Who qualifies as a dependent?

Your spouse and children.

When can I add a dependent?

• When you enroll for the first time.
• During the Fall enrollment period.
• Add a newborn child up to 31 days after they’re born.
• Add a spouse up to 31 days after your marriage.
• Add a family member from another country up to 31 days after their arrival.

How do I add a dependent?

Email a request to studentplan@hmsa.com with

• Your full name.
• Your HMSA subscriber ID number.
• Your phone number.
• Your address.
• Action to be taken ("Add a spouse" or "Add a newborn").
• If you’re adding your spouse include their full name, date of birth, and a copy of your marriage certificate.
• If you’re adding a newborn include their full name, date of birth, and a copy of their birth certificate.

Or mail your request to:
HMSA
MS-UH/Chaminade Student Plan
P.O. Box 860
Honolulu, HI 96808-0860

HMSA will contact you when we receive your request to let you know if additional payment required.

How do I remove a dependent?

Email a request to studentplan@hmsa.com with

• Your full name.
• Your HMSA subscriber ID number.
• Full name of the dependent to remove.
• Semester when the dependent should be removed.
• Request for refund (if applicable).

Or mail your request to:
HMSA
MS-UH/Chaminade Student Plan
P.O. Box 860
Honolulu, HI 96808-0860