Skip to Content
Skip to Navigation
Skip to Footer
Hawaii.gov
Text size:
Smaller
|
Reset
|
Larger
Government Directory
State of Hawaii
Hawaii Employer-Union Health Benefits Trust Fund
Search this site
Search button
Menu
Home
About EUTF
Active
EUTF Active
EUTF/HSTA ACTIVE
EUTF Active Members and HSTA Active Members who are enrolled in EUTF plans.
Plan Benefits
HMSA
CVS Caremark
Kaiser Permanente
Verdegard (formerly HMA)
HDS
VSP
Securian
Premium Conversion Plan
Enrollment & Premiums
Eligibility
Enrollment Overview
Qualifying Events
Premiums & Contributions
EUTF Premium Plan Comparison Tool
Forms & Documents
2024-25 Reference Guide
2024-25 EC-1 Form
New Hire Enrollment Guide
Pre-Retirement Checklist
View All Forms
Close
HSTA VB Active
HSTA VB ACTIVE
Hawaii State Teacher's Association Active Members who were enrolled in HSTA VEBA plans previously and maintained continuous enrollment in HSTA VB Plans after the transition to EUTF.
Plan Benefits
HMSA
CVS Caremark
Kaiser Permanente
HDS
VSP
Securian
Premium Conversion Plan
Enrollment & Premiums
Eligibility
Enrollment Overview
Qualifying Events
Premiums & Contributions
EUTF Premium Plan Comparison Tool
Forms & Documents
2024-25 Reference Guide
2024-25 EC-1H Form
New Hire Enrollment Guide
Pre-Retirement Checklist
View All Forms
Close
Close
Future Retirees
Future Retirees
EUTF FUTURE RETIREE
EUTF Future Retirees who are enrolled in EUTF plans.
Plan Benefits
HMSA
CVS/SilverScript
Kaiser Permanente
Humana
HDS
VSP
Securian
Enrollment & Premiums
Eligibility
Enrollment Overview
Qualifying Events
Premiums & Contributions
EUTF Premium Calculators
Forms & Documents
2024 Retiree Highlights Guide
2025 Retiree Highlights Guide
2024 EC-2 Form
2025 EC-2 Form
Pre-Retirement Checklist
Medicare Checklist
View All Forms
Close
Close
Retirees
EUTF Retiree
EUTF RETIREE
EUTF Retirees who are enrolled in EUTF plans.
Plan Benefits
HMSA
CVS/SilverScript
Kaiser Permanente
Humana
HDS
VSP
Securian
Enrollment & Premiums
Eligibility
Enrollment Overview
Qualifying Events
Premiums & Contributions
EUTF Premium Calculators
Forms & Documents
2024 Retiree Highlights Guide
2025 Retiree Highlights Guide
2024 EC-2 Form
2025 EC-2 Form
Medicare Checklist
Address Change Form
FAQs
View All Forms
Close
HSTA VB Retiree
HSTA VB RETIREE
Hawaii State Teacher's Association Retirees who were enrolled in HSTA VEBA plans previously and maintained continuous enrollment in HSTA VB Plans after the transition to EUTF.
Plan Benefits
HMSA
CVS/SilverScript
Kaiser Permanente
HDS
VSP
Securian
Enrollment & Premiums
Eligibility
Enrollment Overview
Qualifying Events
Premiums & Contributions
EUTF Premium Calculators
Forms & Documents
2024 Retiree Highlights Guide
2025 Retiree Highlights Guide
2024 EC-2H Form
2025 EC-2H Form
Medicare Checklist
Address Change Form
FAQs
View All Forms
Close
Close
Health and Wellness
Learning Center
Medicare
Home
»
Retirees
»
HSTA VB Retiree
»
HSTA VB Retiree – Premiums & Contributions
Sidebar Style
HSTA VB RETIREE – ELIGIBILITY
Plan Benefits
HMSA
CVS/SilverScript
Kaiser Permanente
HDS
VSP
Securian
Enrollment & Premiums
Eligibility
Enrollment Overview
Qualifying Events
Premiums & Contributions
EUTF Premium Calculators
Forms & Documents
FAQs
HSTA VB Retiree – Premiums & Contributions
January 1 - December 31, 2025
January 1 - December 31, 2024
Retiree Worksheet
(PDF)
Retiree Worksheet
(PDF)
Employer Contribution Table
