Article XXII, Hawaii Employer-Union Health Benefits Trust Fund
Faculty health benefit plans are provided by the Hawaii Employer-Union Health Benefits Trust Fund (also known as EUTF). This article indicates the cost in premiums for faculty members of the various benefit plans.
ARTICLE XXII, HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND
A. Subject to the applicable provisions of §87A and §89, Hawaii Revised Statutes, the Employer shall pay monthly contributions which include the cost of the Hawaii Employer-Union Health Benefits Trust Fund (Trust Fund) administrative fees to the Trust Fund effective July 1, 2003, not to exceed the monthly contribution amounts as specified below:
1. For each Employee-Beneficiary with no dependent-beneficiaries enrolled in the following Trust Fund health benefit plans:
BENEFIT PLAN MONTHLY CONTRIBUTION
a. Medical (PPO or HMO) $141.32
b. Dental $14.80
c. Vision $3.60
d. Dual coverage medical $84.20
e. Dual coverage dental $8.82
f. Dual coverage vision $2.06
The Employer shall pay the same monthly contribution for each member enrolled in a self only medical plan (PPO or HMO), regardless of which plan is chosen.
2. For each Employee-Beneficiary with one (1) or more dependent-beneficiaries enrolled in the following Trust Fund health benefit plans:
BENEFIT PLAN MONTHLY CONTRIBUTION
a. Medical (PPO or HMO) $419.78
b. Dental $50.02
c. Vision $7.68
d. Dual coverage medical $251.28
e. Dual coverage dental $24.94
f. Dual coverage vision $4.38
The Employer shall pay the same monthly contribution for each member enrolled in a family medical plan (PPO or HMO), regardless of which plan is chosen.
3. For each Employee-Beneficiary enrolled in the Trust Fund group life insurance plan, the Employer shall pay $4.16 per month which reflects one hundred percent (100%) of the premium and administrative fee.
B. Effective July 1, 2004, for plan year 2004 – 2005, with the exception of subparagraph 2b. below, the Employer shall pay an amount equivalent to sixty percent (60%) of the final premium rates established by the Trust Fund for the respective health benefit plan plus one hundred percent (100%) of all administrative fees. Such monthly contribution shall not exceed the amounts specified in subparagraphs 1 and 2a. below.
“Health Benefit Plan” shall mean the medical PPO, dental, vision, dual coverage medical, dual coverage dental, and dual coverage vision plans.
The amounts paid by the Employer in subparagraphs 2b. and 3. below shall be based on the plan year 2004 – 2005 final monthly premium rates established by the Trust Fund.
1. For each Employee-Beneficiary with no dependent-beneficiaries enrolled in the following Trust Fund health plans, the amount shall not exceed:
BENEFIT PLANS MAXIMUM MONTHLY CONTRIBUTION
a. Medical (PPO or HMO) $161.34
b. Dental $15.60
c. Vision $3.58
d. Dual coverage medical $96.30
e. Dual coverage dental $9.30
f. Dual coverage vision $2.06
The Employer shall pay the same monthly contribution for each member enrolled in a self only medical plan (PPO or HMO), regardless of which plan is chosen.
2a. For each Employee-Beneficiary with one (1) or more dependent-beneficiaries enrolled in the following Trust Fund health benefit plans, the amount shall not exceed:
BENEFIT PLANS MAXIMUM MONTHLY CONTRIBUTION
a. Medical (PPO or HMO) $481.12
b. Vision $7.66
c. Dual coverage medical $288.16
d. Dual coverage dental $26.36
e. Dual coverage vision $4.36
The Employer shall pay the same monthly contribution for each member enrolled in a family medical plan (PPO or HMO), regardless of which plan is chosen.
2b. For each Employee-Beneficiary with one (1) or more dependent-beneficiaries enrolled in the Trust Fund’s dental plan, the Employer shall pay an amount equivalent to the Trust Fund’s second year dental plan final premium rate adjusted as described in B., but no more than $52.80 per month.
3. For each Employee-Beneficiary enrolled in the Trust Fund group life insurance plan, the Employer shall pay no more than $4.16 per month which reflects one hundred percent (100%) of the premium and administrative fee.
C. Whenever the Employer's monthly contribution to the Hawaii Employer-Union Health Benefits Trust Fund is less than one hundred percent (100%) of the monthly premium amount, such monthly contribution shall be rounded to the nearest cent as provided below:
1. When rounding to the nearest cent results in an even amount, such even amount shall be the Employer's monthly contribution. For example:
· $11.397 = $11.40 = $11.40 (Employer's monthly contribution)
· $11.382 = $11.38 = $11.38 (Employer's monthly contribution)
2. When rounding to the nearest cent results in an odd amount, round to the lower even cent, and such even amount shall be the Employer's monthly contribution. For example:
§ $11.392 = $11.39 = $11.38 (Employer's monthly contribution)
§ $11.386 = $11.39 = $11.38 (Employer's monthly contribution)
D. Calculation of the Employer’s share of family dental cost for FY04-05 shall be determined as follows:
1. Determine the family dental rate without the administrative fee. Determine the single dental rate without the administrative fee.
2. Multiply the single dental rate by two (2) and subtract from the family dental rate. This results in the attributable children dental cost.
The Employer will pay 100% of the attributable children dental cost.
3. The Employer will pay 60% of the product of two (2) times the single dental rate (2 x single dental rate) plus 100% of the administrative fee, rounded to the lower even cent.
4. In summary, the Employer will pay (rounded as provided above):
· 100% of the attributable children dental cost
· 60% of the product of two (2) times the single dental rate (2 x single dental rate), rounded to the lower even cent
· 100% of administrative fee
E. From and after plan year 2004-2005, parts B, C, and D of this Article, as amended, shall continue in force; provided that the Employer's percentage rate and monthly contribution for benefit plans in part B, and the Employer's share of family dental cost in part D, shall be not less than the highest rate, monthly contribution, or share paid for any Employee-Beneficiary in any other bargaining unit in the same month.
To contact the EUTF or to view their site go to:
HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND (EUTF) - (808)586-7390 (Oahu), 1-(800)295-0089 (Toll-Free); www.state.hi.us/budget/heuhbtf/heuhbtf.htm