Hawaii Employer-Union Health Benefits Trust Fund

EVENT DESCRIPTION: Employee wishes to add child to EUTF plans

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

DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H: Guardianship decree, Birth certificate, and Social Security Number submitted within 45 days from the guardianship date.

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 plans if not already enrolled or may add dependents to current plans if already enrolled.