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Aetna International Enrollment/Change Form - DoD NAF Health ... 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by completing Section A1 for new enrollees, providing the Effective Date of Transaction and checking the appropriate box.
- For changes, navigate to Section A2, ensuring you complete all relevant fields and indicate any changes in Sections B, C, and D.
- If terminating coverage, fill out Section A3 with the Effective Date of Transaction and specify the reason for termination.
- In Section D, list all individuals for whom you are electing or changing coverage. Ensure all required fields are filled out completely.
- Finally, sign and date the form in Section E to acknowledge your understanding of the terms.
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