Below is a list of printable forms and information for our Employers’ convenience.

Please confirm your plan coverage by referring to your HMAA group service agreement.

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’s attestation was submitted 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.