Hawaii Employer-Union Health Benefits Trust Fund

EVENT DESCRIPTION: Employee wishes to add 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 date of school start date

DOCUMENTATION REQUIRED TO BE ATTACHED TO EC-1/EC-1H*: If enrolling a dependent in Dental and/or Vision coverage, student certification from an accredited school/college on school letterhead with registrar’s signature confirming full-time status or an enrollment certificate from the National Student Clearinghouse. Transcripts not accepted.

EFFECTIVE DATE: Employee can choose:

• Date child becomes full time student
• Beginning of next pay period after becoming full time student
• Beginning of 2nd pay period after becoming full time student

CHANGES ALLOWED TO PLANS OR TO ENROLL IN PLANS OR ADD DEPENDENTS?: No