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Effortlessly manage claims, find doctors, access prescriptions, share ID cards, and verify coverage—all in one place.

Simplify your healthcare interactions with intuitive tools designed to make your life easier.

Access the following in the HMA Member Portal

  • request for new insurance cards
  • HIPAA Authorizations
  • View Claims
  • View Member Information
  • Prior Authorizations
  • Expense Limits
  • Benefits Details
  • Locate Providers / Facilities
  • Contact HMA
  • Update Address

Contact HMA

Third Party Administrators
Correspondence and Claims:
PO Box 22009
Tempe, AZ 85285-2009

Claims:
Main Phone Number:
800-448-3585

Access Affordable Healthcare with Our Preferred Provider Org (PPO) Network

We encourage our members to utilize the PPO network

The third party administrator contracts with Preferred Provider Organizations to provide hospital, physician and other health care services for the covered members.

Our PPO Network Access provides detailed information for facilities and providers that are within the location and search criteria. It provides the address, phone numbers, distance, provider's specialty and their profile. For more information on PPO, please refer to page 50 of the Plan Document.

Guidance to finding a provider or facility

  • Once on the HMA website, (www.hmatpa.com)
  • Click on the left side "Visit Mainland Website"
  • Under "How Can We Help?" section, click "Locate a Physican"
  • Click on "Find a Participating Provider"
  • Click on the Logos that are on the back of your insurance card
  • Start Search

Nominate a Provider

If you have a Provider that you continuously go to for your treatment who is not part of our PPO network and would like to nominate them, you may request for them to join the Provider Network of America's PPO network. Please complete the form to the best of your knowledge and a contracting specialist will reach out to the Provider. Please keep in mind that it is not guaranteed that providers who are nominated, will be on the Network. You may send this form back to our office or directly to HMA.

Provider Nomination Form

Enrollment

The Health Benefit is available to employees and their eligible dependents. Coverage is effective on the first day of the month following a sixty (60) day waiting period from the date of enrollment. Children and grand children are eligible up to the twenty-sixth (26) birthday, if qualifications are satisfied. Health benefits are cancelled at midnight at the end of the month of the employee's termination date. Notice of continuation of coverage through COBRA as well as continuation of life insurance will be offered upon termination of employment. Please call to speak with a Benefit Representative for additional information.

Required Forms for Health Program Enrollment

  • HMA Enrollment Form (PDF)
  • Verification Documentation (Social Security Card, Certificate of Blood, Birth Certificates, etc.)

Open Enrollment

Our annual open-enrollment period is the beginning of October through the end of November.

During this time, you may add, change or remove dependents from your plan.

Forms

Discover the comprehensive employee benefits packages we offer to support your well-being.

Enrollment - New Hire / Change

Verdegard Enrollment Form

Add / Delete Indpendents

Affirmation of Common-law Marriage

A Navajo Tribal Court divorce decree is required for determination of a number of employee benefits

Affirmation of Common Law Procedures

The Common Law Marriage Procedures allow eligibile employees of the Navajo Nation Government, it Enterprises and Entities the opportunity to elect coverage for common law spouse.

CMS Data Collection for Section 111 Compliance

This ALERT is to advise that collection of SSNs, HICNs, or EINs for purposes of compliance with the reporting requirements under Section 111 of Public Law 100-173 is appropriate.

Medicare D Notice

. This notice has information about your current prescription drug coverage with Navajo Nation Employee Benefit Plan and about your options under Medicare’s prescription drug coverage.

NNEBP Benefit Pamphlet

Handout Brochure.

Summary of Benefits Coverage

Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services

Health Benefit

Native Traditional Healing Reimbursement

NATIVE TRADITIONAL HEALING BENEFIT REIMBURSEMENT FORMs

Native Traditional Healing Procedures

The Navajo Nation Native Healing Benefit Plan is developed to provide reimbursement for expenses resulting from native healing ceremonies.

Coordination of Benefits Questionnaire

We need your help to determine your primary health insurance coverage by completing and returning the attached form.

Explanation of Benefits Statement

Explanation of Benefits (EOB) Reference Guide.

Verdegard Third Party Liability Questionnaire

To help manage your healthcare costs, our plan may recover benefits paid if a third party is responsible for your medical expenses.

Health Care Provider Nomination PNOA

Enroll a healthcare provider in the PNOA network by completing and submitting this form.

Medical, Dental & Vision Reimbursement

REQUEST FOR OUT-OF-POCKET REIMBURSEMENT FOR HEALTH SERVICES or SUBMISSION OF ITEMIZED HEALTH CLAIM

Pharmacy Benefit

MedImpact Pharmacy Reimbursement

Commercial Prescription Drugs Claim Form

Medimpact Home Test Kit Reimubursement

Commercial at-home over-the-counter COVID-19 test reimbursement form

MedImpact Prescription Mail Order Instructions

Simplify your medication management with MedImpact Direct Mail. Enjoy the convenience of having up to a 90-day supply of your prescriptions delivered right to your door. Easily manage refills, track orders, and access helpful tools through their user-friendly website or mobile app.

MedImpact Prescription Mail Order Form

MedImpact Direct offers an enrollment form for ordering medications, allowing customers to provide payment information, request Easy Open Caps, and authorize charges for prescriptions

Member Portal

HIPAA Release Form for Member Portal

This form is used to confirm a Member's permission that the health plan may discuss or disclose their protected health information to a particular person who acts as their Authorized Representative.

HMA Member Portal Instructions

Access medical benefit information 24/7 via HMA’s online portal. View claims, prior authorizations, benefit details, and more.

Life

Metlife Beneficiary Designation

This form allows you to designate beneficiaries to receive your life insurance proceeds after your death, including primary and contingent beneficiaries1. You’ll need to provide accurate information for each beneficiary and ensure the total proceeds assigned to them add up to 100%

Metlife Addendum - Primary Beneficiary

The PDF form designates beneficiaries, including their personal information and assigned proceeds percentages, with a required signature from the insured owner.

Metlife Addendum - Secondary Beneficiary

The PDF contains information about contingent beneficiaries, including their names, addresses, dates of birth, and assigned percentages of proceeds. The insured/owner must sign the form to designate beneficiaries.

Metlife Claim – Employer’s Statement

Employers or benefit administrators must complete a form and submit it along with relevant documents to MetLife for life insurance claims. Claimants receive specific documents, and multiple claimants can submit separate forms.

Metlife Claim – Claimant’s Statement

MetLife offers a Total Control Account (TCA) for life insurance claim proceeds, providing immediate access to funds through a TCA Visa debit card or drafts, along with bill payments and beneficiary designation.

Metlife Accidental Dismemberment

The PDF contains information about a specific topic, but further details are not provided in the current context.

Metlife Accelerated Benefit Option

The Accelerated Benefits Option (ABO) allows eligible individuals with terminal illnesses to receive a portion of their Group Life Insurance benefits1. Claimants must complete the necessary forms and submit them to their employer for processing.

Metlife Beneficiary Grief Counseling

MetLife Life Insurance Beneficiary Grief Counseling: MetLife offers free grief counseling services to beneficiaries of their life insurance coverage. 

Supplemental

Metlife Optional Term Life Application

This form allows employees to request coverage for life insurance benefits, including supplemental life insurance for themselves, dependent spouse, and children. It also includes beneficiary designation and fraud warnings.

Metlife Optional Term Life Statement of Health

The form is related to group insurance enrollment and requires health information. It includes sections for personal details, health history, and authorization. 

Metlife Optional Term Life Cancellation

The document notifies MetLife about changes or terminations related to an Optional Term Life policy, including details such as policy holder information, dependent names, and reasons for cancellation.

Colonial Cancellation Form

The form allows policyholders to request various changes, such as name or address updates, premium payment method changes, policy loans, and withdrawals.

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Contact Us

Eulanda Ciccarello

Program Supervisor II

eulandaciccarello@navajo-nsn.gov
928-871-7200

Treva Etsitty

Program & Project Specialist

trevaetsitty@navajo-nsn.gov
(928) 871-6670

Michelle Yazzie

Insurance Claims Analyst

michelleyazzie@navajo-nsn.gov
(928)-871-6519

Loleta Jim

Insurance Claims Analyst

loletakjim@navajo-nsn.gov
(928)-871-6779

Vacant

Employee Insurance Representative

loletakjim@navajo-nsn.gov
(928)-871-6103

Vacant

Employee Insurance Representative

loletakjim@navajo-nsn.gov
(928)-871-7081

CordeAnnia J. Tso

Employee Insurance Representative

cjtso@navajo-nsn.gov
(928)-871-6334

Rosemary Cleveland

Accounts Maintenance Specialist

rcleveland@navajo-nsn.gov
(928)-871-7082

Lucy Slim

Senior Office Specialist

lucy.slim@navajo-nsn.gov
(928)-871-6300

Steven Smith, Jr.

Benefits Clerk

ssmithjr@navajo-nsn.gov
(928)-871-6102

 

 

 
 

Employee Benefits

HMA Portal Link
Preferred Provider
Enrollment
Forms
Health Insurance
Life Insurance
COBRA & Infinisource

Risk Management

Forms

Safety/Loss

Contact Us

Workers Compensation

Services
Forms
Responsibility Documentation
Contact Us

 Location

Physical Address

Insurance Services Department Administration
Administration Building 1
2nd Floor
2559 Indian Route 100
Window Rock, AZ 86515

Mailing Address

Insurance Services Department Administration
PO Box 2402
Window Rock, AZ 86515-2402

 Links

Navajo Nation
Division of General Services
Navajo DPM

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