My Hawaii Wellness

EUTF Supplemental Medical & Prescription Drug Plan


Welcome to the online EUTF Supplemental Medical & Prescription Drug Plan Resource Page

This EUTF Supplemental Plan is available for active employees that have medical coverage under a separate non EUTF sponsored plan. Retirees and HSTA VB members are not eligible for this supplemental plan.

This low-cost plan reimburses participants for eligible out-of-pocket costs that arise from your primary medical and Rx drug plans, such as copayments and coinsurances however reimbursement of deductibles is excluded. This supplemental plan leaves participants with minimal costs for covered services and has the lowest employee share of the premium.


Quick Links

Schedule of Benefits    |     Exclusions List      |     Frequently Asked Questions     |     Submit Online Claim





Helpful EUTF Plan Documents



Plan Summary

Plan Year: 7/1/2022 – 6/30/2023

View Summary

Plan Year: 7/1/2021 – 6/30/2022

View Summary



Claim Submission Form

Submit Online Claim    

Plan Year: 7/1/2022 – 6/30/2023

Download Document

Plan Year: 7/1/2021 – 6/30/2022

Download Document



Exclusions List


View Exclusions List


Frequently Asked Questions (FAQ)


View FAQ’s

Supplemental Plan Document


Download Document

Supplemental Benefits Flyer 


Download Document

*Authorization to Release PHI Form  


Download Document

Privacy Practices


Download Document

*Your one-time authorization allows HMA to release your protected health information (PHI), including making payments and explanation of benefits (EOB), to a person or organization that you choose.


Contact HMA

Pacific Guardian Tower
1440 Kapiolani Boulevard, Suite 1000
Honolulu, Hawaii 96814



Monday – Friday 7:30 a.m. – 7 p.m. (HST)
Saturday 9:00 a.m. – 1:00 p.m. (HST)


Walk-in Hours:

No Walk-in visits during COVID-19 due to social distancing.

Oahu: (808) 951-4643


Neighbor Islands: (866) 437-1992

Fax: (808) 951-4620