03 August 2016

New Small Group ACA Termination Policy Effective October 1

Effective October 1, Aetna must receive written confirmation of customer renewal acceptance in advance of the customer renewal date for all Aetna small groups.

This means that beginning with all October 1 renewal dates, Aetna must receive written confirmation in advance of the policy renewal date.  Written confirmation may include signed renewal acceptance from the customer delivered by mail, fax or email.  Note: premium payment received in advance of the renewal date will also be considered renewal acceptance.

If Aetna does not receive written acceptance of the renewal, or renewal alternates, from the customer in this time frame, they will initiate termination of the policy on the renewal date.

This change allows Aetna to provide new and renewing members with access to correct medical and pharmacy benefits in a timely manner. And  it helps to prevent paying claims incurred after the termination date.