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Wednesday, August 25 2010

For October 1, 2010 and later effective dates, Aetna will discontinue new business sales of child-only policies to applicants (under the age of 19) for Aetna Advantage Plans for Individuals, Families and the Self Employed. No existing policyholder is affected by this action.

Effective immediately, any applications received requesting a child-only policy with a October 1, 2010 effective date (or later) will be closed. Aetna Underwriting will notify applicants by mail of their ineligibility, but also provide options for coverage – see below.

Why is Aetna making this change?

This change positions Aetna for the future so the carrier can effectively handle upcoming changes resulting from healthcare reform. New federal rules require guaranteed issue (GI) of coverage for individuals under the age of 19 and no corresponding coverage requirement. These conditions have the potential to significantly increase the cost of premiums and make coverage unaffordable.

No impact to existing child-only policies

Existing policyholders will not be impacted by this action and they may continue their current coverage. These policies are renewable

States affected

Discontinuation of child-only coverage for the following states AK, AR, AZ, CA, CO, DC, DE, FL, GA, IL, IN, KS, KY, LA, MI, MO, MS, NC, NE, NV, PA, SC, TN, TX, VA, WV, and WY will occur on October 1, 2010. The implementation date for the following states CT, MD, OH, and OK is still being established. Aetna will notify you once dates are confirmed for these states.

Other health insurance options available for individuals under age 19

  • Be added as a dependent to a parent's plan.
  • If the above option is not a viable solution, applicants can check for alternatives

Aetna continues to explore options with states where the carrier is ceasing the sales of new child-only policies, including reviewing other regulatory changes that may allow them to re-enter this market and provide a valuable product between now and 2014.

Posted by: AT 04:29 pm   |  Permalink   |  Email
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