Employer Contribution
For Groups Headquartered Domestically
Aetna Medical
• 75% of the employee cost or 50% of the total cost.
• Groups that do not meet contribution are eligible to enroll during open enrollment, November 15th through December 15th, for a January 1st effective date.
Aetna Dental
• Non-voluntary (2 to 50 eligible employees): 25% of total premium or 50% of the employee premium - 75% participation applies.
• Voluntary (3 to 50 eligible employees): less than 25% of total premium or less than 50% of employee premium - 30% participation applies. Or, if the coverage is 100% paid by the employee, coverage is deemed voluntary.
For Groups Headquartered Internationally
Aetna Medical
• 75% of the employee cost or 50% of the total cost.
Aetna Dental
• 75% of the employee cost or 50% of the total cost.
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Definitions of Employer Eligibility
For Groups Headquartered Domestically “Small employer” or “small group” means any person, firm, corporation, partnership, association, political subdivision, sole proprietor, or self-employed individual that is actively engaged in business that ...Non-Renewal of Coverage
Aetna reserves the right to terminate the group health benefits plan for reasons including, but not limited to, the following: • Material misrepresentation • Non-payment of premium • Failure to meet the minimum contribution and/or participation ...Continuation of Coverage
Alaska No state continuation coverage is available. Idaho No state continuation coverage is available. Washington Employee members and/or their dependents may continue coverage for up to six (6) months if they are no longer eligible for coverage. ...Affiliated, Associated, or Multiple Companies
For Groups Headquartered Domestically All persons treated as a single employer under subsection (b), (c), (m), or (o) of section 414 of the Internal Revenue Code of 1986 shall be treated as one employer. Employers who have more than one business with ...Benefit Waiting Period (BWP)
For Groups Headquartered Domestically At initial submission of the group the benefit waiting period (BWP) may be waived upon the employer’s request. This should be checked on the Employer Application and consistently applied to all employees. BWPs ...