Hawaii Employer-Union Health Benefits Trust Fund

EVENT DESCRIPTION: Employee wishes to add unmarried dependent child in dental or vision plan because child became a full-time student and is between the ages of 19 through 23

WHEN EC-1/EC-1H MUST BE SUBMITTED TO EMPLOYER (Personnel Office): Within 45 days from school start date

DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Student certification from an accredited school on school letterhead with registrar’s signature confirming full-time status or certificate from the National Student Clearinghouse if enrolling a dependent(s) ages 19 through 23, in dental and/or vision. Transcripts are not accepted.

EFFECTIVE DATE: Employee can choose: The Event Date, first day of the pay period following the Event Date or first day of the 2nd pay period following the Event Date.

CHANGES ALLOWED TO PLANS?: No plan changes allowed if already enrolled. May enroll in dental and/or vision plans if not already enrolled.