Aetna Group Health Plans

We are Aetna Group Health Plan Authorized Agents and are happy to help you get  coverage at no extra charge to you. Aetna compensates us to help you.

SBC – Summary of Benefits

CA Toolkit Rev 1.2020  Listing of all available plans.  See button below to get quotes.

Section 125  POP plan =  employee’s contributions are Tax Deductible.

Cost of Health Care – Member Payment Estimator

Click here for some of the many benefits that an agent/broker  can provide to the public.

Aetna #Network & Plan Definitions

• HMO & PPO Network Maps
  • Which IPA Medical Groups are in which HMO Network Northern CA
    • Southern CA 

 

 

Plan Definitions – Aetna Brochure Page 12 Aetna Provider Finder? Just send us your list (Word & Brown Group Form) of MD’s, specialty, city – address to [email protected]  and we can search ALL Small Group Plans & Networks and send you back a report  using the proprietary strenuus.com system, Broker Log In.

Employer #Administrative Tools

Health Care Tools & Apps

CA Tools

California

Enrollment
Enrollment Guide 1-100 (English) Enrollment Guide 1-100 (Spanish) New Biz Check List Rev 1.2020 Underwriting Guide Rev 1.2020	Learn about plan features, member tools, enrollment, and value-add programs.
Employer Applications	Use form for employer’s medical coverage selections
Employee Enrollment Forms	Order via: 1-877-249-2472 or Order via: Aetna Answer Team 1-800-343-6101 (representatives are available 8 am – 5 pm PST) Use form to enroll an employee and their family.* This form should be used for all New Hires, changes and terms. It should be the standard enrollment form utilized for all transactions except regular Plan Changes during renewal. Completed forms can be emailed to: [email protected]   Sales Contact Tools https://www.aetna.com/insurance-producer/sales-contact-tool.html
Evidence of Insurability	Employee must complete this form for approval of Life Insurance Elections over the Guaranteed Issue Amount which is $20,000 for groups 2-9 employees, $75,000 for groups 10-25 employees and $100,000 for groups 26-50; or Late Enrollee for Life and/or Disability – an individual enrolling more than 31 days from the date first eligible is considered a late enrollee.
ER Verification Form	Use to update # of eligible employees in an established group
eList tool	The eList Tool is a macro-enabled replacement of the eList template. This tool is to be used for New Business/Renewal submissions with 2-100 eligible employees. New versions are available at different times so always download a new tool for each case.
Automated Clearing House New Business Request	For groups to complete to have their first month’s premium released via EFT. For new business only
Full-time Equivalent Certification	Use this form for the employer to provide the number of full-time equivalent employees
Attestation	Open Enrollment – complete this form for new business groups enrolling during open enrollment – 11/15 to 12/15 for a 1/1 effective date.
Aetna Vision Preferred Enrollment/Change Form Aetna Vision Preferred Enrollment/Change Form Spanish	This standalone form can be used for vision only but if you have multiple products with Aetna, use the multiproduct form when available. Completed form can be emailed to: [email protected]
Consumer Directed Products
Aetna HealthFund® One-to-One Powered by PayFlex®	Aetna Flexible Spending Account (FSA) Premium Only Plans (POP) & Aetna HealthFund Health Reimbursement Arrangement for Small Group (HRA) Website to be used for all pre-sale, enrollment and ongoing administration materials and forms.
Claims/Reimbursement Forms
Claims/Reimbursement Forms

SBC Summary of Benefits Search —  aetna.com/sbcsearch/home Renewal Procedures