Rates:
Rate pass for HMO, MC, and PPO medical plans for all rating areas

Networks:

  • Saint John’s Health Clinic is joining Aetna’s HMO and HMO Deductible network effective August 1, 2017
  • The SCCIPA EPO and MC plans (Santa Clara County) are not available for new business as of 9/1/17, and members enrolled in these plans will be asked to enroll in a different network at the time of their renewal starting January 2018
  • Aetna contracts with HEAL providers
  • Teladoc is also available for HMO and MC/PPO members
  • An updated CA HMO flyer is also attached for your reference

Technology:
Springboard Marketplace is Aetna’s online open enrollment platform and ongoing benefits administration tool. Available for Small Group ACA Customers in California, Springboard eliminates the need for any paper enrollment, and is available 24/7 free of charge as well as mobile enabled. With Springboard, you can:

  • Offer employee shopping during open enrollment, providing a guided employee benefit selection process:
    • Set a defined contribution strategy
    • Walk the employee through the employee shopping experience using Ask Emma, Aetna’s interactive benefit advisor
    • Provide broker or GA led administrative enrollment via our Quick Enroll features
  • Once a group is on Springboard and open enrollment is completed, broker/GA and group administrative functions are handled through Springboard. This includes the ability to:
    • Add new hires
    • Terminate employee coverage
    • Process life events
    • Run reports
    • Make general employee demographic changes
    • Assist employees in processing their own changes throughout the plan year

Important Dates:
To ensure members are enrolled in correct plans, Aetna requests notification of a group’s renewal and plan change no later than the last day of the month – prior to the renewal.

Sold case submissions must be received in Aetna Underwriting by the requested effective date; the 1st or 15th.