Employer Connection
November 2018
We are pleased to provide the following updates, and encourage you to share this information with others in your company. View previous notices .
Prescription Benefits through OptumRx
Please inform your employees covered by an HMAA drug plan.
We have partnered with OptumRx for prescription drug benefits effective  January 1, 2019 . OptumRx will replace Express Scripts as our pharmacy benefit manager to provide you with quality, cost-effective services for retail and mail order prescription benefits.

We will ensure your transition to OptumRx is as smooth as possible. Prior to January 1, affected members will receive a new HMAA ID card. Employees should discard any old cards and ensure they present only the new card to their healthcare providers and pharmacies beginning January 2019.

The vast majority of our local participating pharmacies will not change. For added convenience, members may also visit participating pharmacies on the Mainland, or order up to a 90-day supply of maintenance medications through home delivery.

Our prescription drug formulary will change to the OptumRx Preferred Drug List and may result in a change to the copayment on certain drugs. Everyone impacted will receive a notice from Optum  later this month. Members may contact our Customer Service Center at 941-4622, toll-free at (888) 941-4622, or email for more information. 
Reporting Requirements for Employer Shared Responsibility
In accordance with the ACA “Pay or Play” provisions, fully insured Applicable Large Employers (ALE, generally those with at least 50 full-time employees) must report the type of health coverage offered to full-time employees and their dependents. HMAA is once again pleased to support our ALE clients, upon request and at no cost, by providing compiled demographic and coverage data to assist with completion of the required IRS 1095-C forms. Data will be provided in a Microsoft Excel compatible format and available for request beginning December 15, 2018 . To request 2018 data, contact your Account Manager. Please note you must submit a new request each year.
This information is based on HMAA’s review and interpretation, is intended for educational purposes only, and does not represent tax, legal, or compliance advice. For additional information about Employer Shared Responsibility and reporting, please visit the IRS website.
HMAA’s Online Bill Pay Service
If you are interested in HMAA’s online bill pay service and have not yet registered, visit or contact your HMAA Account Manager. Our portal makes it faster, easier, and more convenient to make premium payments. You can also set up automatic payments and alerts. Certain restrictions apply.
Health & Wellness Solutions
We encourage your employees and their families to take advantage of HMAA’s value-added wellness benefits and services in addition to their health plan. This includes 24/7 access to physician consultations online or by phone through our HiDoc ® telemedicine service, with no copay.
We also offer custom health fair planning and can arrange biometric screenings at your worksite for all your employees! Contact your HMAA Account Manager for information. Participation requirements apply.
Member Plus Discount Program  
Our Member Plus Discount Program features special offers from a wide variety of merchants for fitness and health, food and beverage, and business services. Participating merchants include Makai HR, Gordon Biersch, Lanikai Juice, Kauai Athletic Club, Maui Powerhouse Gym, and The Club in Kona – to name a few! Just present your HMAA ID card.
We invite HMAA groups to become participating merchants and enjoy free promotion of your business when you provide a discount through our program. Visit for details!
View the notice that will be inserted with your billing statement this month .
Need Assistance?
If you have any questions or need assistance, please feel free to contact your HMAA Account Manager directly or at (808) 791-7654, toll-free at (800) 621-6998 x301, or .