ABOUT
Open Enrollment runs from October 16 through October 31, 2025. The elections you make during Open Enrollment will be effective January 1, 2026 – December 31, 2026.
What You Need to Know
Open Enrollment is the time to decide if your (and your dependents’) current health coverage will meet your needs for 2026. During the Open Enrollment election period (October 16 – 31, 2025), you can:

  • Add, change, or drop a health plan,
  • Add or remove one or more dependents,
  • Change coverage tiers (e.g. move from Self to Family or Family to Two-Party coverage)
What You Need to Do
  • If you decide to keep your current plans, you do not need to take action. You are not required to complete any forms to continue your current coverage.
  • If you are making changes, complete and submit an EC-2 or EC-2H (HSTA VB plans) enrollment form and supporting documents to EUTF.
For open enrollment change requests, submit your completed EC-2 or EC-2H (HSTA VB plans) enrollment form and supporting documents to EUTF via US Mail (201 Merchant Street, Suite 1700, Honolulu, HI 96813) or in-person by October 31, 2025, for changes to be effective January 1, 2026. The EUTF will not contact you regarding outstanding supporting documents and late submissions will not be accepted.
Required Supporting Documents
Enrollment Situation
Required Supporting Documents
If you’re enrolling yourself only
No documents required
If you’re adding a spouse/partner
  • Marriage or Civil Union Certificate
  • Domestic Partnership
    • Notarized Declaration of Domestic Partnership
    • Affidavit of Dependency and Acknowledgement, and
    • Two sets of documents showing shared residency
If you’re adding a dependent child
  • Birth Certificate
  • Guardianship Decree (if you’re the legal guardian)
  • Adoption Decree (if the dependent child is placed for adoption or adopted)

Open Enrollment Decision-Making Resources
2026 Retiree Health Benefits Reference Guide (PDF)
Open Enrollment In-Person Fair Schedule (PDF)
EC-2 Enrollment Form for EUTF Plans (PDF)
EC-2H Enrollment Form for HSTA VB Plans (PDF)
EUTF Retiree Premiums and Contributions
EUTF Plans (Hired before July 1, 2001) (PDF)
EUTF Plans (Hired on or after July 1, 2001) (PDF)
HSTA VB Plans (PDF)