Small Business Plans

Choose a health plan that meets your employees’ needs. All plans comply with the Hawaii Prepaid Health Care Act.

  • Benefits are for services received from participating providers.
  • If you’d like your group plan to start on the first day of the month, we must receive your enrollment on any business day (Monday through Friday) on or before the 10th of the previous month. For example, if you enroll by Oct. 10, your plan will start on Nov. 1. If you enroll on Oct. 11, your plan will start on Dec. 1.
  • View our medical drug rates [PDF]. These drugs are usually covered under medical benefits and not by the drug rider. The cost share for these drugs may differ based on your plan. To find out the cost of your drugs, please call us at 1-800-776-4672 toll-free.
Small Business brochure
2025 plan brochure [PDF]

Summary of all plans

Dental plans

Get covered for teeth cleanings, exams, and more.

Questions or need a quote? We’re here to help.

808-948-5555, option 2, on Oahu
1-800-620-4672 toll-free
TTY users, call 711

hmsasales@hmsa.com

In-person

Visit us at HMSA Centers or offices for in-person small business service and sales.

Pediatric dental benefits are required by the ACA. Although our medical plans don’t include pediatric dental benefits, you may choose an HMSA dental plan to get covered.

Earliest effective date for these plans is January 1, 2025.

A Status Medical Plans

If you choose an A status plan, you’ll pay at least half of your employees’ premiums. Employees are responsible for the balance, but their portion can’t exceed 1.5 percent of their gross monthly wages.

Plan Medical deductible Max out-of-pocket Coinsurance Doctor visit copayment Premium1
Preferred Provider Plan - A $0 $2,500 10% - 20% $12 $415.87
Health Plan Hawaii Platinum – A $0 $2,500 20% $20 $389.44
Health Plan Hawaii Plus – A $0 $2,500 10% - 20% $20 $410.14
CompMED - A $0 $2,500 20% $14 $411.69
CompMED Choice - A $200 $2,200 20%2 $12 $405.30

1 The premiums shown are for a 21-year-old; actual premiums are based on an applicant’s age on the plan’s effective date.
2 Member’s cost after the deductible is met.

Vision Packages

When you select vision benefits, you’ll automatically get life insurance to offer your employees. Vision care services are for adults 19 years and older.

Plan Eye exam1 Single lenses2 Multifocal lenses2 Contact lenses2 Contact lens fitting1 Frames (Standard/Selected)3
Vision Standard Plus With Plus or Preferred Benefits PPO - $10
HMO - Covered under medical plan 
$10 $10 All charges over $130 Not covered All charges over $130
Vision Standard With Plus or Preferred Benefits PPO - $10
HMO - Covered under medical plan 
$25 $25 All charges over $110  Not covered All charges over $110

1 One per calendar year.
2 You may choose only one type of lenses (single, multifocal, or contact) per calendar year.
3 One frame every 24 months.

Complementary Care

To offer an HMSA complementary care plan, you must also offer one of the HMSA medical plans listed above and have two or more subscribers. Complementary care plans can be combined with Active&Fit unless otherwise stated.

If you’re interested in a plan with complementary care, please call 808-948-5555, option 2, or 1-800-620-4672 option 2 toll-free for more details.

Acupuncture & Massage Therapy

$10 copayment / 24 sessions
Plan certificate [PDF]36

$20 copayment / 12 sessions
Plan certificate [PDF]37

Active&Fit

Get access to a fitness center or enroll in a home fitness program.
Fitness membership [PDF]38 with $100 annual membership fee. Monthly fees may apply depending on fitness center chosen.
Plan certificate [PDF]39

Acupuncture, Massage Therapy, and Active&Fit

Complementary care plans can be combined with Active&Fit. Get complementary care benefits and a fitness center membership with an annual fee of $100. Monthly fees may apply depending on the fitness center. Or, enroll in a home fitness program.

$10 copayment / 24 sessions
Plan certificate [PDF]

$20 copayment / 12 sessions
Plan certificate [PDF]

Pediatric dental benefits are required by the ACA. Although our medical plans don’t include pediatric dental benefits, you may choose an HMSA dental plan3 to get covered.

Earliest effective date for these plans is January 1, 2024.

A Status Medical Plans

If you choose an A status plan, you’ll pay at least half of your employees’ premiums. Employees are responsible for the balance, but their portion can’t exceed 1.5 percent of their gross monthly wages.

Plan Medical deductible Max out-of-pocket Coinsurance Doctor visit copayment Premium1
Preferred Provider Plan - A $0 $2,500 10% - 20% $12 $381.10
Health Plan Hawaii Platinum – A $0 $2,500 20% $20 $354.53
Health Plan Hawaii Plus – A $0 $2,500 10% - 20% $20 $375.76
CompMED - A $0 $2,500 20% $14 $377.11
CompMED Choice - A $200 $2,200 20%2 $12 $370.42

1 The premiums shown are for a 21-year-old; actual premiums are based on an applicant’s age on the plan’s effective date.
2 Member’s cost after the deductible is met.

B Status Medical Plans

If you choose a B status plan, your contribution toward family premiums must equal the required single rate contribution plus half the difference between the single and family rates.

Plan Medical deductible Max out-of-pocket Coinsurance Doctor visit copayment Premium1
Preferred Provider Plan - B $350 $3,000 20%2 $202 $322.24

1 The premiums shown are for a 21-year-old; actual premiums are based on an applicant’s age on the plan’s effective date.
2 Member’s cost after the deductible is met.

Vision Packages

When you select vision benefits, you’ll automatically get life insurance to offer your employees. Vision care services are for adults 19 years and older.

Plan Eye exam1 Single lenses2 Multifocal lenses2 Contact lenses2 Contact lens fitting1 Frames (Standard/Selected)3
Vision Standard Plus With Plus or Preferred Benefits PPO - $10
HMO - Covered under medical plan 
$10 $10 All charges over $130 Not covered All charges over $130
Vision Standard With Plus or Preferred Benefits PPO - $10
HMO - Covered under medical plan 
$25 $25 All charges over $110  Not covered All charges over $110

1 One per calendar year.
2 You may choose only one type of lenses (single, multifocal, or contact) per calendar year.
3 One frame every 24 months.

Complementary Care

To offer an HMSA complementary care plan, you must also offer one of the HMSA medical plans listed above and have two or more subscribers. Complementary care plans can be combined with Active&Fit unless otherwise stated.

If you’re interested in a plan with complementary care, please call 808-948-5555, option 2, or 1-800-620-4672 option 2 toll-free for more details.

Acupuncture & Massage Therapy

$10 copayment / 24 sessions
Plan certificate [PDF]36

$20 copayment / 12 sessions
Plan certificate [PDF]37

Active&Fit

Get access to a fitness center or enroll in a home fitness program.
Fitness membership [PDF]38 with $100 annual membership fee. Monthly fees may apply depending on fitness center chosen.
Plan certificate [PDF]39

Acupuncture, Massage Therapy, and Active&Fit

Complementary care plans can be combined with Active&Fit. Get complementary care benefits and a fitness center membership with an annual fee of $100. Monthly fees may apply depending on the fitness center. Or, enroll in a home fitness program.

$10 copayment / 24 sessions
Plan certificate [PDF]40

$20 copayment / 12 sessions
Plan certificate [PDF]41