| | Aetna Forms |
| | All forms and plan descriptions are in portable document format (PDF).
 |
| | Some forms are available for download in Spanish.
Click the language to download the form. |
| | Form Type: Medical |
| | Form Name | Form Description
|
| |
Administrative Handbook
English
(3.3 mb) | A summary of administrative information for current small group employers. Contains links to necessary claims forms. |
| |
Aetna Employer Application
English
() | Employer application for enrolling new groups 4-1-08. |
| |
Company 411
English
() | Company 411 |
| |
HMO Medical Reimbursement
English
(246 kb) | HMO Medical Reimbursement |
| |
Pharmacy Reimbursement
English
(283 kb) | Pharmacy Reimbursement |
| |
PPO Medical Reimbursement
English
(211 kb) | PPO Medical Reimbursement |
| |
Small Group Enrollment Checklist
English
(35 kb) | Use as a guide to help you install a case. |
| | Form Type: Life and Disability |
| | Form Name | Form Description
|
| |
AD&D Ultra® for Small Group Employers
English
(197 kb) | Detailed information on Aetna's Accidental Death and Dismemberment Insurance |
| |
Attending Physician Statement
English
(281 kb) | Attending Physician Statement |
| |
Beneficiary Solutions Program for Small Group Employers
English
(235 kb) | Detailed information on Aetna's Value-Added Benefits included at no cost with Life Insurance |
| |
Life Insurance for Small Group Employers
English
(110 kb) | Information on Aetna's Life and AD&D Insurance |
| |
Short Term Disability Insurance for Small Group Employers
English
(44 kb) | Information on Aetna's Short Term Disability Insurance |
| | Form Type: Dental/Vision |
| | Form Name | Form Description
|
| |
DMO/PPO Dental Reimbursement
English
(376 kb) | DMO/PPO Dental Reimbursement |
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