AAP Dental Election Form - Aetna 2025

1. Click ‘Get Form’ to open the AAP Dental Election Form - Aetna in the editor.
2. Begin by entering your Social Security Number and Member ID Number in the designated fields. This information is crucial for identifying your account.
3. Select the reason for your application. You can choose to add PPO dental coverage or change existing DMO dental benefits. Make sure to indicate your choice clearly.
4. List the names of individuals who will be covered under the new plan, including yourself and any dependents. Ensure that all names are spelled correctly.
5. Specify the effective date for this plan change, which will take effect on your next billing cycle.
6. Sign and date the form in the appropriate sections to validate your application before submission.
7. Finally, choose to fax or mail the completed form to Aetna using the provided contact details.

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