A: No, there is no matrix and there is no load to the rates. Pick 5 allows employers to offer any combination of up to five Aetna medical plans.
A: Aetna requires new group paperwork to be submitted ten business days prior to the requested effective date. If you have a group coming in past this timeframe, then please contact us for details on how to proceed.
A: We quote and write business in three different states: Washington, Alaska, and Idaho. In Washington, we can quote and write groups with 1-50 total average employees on payroll. In Alaska, we can quote and write groups from 2-100 total average employees on payroll. In Idaho, we quote and write groups with 2-100 eligible, total average employees on payroll. Mid-market (51-100) Alaska and Idaho groups are underwritten by Aetna.
A: COBRA administration is available through Aetna with Ameriflex. Please contact our office for more information.
A: Yes, Aetna will allow new groups to offer their existing employees the ability to credit deductible met in that calendar year to their new Aetna plan. For more information see the Deductible Credit Form.
A: Yes! Please utilize the TBS Enrollment Census template which is available on our forms page for each state.
A: Yes, each carrier has specific forms that would be required. Please see the carrier specific area or contact our New Business Team for further information.
A: Generally, renewals are released 45-60 days prior to the group’s anniversary date. For additional information, please contact our Renewal Team at renewals@tbsmga.com.
A: To start the online appointment process, please visit this link.
A: TBS has a division called Broker Services. Broker Services is set up to maximize your time by helping you with things like pre-renewal data collection, marketing, and other tasks. We complete these tasks for you so that you have more time to spend with your clients. Contact us today to learn more about how we can help.
A: SBCs are group effective date specific and can be downloaded via the public Aetna website here.
A: You may contact our Billing and Enrollment department by calling 1-855-246-8873 or via email at billing@tbsmga.com.
A: Aetna does not prorate charges. That is, while enrollments may be processed mid-month, the effective date and premium date will be the 1st of the month.
A: Aetna has gone green and no longer sends hard copies of benefit booklets out. You will receive an email with these documents and each of your employees will receive a mailed notification on how and where they can access copies of their booklets.
A: No, absolutely not! We are more than happy to work with you and your broker to explore options for ancillary lines of coverage at any time of the year. We offer a wide range of dental, vision, life, and disability products from several trusted carriers. Have your broker contact us and request your customized quote today!
A: Enrollments need to be submitted within 30 days of the member’s effective date/qualifying event date, and terminations must be submitted within 60 days. Late applicants without a qualifying event are not allowed and must wait for the group’s next open enrollment period/renewal date to enroll.
A: As many of our groups have fluctuating premium amounts due to enrollments and terminations, we do not offer reoccurring payments at this time. Groups can pay online through our Online Billing System (OBS), with a check, or with an ACH. Groups may, however, set up reoccurring payments privately through their banking institution.
A: We advise groups to pay their monthly invoices as billed. Adjustments for eligibility changes will appear on the group’s next month invoice. Groups are also welcome to utilize our Online Billing System to manage their eligibility and pay their invoices online. And of course, groups can call us at 1-855-246-8873 for live assistance.
A: It is an industry standard to waive the probationary period for an employee who is rehired within 365 days of their termination date, and to come on first of the month following their re-hire date. Rehired employees must be insured at least one day on the group’s policy prior to termination, in order to qualify for the rehire provision. If the group would rather an employee re-satisfy their probationary period they may do so, but the rule must apply to all employees going forward.
A: You may log on to your Aetna Navigator account at www.aetna.com (accessible 24 hours a day, seven days a week) and print an ID card.
A: When asked to select a medical plan name you will want to choose “Open Choice PPO.”
A: The deductible is applicable for the calendar year and does not allow for any portion to be carried over into the following year regardless of when it was satisfied.
A: An “EOB” is an Explanation of Benefits. These are generated once a claim is processed and are either mailed or delivered electronically to you. If you have signed up for Aetna Navigator then you can access and print or save your EOB online.
A: Effective 04/01/17 Aetna will change the material ID cards are printed on from plastic to durable paper. Paper ID cards will be sent to all new members. Existing members will receive paper ID cards as replacements when critical card changes occur. The ID card size and content printed on the cards will not change.
A: Congratulations on the new addition! For WA, newborns are covered for a 60 day period, (in AK and ID it is for a 31 day period) from the date of birth during which time the parent can choose to add the baby to the plan permanently or not. If the member wishes to permanently add the newborn to their plan they need to complete and return an enrollment form to TBS. Please note newborn enrollments cannot be completed through the Online Billing System, a manual application will be required. We advise that the newborn enrollment form be submitted within 30 days from the date of birth to permanently add the newborn onto the plan.
A: You can log in to the secure Aetna member website at http://www.aetna.com to locate a provider. Click on “Find a Doctor, Dentist, or Facility” and then search for “Find a Flu Shot/Vaccine Provider.” You can also call the number on your ID card for Member Services for assistance.
A: Yes! Please call the TBS General Line at (425)777-4650 and ask for more information on the Broker Quoting Portal.
A: Aetna requires new group paperwork to be submitted ten business days prior to the requested effective date. If you have a group coming in past this timeframe, then please contact us for details on how to proceed.
A: COBRA administration is available through Aetna with Ameriflex. Please contact our office for more information.
A: Yes, Aetna will allow new groups to offer their existing employees the ability to credit deductible met in that calendar year to their new Aetna plan. For more information see the Deductible Credit Form.
A: Yes! Please utilize the TBS Enrollment Census template which is available on our WA forms page.
A: Yes, each carrier has specific forms that would be required. Please see the carrier specific area or contact our New Business Team for further information.
A: Plan changes are due 10 business days prior the effective date. Otherwise paperwork is required to be submitted prior to the effective date. Any group that does not submit a signed renewal prior to the effective date will be terminated. There are no longer exceptions allowed for late renewal submissions.
A: For Washington, we can quote groups with 1-50 total average employees on payroll for the last 12 consecutive months.
A: To start the online appointment process, please visit this link.
A: Yes! Starting for new and renewing Washington small groups effective on/after 1/1/17, employees can participate in the Wellness Program to earn a $50 gift certificate and premium discount of 7.5% for the plan year. Employees must complete 2 wellness actions (Health Assessment and Biometric Screening) within the first 90 days from the group’s effective date in order to qualify.
A: TBS has a division called Broker Services. Broker Services is set up to maximize your time by helping you with things like pre-renewal data collection, marketing, and other tasks. We complete these tasks for you so that you have more time to spend with your clients. Contact us today to learn more about how we can help.
A: No. Enrollment in Aetna medical does not prompt automatic enrollment in life. Therefore, enrollment forms must be submitted for each product.
A: SBCs are group effective date specific and can be downloaded via the public Aetna website here.
A: You may contact our Billing and Enrollment department by calling 1-855-246-8873 or via email at billing@tbsmga.com.
A: Aetna does not prorate charges. That is, while enrollments may be processed mid-month, the effective date and premium date will be the 1st of the month.
A: Aetna has gone green and no longer sends hard copies of benefit booklets out. You will receive an email with these documents and each of your employees will receive a mailed notification on how and where they can access copies of their booklets.
A: No, absolutely not! We are more than happy to work with you and your broker to explore options for ancillary lines of coverage at any time of the year. We offer a wide range of dental, vision, life, and disability products from several trusted carriers. Have your broker contact us and request your customized quote today!
A: Enrollments need to be submitted within 30 days of the member’s effective date/qualifying event date, and terminations must be submitted within 60 days. Late applicants without a qualifying event are not allowed and must wait for the group’s next open enrollment period/renewal date to enroll.
A: As many of our groups have fluctuating premium amounts due to enrollments and terminations, we do not offer reoccurring payments at this time. Groups can pay online through our Online Billing System (OBS), with a check, or with an ACH. Groups may, however, set up reoccurring payments privately through their banking institution.
A: We advise groups to pay their monthly invoices as billed. Adjustments for eligibility changes will appear on the group’s next month invoice. Groups are also welcome to utilize our Online Billing System to manage their eligibility and pay their invoices online. And of course, groups can call us at 1-855-246-8873 for live assistance.
A: It is an industry standard to waive the probationary period for an employee who is rehired within 365 days of their termination date, and to come on first of the month following their re-hire date. Rehired employees must be insured at least one day on the group’s policy prior to termination, in order to qualify for the rehire provision. If the group would rather an employee re-satisfy their probationary period they may do so, but the rule must apply to all employees going forward.
A: You may log on to your Aetna Navigator account at www.aetna.com (accessible 24 hours a day, seven days a week) and print an ID card.
A: When asked to select a medical plan name you will want to choose “Open Choice PPO.”
A: Go to www.LifeMapCo.com/find-provider. Select the search option for your plan, and a new window will open. Enter your zip code or address in the Provider Quick Search tool and click “search” to obtain results.
A: The deductible is applicable for the calendar year and does not allow for any portion to be carried over into the following year regardless of when it was satisfied.
A: Answer
A: An “EOB” is an Explanation of Benefits. These are generated once a claim is processed and are either mailed or delivered electronically to you. If you have signed up for Aetna Navigator then you can access and print or save your EOB online.
A: Effective 04/01/17 Aetna will change the material ID cards are printed on from plastic to durable paper. Paper ID cards will be sent to all new members. Existing members will receive paper ID cards as replacements when critical card changes occur. The ID card size and content printed on the cards will not change.
A: Congratulations on the new addition! in WA, newborns are covered for a 60 day period from the date of birth during which time the parent can choose to add the baby to the plan permanently or not. If the member wishes to permanently add the newborn to their plan they need to complete and return an enrollment form to TBS. Please note newborn enrollments cannot be completed through the Online Billing System, a manual application will be required to enroll the dependent. We advise that the newborn enrollment forms be submitted within 30 days from the date of birth to permanently add the newborn onto the plan.
A: You can log in to the secure Aetna member website at http://www.aetna.com to locate a provider. Click on “Find a Doctor, Dentist, or Facility” and then search for “Find a Flu Shot/Vaccine Provider.” You can also call the number on your ID card for Member Services for assistance.
A: Yes! Please call the TBS General Line at 800-514-4850 and ask for more information on the Broker Quoting Portal.
A: No, there is no matrix and there is no load to the rates. Pick 5 allows employers to offer any combination of up to five Aetna medical plans.
A: Aetna requires new group paperwork to be submitted ten business days prior to the requested effective date. If you have a group coming in past this timeframe, then please contact us for details on how to proceed.
A: COBRA administration is available through Aetna with Ameriflex. Please contact our office for more information.
A: Yes, Aetna will allow new groups to offer their existing employees the ability to credit deductible met in that calendar year to their new Aetna plan. For more information see the Deductible Credit Form.
A: Yes! Please utilize the TBS Enrollment Census template which is available on our Alaska forms page.
A: Yes, each carrier has specific forms that would be required. Please see the carrier specific area or contact our new business team for further information.
A: Plan changes are due 10 business days prior the effective date. Otherwise paperwork is required to be submitted prior to the effective date. Any group that does not submit a signed renewal prior to the effective date will be terminated. There are no longer exceptions allowed for late renewal submissions.
A: To start the online appointment process, please visit the following link.
A: TBS has a division called Broker Services. Broker Services is set up to maximize your time by helping you with things like pre-renewal data collection, marketing, and other tasks. We complete these tasks for you so that you have more time to spend with your clients. Contact us today to learn more about how we can help.
A: SBCs are group effective date specific and can be downloaded via the public Aetna website here.
A: You may contact our Billing and Enrollment department by calling 1-855-246-8873 or via email at billing@tbsmga.com.
A: Aetna does not prorate charges. That is, while enrollments may be processed mid-month, the effective date and premium date will be the 1st of the month.
A: Aetna has gone green. You will receive an email with these documents and each of your employees will receive a mailed notification on how and where they can access copies of their booklets.
A: No, absolutely not! We are more than happy to work with you and your broker to explore options for ancillary lines of coverage at any time of the year. We offer a wide range of dental, vision, life, and disability products from several trusted carriers. Have your broker contact us and request your customized quote today!
A: Enrollments need to be submitted within 30 days of the member’s effective date/qualifying event date, and terminations must be submitted within 60 days. Late applicants without a qualifying event are not allowed and must wait for the group’s next open enrollment period/renewal date to enroll.
A: As many of our groups have fluctuating premium amounts due to enrollments and terminations, we do not offer reoccurring payments at this time. Groups can pay online through our Online Billing System (OBS), with a check, or with an ACH. Groups may, however, set up reoccurring payments privately through their banking institution.
A: We advise groups to pay their monthly invoices as billed. Adjustments for eligibility changes will appear on the group’s next month invoice. Groups are also welcome to utilize our Online Billing System to manage their eligibility and pay their invoices online. And of course, groups can call us at 1-855-246-8873 for live assistance.
A: It is an industry standard to waive the probationary period for an employee who is rehired within 365 days of their termination date, and to come on first of the month following their re-hire date. Rehired employees must be insured at least one day on the group’s policy prior to termination, in order to qualify for the rehire provision. If the group would rather an employee re-satisfy their probationary period they may do so, but the rule must apply to all employees going forward.
A: You may log on to your Aetna Navigator account at www.aetna.com (accessible 24 hours a day, seven days a week) and print an ID card.
A: When asked to select a medical plan name you will want to choose “Open Choice PPO.”
A: The deductible is applicable for the calendar year and does not allow for any portion to be carried over into the following year regardless of when it was satisfied.
A: An “EOB” is an Explanation of Benefits. These are generated once a claim is processed and are either mailed or delivered electronically to you. If you have signed up for Aetna Navigator then you can access and print or save your EOB online.
A: Effective 04/01/17 Aetna will change the material ID cards are printed on from plastic to durable paper. Paper ID cards will be sent to all new members. Existing members will receive paper ID cards as replacements when critical card changes occur. The ID card size and content printed on the cards will not change.
A: Congratulations on the new addition! in AK, newborns are covered for a 31 day period from the date of birth during which time the parent can choose to add the baby to the plan permanently or not. If the member wishes to permanently add the newborn to their plan then they need to complete and return an enrollment form to TBS. Please note newborn enrollments cannot be completed through the Online Billing System, a manual application will be required to enroll the dependent.
A: You can log in to the secure Aetna member website at http://www.aetna.com to locate a provider. Click on “Find a Doctor, Dentist, or Facility” and then search for “Find a Flu Shot/Vaccine Provider.” You can also call the number on your ID card for Member Services for assistance.
A: Yes! Please call the TBS General Line at 800-514-4850 and ask for more information on the Broker Quoting Portal.
A: Aetna requires new group paperwork to be submitted ten business days prior to the requested effective date. If you have a group coming in past this timeframe, then please contact us for details on how to proceed.
A: COBRA administration is available through Aetna with Ameriflex. Please contact our office for more information.
A: Yes, Aetna will allow new groups to offer their existing employees the ability to credit deductible met in that calendar year to their new Aetna plan. For more information see the Deductible Credit Form.
A: Yes! Please utilize the TBS Enrollment Census template which is available on our Idaho forms page.
A: Yes, each carrier has specific forms that would be required. Please see the carrier specific area or contact our new business team for further information.
A: Generally, renewals are released 45-60 days prior to the group’s anniversary date. For additional information, please contact our Renewal Team at renewals@tbsmga.com.
A: To start the online appointment process, please visit the following link.
A: TBS has a division called Broker Services. Broker Services is set up to maximize your time by helping you with things like pre-renewal data collection, marketing, and other tasks. We complete these tasks for you so that you have more time to spend with your clients. Contact us today to learn more about how we can help.
A: SBCs are group effective date specific and can be downloaded via the public Aetna website here.
A: You may contact our Billing and Enrollment department by calling 1-855-246-8873 or via email at billing@tbsmga.com.
A: Aetna does not prorate charges. That is, while enrollments may be processed mid-month, the effective date and premium date will be the 1st of the month.
A: Aetna has gone green. You will receive an email with these documents and each of your employees will receive a mailed notification on how and where they can access copies of their booklets.
A: No, absolutely not! We are more than happy to work with you and your broker to explore options for ancillary lines of coverage at any time of the year. We offer a wide range of dental, vision, life, and disability products from several trusted carriers. Have your broker contact us and request your customized quote today!
A: Enrollments need to be submitted within 30 days of the member’s effective date/qualifying event date, and terminations must be submitted within 60 days. Late applicants without a qualifying event are not allowed and must wait for the group’s next open enrollment period/renewal date to enroll.
A: As many of our groups have fluctuating premium amounts due to enrollments and terminations, we do not offer reoccurring payments at this time. Groups can pay online through our Online Billing System (OBS), with a check, or with an ACH. Groups may, however, set up reoccurring payments privately through their banking institution.
A: We advise groups to pay their monthly invoices as billed. Adjustments for eligibility changes will appear on the group’s next month invoice. Groups are also welcome to utilize our Online Billing System to manage their eligibility and pay their invoices online. And of course, groups can call us at 1-855-246-8873 for live assistance.
A: It is an industry standard to waive the probationary period for an employee who is rehired within 365 days of their termination date, and to come on first of the month following their re-hire date. Rehired employees must be insured at least one day on the group’s policy prior to termination, in order to qualify for the rehire provision. If the group would rather an employee re-satisfy their probationary period they may do so, but the rule must apply to all employees going forward.
A: You may log on to your Aetna Navigator account at www.aetna.com (accessible 24 hours a day, seven days a week) and print an ID card.
A: When asked to select a medical plan name you will want to choose “Open Choice PPO.”
A: The deductible is applicable for the calendar year and does not allow for any portion to be carried over into the following year regardless of when it was satisfied.
A: An “EOB” is an Explanation of Benefits. These are generated once a claim is processed and are either mailed or delivered electronically to you. If you have signed up for Aetna Navigator then you can access and print or save your EOB online.
A: Effective 04/01/17 Aetna will change the material ID cards are printed on from plastic to durable paper. Paper ID cards will be sent to all new members. Existing members will receive paper ID cards as replacements when critical card changes occur. The ID card size and content printed on the cards will not change.
A: Congratulations on the new addition! in ID, newborns are covered for a 31 day period from the date of birth during which time the parent can choose to add the baby to the plan permanently or not. If the member wishes to permanently add the newborn to their plan then they need to complete and return an enrollment form to TBS. Please note newborn enrollments cannot be completed through the Online Billing System, a manual application will be required to enroll the dependent.
A: You can log in to the secure Aetna member website at http://www.aetna.com to locate a provider. Click on “Find a Doctor, Dentist, or Facility” and then search for “Find a Flu Shot/Vaccine Provider.” You can also call the number on your ID card for Member Services for assistance.
A: Aetna International complies with all state mandates where the employee resides. Groups can still have unified coverage at the same rate across multiple states. However, please note that at this time there is no coverage for those in Maryland, or Hawaii.
A: Global install takes longer than traditional groups because of the complexity of the coverage. We ask that new groups be submitted 30-45 days prior to the requested effective date. Contact a Global Specialist for additional information.
A: While a total of 51 worldwide employees is required, a minimum of only 2 enrolling in the US is needed for a quote. There is no maximum group size.
A: Unfortunately, no, we cannot. Groups with under 10 lives get stock plans and stock rates, which we are not able to modify or hold. Please contact a member of the Global Team with any questions and they are always happy to help.
A: IHAT is Aetna’s International Health Advisory Team. This concierge level of service includes pre-trip planning, emergency assistance, procurement of prescriptions, coordination of care in remote areas and other expert advice that is invaluable for International employees.
A: Yes, Aetna offers International Employee Assistance Program (IEAP) including work/life resources to assist with international relocation adjustments.
A: In October 2016, TBS began administering the billing and enrollments for Access US groups. These Access US groups use our Online Billing System (OBS) which allows them to view their statements online, make employee and dependent additions, and more! Contact TBS today for more information.
A: Please submit all billing and eligibility inquiries to GlobalBilling@tbsmga.com. Our current turn-around time for submitting inquires is 24-48 hours. Should you need immediate assistance, then please contact a member of our Client Care Team at 1-855-246-8873.
A:
For global groups that came on, or renewed 10/1/2016 or later, they have been transitioned to the TBS billing platform. All payments should now go to:
Total Benefit Solutions
PO Box 45329
San Francisco, CA 94145-0329
Union Bank
PO BOX 45329
SAN FRANCISCO CA 94145-0329
A: When asked to select a medical plan name you will want to choose “Open Choice PPO.”
A: Depending on what plan your company elects, there may be coverage for your dependents even if they reside in a different country than you.
A: Yes. Our full coverage plans provide you coverage no matter where you are in the world. Our World Traveler plans have optional sojourn coverage for employees as well.
A: Effective 04/01/17 Aetna will change the material ID cards are printed on from plastic to durable paper. Paper ID cards will be sent to all new members. Existing members will receive paper ID cards as replacements when critical card changes occur. The ID card size and content printed on the cards will not change.
Didn’t find the answer you were looking for? Please contact us with any questions about insurance and we’ll be happy to help you out.
At Total Benefit Solutions, we’re focused on providing comprehensive and flexible insurance plans that meet the unique needs of small- to mid-sized businesses, and organizations with employees working in foreign countries.
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