Your HMSA Benefit Documents

You can find documents related to your HMSA plan offerings on this page.

The Insurance Division approved the rates for community-rated group plans.

Visit our employer page to help you stay on top of benefits that are available during the pandemic. You’ll also find videos, information to manage your health plan, mental health resources, and more.

To view and download your documents, click the links below.

Benefit Comparison - July 2022.pdf

Last modified: 06/08/2022

2.4 MB


GUIDE TO BENEFITS - DENTAL C48 PPP 2022.pdf

Last modified: 09/14/2021

4.6 MB


GUIDE TO BENEFITS - MEDICAL 762 PPP 2022.pdf

Last modified: 02/04/2022

2.7 MB


GUIDE TO BENEFITS - MEDICAL E-V HPHPlus 2022.pdf

Last modified: 04/19/2022

5 MB


PLAN CERTIFICATE - DRUG 972 PPP 2022.pdf

Last modified: 03/01/2022

3.8 MB


PLAN CERTIFICATE - DRUG 973 HPHPlus 2022.pdf

Last modified: 03/01/2022

3.9 MB


PLAN CERTIFICATE - VISION DU PPP 2022.pdf

Last modified: 11/01/2021

3.7 MB


PLAN CERTIFICATE - VISION DV HMO 2022.pdf

Last modified: 09/17/2021

3.8 MB


SBC MED 762 DRUG 972 DEN C48.pdf

Last modified: 05/12/2022

276.1 KB


SBC MED 762 DRUG 972 VIS 0DU DEN C48.pdf

Last modified: 05/12/2022

276.5 KB


SBC MED 762 DRUG 972 VIS 0DU.pdf

Last modified: 05/12/2022

276.5 KB


SBC MED 762 DRUG 972.pdf

Last modified: 05/12/2022

276 KB


SBC MED E-V DRUG 973 DEN C48.pdf

Last modified: 05/13/2022

271.9 KB


SBC MED E-V DRUG 973 VIS 0DV DEN C48.pdf

Last modified: 05/12/2022

271.9 KB


SBC MED E-V DRUG 973 VIS 0DV.pdf

Last modified: 05/12/2022

271.9 KB


SBC MED E-V DRUG 973.pdf

Last modified: 05/12/2022

271.9 KB


SUMMARY OF CHANGES - MEDICAL 762 PPP 2022.pdf

Last modified: 11/22/2021

15.9 KB


SUMMARY OF CHANGES - MEDICAL E-V HPHPlus 2022.pdf

Last modified: 11/22/2021

19.4 KB