download-form-img

Downloadable Forms

For your convenience, we have developed a downloadable insurance forms section. Please feel free to check back here for frequent form updates.

All Brokers Placing New York Business: Deadlines Set for 1-50 December Effective New Business

Story Content Provided by Aetna on 10/29/15

Your partnership is greatly appreciated as we work diligently to ensure that all new plans are set up by their effective dates.

In order to ensure timely and effective set up, we have established the following deadlines for December New York 1-50 new business submissions:

  • December 1 Effective Date Deadline for Submissions: Wednesday, November 18
  • December 15 Effective Date Deadline for Submissions: Tuesday, December 1

In addition to meeting these submission deadlines, the following must be submitted in order for effective dates to be held:

  • Master Application
  • Check copy or ACH Form
  • Enrollment & Waivers
  • Tax/Payroll

We will not accept submissions that do not meet the above criteria. We appreciate your continued partnership and support.