Aetna/Coventry: Medical Loss Ratio (MLR) and Enrollment Verification Form

Aetna is mailing an updated Enrollment Verification forms to plan sponsors with fewer than 200 enrolled and insured medical products.  All Coventry customers and Aetna customers renewing January – March 2016 as well as all other Aetna customers will receive an updated enrollment verification form asking for total average employees (TAE) before they receive their 2016 renewal.

These letters request a total average employee count for calendar year 2015.  Plan sponsors can respond through an online portal, which can be accessed through www.aetna.com or they can return a paper response card in the provided postage-paid envelope.  Specific instructions on how to access the portal will be included in the letter and response is requested by March 31, 2016.

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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.