These fees and taxes are being imposed on all health plans, including HMAA, by the federal government to pay for the Affordable Care Act (ACA). Groups will see these fees and taxes added to their monthly premium invoices. While we are bound by law to comply with these taxes and fees, HMAA always strives to ensure you and your employees are getting the most value for your hard-earned premium dollars. Thus we remain focused on continuously bringing new health and wellness initiatives and other value-added services to our members.