Summary of Benefits and Coverage (SBCs)

SBCs are group effective date specific and can be downloaded via the public Aetna website at: https://www.aetna.com/sbcsearch/home

 Benefit Grids

2024

• Benefit Grid WA (2-50)

Plan Summaries

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

Small Group Plan Summaries Effective 1/1/24 and Later

• Bronze PPO 6200 60/50
• Bronze PPO 6350 70/50 HSA-E
• Bronze PPO 6850 100/50 Copay Plan
• Bronze PPO 8000 70/50
• Gold PPO 500 80/50
• Gold PPO 1000 80/50
• Silver PPO 2000 70/50
• Silver PPO 2500 70/50
• Silver PPO 2500 80/50 HSA-T
• Silver PPO 3000 70/50
• Silver PPO 3250 80/50 HSA-E
• Silver PPO 4000 80/50
• Silver PPO 5000 80/50 HSA-E

Small Group Plan Summaries Effective 1/1/23 and Later

• WA Gold PPO 1000 80 50
• WA Silver PPO 2450 80 50 HSA-T
• WA Silver PPO 2500 70 50
• WA Silver PPO 3000 80 50 HSA-E
• WA Silver PPO 4000 80 50
• WA Silver PPO 5000 80 50 HSA-E
• WA Bronze PPO 6200 60 50
• WA Bronze PPO 6250 70 50 HSA-E
  
  

Middle Market (51-100) Plan Summaries

The following summaries are listed for your convenience. The most up-to-date information for groups of 51+ can be found online in Aetna's Producer World at: https://www.aetna.com/producer/Login.do. 

WA PPO

• 250 90 60 RX1
• 500 80 60 RX1
• 500 100 50 RX1
• 750 80 60 RX2
• 1000 80 50 RX2
• 1500 80 50 RX2
• 2000 80 50 RX3
• 3000 80 50 RX3
• 4000 80 50 RX3
• 5000 70 50 RX4
• 6000 70 50 RX4
• HSA 1500 80 60 TIF RX1
• HSA 2500 80 60 TIF RX2
• HSA 3000 80 60 TIF RX2
• HSA 4000 70 50 EMB RX3
• HSA 5000 80 60 EMB RX4
• HSA 5000 90 70 EMB RX1

WA AWH OAMC

• 250 90 60 RX1
• 500 80 50 RX1
• 500 100 50 RX1
• 750 80 50 RX2
• 1000 80 50 RX2
• 1500 80 60 RX2
• 2000 80 60 RX3
• 3000 80 60 RX3
• 4000 80 50 RX3
• 5000 70 50 RX4
• 6000 70 50 RX4
• HSA 1500 80 60 TIF RX1
• HSA 2500 80 60 TIF RX2
• HSA 3000 80 60 TIF RX2
• HSA 4000 70 50 EMB RX3
• HSA 5000 80 60 EMB RX4
• HSA 5000 90 70 EMB RX1

• New Group Enrollment Checklist for Small Group
• WA Employer Application (1-50) - Updated
• 2024 WA Employee Enrollment/Change Form (1-50)
• ACH- New Group
• WA Enrollment Census 2024

Renewal

Aetna – Helping people achieve health and financial security

Aetna is one of the nation’s leaders in health care, dental, pharmacy, group life, and disability insurance, and employee benefits. Dedicated to helping people achieve health and financial security, Aetna offers a broad range of insurance and employee benefits products plus vast resources for producers and employers to help them make the right choices.

The Aetna health care network has:

• More than 1 million health care professionals
• More than 575,000 primary care doctors and specialists
• More than 5,400 hospitals
• A network of specialist physicians, recognized with Aexcel® designation, based on clinical performance and cost efficiency.

Aetna provides benefits through employers in the United States and internationally, with products and services targeted specifically to small, mid-sized and large multi-site national employers, as well as global health insurance for employees on temporary or permanent foreign assignments.

Ask us about Aetna’s health insurance products including Medical, Dental, Life and Global insurance.

Producer Appointment

If you or your firm is not yet appointed with Aetna, please apply online:

https://pangea.geninfo.com/Aetna/Apply

• WA Employee Enrollment/Change Form (1-50)
• WA Employer Application (1-50)

• Dental Claim Form

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.

• WA MetLife Dental Slipsheet (2-50)
• $1000 Max Dental Plan Summary
• $1000 Max with Ortho Dental Plan Summary 
• $1500 Max Dental Plan Summary
• $1500 Max with Ortho Dental Plan Summary
• $2000 Max Dental Plan Summary
• $2000 Max with Ortho Dental Plan Summary
• $3000 Max Dental Plan Summary
• $3000 Max with Ortho Dental Plan Summary
• MetLife Plan 11H
• MetLife Plan 24H

New Business

• Coming Soon... in the meantime please contact us for assistance.

Member Forms

• Dental App Employee Flyer
• Dental Claim Form
• Enrollment and Change Form Note: If you receive a "Please wait..." message then please go ahead and download the PDF and open it with Adobe Acrobat and it will be viewable and fillable.
• Find a Dental Provider
• MyBenefits Registration Flyer

MetLife has been in the business of making and keeping promises for more than 150 years, helping millions of customers protect their future with smart products and targeted services. They apply the same principles to operate responsibly and confidently in more than 40 markets around the world.

Producer Appointment

If you or your firm is not yet appointed with MetLife, then please complete the following and submit as directed on the form:

Broker Appointment Paperwork

To locate a dental provider please visit https://www.metlife.com/  and follow the instructions listed on the Find a Dental Provider brochure.

NOTE: 25k and 50k are available to groups of 5 or more, and 100k life is available to groups of 25 or more.

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.

$20,000 Basic Life Benefit Summary
$25,000 Basic Life Benefit Summary
$50,000 Basic Life Benefit Summary
$100,000 Basic Life Benefit Summary
Supplemental Life Benefit Summary

MetLife has been in the business of making and keeping promises for more than 150 years, helping millions of customers protect their future with smart products and targeted services. They apply the same principles to operate responsibly and confidently in more than 40 markets around the world.

Producer Appointment

If you or your firm is not yet appointed with MetLife, then please complete the following and submit as directed on the form:

Broker Appointment Paperwork

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

New Business

• Coming Soon... in the meantime please contact us for assistance.

Member Forms

• Eyeconic Flyer
• Find a Vision Provider Flyer

MetLife has been in the business of making and keeping promises for more than 150 years, helping millions of customers protect their future with smart products and targeted services. They apply the same principles to operate responsibly and confidently in more than 40 markets around the world.

Producer Appointment

If you or your firm is not yet appointed with MetLife, then please complete the following and submit as directed on the form:

Broker Appointment Paperwork

To locate a vision provider please visit https://www.metlife.com/ 

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.

Short Term Disability 

• STD $1250 12 Week Benefit Summary
• STD $1250 25 Week Benefit Summary
• STD $2500 12 Week Benefit Summary
• STD $2500 25 Week Benefit Summary

Long Term Disability 

• LTD $5000 90EP Plan Summary
• LTD $5000 180EP Plan Summary
• LTD $10,000 90EP Plan Summary
• LTD $10,000 180EP Plan Summary

New Business

• Coming Soon... in the meantime please contact us for assistance.

Member Forms

• MyBenefits Registration Flyer

MetLife has been in the business of making and keeping promises for more than 150 years, helping millions of customers protect their future with smart products and targeted services. They apply the same principles to operate responsibly and confidently in more than 40 markets around the world.

Producer Appointment

If you or your firm is not yet appointed with MetLife, then please complete the following and submit as directed on the form:

Broker Appointment Paperwork