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Aetna Required Small Employer Funding Certification Form

For all new business and renewals effective September 1st, the attached Texas Small Employer Funding Certification must be submitted. The information requested regards employer funding of plan deductible(s), and is material to the development of pricing for small group employers. Please begin to submit this completed form with all new business submissions and renewals effective September 1st.

Texas Small Employer Funding Certification Form

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