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Hawaii Employer-Union Health Benefits Trust Fund fax number
(808) 586-2161
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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
- Website
- Visit organization website
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.
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