Broker Broadcast
Aetna Revises HB2015 Underwriting Process
Aetna has overhauled their HB2015 Underwriting requirements. Effective immediately, if a census grows greater than the 15% change in census parameter, Aetna will now allow individual questionnaires to be submitted for any new applicants who are not accounted for on the claims experience submitted. Also, Medical Loss Ratio should/will be calculated using all submitted/available Tier I premium/claims data (12 months minimum; 36 months maximum); however, the greatest credibility will be given to the current year. In most cases this will help if a group has submitted more than 12 months claim data in which prior years were not very solid. Final credibility will be given to the more current claims experience.
◄ Back to Broker Broadcasts
