Get Hmaa Online

Filling out the Hmaa Online form is crucial for making member changes or terminations efficiently. This guide will provide clear and supportive instructions to help you complete the form accurately.

Follow the steps to successfully complete the Hmaa Online form.

1. Click ‘Get Form’ button to access the member change or termination form and open it for editing.
2. Begin by filling out the group information section. Print in black ink and provide the group name, policy/division number, and the name, phone number, fax number, and email of the person completing the form.
3. If applicable, enter the dependent's name in the format 'Last, First' under the dependent name section.
4. Next, complete the member change or termination information. Indicate the effective date for the changes or termination, ensuring accuracy with the format requested.
5. If terminating a member, be sure to specify the last date of employment. For deceased members, provide the date of death.
6. In the updated status or contact info section, include any necessary updates relevant to the member's status.
7. Lastly, sign and print the name of an authorized individual, include their title, and add the date of completion.
8. Once all fields are filled, save your changes. You may then download, print, or share the completed form as needed.

Start completing your Hmaa Online form today to ensure your member changes or terminations are processed efficiently.