Benefits Updates and Alerts

Plan Documents & Required Notices Here

HIPAA Information Here

Contact the BSC at 866-481-4922
Monday-Thursday 8:00-6:00 ET / Friday 8:00-5:00 ET

Quicklinks

Health Plans Available to me Here

Walmart $4 Prescription Drug List Here

Know The Lingo Here

Extra Programs and Discounts Here

Forms Here

Leave of Absence Portal Here

Hawaii Medical Plans 2024-2025

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 1 - June 30 each year.  Information regarding all other benefits are posted under the Benefits menu.

pdf button Memo to Employees

Because our medical premiums are deducted on a pre-tax basis under Section 125 of the Internal Revenue Code, changes to benefit elections can only be made at Annual Enrollment. The only exception is in the case of a “Qualifying Event.” Please note IRS regulations for birth, adoption or death must be made within 60 days of the event.

2021 Peach Line

Please contact Denise Garcia--214-309-4057 or via email This email address is being protected from spambots. You need JavaScript enabled to view it. to ensure your elections are captured.

Note: Medical and vision Open Enrollment for Hawaii residents takes place in June each year. You may not make changes during the Mohawk Open Enrollment event in October.

Plan Year 2024 - 2025

pdf button HMO - Summary of changes

pdf button HMO Prescription Drug Rider - Summary of Changes

pdf button PPO - Summary of changes

pdf button PPO Prescription Drug Rider - 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

2024 - 2025 HMSA - Rates

2023 24 Hawaii medical rates

Questions?

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

 

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