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| Health Plan Options |
Aetna
AFA Underwriting Update.
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Important Underwriting Update |
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New Small Group Aetna Funding Advantage (AFA) Guideline |
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Effective immediately, groups with 15 or more enrolled subscribers can get GRX medical underwriting for AFA new business. That means Individual Medical Questionnaires (IMQs) are no longer required* for these groups - saving you, your clients and their employees time!
Attached is the GRX census template.
Note: All enrolling subscribers must be on the GRX census submission. IMQs will be required for final proposal if there is a change to enrollment after initial GRX underwriting. |
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Summary of GRX criteria for AFA:
- States with GRX medical underwriting for 15+ enrolled subscribers: AZ, CT, CO, DE, FL, IA, IL, KS, MA, MD, ME, MO, NC**, NJ, NV, OH, OK, PA, SC, TN, TX, UT, VA, WI, WV, WY
- States with GRX medical underwriting for 10+ enrolled subscribers: GA, NE
For questions about Aetna Funding Advantage, contact your Aetna Representative.
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*We still require IMQs for groups with no prior coverage.
**North Carolina still has a minimum of 26 eligible/20 enrolled for AFA.
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