Your path to enrollment
Enroll in high-quality, affordable health care.
How to enroll
Complete the State of Hawaii form that applies to you for verification, signature, and routing to the EUTF within 45 days of the event date (180 days for newborn enrollments).
- If you’re currently not enrolled in the HSTA VB plan, submit your completed EC-1 enrollment form to your personnel officer or enrollment designee.
- If you’re currently enrolled in the HSTA VB plan, submit your completed EC-1H enrollment form to the DOE-EBU or your Charter School Personnel Office.
EC-1H Enrollment Form for HSTA VB
EC-2 Enrollment Form for EUTF Retiree Health Benefits