Below is a list of printable forms and information for our Employers’ convenience.
- Employer Resource Guide – A quick reference guide to administering your HMAA health plan.
- Helpful Tips for New Members – Tips to help new members transition smoothly to HMAA.
- Administrative Procedures for Health Plan Administrators – To assist in coordinating your organization’s health benefits program with HMAA.
- Enroll Members – To enroll new eligible employees and their dependents.
- Information Change Forms – To update group or member information.
- Employer Size Verification – To change or verify your employer size (small or large) for COBRA, Medicare, and market segment classification purposes.
- Business Application – For a business name change or ownership change.
- Disabled Dependent Certification Form – To certify eligibility for disabled dependents aged 19 and older.
Please confirm your plan coverage by referring to your HMAA group service agreement.
- Health Plan Documents – View or print your HMAA plan documents and benefit information.
- Summary of Material Modifications (SMM) – Summarizes the most recent updates made to your health plan.
- Summary of Benefits and Coverage (SBC) – Summarizes information on certain health benefits and costs.
- Precertification List – HMAA’s medical plans require precertification of certain services and procedures. This list specifies the services that require precertification and are subject to change at any time. Failure to obtain precertification may result in a reduction of benefits.
- Preventive Services Covered Under ACA – Lists the screening and preventive services that are covered under the Affordable Care Act (ACA). This list is updated annually or as required.
- Prescription Plan Information – View details on copayments, the formulary drug list, home delivery services, and online prescription account management.
Employer’s Guide to Health Benefits Under COBRA – Information for employers about health benefits under COBRA.
As your health care partner, HMAA is here to help you navigate health care reform and regulatory compliance. Learn more about the Affordable Care Act (ACA) and how it may impact your business by using the resources below and viewing our Health Care Reform FAQs.
- Notices
- Gag Clause Prohibition Compliance Attestation (GCPCA) – HMAA submits an annual attestation on behalf of all of its clients in accordance with with Internal Revenue Code (Code) section 9824, Employee Retirement Income Security Act (ERISA) section 724, and Public Health Service (PHS) Act section 2799A-9, as added by section 201 of Title II (Transparency) of Division BB of the Consolidated Appropriations Act (CAA), as applicable.
- Health Insurance Marketplace Coverage Options – In accordance with the ACA, employers are required to notify their members of information regarding employment-based health coverage offered and the Marketplace to buy health insurance.
- Fact Sheets
- ACA Employer Shared Responsibility – In accordance with the ACA’s Employer Shared Responsibility Provision, Applicable Large Employers (ALEs) are required to offer minimum essential coverage to 95% of their full-time employees and their eligible dependents.
- IRS Reporting for Employer Shared Responsibility – Sections 6055 and 6056 to the Internal Revenue Service Code require certain employers to report coverage offered by filing an information return with the IRS, and to furnish statements to individuals. View the data points that we can provide to Applicable Large Employers (ALEs) upon request.
We provide language translation services as an added communication support for assistance to our non-English speaking customers while on the phone or face-to-face with one of our employees or participating providers. Written translation services for a particular plan document are available upon request. Please contact us for assistance.
Spanish (Español): Para obtener asistencia en Español, llame al 1-888-941-4622.
Tagalog (Tagalog): Kung kailangan ninyo ang tulong sa Tagalog tumawag sa 1-888-941-4622.
Chinese (中文): 如果需要中文的帮助，请拨打这个号码 1-888-941-4622.
Health Plan Administrator Satisfaction Survey – For Health Plan Administrators to provide feedback to HMAA at any time. The information collected from this survey helps us make improvements to our health plans and services, and is kept strictly confidential.