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    • Individual & Family Coverage options and support for brokers selling Individual & Family Insurance.
    • Minimum Essential Coverage ACA-compliant coverage ensuring employers meet federal requirements.
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    • PRO Apply Streamline small group enrollments with fast, secure online applications.
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    • PRO Provider Find provider participation status across multiple networks with a single search.
    • PRO Quote Generate accurate, side-by-side health plan quotes quickly and efficiently.
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    • Document Toolkit Centralized library of essential forms, notices, and broker documents.
    • Enrollment Solutions Employee Navigator, Ease and PRO Apply are trusted benefits platforms that simplify enrollment, onboarding, and HR tasks.
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  • Aetna

Aetna's 2nd Quarter 2025 Updates

Admin
  • March 6, 2025
  • 2 min

Important updates and highlights for Aetna’s California 1–100 size groups.
Broker Training available for eBusiness
We’re here to support you!  Register to attend training and demos for eBilling and eEnrollment.  These sessions will help you navigate the platform and manage your client on eBusiness.
Click here for flyer of available training dates in March.
 This training is designed for brokers who have customers currently using the platform who are seeking foundational or refresher training.
 
Pharmacy – 2025 formulary updates
2025 formulary is available. Download a copy with the links below for:
  • Aetna Health Exchange Plan-California-OA Managed Choice, PPO
    • Drug guide changes beginning April 1
  • Aetna Health Exchange – HMO
    • Drug guide changes beginning April 1
  • Aetna Funding Advantage (AFA) 2025 Drug Formulary Guide
    • Advanced Control Plan: 2025 All states, except CA | 2025 CA
2nd Quarter Rates 2025
  • Rate cards for 2nd Quarter 2025 CA ACA
2025 materials, forms, and plan documents
  • SBC Search Tool: SBC (aetna.com) 
    SBC’s and Plan Design Documents will be available by Mid-October.
  • 2025 CA ACA Employer and Employee Applications 
    Available now, must be used for all 2025 effective dates.
  • 2025 CA ACA UW Guidelines
  • 2025 CA ACA New Business Checklist

Employer Savings
Employer administration credits on our Aetna Funding Advantage (AFA) plans through 8/1/2025, with additional credits for employers who purchase Aetna dental with the AFA plan*
  • Aetna Funding Advantage (AFA) admin credit flyer
2025 Employer credits when combining Aetna CA ACA Medical with Aetna Dental*
  • CA ACA Medical bundling discount with Dental or Dental + Vision flyer
*See flyers for full details.

CA Broker Bonus for both Affordable Care Act (ACA) and Aetna Funding AdvantageSM (AFA)
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.
 
Download our 2025 program flyer or contact your Aetna Sales Executive for details. 

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  • Aetna

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