Get the free hmaa enrollment application

HM AA USE ONLY Policy # Div # Eff Date 737 Bishop St, Suite 1200 Honolulu, HI 96813 Phone: (808) 941-4622 Fax: (808) 535-8363 Enrollment Application Please print in black ink or complete online at

How to fill out hmaa enrollment application form

How to fill out hmaa enrollment application:

1. Gather all necessary documents and information, such as personal identification, Social Security number, employment details, and dependent information.
2. Read through the application form carefully, ensuring you understand all the questions and requirements.
3. Fill out each section of the application accurately and truthfully. Provide all requested information, including contact details and any medical conditions you may have.
4. Review the application for completeness and accuracy before submitting it.
5. Submit the application by the specified method, whether it is online, by mail, or in person.
6. Follow up by contacting the hmaa enrollment office to confirm that your application has been received and is being processed.

Who needs hmaa enrollment application:

1. Individuals who are seeking health insurance coverage through the Hawaii Medical Assurance Association (HMAA) need to complete the enrollment application.
2. Employees who are eligible for health insurance benefits through their employer's hmaa plan will also need to fill out the enrollment application.
3. Dependents of individuals or employees who are already enrolled in hmaa health insurance may also require an enrollment application to be added to the coverage.

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What is hmaa enrollment application?

The HMAA enrollment application is a document used for enrolling in the Health Maintenance Account Administration (HMAA) program, which provides health-related benefits and services to participants.

Who is required to file hmaa enrollment application?

Individuals who wish to participate in the HMAA program, including employees of participating organizations and their dependents, are required to file the HMAA enrollment application.

How to fill out hmaa enrollment application?

To fill out the HMAA enrollment application, applicants must provide personal information such as name, date of birth, contact details, and employment information, along with any required documentation like proof of employment or eligibility.

What is the purpose of hmaa enrollment application?

The purpose of the HMAA enrollment application is to manage and facilitate enrollment for eligible individuals in the HMAA program, ensuring that they receive the appropriate health benefits and services.

What information must be reported on hmaa enrollment application?

The HMAA enrollment application must report personal details including the applicant's name, Social Security number, address, date of birth, contact information, employment details, and information regarding dependents if applicable.