Aetna Details on COVID-19 Special Enrollment Period and Downgrades

Aetna is offering a Special Enrollment Period opt-in for Aetna Commercial-insured/ACA and Small Group Aetna Funding Advantage customers.

Aetna is committed to assisting members during the rapidly evolving COVID-19 pandemic. Aetna is providing an option for most of its insured commercial group insurance/ACA and Small Group Aetna Funding Advantage (AFA) customers to offer a Special Enrollment Period (SEP) to their eligible populations. This new option would be at the election of the plan sponsor. It would apply to most of Aetna’s medical, pharmacy, dental, vision and voluntary products. Interested plan sponsors should contact their Account Manager to determine if this option is available to them.

The SEP is limited to eligible employees and dependents who did not previously elect coverage with their Plan Sponsor. Plan Sponsors with Section 125 plans should consult with their own benefit advisors regarding this action.

This enrollment opportunity will be offered from Monday, April 6, through Friday, April 17, 2020.

Enrollees can choose between an April 1, 2020 or May 1, 2020 coverage effective date.

Group’s requesting to downgrade plans

As a reminder, Aetna is also allowing prospective plan changes, such as benefit buy downs (no buy ups).

• Renewal date will remain the same
• Employees need to choose from the plans with current enrollment and/or plans selected as part of the Pick5 option
• If a group only offers 1 plan then they can add a new downgraded plan as a 2nd option
• Contact the assigned Account Client Manager to start the process

Account Client Management contacts (based on Broker location and name of agency/last name of broker:

For questions, please contact a member of your B&P Sales Team - 888.722.3373.