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2-50: Total Average Employee Form Required for New Business

Jan 15, 2013

Aetna requires that the Total Average Employee Form be completed for all new business.

They are asking your groups to provide the average number of people they employed in the prior calendar year. Aetna needs this information so they can accurately report your client's data and calculate any potential rebates to which they and their covered subscribers may be entitled under the new medical loss ratio requirements set forth in the Affordable Care Act (ACA).

The law defines the number of employees as "the average number of employees employed by the employer's company
during the preceding calendar year." An employee is defined as any person for whom the company issues a W-2, including
full-time, part-time, and seasonal workers, and regardless of insurance eligibility. Aetna needs the average number of total employees for your client's company in 2012 to support the 2013 calculations and reports and the payment of any rebates.

To view the form and the instructions for calculating the average number of total employees, click here.
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