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Aetna Required to Send HCR Notice to 2-300 Subscribers

Dec 16, 2010

Aetna

 

 

Aetna is sending a required health care reform notice to Small Group and Select Accounts health plan subscribers

We want to let you know about a health care reform mailing we are doing to all Aetna plan sponsors and subscribers in our Small Group and Select Accounts plans. This includes medical, pharmacy and behavioral health plans with 2 to 300 subscribers.

Please review the following information, and provide the 2011 health care reform model notice to your new customers through September 9, 2011.

Aetna is sending a required health care reform notice to health plan subscribers.

The Patient Protection and Affordable Care Act requires group health plans and carriers to tell subscribers about certain changes under the health care reform law. Aetna has developed a model notice that meets this requirement. The model notice includes the required information about dependent eligibility, lifetime limits and patient protections. 

We added this model notice to our enrollment kits beginning in October 2010. However, we can’t be sure the required notice is reaching all health plan subscribers.

To make sure everyone gets the information, Aetna will:

Distribute a plan sponsor letter and copies of the notices to all Small Group (2-50 eligible employees) and Select Account plan sponsors (51-300 eligible employees) advising them of their responsibilities.
  If the plan renewed or renews between 10/1/2010 and 1/31/2011, we will send the December 2010 notice for use now, and the 2011 notice for use with future enrollees.
  If the plan renews between 2/1/2011 and 9/30/2011, we will send the 2011 notice.
Distribute copies of the December 2010 notice to all current Small Group and Select Account health plan subscribers with 9/23/2010 - 1/31/2011 renewal dates by December 17, 2010, through e-mail or by direct mail.
Distribute copies of the 2011 notice to all current Small Group and Select Account health plan subscribers with 2/1/2011 – 9/30/2011 renewal dates by January 17, 2011, through e-mail or by direct mail.
As required by California law for all segments, Aetna will distribute the notice translated into Spanish to subscribers who are California residents in insured HMO plans and have requested communications in Spanish. We will also mail notices translated into Spanish to subscribers who are covered under an insured Traditional California contract and have requested communications in Spanish (regardless of place of residence), and subscribers who are California residents covered under an insured Delaware Trust policy who have requested communications in Spanish. We are targeting distribution before end of year.

The mailing includes language translation information required by California legislation. The existing California law requires insurers to offer members translation services for all documents determined to be 'vital' documents, and Aetna has determined that this document should be treated as a

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