Sep 15, 2022
You want credits, Aetna has answers
Your clients want to save money, and you want to make it happen for them. Aetna has completely restructured their Aetna Funding AdvantageSM admin fee credit program to save you time and save your clients more money. Credits are no longer dependent on:
- What state the group is in (as long as it is an Aetna Funding Advantage state)
- What quoting method you use to write the case
With improvements to the administrative fee credits, guaranteed surplus, and cross-sell discount, now is the time to brush up on these programs before fourth quarter. See the highlights below.
New Aetna Funding Advantage 2-100 administrative fee credit program
Now, Aetna is letting you stack the credits that apply to your groups. You can add each of the below credits that applies to your client. However, you can’t add both the 51-100 new business credit and the level-funded incumbent credit. Groups will only get one of those two credits even if they qualify for both.*
| $300 General New Business Credit | $200 51-100 New Business Credit | $200 Level-Funded Incumbent Credit |
|---|---|---|
| $300 per enrolled for all Aetna Funding Advantage new businesses with 2 to 100 eligible. As long as the group meets other standard underwriting requirements, they get this credit | $200 per enrolled for all groups with 51-100 eligible employees. The group just needs to meet other standard underwriting requirements. | $200 per enrolled for any group with 2-100 eligible employees that is on a level-funded plan with another carrier and is currently in a surplus position with that carrier |
Temporary promotional admin fee credit
$400 startup group credit: $400 per enrolled for any group with 2-100 eligible employees that has not had medical coverage in the last 12 months. This credit will be active for 10/1/2022 and 11/1/2022 groups only.
Updated cross sell savings program
For groups with 2 to 50 eligible employees, cross-sell savings for dental and vision is now an admin fee credit that can stack with the credits above. For groups with 51-100 eligible employees, the cross-sell discount is staying in-place as you know it. Here’s how it breaks down:
| AETNA FUNDING ADVANTAGE | FULLY INSURED 51-100 | |||
|---|---|---|---|---|
| Enrolled Employees | 2-50 | 51-100 | 51-100 | |
| Medical and Dental ** | $200 per sub credit | 2.0% off the medical plan cost | 2.0% off the medical and dental plan cost | |
| Medical, Dental and Vision** | $225 per sub credit | 2.5% off the medical plan cost | 2.5% off the medical and dental plan cost | |
View the Savings Now, Surplus Later flyer and the Admin Fee + Surplus Calculator!
*A group can only be eligible for an administrative fee credit at their effective date based on the number of enrolled employees at the time the case is sold. The administrative fee credit programs are available for new Aetna Funding Advantage groups with effective dates of December 1, 2022 to January 1, 2023 unless otherwise noted.
**The Medical and Dental and Medical, Dental and Vision admin credits and discounts cannot be combined – groups get one or the other based on the ancillary products they add.
