May 23, 2023
New administrative fee credit added July 2023!
Starting with 7/1/2023 effective dates, the $200 per subscriber credit will apply to 2-50 employee groups on pre-Affordable Care Act grandfathered plans. These groups can get an extra $200 per sub on top of the existing new business credit.
Here’s how the new credit fits in to the program*.
| Credit Name | Amount per Enrolled Employee | Eligible Employees | Credit Requirements | Available Effective Dates |
|---|---|---|---|---|
| General New Business | $300 | 2-100 | Meet standard underwriting requirements | through 12/1/23 |
| 51-100 New Business | $200 | 51-100 | Meet standard underwriting requirements | through 12/1/23 |
| Pre-ACA Grandfathered (NEW) | $200 | 2-50 | Have had the same plan since before the ACA** | 7/1/23 - 12/1/23 |
| Level-Funded Incumbent | $200 | 2-100 | Be on a level funded plan with a non-Aetna carrier AND be in a surplus position with that carrier | through 12/1/23 |
| Medical + Dental | $300 | 2-100 | Add only a dental plan to your AFA plan | through 12/1/23 |
| Medical + Dental + Vision | $300 | 2-100 | Add both a dental and a vision plan to your AFA plan | through 12/1/23 |
*A group can only be eligible for an administrative fee credit at their effective date based on the number of enrolled employees at the time the case is sold. This material is for informational purposes only and does not constitute a contract. The offer is provided at the sole discretion of Aetna and can be terminated at any time and without notice. This administrative fee credit offer is conditioned on your group continuing to stay on AFA for at least 12 months after receiving the administrative fee credit. Should the group terminate the product before 12 months, the group agrees to pay Aetna an amount equal to the total amount of the administrative fee credit received, within 31 days of the termination.
** Aetna must be notified that the group is on a pre-ACA grandfathered plan and receive the current plan designs when a quote request is submitted for the group.
