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HI HMAA Business Application 2020-2025 free printable template

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HM AA USE ONLY Policy #Div #REV 12/2020737 Bishop Street, Suite 1200 Honolulu, Hawaii 96813 (808) 5910088 Toll-free (800) 6216998 Fax (808) 5358363Business ApplicationPlease print in black ink or
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How to fill out HI HMAA Business Application

01
Obtain the HI HMAA Business Application form from the HI HMAA website or customer service.
02
Read the instructions carefully to understand the requirements for submission.
03
Fill out the business information section with accurate details about your business, including the legal name, address, and contact information.
04
Provide the necessary licensing and registration documents as required.
05
Complete the owner and management information section, detailing the experience and qualifications of key personnel.
06
Include any additional documentation or attachments specified in the application guidelines.
07
Review the application carefully to ensure all information is complete and accurate.
08
Submit the application through the specified method, either online or by mail, according to the instructions provided.

Who needs HI HMAA Business Application?

01
Businesses seeking health insurance coverage for their employees.
02
Employers looking to offer employee benefits through HI HMAA.
03
Companies located in Hawaii that need to meet state health insurance regulations.
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The HI HMAA Business Application is a document used for submitting applications for health insurance coverage under the Hawaii Medical Assurance Association (HMAA) for businesses.
Businesses that wish to provide health insurance coverage to their employees through the HMAA are required to file the HI HMAA Business Application.
To fill out the HI HMAA Business Application, businesses need to provide required details including company information, contact details, and employee data as well as choose the coverage options they wish to apply for.
The purpose of the HI HMAA Business Application is to facilitate businesses in applying for and obtaining health insurance coverage for their employees under the HMAA program.
The information that must be reported on the HI HMAA Business Application includes business name, address, contact information, number of employees, and desired insurance coverage details.
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