Your path to enrollment

Better care. Better doctors. Better access. Better visits.

It’s time to choose better.

To enroll for Kaiser Permanente health coverage or make changes, complete the State of Hawaii form that applies to you. Submit your completed form to your personnel officer or enrollment designee for verification, signature, and routing to the EUTF within 30 days of the event date (180 days for newborn enrollments). For DOE employees, you must submit your EC-1 form to the DOE-EBU.

EC-1 (All Bargaining Units EXCEPT BU 12)

EC-1 (Bargaining Unit 12)

EC-1H (HSTA VB)

Part-time and temporary employees