Aetna Announces Q4 2020 Updates

Aetna has provided the following summary of rate changes for the fourth quarter. They show an annual trend of less than 8%. In addition, please see the rate reductions in Rating Area 15 (Los Angeles).
HMO Quarterly Annual
Bronze 3.2% 1%
Silver 3.2% -0.4%
Gold 3.2% 7.9%
Platinum 3.2% 3%
PPO Quarterly Annual
Bronze 2.2% -2.6%
Silver 2.5% 1.2%
Gold -0.8% 5.9%
Platinum 0.6% -2.9%
PPO RA 15 only Q4
Bronze -14.5%
Silver -10.1%
Gold -12.7%
Platinum -11.5%

Rate changes may vary by plan and rating area.
Underwriting reminders
  • Relaxed participation promotion through 12/31/20 effective dates:
    • 25% participation for groups of five or more enrolled subscribers
    • 65% participation required for four or less subscribers enrolled
  • Aetna will allow one other carrier HMO and/or PPO alongside (excludes EPO plans)
  • Participation with another carrier is not considered a valid waiver
2020 broker bonus
It’s simple. Just sell Aetna new business plans to groups in California with 1-100 eligible employees. The bonus payout is the same if you sell direct with Aetna or through a General Agent. Bonus is based on the total number of enrolled employees for all the groups you sell with Aetna. 
  • 1 - 74 subscribers - $50 per enrolled employee
  • 75+ subscribers - $100 per enrolled employee
See the linked broker bonus flyer for more information.
Other information
  • Aetna HealthSM App for IOS and Android users — download from app store
    • Find doctors, get a copy of ID card, pay claims, etc.
  • Teladoc — included with all small group plans
  • Pharmacy formulary — 2020 SG CA ACA formulary (
  • Chiropractic coverage is included on all HMO, EPO and OAMC plans, except for state-mandated plans
  • Confirmation of renewal
    • Confirmation by the employer via letter, fax or email to the client management team and receive prior to their renewal date
      • Premium payment in advance of the renewal date will also act as confirmation
  • Groups submitting renewal plan changes must be received 10 days prior to their renewal (five days prior if submitting changes on the eList tool) 
Source: Aetna