Post on 26-Feb-2021
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2019 Open Enrollment Informational Session
For Human Resource and County Personnel Officers
Hawaii Employer-Union Health Benefits Trust Fund
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Employer-Union Health Benefits Trust Fund
State of Hawaii
Open EnrollmentImportant dates, form submission
deadlines and EUTF website resources
Enrollment FormCompleting and submitting forms for
open enrollment
Premiums and ContributionsNew premiums, Information on collective
bargaining and employer/employee contributions
Health Plan SelectionKnow what to consider when
selecting a health plan
Health & WellnessIdentify ways to reduce healthcare
cost and improve your health
Changes for 2019Benefit changes and new life
insurance carrier
Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment Form
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
IMPORTANT DATES
APRIL MAY JUNE JULY JUNE
*Do not expect extensions this year*
Election PeriodApril 1, 2019 - April 30, 2019
Submission Deadline April 30, 2019*
Employees who wish to enroll or make changes must complete and submit an EC-1 or EC-1H enrollment form and any required proof documents on or before the submission deadline to their HRO, CPO, EBU office or enrollment designee. For employees who do not want to make changes, no action is needed.
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
IMPORTANT DATES
APRIL MAY JUNE JULY JUNE
*Do not expect extensions this year*
Election PeriodApril 1, 2019 - April 30, 2019
Submission Deadline April 30, 2019*
Submission deadline for enrollment forms and proof documents to the EUTF by Human Resource Officers, County Personnel Officers and DOE-EBU is May 7th 2019 by mail or courier only. (No fax) Other non-OE related enrollment forms maybe faxed to the EUTF.
Submission DeadlineHRO/CPO/EBU
May 7, 2019
Enrollment forms received on or before the deadline will be processed during the months of May and June. Once the enrollment is processed, a confirmation notice will be mailed to the employee. If employees do not receive a confirmation notice by the end of June, please have them contact the EUTF. If they are not enrolling or making changes during the election period, they will not receive a confirmation notice.
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
IMPORTANT DATES
APRIL MAY JUNE JULY JUNE
Processing PeriodMay – June, 2019
Election PeriodApril 1, 2019 - April 30, 2019
Election PeriodApril 1, 2019 - April 30, 2019
Confirmation NoticeReceived by end of June
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
IMPORTANT DATES
APRIL MAY JUNE JULY JUNE
Processing PeriodMay – June, 2019 July 1, 2019 – June 30, 2020
New Plan YearElection PeriodApril 1, 2019 - April 30, 2019
Election PeriodApril 1, 2019 - April 30, 2019
Processing PeriodMay – June, 2019
New premiums deducted from paycheck
State EmployeesJuly 20, 2019 through July 5, 2020
County EmployeesJuly 15, 2019 through June 30, 2020
The New Plan Year for active employees begins July 1st and continues until June 30th of the following year. All changes made during open enrollment will take effect July 1st. All changes made during open enrollment, including new premiums and contributions, will take effect July 1st.
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
Website: eutf.hawaii.gov
• Open Enrollment
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
Website: eutf.hawaii.gov
• Open Enrollment
o Open Enrollment Informational Session Schedule
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
Website: eutf.hawaii.gov
• Open Enrollment
o Open Enrollment Informational Session Schedule
o Open Enrollment Checklist
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
Website: eutf.hawaii.gov
• Learning Center Tab
o HRO OE Training
o LWOP, Premium Deductions, Shortages and Cancelations
o New Hire and Birth
Website: eutf.hawaii.gov
• Active Employee Tab
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
Website: eutf.hawaii.gov
• Active Employee Tab
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
Website: eutf.hawaii.gov
• Active Employee Tab
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
Website: eutf.hawaii.gov
• Active Employee Tab
• Premium Calculator
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
Website: eutf.hawaii.gov
• Active Employee Tab
• Premium Calculator
• Plan Finder
• Events Calendar
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
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Website: eutf.hawaii.gov
• Active Employee Tab
• Premium Calculator
• Plan Finder
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
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Website: eutf.hawaii.gov
• Active Employee Tab
• Premium Calculator
• Plan Finder
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
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Website: eutf.hawaii.gov
• Active Employee Tab
• Premium Calculator
• Plan Finder
• Events Calendar
EUTF Online Resources
Employer-Union Health Benefits Trust Fund
State of Hawaii
Important Dates Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormOpen Enrollment
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Employer-Union Health Benefits Trust Fund
State of Hawaii
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Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormChanges for 2019
HMSABenefits Effective 7/1/2019 In-Network Provider Members Affected Note
Advance Care Planning No chargeNot subject to 75/25 deductible
EUTF PPO, HMO and HSTA VBProvided during a physicians visit or ER physician visit
Genetic CounselingStandard plan
benefits*EUTF PPO, HMO and HSTA VB -
Annual Preventive Health Exam No chargeNot subject to 75/25 deductible
EUTF PPO and HMO Replaces Routine Physical Exam benefit
Chlamydia and Gonorrhea Screenings for Men
No chargeNot subject to 75/25 deductible
EUTF PPO, HMO and HSTA VB -
Diabetes Prevention Program No chargeNot subject to 75/25 deductible
HSTA VBLimited to once per lifetime. Previously added for EUTF plans eff. 7/1/18.
Dr. Ornish’s Program for Reversing Heart Disease
$20 Copayment Per session
HSTA VBLimited to once per lifetime. Previously added for EUTF plans eff. 1/1/16.
Supportive Care No charge HSTA VBLimited to 90 calendar days in a 12-month period. Previously added for EUTF plans eff. 7/1/17.
*For more information about your coinsurance or copayment, see your HMSA Guide to Benefits.
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormChanges for 2019
Kaiser Permanente
Benefits Effective 7/1/2019 Description Benefit Members Affective
Diabetes Prevention ProgramMembers with pre-diabetes will have access to a facility-based (through YMCA) and digital-based (through Omada) Diabetes Prevention Program.
No charge Active EUTF and HSTA VB
Contact a Kaiser Permanente lifestyle coach at 808-432-2260 to get started.
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormChanges for 2019
CVS/caremark
Benefits Effective 7/1/2019 Description Benefit Notes
Two-Trial Step Therapy
Members will be required to try two generic medications before certain brand-name medications will be covered.
Applies to the following drug classes:
ACE/ARB (treats high blood pressure)COX 2 Inhibitors/NSAIDs (treats pain)Proton Pump Inhibitors (treats acid reflux)Urinary Antispasmodics (treats urinary incontinence).
For ACE/ARB and COX 2 Inhibitors; existing members will not be required to try a second generic
75/25 Maximum Out-of-Pocket (MOOP)
EUTF 75/25 PPO drug plan calendar year MOOP will increase.
Currently: $2,350/$4,700(Individual/Family)
Eff. July 1, 2019:$2,900/$5,800(Individual/Family)
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Specialty Maximum Out-of-Pocket (MOOP)
The specialty calendar year MOOP will increase.
Currently: $2,000 MOOP
Eff. July 1, 2019:$2,500 MOOP
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Specialty Tiered Copayments
Addition of tiered specialty copayments.
Current benefit: 20% of eligible charges; Up to $250 maximum per fill; $2,000 out-of-pocket maximum per calendar year; $30 copay oral oncology specialty medications
Specialty Generic 10% ($200 max)
Specialty Preferred 20% ($300 max)
Specialty Non-Preferred 30% ($400 max)
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormChanges for 2019
Hawaii Dental Service (HDS)Benefits Effective 7/1/2019 Description Benefit Members Affective
Total Health Plus Total Health Plus is a supplemental set of benefits that provides 100% coverage of additional cleanings and fluoride treatments for high risk patients.
See below.Active EUTF and
HSTA VB
Medical Condition or Diagnosis Benefit Frequency
Diabetes Cleanings Two additional per year
CancerCleaningsFluoride Treatments
Two additional per yearTwo additional per year
Oral CancerCleaningsFluoride Treatments
Two additional per yearFour additional per year
Sjögren’s Syndrome CleaningsFluoride Treatments
Two additional per yearFour additional per year
Stroke Cleanings Two additional per year
Heart Attack, Congestive Heart Failure Cleanings Two additional per year
Kidney Failure Cleanings Two additional per year
Organ Transplants Cleanings Two additional per year
Pregnancy Cleanings One additional per year
Medical Risk for Cavities Fluoride Treatments Three additional per year
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormChanges for 2019
Vision Service Plan (VSP)Benefits Effective 7/1/2019 Description Benefit
Standard Progressive LensesStandard progressive lenses (no-line multi-focal lenses) excluding any lens option ad-ons.
Covered at 100% through VSP Providers.(Currently not a benefit)
New Network ProvidersWal-Mart & Sam’s Club have been added to the VSP Network for EUTF
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FramesStandard frame benefit available at all VSP Providers (Costco, Wal-Mart & Sam’s Club)
$120 allowance every other plan year.(Current benefit $65 allowance every other plan year)
NOTE: Impacts all active employees
Effective July 1, 2019
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormChanges for 2019
Life Insurance
Securian Financial (Securian) has been chosen as the new carrier for your Group Life Insurance.
Reduced Benefits After 65 Participants age
$25,028 Age 65 through 69
$17,737 Age 70 through 74
$11,552 Age 75 through 79
$7,701 Age 80 and over
New 2019 Benefit Participants age
$38,505 Under age 65
The accelerated death benefit will be up to 100% of your life insurance benefit. The accelerated death benefit allows a terminally ill participant with a life expectancy of 12 months or less to request early payment of their life insurance benefit.
Reduced Benefits 65 and Over:
What is collective bargaining?
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment Form
Collective Bargaining
The portion of premiums paid by the employer are negotiated within the collective bargaining
process. The Employer portion of health premiums is not subject to arbitration and is described in
the collective bargaining agreements.
If settlement on employer contributions to EUTF/HSTA VB plans has not been completed timely,
employers will continue their July 1, 2018 to June 30, 2019 monthly contributions until an
agreement is reached.
Please visit the EUTF website at eutf.hawaii.gov for premium amounts and updated
employee/employer contribution amounts once collective bargaining agreements are reached.
Premiums and Contribution
Employer-Union Health Benefits Trust Fund
State of Hawaii
Things to Consider
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Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormHealth Plan Selection
PREMIUMS
DEDUCTIBLE
The monthly amount paid for your health insurance shared between the employer and employee.
Does not apply to all plans or all services and cannot be paid in advance. Must be paid each calendar year on a claim-by-claim basis before benefits subject to the annual deductible become available.
CALENDAR YEAR PLAN YEAR
MAXIMUM
OUT-OF-POCKET
IN-NETWORKOUT-OF-NETWORK
COINSURANCECOPAYMENT
Jan 1st to Dec 31st - Includes medical and prescription drug benefits.July 1st to Jun 30th - Includes dental and vision benefits.
The maximum amount in deductibles, coinsurance and copayments you will pay for covered medical and prescription drug cost within a calendar year.
Coinsurance is your out-of-pocket cost based on a percentage of the in-network negotiated or eligible charge. Copayment is your out-of-pocket fixed dollar amount.
Physicians, hospitals, pharmacies and other providers contracted with your health plan. Providers that are not contracted with your health plan.
Calendar Year -Plan Year -
In-network -Out-of-network -
Employer-Union Health Benefits Trust Fund
State of Hawaii
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Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormHealth Plan Selection
Maximum Out-of-Pocket (MOOP)
• Financial protection• All covered coinsurance, copayments and deductibles apply towards MOOP• Insurance company keeps track of out-of-pocket• When MOOP is reached – 100% coverage• Member is still responsible for taxes• Resets every calendar year
EUTF 90/10 PPO Plan HMSA$2,000/$4,000 (medical)
$4,350/$8,700(CVS prescription drug)
EUTF 80/20 PPO Plan HMSA$2,500/$5,000 (medical)
$4,350/$8,700(CVS prescription drug)
EUTF HMO Comprehensive Kaiser$2,000/$6,000
(medical and prescription drug)
EUTF 75/25 PPO Plan HMSA$5,000/$10,000 (medical)
$2,900/$5,800(CVS prescription drug)
EUTF HMO Standard Kaiser$2,500/$7,500
(medical and prescription drug)
EUTF HMO HMSA$1,500/$3,000 (medical)
$4,350/$8,700(CVS prescription drug)
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HMSA 80/20HMSA 90/10 HMSA 75/25HMSA PPO Plan Comparison for Self-only
Total Estimated Annual Cost:
Annual Employee Premium Contribution* $4,786 $3,180
Rick anticipates 4 doctor visits during the calendar year. His doctors charge $100 per
visit before insurance pays. Total $400**
Coinsurance 10%$40
Coinsurance 20%$80
$0 $0$4,786 $3,180
Calendar Year Maximum Out-Of-Pocket (MOOP)
Coinsurance less than
$2,500 MOOP
Rick is considering enrolling in either the 90/10, 80/20 or 75/25 Self-only plan
(Low dollar example)
$988
Coinsurance 25%$100
Coinsurance less than
$5,000 MOOP
$4,826 $3,260
$0$0Calendar Year Plan Deductible
Coinsurance less than
$2,000 MOOP
$0$988$1,088
The HMSA 75/25 PPO Plan for Self-only offers Rick the most savings in this scenario
$300$300
*Based on employer contribution from July 1, 2018 through June 30, 2019** Examples do not include any out-of-network and non-covered services or any applicable taxes
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HMSA 80/20HMSA 90/10 HMSA 75/25HMSA PPO Plan Comparison for Self-only
Total Estimated Annual Cost:
Annual Employee Premium Contribution* $4,786 $3,180
Rick anticipates $19,100 in covered in-network medical expenses (with $300
subject to the 75/25 deductible) from January 2019 - April 2019**
Coinsurance 10%$1,910
Coinsurance 20%$3,820
$0 $0$4,786 $3,180
Calendar Year Maximum Out-Of-Pocket (MOOP)
Coinsurance exceeds
$2,500 MOOP
Rick is considering enrolling in either the 90/10, 80/20 or 75/25 Self-only plan
(High dollar example)
$988
Coinsurance 25%
Coinsurance + deductible reaches
$5,000 MOOP
Coinsurance 20%$2,500
$6,696 $7,000$5,680
$18,800X 25%$4,700
Coinsurance 25%$4,700
$0$0 $300Calendar Year Plan Deductible
Coinsurance less than
$2,000 MOOP
$0$988$5,988
The HMSA 80/20 PPO Plan for Self-only offers Rick the most savings in this scenario
*Based on employer contribution from July 1, 2018 through June 30, 2019** Examples do not include any out-of-network and non-covered services or any applicable taxes
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Standard PlanComprehensive PlanKaiser HMO Plans
Total Estimated Annual Cost:
Annual Employee Premium Contribution* $3,066 $725
Malia will undergo surgery and was told the cost before insurance could be $50,000 at an in-network Kaiser facility this year.**
No ChargeCoinsurance 15%
$7,500
$0 $0$3,066 $725$3,225
Calendar Year Maximum Out-Of-Pocket (MOOP)
$2,000Not met
$2,500Met
Malia is considering enrolling in the Kaiser Comprehensive or Standard plan
Total estimated annual savings under the Kaiser Comprehensive plan: $159
Coinsurance 15%$2,500
*Based on employer contribution from July 1, 2018 through June 30, 2019** Examples do not include any out-of-network and non-covered services or any applicable taxes
E
Supplemental Plan Option
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EUTF HMSA 80/20 PPO CVS Prescription Drug Plan
$9,904 Coinsurance of Primary Plan(Up to the eligible charge)
EUTF Secondary Coverage Options
Employees who are covered under a non-EUTF group sponsored medical and prescription drug plan may enroll in an EUTF medical and prescription drug plan.
Non-EUTF HMSA 80/20 Medical & Prescription Drug Plan
Family MOOP$7,500 – Medical
Employee is considering enrolling in either an EUTF HMSA 80/20 PPO plan with CVS Prescription Drugs or the EUTF Supplemental Medical & Prescription Drug Plan offered through HMA.
Non-EUTF Coverage
Type Health Plan Maximum Out-of-Pocket for Medical Health Plan Selection
Example
*Examples do not include prescription drug maximum out-of-pocket comparisons**Reimbursements do not include non-covered services or taxes
*
HMA Supplemental***
Medical & Prescription Drug Plan$378
Coinsurance of Primary PlanAll Services: $2,750 per person, including
Sublimit for Prescription Drugs: $250 per person
Health Plan Options Annual EUTF Premiums Reimbursement**Annual Member
Cost Benefit
***Plan does not coordinate with Medicare or MedQuest
-$2,404
$7,122
Employer-Union Health Benefits Trust Fund
State of Hawaii
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EC-1 Enrollment Form
• Please ensure you have the correct formthen complete all sections of the EC-1
• Attach any applicable proof documents
• Submit forms on or before the April 30th deadline to your:
o Human Resource Officero County Personnel Officeo EBU Office (DOE)o Enrollment Designee
Enrollment Form
Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormEnrollment Form
(Except the Coverage Start Date section)
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Employee Data
Employer-Union Health Benefits Trust Fund
State of Hawaii
Who We Are Health Plan Options Premiums and Contribution Health Plan Selection Making ChangesEnrollment
Leave this section blank
Coverage Start Date
Check the box of each plan you wish to enroll in. You may enroll in only one medical/prescription drug plan.
A spouse/partner and/or dependent child may enroll in the same plans as the employee, but may not enroll in health plans on their own.
Life insurance is 100% employer-paid and is available for the employee only.
Plan Selection & Contribution
Complete all applicable fields. Check the box labeled “Open Enrollment” and complete all line items under this section.
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Employer-Union Health Benefits Trust Fund
State of Hawaii
Dependent Information
Who We Are Health Plan Options Premiums and Contribution Health Plan Selection Making ChangesEnrollment
List all eligible dependents, including your spouse or partner, you wish to enroll in plans. Complete all line items associated with each dependent.
If this is your first time enrolling your spouse or partner and/or dependents in EUTF plans, please submit the following proof documents.
Employer-Union Health Benefits Trust Fund
State of Hawaii
Proof Documents
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Enrollment Type Required Proof Documents
SELF PLANS No proof documents required
ADDING A SPOUSE/PARTNER Marriage certificate Domestic partnership documents
(available at eutf.hawaii.gov)
ADDING A DEPENDENT CHILD Birth Certificate (if child has a last name different
than the employee) Guardianship Decree (if legal guardian) Adoption Decree (if child is placed for adoption or
adopted)
DEPENDENT CHILDREN AGE 19 – 23 WHO ARE FULL-TIME STUDENTS AND ENROLLING IN DENTAL & VISION PLANS
Student Certification Letter(A letter from school’s registrar or verification certificate from the National Clearinghouse. Transcripts are not accepted)
Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormEnrollment Form
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Employer-Union Health Benefits Trust Fund
State of Hawaii
Other Insurance Information
Who We Are Health Plan Options Premiums and Contribution Health Plan Selection Making ChangesEnrollment
If you or any of your dependents are covered under a non-EUTF health plan, provide the type of plan, name of the plan, subscriber’s name, and name of the dependents enrolled. This helps to ensure that you receive the full benefit of your EUTF and non-EUTF plans by reducing your share of the costs.
Employee’s Signature
Read the statement and if you agree, sign and date the form.
Enrollment forms must be submitted to your human resource officer, personnel office, EBU (DOE employees) or open enrollment designee
on or before April 30, 2019.
All proof documents must be received in order to process enrollment changes.
Form Submission
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Employer-Union Health Benefits Trust Fund
State of Hawaii
Who We Are Health Plan Options Premiums and Contribution Health Plan Selection Making ChangesEnrollment
Submission deadline for enrollment forms and proof documents to the EUTF by Human Resource Officers, County Personnel Officers
and DOE-EBU is May 7th 2019 Submit forms to the EUTF by mail or courier only. (NO FAX)
EUTF201 Merchant Street, Suite 1700Honolulu, Hawaii 96813
All non-OE related enrollment forms maybe faxed to the EUTF.
Employer Form Submission
Employer-Union Health Benefits Trust Fund
State of Hawaii
Confirmation Notice
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Employees who submit their completed form and proof documents on or before the enrollment deadline will have their forms processed during the months of May and June.
If employees do not receive a confirmation notice by the end of June, please have them contact the EUTF. If they are not enrolling or making changes during the election period, they will not receive a confirmation notice.
Employees will use the corrective action form provided with the confirmation notice to notify the EUTF of any EUTF errors.
Only employees who submit an enrollment form will receive a confirmation notice.
Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment FormEnrollment Form
Tips on how to save money
Mail Order VS Retail
Generic Drugs VS Brand Name Drugs
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Urgent Care, online care, minute clinic, and calling
your physicianVS Emergency Room
Annual Physical & Screening
Tobacco Cessation Products & Programs Disease Management Programs
Health Coaching
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Employer-Union Health Benefits Trust Fund
State of Hawaii
Reminders
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Deadline for employees to submit EC-1/EC-1H forms is April 30, 2019.
All proof documents must be received in order to process enrollment changes.
Deadline for employers to submit forms to EUTF isMay 7, 2019.
Open enrollment forms and related proof documents must be mailed or couriered to the EUTF.
Please visit the EUTF website at eutf.hawaii.gov for more information on open enrollment and updates for employee/employer contribution amounts once collective bargaining agreements are reached.
Open Enrollment Premiums and ContributionChanges for 2019 Health Plan Selection Health & WellnessEnrollment Form