Aetna: New Relaxed IMQ Thresholds for PA, DE, and VA Clients

Aetna: New Relaxed IMQ Thresholds for PA, DE, and VA Clients

  • On June 30, 2023

NEW Relaxed IMQ Thresholds: Pennsylvania, Delaware and Virginia clients

Clients with 15 or more enrolled subscribers that offer a fully insured plan with another carrier can request an AFA proposal without providing IMQ Forms. The Quote Form/Census Template is all we need to deliver a proposal for these clients. Clients in a self-funded plan 5-100 enrolled do not require IMQ’s.

 

NEW Over the Counter Health Solution

OTC Health Solution. Over the Counter Health Solution gives each member a $25 allowance every quarter for select CVS Health brand health support products. Members can use this benefit in-store, online and over the phone. SG OTC PS Flyer

 

NEW Diabetic Meter Program & $0 Preferred Diabetic Benefit

Diabetic Meter Program

 

NEW member flyers

As you know, our Aetna Funding Advantage (AFA) product portfolio has been refreshed. Beginning with September 1 effective dates, new and renewing clients will have access to new value added programs.

The flyer includes our NEW value-added programs as well as some of our most popular programs that have been in place.

 

Upcoming sold case deadlines

AFA and 51-100 fully insured new business submission deadlines:

Effective date Sales notice submitted All required documents submitted
July 1  07/03/2023  07/10/2023
August 1  08/01/2023  08/07/2023
September 1  09/01/2023  09/08/2023

 
ACA new business submission deadlines:

Effective date Submission deadline
1st of the month 25th of the prior month
15th of the month 10th of the effective date month
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