2018-2019 Hawaii Medical Plans

Eligible Mohawk and Dal-Tile employees residing in Hawaii have the option of enrolling themselves and eligible dependent(s) in either an HMO plan or a PPO plan through Hawaii Medical Service Association (HMSA). The medical plans use the HMSA network of providers. Find out more by visiting www.hmsa.com where you can access various options to stay informed about your plan, benefits, claims statements, and more. The plan year runs from July 1st - June 30th each year.  Information regarding all other benefits are posted under the 2018 Benefits menu.

Plan Year 2018 - 2019

There are no changes to the plan, effective July 1, 2018 except for the following benefit modifications and plan rates detailed immediately below.

pdf button HMO - Summary of Changes

pdf button PPO - Summary of Changes

pdf button Prescription - Summary of Changes

HMSA - Summary of Benefits and Coverage (SBC)

pdf button HMO

pdf button PPO

HMSA - Plan Documents

HMO

pdf button Medical Guide to Benefits
pdf button Prescription Drug Rider
pdf button Vision Rider

PPO

pdf button Medical Guide to Benefits
pdf button Prescription Drug Rider
pdf button Vision Rider

2018 - 2019 HMSA - Rates

The rates below are effective July 1, 2018 – June 30, 2019. Vision is included in your HMSA medical plan.

Hawaii rates 18 19

HMSA - Summary Benefit Plan Comparison

Important Note - Vision is included in your HMSA Plan.

HMSA plan chart 2018 2019

Questions?

Contact HMSA at 808-948-6111 or the Benefits Service Center at 866-481-4922 if you have questions about your medical plan.

 

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Save

Cigna
1-855-566-4295
WebTPA
1-844-380-4564
Express Scripts
1-877-887-2879
Cigna MDlive
1-855-818-3627
Metlife
1-855-488-0520
Aflac
1-800-433-3036
The Hartford
1-800-445-9057
TaxSaver Plan
1-888-602-6272
Fidelity
1-800-835-5087
One America
1-855-279-6375