Aetna Medical Loss Ratio (MLR) Update Request Letter

Aetna and Coventry plan sponsors with insured medical products and fewer than 200 eligible employees will receive a letter requesting their Total Average Employee (TAE) count for calendar year 2016. Aetna will use this information to place the plan sponsor in the right pool for MLR reporting and rebate administration (for 2017 experience year rebates in 2018).

The plan sponsors who do not respond will receive up to two follow-up letters.  Letters will provide specific instructions for plan sponsors to reply through an online portal at www.aetna.com, or they can respond by mail using the paper response card and postage-paid envelope provided in the letters.  Response to these letters is requested by April 27, 2017.

DISCLOSURE

The information provided herein is intended solely for the use of our clients. You may not display, reproduce, copy, modify, license, sell or disseminate in any manner any information included herein, without the express permission of the Publisher or Publishers of articles within.

The information provided is for informational purposes only and does not constitute legal advice. The information above contains only a summary of the applicable legal provisions and does not purport to cover every aspect of any particular law, regulation or requirement. Depending on the specific facts of any situation, there may be additional or different requirements. This is to be used only as a guide and not as a definitive description of your compliance obligations.