Welcome EUTF Member
EUTF Supplemental Medical & Prescription Drug Plan Resource Page
This supplemental plan is available for EUTF active employees who have group health coverage under a separate non-EUTF sponsored plan (other than Medicare or Med-QUEST). Retirees and HSTA VB members are not eligible.
This low-cost plan reimburses participants for eligible out-of-pocket costs that arise from their primary medical and prescription drug plans, such as copayments and coinsurances.
PLAN DOCUMENTS & FORMS
Plan Summary
Current Plan Year: 7/1/2024 – 6/30/2025
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Previous Plan Year: 7/1/2023 – 6/30/2024
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Claim Submission Form
Submit Online Claim
Supplemental Plan Document
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Exclusions List
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*Authorization to Release PHI Form
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Other Insurance Form
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2024-2025 Enrollment Guide
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*Your one-time authorization allows Verdegard Administrators, LLC to release your protected health information (PHI), including making payments and explanation of benefits (EOB), to a person or organization that you choose.
CONTACT VERDEGARD HAWAII
Pacific Guardian Tower
1440 Kapiolani Boulevard, Suite 1000
Honolulu, Hawaii 96814
Hours
Monday – Friday 7:30 AM – 7 PM (HST)
Saturday 9:00 AM – 1:00 PM (HST)
Walk-in Hours:
Monday through Friday, 7:30 AM – 5 PM HST
Oahu: (808) 951-4643
Neighbor Islands: (866) 437-1992
Fax: (808) 951-4620
Web: https://verdegard-hi.com/EUTF