HMSA Appoints Jenny Smith as President and COO, Signaling a New Era for Hawaii's Healthcare Landscape

·2 min read

Hawaiʻi Medical Service Association (HMSA) has named Jenny Smith as its new president and chief operating officer, effective November 1st, 2025. This historic appointment marks the first time a woman will lead the state's largest health insurer in its 87-year history, with potential implications for the local business community and healthcare costs.

Silhouetted man on a tree at sunset with a panoramic view of Honolulu cityscape in the background.
Photo by Lukas Rodriguez

HMSA, Hawaiʻi's largest health insurer, has announced a significant leadership transition. Jenny Smith will take the helm as President and Chief Operating Officer, a historic first for the company as she becomes the first female president in HMSA's 87-year history, starting November 1st, 2025. This leadership change comes at a critical juncture for the healthcare industry in Hawaiʻi, which faces ongoing challenges related to rising costs, an aging population, and the need for innovative healthcare solutions.

This appointment is noteworthy for several reasons. Firstly, it places a woman at the head of a major organization within the state, which could influence diversity and inclusion initiatives within HMSA and potentially across other businesses in Hawaiʻi. Secondly, the new leadership could signal shifts in HMSA’s strategic direction, particularly in areas like healthcare affordability and access. According to the Honolulu Star-Advertiser, Dr. Mark Mugiishi, the current president and CEO, will continue in his role. This transition suggests a carefully planned transfer of power, ensuring continuity while simultaneously introducing fresh perspectives.

Healthcare in Hawaii is a significant sector, influencing the state's economy and the well-being of its residents, directly impacting local businesses, entrepreneurs, and employees, as HMSA provides health plans and benefit services. The Equilar states that HMSA is an insurance company that offers affordable health plans and other employee benefit services. The new leadership could impact how HMSA engages with local businesses, contracts with healthcare providers, and invests in new technologies and services, thus affecting both healthcare costs and quality, this impacts Hawaii's economy. Further insights into HMSA and its operations can be found on its Media Center.

With Jenny Smith at the helm, local investors, businesses, and professionals should observe HMSA’s upcoming strategic actions. Stakeholders may watch for changes in the types of insurance plans offered, and new initiatives. These changes may lead to business prospects, partnerships, or problems. Investors in the healthcare sector should closely follow developments, as policy changes or strategic shifts by HMSA could affect their portfolios. HMSA's LinkedIn page offers updates on the company's activities.

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