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51-125: Benefit Changes for New & Renewing Groups Effective October

Jul 08, 2010

Important changes to California health benefits plans

Aetna would like to inform you about upcoming changes for new and renewing groups with 51-125 eligible employees.


Overview of upcoming changes


How Aetna’s plans will change
Here are some important changes /Aetna is making to many Aetna plan designs:


These changes are part of Aetna's continuing effort to provide your clients access to high-quality, affordable health coverage. Changes in plan designs may result in reduced coverage for some services. Also, some of these provisions may already be included in your clients’ plan designs. Aetna recommends you and your clients carefully review their plan documentation to understand which of these changes may apply to their plans.

Aetna will offer a stream-lined portfolio of plans
As of October 1, 2010, Aetna will offer a stream-lined portfoilio of plan designs, allowing them to serve your clients more efficiently and simplify their plan choices. This streamlined portfolio of products will give your customers the ability to select from different plan designs at a variety of price points. You will also see improvements in the timeliness and accuracy of the administrative processes.

What to expect


You should also be aware that the Federal government recently released regulations related to grandfathering of health plans in existence on March 23, 2010. Changes in benefit design and contribution strategy may affect grandfathering. Renewal offerings may not preserve grandfathering.

Plan Sponsor notification

Depending on state regulations, Aetna will notify current plan sponsors of these changes in one of two ways:

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