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2-50: Aetna January and February 2012 Updates

Nov 15, 2011

Aetna 2-50
 January & February 2012 Updates
Aetna has filed two sets of rates for the first quarter 2012 with no rating area changes.
The average year over year increase is 7.5% for businesses renewing in the first quarter 2012. Aenta Dental and Life rates have been extended through March 31, 2012.

Voluntary Dental

The voluntary dental participation requirement has been changed from 25% to 30% of eligible employees effective January 1, 2012.

RAF Promotion
Aetna's RAF Guarantee has been extended through June 30, 2012.

  • 2-5 enrolled = automatic 1.10 RAF
  • 6-9 enrolled = .95 RAF with a renewal RAF of 1.0 or lower
  • 10+ enrolled = .90 RAF with a renewal RAF of 1.06 or lower

Please review the promotion guidelines below:

  • Groups with 6 - 9 enrolling must be AB1672 eligible and have a renewal RAF of 1.0 or less with their current carrier.  Groups can be medically underwritten to qualify for a RAF lower than the .95 guarantee RAF.
  • Groups with 10+ enrolling must be AB1672 eligible and have a renewal RAF of 1.06 or less with their current carrier.
  • Groups with 6+ enrolling that received a 10-point increase in their RAF are ineligible.
  • Groups are only eligible for the RAF promotion 60 days prior to or 60 days following their renewal date.
  • COBRA/CalCOBRA enrollees do not count toward the enrolled employee counts.
  • Groups with 30% or more of COBRA/CalCOBRA enrollees are excluded from the RAF promo.
  • Groups coming from CaliforniaChoice, Contractor’s Choice, HSA California, Kaiser Permanente Choice Solution, or groups that have withdrawn from Aetna within 12 months of the requested date are not eligible.
  • Groups coming from a large group contract that are AB1672 eligible are eligible if they can provide a large group renewal of less than a 20% increase within 90 days of their requested effective date.
  • Carve out groups (management/non-management, union/non-union) are not eligible for RAF promotions.
  • Groups must submit a copy of both their current and last year’s renewal or their issued RAF at new business.
  • Groups must apply for the RAF promotion prior to final underwriting approval.
  • Employers funding a portion of the employee’s deductible, copayment/coinsurance will only be eligible for Aetna’s RAF promotion when using Aetna HealthFund HRA (Please note: HSA plans are eligible for RAF promo when funding is through a federally qualified HSA).
There are no plan changes or updates for the first quarter 2012.

The following plans continue to remain strong top sellers:
  • Managed Choice $2,500
  • Managed Choice $3,500
  • Managed Choice $10,000
Also, be sure to check out the HMO 70% plan Aetna rolled out last year. This continues to be the lowest priced HMO plan in many rating areas, while still allowing your clients to maintain benefits with copayments utilizing Aetna's HMO deductible provider network.
Please contact any member of your b&p Sales Team for assistance with quote requests and questions regarding the details above - 888.722.3373.
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