Active Employees – Open Enrollment

Open Enrollment runs from May 1 through May 30, 2025
The elections you make during Open Enrollment will be effective July 1, 2025 – June 30, 2026
Active Employee Open Enrollment Fair
Open Enrollment Decision-Making Resources
2025-26 Employee Health Benefits Reference Guide – Revised 05.01.25 (PDF)
Open Enrollment Informational Session Schedule (PDF)
Open Enrollment and Pre-Retirement Flier (PDF)
Biometric Screening Flier – May 12, 2025 – Kapolei State Office Building (PDF)
Biometric Screening Flier – May 16, 2025 – State Office Tower (PDF)
EUTF Active Employee Rates and Contributions
Bargaining Units 00, 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 13 (PDF)
Bargaining Units 11, 12, 14, 15 (PDF)
HSTA VB BU 05 (PDF)
Enrollment Forms
For EUTF plans (Bargaining Units 00, 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 13): 2025-26 EC-1 Enrollment Form (PDF)
For EUTF plans (Bargaining Units 11, 12, 14, 15): 2025-26 EC-1 Enrollment Form (PDF)
For HSTA VB plans: 2025-26 EC-1H Enrollment Form (PDF)
What You Need to Know
Open Enrollment is the time to decide if your (and your dependents’) current health coverage will meet your needs for 2025-2026. During the Open Enrollment election period (May 1-30, 2025), you can:

  • Add, change, or drop a health plan
  • Add or remove one or more dependents
  • Change coverage tiers (e.g., move from Self to Family or Family to Two-Party coverage)
What’s New for 2025-2026
Effective July 1, 2025, dependent children ages 19-25 will be eligible to enroll in EUTF dental and vision coverage through age 25, regardless of student or marital status, and they do not need to live with the employee. Open Enrollment is your opportunity to enroll or re-enroll your child.
What You Need to Do
  1. Consult the chart for what actions to take.
  2. Review the Required Supporting Documents and Open Enrollment Decision-Making Resources.
Your Situation
Actions to Take
Deadline
If you decide to NOT make changes to your current plans
No action needed. Your current plan elections will continue through June 30, 2026.
N/A
If you decide to make changes or are enrolling for the first time
Submit enrollment changes electronically through the EUTF Member Self-Service Portal

OR

Complete and submit the EC-1 (or EC-1H for those enrolled in HSTA VB benefit plans) enrollment form and supporting documents to your employer’s Open Enrollment designee

May 30, 2025, for changes to be effective July 1, 2025.
Please note: The EUTF will not contact you regarding outstanding supporting documents and late submissions will not be accepted.
Required Supporting Documents
Enrollment Situation
Required Supporting Documents
If you’re enrolling yourself only
No documents required
If you’re adding a spouse/partner
  • Marriage or Civil Union Certificate
  • Domestic Partnership
    • Notarized Declaration of Domestic Partnership
    • Affidavit of Dependency & Acknowledgement, and
    • Two sets of documents showing shared residency
If you’re adding a dependent child
  • Birth Certificate
  • Guardianship Decree (if you’re the legal guardian)
  • Adoption Decree (if the dependent child is placed for adoption or adopted)