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  • Enrollment/change Request - Aetna

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Enrollment/Change Request TO COMPLY WITH CALIFORNIA LAW, WHEREVER THE TERM "SPOUSE" APPEARS, IT SHALL INCLUDE A DOMESTIC PARTNER. Aetna Life Insurance Company Employer Name - Full Name of.

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To change your plan selections, notify your current or future health plan sponsor of the qualifying event in your life as soon as possible. Other qualifying life events include getting married, losing coverage due to divorce, losing eligibility for Medicaid, and exhausting your COBRA coverage.

After open enrollment ends, you can only make changes to your elections if you've experienced a qualifying life event. ... COBRA - If you lose your job and elect to continue receiving benefits from your employer.

Just call Member Services at the number on your ID card. Based on where you move, you may need to enroll in a new plan.

You can change your health plan for the rest of 2020 only if you qualify for a Special Enrollment Period due to a certain life event like losing health coverage, getting married, or having a baby. You can also contact the Marketplace Call Center and a representative will help you change plans.

After open enrollment ends, you can only make changes to your elections if you've experienced a qualifying life event. ... COBRA - If you lose your job and elect to continue receiving benefits from your employer.

If you have health benefits through your employer, you can change them during "open enrollment." It's typically in the fall. It's your chance to choose a new health plan, pick new benefits or cancel your current plan. The only other times you can change your health benefits is when you: Get married.

Unfortunately, you may be stuck with your current plan until the next open enrollment period. But in some cases, you might qualify for what's known as a special enrollment period. You may qualify for a mid-year policy change.

Please send the form to the following address: PO Box 14088, Lexington, KY 40512-4088. You can also fax it to us at 1-888-665-6296. Instead of sending a disenrollment request to Aetna Medicare you can call 1-800-MEDICARE (1-800-633-4227), 24 hours a day, 7 days a week, to disenroll by telephone.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232