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Medical - Utah Inactive (1) Medical - Utah Active

Group Medical

Dental - Nevada Inactive Dental - Nevada Active

Dental

Vision - Nevada Inactive Vision - Nevada Active

Vision

Life - Nevada Inactive Life - Nevada Active

Life Insurance

Disability - Nevada Inactive Disability - Nevada Active

Disability

AFA Plan Summaries

PPO Plan Summaries

The following summaries are listed for your convenience. For the most up-to-date information please visit  https://www.aetna.com/sbcsearch/search and click on the tab labeled "PDD Search."

  • AFA CPOSII 100 50 25 $500D
  • AFA CPOSII 100 50 25 $1000D
  • AFA CPOSII 100 50 35 $2500D
  • AFA CPOSII 500 80 50 $0D
  • AFA CPOSII 500 80 50
  • AFA CPOSII 500 100 $0LXR
  • AFA CPOSII 500 100 50
  • AFA CPOSII 1000 80 50 $0LXR
  • AFA CPOSII 1000 80 50
  • AFA CPOSII 1000 100 50 $0LXR
  • AFA CPOSII 1000 100 50
  • AFA CPOSII 1500 50 50
  • AFA CPOSII 1500 70 50
  • AFA CPOSII 1500 80 50 $0LXR
  • AFA CPOSII 1500 80 50
  • AFA CPOSII 1500 100 50 $0LXR
  • AFA CPOSII 1500 100 50
  • AFA CPOSII 2000 80 50 $0LXR
  • AFA CPOSII 2000 80 50
  • AFA CPOSII 2000 100 50 $0LXR
  • AFA CPOSII 2000 100 50
  • AFA CPOSII 2500 80 50 $0LXR
  • AFA CPOSII 2500 80 50
  • AFA CPOSII 2500 100 50 $0LXR
  • AFA CPOSII 2500 100 50
  • AFA CPOSII 2500 100 50 IntRX
  • AFA CPOSII 2750 50 50
  • AFA CPOSII 2750 70 50
  • AFA CPOSII 2750 80 50 IntRX
  • AFA CPOSII 3000 100 50
  • AFA CPOSII 3500 80 50
  • AFA CPOSII 3500 100 50 IntRX
  • AFA CPOSII 4000 70 50
  • AFA CPOSII 4000 80 50 IntRX
  • AFA CPOSII 4000 100 50
  • AFA CPOSII 4500 50 50
  • AFA CPOSII 5000 80 50
  • AFA CPOSII 5000 100 50
  • AFA CPOSII 5000 100 50 IntRX
  • AFA CPOSII 6000 70 50
  • AFA CPOSII 6250 100 50 IntRX
  • AFA CPOSII 6750 80 50
  • AFA CPOSII 6750 100 50
  • AFA CPOSII 6750 100 50 IntRX
  • AFA CPOSII 7350 80 50
  • AFA CPOSII 7350 100 50 IntRX
  • AFA CPOSII 7500 50 50
  • AFA CPOSII 8150 100 50 IntRX
  • AFA CPOSII 8150 100 50 Value
  • AFA CPOSII 9100 100 50 IntRX
  • AFA CPOSII 9100 100 50 Value 

HSA Plan Summaries

  • AFA CPOSII 1700 HSA 100 50
  • AFA CPOSII 2000 HSA 100 50
  • AFA CPOSII 2500 HSA 80 50
  • AFA CPOSII 2500 HSA 100 50
  • AFA CPOSII 2750 HSA 100 50
  • AFA CPOSII 3000 HSA 100 50
  • AFA CPOSII 3250 HSA 100 50
  • AFA CPOSII 3500 HSA 50 50
  • AFA CPOSII 3500 HSA 80 50
  • AFA CPOSII 4000 HSA 80 50
  • AFA CPOSII 4500 HSA 100 50
  • AFA CPOSII 5500 HSA 80 50
  • AFA CPOSII 5500 HSA 100 50
  • AFA CPOSII 6000 HSA 70 50
  • AFA CPOSII 6500 HSA 70 50
  • AFA CPOSII 6500 HSA 100 50
  • AFA CPOSII 7500 HSA 100 50

Aetna AFA Forms & Flyers

AFA Forms

  • Broker Quote Checklist AFA Utah
  • AFA Underwriting Guidelines (2-100 eligible employees)
  • AFA Administrative Handbook
  • AFA Billing & Banking Handbook
  • Aetna HealthFund® One-to-One Small Group Pricing Guide
  • Aetna AFA Employee Enrollment/Change Form
  • Small Group AFA Census Template
  • Aetna Member-Level Census Template

AFA Flyers

  • Small Group Member Programs Flyer
  • Aetna CVS Health Virtual Primary Care Flyer
  • FitOn Health Flyer
  • Aetna Answer Team Flyer
  • Teladoc Flyer - 2024
  • Aetna EAP Flyer

Aetna RX Forms & Flyers

  • For the most up-to-date formulary and Rx information we recommend you use Aetna's Medicine Search Tool.
  • 2024 Aetna Pharmacy Drug Guide Advanced Control Plan
  • 2024 Aetna Value Drug Guide
  • 2024 Aetna Health Care Reform Preventive Drug List
  • CVS 90 Day RX Mail Flyer
  • Small Group Over the Counter Plan Sponsor Flyer
  • Aetna Rx Drug Claim Form

At Total Benefit Solutions we understand that your clients have different needs. That’s why we offer a wide range of group medical plans. Your clients and their employees can get quality coverage with budget-conscious premium rates.

To download forms, click on them below to add them to the "file cart" and when you're done selecting, click "Download Files" in the header.

Aetna Dental

Dental Plan Summaries

The following summaries are listed for your convenience. For the most up-to-date information and additional plans please visit Aetna's Producer World at: https://www.aetna.com/producer/Login.do. 

  • Aetna Dental Plan Grid

Dental Forms & Flyers

  • UT Employer Application PPO (2-50)
  • Small Group Dental Underwriting Brochure (2-50 eligible employees)
  • Small Group Dental Employee Enrollment/Change Form
  • Dental Claim Form

MetLife Dental

Plan Summaries

The following summaries are listed for your convenience. Upon implementation benefit summaries will be generated for the group, and  groups should review their Policy and Certificate for complete details. If you'd like to request a summary not seen below then please contact us.

  • 100/80/50 1K Endo-Pero Basic 90th
  • 100/80/50 1.5K Endo-Pero Basic 90th
  • 100/80/50 1.5K Endo-Pero Basic 90th Child Ortho 1K
  • 100/80/50 2K Endo-Pero Basic 90th
  • 100/80/50 2K Endo-Pero Basic 90th Child Ortho 1K
  • 100/80/50 2K Endo-Pero Basic 90th Child Ortho 1.5K
  • 100/90/60 - 100/80/50 1.5K Endo-Pero Basic 90th
  • 100/90/60 - 100/80/50 2K Endo-Pero Basic 90th

Voluntary Plan Summaries

  • VOLUNTARY 100/80/50 1K Endo-Pero Basic 90th
  • VOLUNTARY 100/80/50 1.5K Endo-Pero Basic 90th
  • VOLUNTARY 100/80/50 1.5K Endo-Pero Basic 90th Child Ortho 1K
  • VOLUNTARY 100/80/50 2K Endo-Pero Basic 90th
  • VOLUNTARY 100/80/50 2K Endo-Pero Basic 90th Child Ortho 1K 
  • VOLUNTARY 100/80/50 2k Endo/Perio Basic 90th 1.5k Ortho
  • VOLUNTARY 100/90/60 - 100/80/50 1.5K Endo-Pero Basic 90th
  • VOLUNTARY 100/90/60 - 100/80/50 2K Endo-Pero Basic 90th

Forms

  • MetLife Group Application 
  • MetLife Non-Standard Commission Agreement
  • MetLife Standard Commission Agreement
  • Producer Appointment Inquiry
  • MetLife New Group Submission Form
  • MetLife Enrollment Template - Excel
  • MetLife HIPAA Authorization Form
  • Dental Claim Form

Flyers

  • MetLife Group Benefits Overview
  • MetLife Group Benefits Overview Product Quick Hits List
  • MetLife Broker Quick Start Guide
  • Dental Slipsheet 2-9 Employees
  • Dental Slipsheet 10-99 Employees
  • Dental Allocations & Limitations Flyer
  • Find a Dental Provider Flyer
  • Digital Servicing Capabilities for Dental Flyer

 

Our Aetna and MetLife dental plans help your clients keep their employee's oral health in check. Contact us today to inquire about our ability to match or exceed your clients’ existing dental plan with a custom quote.

To download forms, click on them below to add them to the "file cart" and when you're done selecting, click "Download Files" in the header.

Aetna Vision

Forms

  • UT Employer Application PPO (2-50)
  • Aetna Small Group Vision Underwriting Guidelines (2-50 eligible employees)
  • Small Group Vision Employee Enrollment/Change Form
  • Out of Network Visions Claim Form

Flyers

  • Aetna Vision Preferred Flyer
  • Using Aetna Vision Preferred Flyer

Small group vision plan summaries can be found online in Aetna's Producer World at  https://www.aetna.com/producer/SmallGroup/plan-designs-vision.html

MetLife Vision

Plan Summaries

The following summaries are listed for your convenience. Upon implementation benefit summaries will be generated for the group, and  groups should review their Policy and Certificate for complete details. If you'd like to request a summary not seen below then please contact us.

  • Vision Plan 1
  • Vision Plan 2
  • Vision Plan 3
  • Vision Plan 4
  • Vision Plan 5
  • Vision Plan 6
  • Vision Plan Summary $100 Frame Allowance
  • Vision Plan Summary $150 Frame Allowance
  • MetLife Vision Slipsheet 10-99 Employees 

Forms

  • MetLife Group Application 
  • MetLife Non-Standard Commission Agreement
  • MetLife Standard Commission Agreement
  • Producer Appointment Inquiry
  • MetLife New Group Submission Form
  • MetLife Enrollment Template - Excel
  • MetLife HIPAA Authorization Form

Flyers

  • Find a Vision Provider Flyer
  • MetLife Group Benefits Overview
  • MetLife Group Benefits Overview Product Quick Hits List
  • MetLife Broker Quick Start Guide

 

We offer your groups several high-quality eye care plan at affordable price points. Our plans provide members with coverage for routine eye exams, eyeglasses, including many designer frames, and contact lenses.

To download forms, click on them below to add them to the "file cart" and when you're done selecting, click "Download Files" in the header.

Life Insurance Plan Summaries

Upon implementation, benefit summaries will be generated for the group, and groups should review their Policy and Certificate for complete details. If you'd like to request a summary, please contact us.

Life Insurance Flyers

  • Life Insurance Infographic Flyer
  • Grief Counseling Flyer

Employees can provide their families with peace-of-mind with our Life plans from our trusted carrier.

To download forms, click on them below to add them to the "file cart" and when you're done selecting, click "Download Files" in the header.

MetLife Disability

Upon implementation, benefit summaries will be generated for the group, and groups should review their Policy and Certificate for complete details. If you'd like to request a summary, please contact us.

 

 

 

 

 

MetLife Disability Flyers

Flyers

  • MetLife Short Term Disability Flyer
  • MetLife Disability Claim - Mobile App Flyer
  • Short Term Disability Claims Timeline
  • Long Term Disability Claims Timeline

Our competitive Short Term Disability (STD), and Long Term Disability (LTD) plans help to shorten the downtime following an accident or illness while assisting employees who are suddenly faced with a loss of income, and expenses associated with rehabilitation.

To download forms, click on them below to add them to the "file cart" and when you're done selecting, click "Download Files" in the header.

High Quality, Affordable Coverage

We'll provide a customized quote that fits your business needs.

Get a Quote