Author: Meyre Sizemore

No DE 9C Promotion Promotions/Guidelines

Quarterly Wage Report/DE 9C not required for:   Aetna Guideline: Groups of 6+ enrolled with prior coverage   Anthem Blue Cross Promotion: Groups of 6+ enrolled through 9/15/2020 effective dates...

PEO Guidelines

In addition to meeting standard Underwriting Guidelines, groups must provide the following: Aetna Guideline for staying with a PEO (1) 1-5 enrolling: • Letter from the PEO confirming that they...

Valid Waivers

Aetna What is considered a Valid Waiver? Spousal Group Coverage Parental Group Coverage Enrolling as dependent in the group health plan Individual Coverage Medicare Medi-Cal TRICARE Anthem BlueCross What is...

Start-up Groups

Aetna Requirements Groups with 1-19 enrolled employees and groups with no existing health coverage must submit a copy of the most recently filed DE9C. If not available, two consecutive weeks...

Participation and Alongside Guidelines

Aetna Standalone 1-4 enrolled employees: 65% through 12/31/2020 5+ enrolled employees: 25% through 12/31/2020 Alongside Another Carrier 25% participation and a minimum of 5 employees enrolling required for groups offering...

Additional Topics You May Be Interested In

CA Business Portal Anthem Blue Cross & Blue Shield of California Check the CA business portal when quoting Anthem Blue Cross & Blue Shield groups. If the group is not active...

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