Hawaii Employer-Union Health Benefits Trust Fund

EVENT DESCRIPTION: Retiree must terminate spouse’s or civil union partner’s EUTF or HSTA VB coverage

WHEN EC-2/EC-2H MUST BE SUBMITTED TO EUTF: Within 45 days of date of legal separation. If EC-2/EC-2H is filed more than 45 days after date of legal separation, retiree is responsible for paying the employer contribution premiums retroactive to the legal separation date.

DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-2/EC-2H: Court document establishing legal separation, including any pages regarding health benefits to children

EFFECTIVE DATE: First day of the pay period following the legal separation

CAN I CHANGE PLANS?: No