ARTICLE XXII, HAWAII EMPLOYER-UNION HEALTH BENEFITS TRUST FUND (EUTF)
A. “Health Benefit Plan” shall mean the medical PPO, HMO, prescription drug, dental, vision, and dual coverage medical plans.
B. Effective July 1, 2021
Subject to the applicable provisions of Chapter 87A and 89, Hawaii Revised Statutes, the Employer shall pay monthly contributions which include the cost of any Hawaii Employer-Union Health Benefits Trust Fund (Trust Fund) administrative fees to the Trust Fund effective July 1, 2021, 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 benefits plans:
| BENEFIT PLAN | TOTAL EMPLOYER MONTHLY CONTRIBUTION |
|---|---|
| a. Medical (PPO or HMO) (medical, drug & chiro) | $428.78 |
| b. Dental | $22.14 |
| c. Vision | $3.68 |
| d. Dual coverage (medical & drug) | $22.74 |
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; provided that the dollar amount contributed by the Employer shall not cause the employer share to exceed 84.3% of the total premium.
2. For each Employee-Beneficiary with one dependent-beneficiary enrolled in the following Trust Fund health benefit plans:
| BENEFIT PLAN | TOTAL EMPLOYER MONTHLY CONTRIBUTION |
|---|---|
| a. Medical (PPO or HMO) (medical, drug & chiro) | $1,041.40 |
| b. Dental | $44.28 |
| c. Vision | $6.84 |
| d. Dual coverage (medical & drug) | $42.90 |
The Employer shall pay the same monthly contribution for each member enrolled in a two-party medical plan (PPO or HMO), regardless of which plan is chosen; provided that the dollar amount contributed by the Employer shall not cause the employer share to exceed 84.3% of the total premium.
3. For each Employee-Beneficiary with two or more dependent-beneficiaries enrolled in the following Trust Fund health benefit plans:
| BENEFIT PLAN | TOTAL EMPLOYER MONTHLY CONTRIBUTION |
|---|---|
| a. Medical (PPO or HMO) (medical, drug & chiro) | $1,327.70 |
| b. Dental | $72.78 |
| c. Vision | $8.94 |
| d. Dual coverage (medical & drug) | $46.72 |
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; provided that the dollar amount contributed by the Employer shall not cause the employer share to exceed 84.3% of the total premium.
4. For each Employee-Beneficiary enrolled in the Trust Fund group life insurance plan, the Employer shall pay $4.12 per month which reflects one hundred percent (100%) of the monthly premium and any administrative fees.
C. Effective July 1, 2022
Subject to the applicable provisions of Chapter 87A and 89, Hawaii Revised Statutes, effective July 1, 2022 for plan year 2022-2023, with the exception of items C.1.d., C.2.d., C.3.d., and C.4., which shall be as described below, the Employer shall pay a specific dollar amount equivalent to sixty percent (60%) of the final premium rates established by the Trust Fund Board for the respective health benefit plan, plus sixty percent (60%) of any administrative fees.
1. The amounts paid by the Employer shall be based on the plan year 2022-2023 final monthly premium rates established by the Trust Fund for each Employee-Beneficiary with no dependent-beneficiaries enrolled in the following Trust Fund health plans:
BENEFIT PLAN
a. Dental
b. Vision
c. Dual coverage (medical & drug)
d. Medical (PPO or HMO) (medical, drug & chiro) – the Employer shall pay the same monthly contribution for each member enrolled in a self only medical plan, regardless of which plan is chosen. The amount shall be based on 60% of the total premium of the HMSA 80-20 medical plan (with drug & chiro), provided that the dollar amount contributed by the Employer shall not cause the employer share to exceed 84.3% of the total premium.
2. The amounts paid by the Employer shall be based on the plan year 2022-2023 final monthly premium rates established by the Trust Fund for each Employee-Beneficiary with one dependent- beneficiary enrolled in the following Trust Fund health plans:
BENEFIT PLAN
a. Dental
b. Vision
c. Dual coverage (medical & drug)
d. Medical (PPO or HMO) (medical, drug & chiro) – the Employer shall pay the same monthly contribution for each member enrolled in a two-party medical plan, regardless of which plan is chosen. The amount shall be based on 60% of the total premium of the HMSA 80-20 medical plan (with drug & chiro), provided that the dollar amount contributed by the Employer shall not cause the employer share to exceed 84.3% of the total premium.
3. The amounts paid by the Employer shall be based on the plan year 2022-2023 final monthly premium rates established by the Trust Fund for each Employee-Beneficiary with two or more dependent-beneficiaries enrolled in the following Trust Fund health plans:
BENEFIT PLAN
a. Dental
b. Vision
c. Dual coverage (medical & drug)
d. Medical (PPO or HMO) (medical, drug & chiro) – the Employer shall pay the same monthly contribution for each member enolled in family medical plan, regardless of which plan is chosen. The amount shall be based on 60% of the total premium of the HMSA 80-20 medical plan (with drug & chiro), provided that the dollar amount contributed by the Employer shall not cause the employer share to exceed 84.3% of the total premium.
4. For each Employee-Beneficiary enrolled in the Trust Fund group life insurance plan, the Employer shall pay one hundred percent (100%) of the monthly premium and any administrative fees.
D. No later than three (3) weeks after the Trust Fund Board formally establishes and adopts the final premium rates for Fiscal Year 2022-2023, the Office of Collective Bargaining shall distribute the final calculation of the Employers’ monthly contribution amounts for each health benefit plan.
E. Payment For Plans Eliminated or Abolished. The Employer shall make no payments for any and all premiums for any portion or part of a Trust Fund health benefit plan that the Trust Fund Board eliminates or abolishes.
F. Rounding Employer’s Monthly Contribution. Whenever the Employer’s monthly contribution (premium plus administrative fee) to the 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:
(a) $11.397 = $11.40 = $11.40 (Employer’s monthly contribution)
(b) $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:
(a) $11.392 = $11.39 = $11.38 (Employer’s monthly contribution)
(b) $11.386 = $11.39 = $11.38 (Employer’s monthly contribution)
All employer contributions effective July 1, 2021 reflect the rounding described in item F. Employer contributions effective July 1, 2022 shall be rounded described in item F. after the Trust Fund Board formally establishes and adopts the final premium rates for Fiscal Year 2022-2023.
