NEW – Premium Payment Options

Posted on Mar 24, 2017 in .

Premium Payment Options

You may use one of the payment options below to submit payment for EUTF health benefit premiums if you are one of the following:

  • An active employee for which all or a portion of your health benefit premium deductions are not being deducted from your paycheck.
  • A retiree that pays all or a portion of your health benefit premiums.

Note: We do not accept COBRA premiums through this payment option. COBRA premium payments should be coordinated with the appropriate insurance carrier(s).


NEW! Deductions Directly From Your Bank Account (ACH Payment)

This payment option allows you to deduct monthly premiums directly from your checking or savings account.  Click on the link below to download the ACH Deduction Authorization Agreement (ACH-001).

ACH Deduction Authorization Agreement Form

If withdrawing from a checking account, please be sure to attach a VOIDED check to the form.  Deductions from your account will begin the 1st of the month following receipt of your completed form.  However, if we receive your completed form after the 10th of the month, your deductions will begin the 1st of the second month after receipt of your completed form.  (For example, if we receive your form on April 10, 2017, your deductions will begin on May 1, 2017.  If we receive your form on April 11, 2017, your deductions will begin on June 1, 2017)

Please return your completed form to:

EUTF
P.O. Box 2121
Honolulu, HI 96805-2121

You may cancel your automatic payments at any time by completing an ACH Termination Form (ACH-002).  Your automatic payments will stop the month after we receive your completed ACH-002, if received by the 10th of the month.  Otherwise, your deductions will stop the second month after receipt of your completed form.

Credit Card or Electronic Check Payment Options

This service allows you to submit payment for your EUTF health plan premiums by credit card or electronic check (service fees may apply).  Click here to get started: Credit Card or Electronic Check Payments

Personal Check, Cashier’s Check or Money Order

Personal check, cashier’s check or money order payments may be made in person at the EUTF (201 Merchant Street, Suite 1650, Honolulu, HI 96813) or by mail to the EUTF lockbox (P.O. Box 30700, Honolulu, HI 96820-0700).