ABOUT
Open Enrollment runs from May 1 through May 30, 2025. The elections you make during Open Enrollment will be effective July 1, 2025 – June 30, 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 2025-26. During the Open Enrollment election period (May 1-30, 2025), you can:

  • Add, change, or drop a health plan
  • Add or remove one or more dependents
  • Change coverage tiers (eg. move from Self to Family or Family to Two-Party coverage)
What’s New for 2025-26
Effective July 1, 2025, dependent child(ren) ages 19-25 will be eligible to enroll in EUTF dental and vision coverage through age 25, regardless of student or marital status, and they do not need to live with the employee. Open Enrollment is your opportunity to enroll or re-enroll your dependent(s).
What You Need to Do
  1. Consult the chart below for actions to take
  2. Review the Required Supporting Documents and OE Decision-Making Resources sections
Your Situation
Actions to Take
Deadline
If you decide to NOT make changes to your current plans
No action needed. Your current plan elections will continue through June 30, 2026
N/A
If you decide to make changes to your current plans or enrolling for the first time
Submit enrollment changes electronically through the EUTF Member Self-Service Portal
OR
Complete and submit an EC-1 or EC-1H (HSTA VB plans) enrollment form and supporting documents to your employer’s Open Enrollment designee
May 30, 2025, for changes to be effective July 1, 2025

Please note: 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
2025-26 Employee Health Benefits Reference Guide – Revised 05.01.25 (PDF)
Open Enrollment Informational Session Schedule (PDF)
Open Enrollment and Pre-Retirement Flier (PDF)
Biometric Screening Flier – May 12, 2025 – Kapolei State Office Building (PDF)
Biometric Screening Flier – May 16, 2025 – State Office Tower (PDF)
EUTF Active Employee Rates and Contributions
Bargaining Units 00, 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 13 (PDF)
Bargaining Units 11, 12, 14, 15 (PDF)
HSTA VB BU 05 (PDF)
Making Changes to Your Enrollment
EUTF Member Self-Service Portal
For EUTF plans (Bargaining Units 00, 01, 02, 03, 04, 05, 06, 07, 08, 09, 10, 13): 2025-26 EC-1 Enrollment Form (PDF)
For EUTF plans (Bargaining Units 11, 12, 14, 15): 2025-26 EC-1 Enrollment Form (PDF)
For HSTA VB plans: 2025-26 EC-1H Enrollment Form (PDF)