administering health (medical, prescription drug, chiropractic, vision and dental plans) and life insurance benefits to eligible active State and County employees, retirees and eligible dependents.
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Article XXII, Hawaii Employer-Union Health Benefits Trust Fund (EUTF)
How do I change my address? Retirees may complete and submit a Retiree Address Change Form. Once the Retiree Address Change Form is received, the EUTF will notify the health carriers of your new address. Be advised that all address changes must go through the EUTF, as health plan carriers are not able to make changes.
The EC-1 Enrollment Form is used by employees to select and make changes to their health benefit plans. It covers enrollment types, coverage start dates, plan selection, dependent information, and other insurance details. This file is essential for employees to manage their health benefits efficiently.
All changes must be submitted to EPA in a one consolidated letter, on official company letterhead and signed by an authorized company official or agent. This letter must include the following: The company number. The old information that must be changed.

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The Hawaii Employer-Union Health Benefits Trust Fund Enrollment Guide is a document that provides information and instructions for employees on how to enroll in health benefits provided by the fund. It outlines the available health plans, eligibility requirements, and the enrollment process.
Employees of participating public employers in Hawaii who wish to enroll in health benefits are required to file the Hawaii Employer-Union Health Benefits Trust Fund Enrollment Guide.
To fill out the Hawaii Employer-Union Health Benefits Trust Fund Enrollment Guide, employees must complete the required sections by providing personal information, selecting a health plan, and signing the form. It is important to follow the provided instructions carefully to ensure accurate enrollment.
The purpose of the Hawaii Employer-Union Health Benefits Trust Fund Enrollment Guide is to facilitate the enrollment process for employees seeking health benefits, ensuring they understand their options and the necessary steps to obtain coverage.
The information that must be reported on the Hawaii Employer-Union Health Benefits Trust Fund Enrollment Guide includes the employee's personal details (such as name, address, and social security number), selection of health benefits plan, and any dependents to be covered under the plan.
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