Request ID Card

Request ID Card2021-01-19T21:38:24+00:00

HMAA members may complete this form or contact our Customer Service Center to request a duplicate ID card. Your ID card(s) should arrive in the mail at the address on file within 7 to 10 business days of your request.

Request ID Card

Please provide us with the following information. The * designates required fields.

We will contact you if we are unable to process your request based on the information provided.

Insured ID*
Requester's Name*
First Last
ID card is for*
- Subscriber
- Family
- Dependent
Dependent Name
First Last
Telephone Number*
Comments
This field is for validation purposes and should be left unchanged.

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