Questions

HAVE A QUESTION?



ADDRESS CHANGE

Use this form to notify the EUTF of a change to your home or mailing address. Forms for active employees must be submitted to your department personnel office (or for DOE employees: EBU, P.O. Box 2360, Honolulu, HI 96804). Forms for retirees must be submitted directly to the EUTF.

EUTF Active Employees: EC-1 Form

HSTA VB Active Employees: EC-1H Form

All Retirees: Address Change Form



PREMIUMS AND CONTRIBUTIONS

Premiums and contributions determine the amount you will pay for your health plans. Please visit the links below to find your health plan cost share.

ACTIVE EMPLOYEES:

EUTF/HSTA VB PLANS

RETIREES:

EUTF PLANS

HSTA VB PLANS



PLAN BENEFITS

Need more information on your health plan benefits? View the summary of benefits and coverage links below.

Active Employees:

Summary of Benefits and Coverage (July 1, 2016 – June 30, 2017)

Summary of Benefits and Coverage (July 1, 2015 – June 30, 2016)

Retirees:

Plan Benefits (January 1, 2016 – December 31, 2016)

For additional information, please contact the health plan provider directly.



OPEN ENROLLMENT

Open enrollment is your opportunity to make changes to your health plan enrollment without experiencing a qualifying life event. Open enrollment occurs annually in the spring for active employees and during the fall for retirees. During open enrollment you may add or change health plans, or add or remove dependents from your health plans. Visit the links below for a schedule of open enrollment informational sessions and instructions.

Active Employees:

Open Enrollment Instructions

2017 Schedule of Open Enrollment Informational Sessions – Coming soon!

Retirees:

Open Enrollment Instructions

2017 Schedule of Open Enrollment Informational Sessions – Not available



COMMON QUALIFYING EVENTS

Certain life events allow you to make changes to your EUTF/HSTA VB health plan enrollment. You can make changes to your health plan enrollment if you experience a qualifying life event such as marriage, birth of a child, or divorce. Click the link below to see a list of common qualifying events and instructions on how to make changes to your plans.

ACTIVE EMPLOYEES

RETIREES