Thank you for reviewing this fraud statement.

For HMSA group coverage, employer groups are only allowed to enroll individuals who qualify for coverage under the plan's enrollment criteria and contract provisions.

Groups that provide coverage under the Hawaii Prepaid Health Care Act must comply with applicable laws regarding enrollment and limitations.

The act of enrolling ineligible individuals can be considered an act of fraud.

In instances where ineligible individuals are enrolled by a group, HMSA reserves the right to recover benefit payments made for the ineligible individuals. If the fraudulent action was intentional, other civil or criminal liabilities may also result.

If you have any questions about this statement, please contact HMSA’s customer service.