2-50: Aetna Extends RAF Guarantee through September 2013

Feb 19, 2013

Aetna is pleased to announce the RAF promotion is now extended through September 1, 2013!

Group Size 2-5	Automatic 1.10
Group Size 6-7*	Maximum .95 RAF if their renewal RAF is 1.0 or lower and they meet the program rules & eligibility criteria
Group Size 8+	Maximum .90 RAF if group meets program rules & eligibility criteria

To qualify for the guaranteed RAF, groups must meet the below criteria:

AB1672 eligible.
Current RAF of 1.06 or less.
Less than 10-point increase in their RAF at last renewal.
Less than 31% COBRA/CalCOBRA enrollees. COBRA/CalCOBRA enrollees do not count toward the enrolled employee counts
Groups must submit a copy of both their current and last year’s renewal or their issued RAF at new business. The current renewal must be the original renewal, not a revised renewal (RAF).
Groups must apply for the RAF promotion prior to final underwriting approval.

Other eligible groups:

PEO - Groups with 10+ enrolling coming from a PEO (excluding groups coming from an Aetna PEO) if they meet all other guidelines.
No Prior Coverage - Groups with 10+ enrolling with no prior coverage and meet all other guidelines.
CalChoice - Groups 10+ enrolling coming from CalChoice if they meet all other guidelines.
Large Groups - Groups coming from a large group contract if they can provide a large group renewal of less than a 20% increase and qualify per AB1672. Contact Aetna for groups that did not receive a large group renewal due to group size or groups moving from an Aetna large group contract.
Groups funding a portion of the employee’s deductible, copayment/coinsurance are eligible for a .95 RAF if their renewal RAF is 1.0 or lower and they meet the program rules and eligibility criteria. (Please note: HSA plans are eligible for RAF promo when funding is through a federally qualified HSA).

Ineligible groups:

Groups coming from Contractor’s Choice, HSA California, Kaiser Permanente Choice Solution, Associations, or groups that have withdrawn from Aetna within 12 months of the requested date are not eligible.
Carve out groups (management/non-management, union/non-union) are not eligible.

*Groups with 6 or more enrolling are eligible for lower RAF upon review of medical information on the application.