Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with Hawaii Employer-Union Health Benefits Trust Fund before sending sensitive documents. FaxFlow is not affiliated with this organization.

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Hawaii Employer-Union Health Benefits Trust Fund fax number

(808) 586-2161

COBRA Coordinator

Used for: COBRA-related notices and communications to the EUTF; the fax number is used to submit COBRA notices and related documents to the COBRA Coordinator.

Fax destination details

Department
COBRA Coordinator
Purpose
COBRA-related notices and communications to the EUTF; the fax number is used to submit COBRA notices and related documents to the COBRA Coordinator.
Form
COBRA-related event notice form — Notice of a COBRA-Related Event
Address
201 Merchant Street, Suite 1700, Honolulu, HI 96813

Before you send

  • Confirm that this exact department handles your document or request.
  • Check the organization website or call its main line for the current fax number.
  • Include a cover sheet and any case, member, claim, or form reference required.
  • Keep the delivery confirmation with your submission records.

Complete the form with the COBRA-related event details and submit to the COBRA Coordinator at the EUTF; refer to the form for submission instructions.

Official form instructions are published as a downloadable file on the organization's website.

Sources and verification

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