Welcome to Verdegard Hawaii
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.
2024-2025 Helpful Links
Submit a Claim | Plan Summary | Exclusions | FAQ | Enrollment Guide
Plan Documents & Forms
Plan Summary Current Plan Year: 7/1/2024 – 6/30/2025 View Summary Current Plan Year: 7/1/2023 – 6/30/2024 View Summary | Claim Submission Form Submit Online Claim Current Plan Year: 7/1/2024 – 6/30/2025 Download Form Previous Plan Year: 7/1/2023 – 6/30/2024 Download Form |
Exclusions List View Exclusions List | Frequently Asked Questions (FAQ) View FAQ’s |
Supplemental Plan Document Download Document | ACH Form Download Form |
*Authorization to Release PHI Form Download Form | Privacy Practices Download Document |
Other Insurance Form Download Form | 2024-2025 Enrollment Guide View Guide |
Contact Verdegard Hawaii
Pacific Guardian Tower 1440 Kapiolani Boulevard, Suite 1000 Honolulu, Hawaii 96814 Hours Walk-in Hours: Monday through Friday, 7:30 a.m. – 5 p.m. HST | Oahu: (808) 951-4643 Neighbor Islands: (866) 437-1992 Fax: (808) 951-4620 Web: www.verdegard-hi.com/EUTF |