Forms and Information: Employers

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

Enrollment & Personal Information

Administrative Procedures – To assist you in coordinating your organization’s health benefits program with HMAA

Plan Benefits and Information

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

  • 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 Formulary – HMAA’s current drug formulary developed by our pharmacy benefit manager, Express Scripts. You may also search online for a particular drug by name.

Employer’s Guide to Health Benefits Under COBRA – Provides information to employers about health benefits under COBRA.
Health Care Reform

As your health care partner, HMAA is here to help you navigate the changes brought by health care reform. Learn more about these changes and how the Affordable Care Act (ACA) may impact your business by using the resources below and viewing our Health Care Reform FAQs.

  • Notices
    • 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
    • IRS Reporting for Employer Shared Responsibility – The ACA added sections 6055 and 6056 to the Internal Revenue Service (IRS) Code; requiring employers providing minimum essential coverage to report coverage offered by filing an information return with the IRS, and furnishing statements to the individual. This information will be used by the IRS to ensure compliance with the ACA Employer/Individual Shared Responsibility mandates. View the data points that we can provide to ALEs upon their request.
    • ACA Employer Shared Responsibility – In accordance with the ACA, applicable large employers are required to offer minimum essential coverage to 70% (95% beginning in 2016 plan year and thereafter) of full-time employees and their eligible dependents in order to comply with the Employer Shared Responsibility Provision of the ACA.
Language Translation Service

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.

Satisfaction Survey

Group Health Plan Administrator Satisfaction Survey – This survey is for our Group Health Plan Administrators to provide feedback to HMAA. The information collected from this survey will enable us to make improvements to our health plans and services, and will be kept strictly confidential.