HMAA does not automatically mail federal Form 1095-B to HMAA subscribers. According to the IRS, there is no penalty if you do not have a full year of health care coverage, and Form 1095-B is not required for you to file your federal tax return.

If you would like to receive Form 1095-B for your own records, you may request one as follows.

  • Online – For quickest service, use the form below.
  • Call HMAA’s Customer Service Center:
    (808) 941-4622 or toll-free (888) 941-4622
    Monday to Friday, 8 am to 4 pm HST
  • Send a request by mail to:
    HMAA
    Customer Service Center
    220 S. King Street, Suite 1200
    Honolulu, HI 96813​

    You must include:
    Your first and last name
    HMAA member ID number
    Contact phone number

Within 14 days of your request, HMAA will mail Form 1095-B to you, or you may ask to receive it by secure email.

If you have any questions, please consult with your tax advisor, visit irs.gov, or call our Customer Service Center at (808) 941-4622 or toll-free at (888) 941-4622.

This notice is provided for informational purposes only, and does not constitute tax, legal, or accounting advice

Request Online

Name*
MM slash DD slash YYYY
How would you like to receive the form?*
After you click Submit, we will send you a regular email confirming we received your request (it may appear in your spam folder). Please expect to receive your Form 1095-B within 14 days.
This field is for validation purposes and should be left unchanged.