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 ENROLLMENT FORM for ACTIVE EMPLOYEES Hawaii 2003

2003-2025 Form

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Instructions and help about ENROLLMENT FORM FOR ACTIVE EMPLOYEES Hawaii

updating your eutf demographics for active employees brought to you by eutf outreach and training in this video we will go over what to do when you need to make demographic changes such as address change or name change to your eutf health plans reporting address changes [Music] remember to report address changes to the eutf as soon as possible address changes may be submitted by completing the employee address change form available on our website at utf.hawaii.gov submit your employee address change form to your department of human resource or county personnel office doe employees must submit address change forms to the doe ebu office once the employee address change form is received the eutf will notify the health carriers of your new address be advised that all address changes must go through the eutf as healthpine carriers are not able to make changes [Music] reporting name changes [Music] remember to report name changes to the eutf as soon as possible name changes may be submitted

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