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Group Health Benefits Right of Continuation Notice - Aetna

Group Health Benefits Right of Continuation Notice - Aetna 2026

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The document is a Group Health Benefits Right of Continuation Notice, informing eligible individuals about their rights to continue group health coverage under federal law due to specific qualifying events such as employment termination, divorce, or dependent age limits. It outlines the necessary steps for continuation, including payment requirements and deadlines, and explains the duration of coverage based on different circumstances. Additionally, it mentions options for medical conversion if continuation is not elected.

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Click ‘Get Form’ to open the Group Health Benefits Right of Continuation Notice in the editor.
Begin by filling in your name and address at the top of the form. Ensure accuracy as this information is crucial for correspondence.
Indicate the reason for continuation of coverage by checking one of the provided options, such as termination of employment or divorce.
Complete the payment section by entering the current monthly cost for yourself and any dependents, ensuring you calculate total premiums accurately.
Sign and date the Request/Refusal Statement at the bottom, indicating whether you wish to continue coverage or not.
Review all entered information for completeness and accuracy before submitting it back to your group health plan sponsor.

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a continuation of coverage?

Continuation coverage allows someone who recently lost their employer-based health coverage to continue their current insurance policy as long as they pay the full monthly premiums. Continuation coverage falls into four categories: COBRA, Cal-COBRA, Conversion, and HIPAA.

What is the group ID on my Aetna card?

The . aetna domain extension is a branded Top-Level Domain (TLD) owned by Aetna Inc., a leading healthcare insurance company in the U.S., which is now a subsidiary of CVS Health. Its used for the companys official digital presence and offers a distinct identity associated directly with the Aetna brand.

What is the Aetna group name?

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna). Health benefits and health insurance plans contain exclusions and limitations.

What is the group name for Aetna?

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

What is Aetna Choice POS II?

Freedom to choose and save. With the Aetna Open Choice POS II plan, members can visit any doctor, hospital or facility, in or out of network, with no referrals. But depending on their plan, choosing a primary care physician () and staying in network could cost less.

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What is the group name of your insurance?

Your Aetna Member ID is located on the left side of your Member ID card labelled ID or ID #. (Example 3 on the sample ID card below.) Your Group number is indicated by Group or GRP. (Example 1 on the sample ID card below.)

What is the maximum period for which a group health plan may exclude benefits?

Preexisting condition exclusion period: the amount of time that you are excluded from coverage of benefits for a preexisting condition (the maximum is 12 months, or 18 months for late enrollees).

Group Health Benefits Right of Continuation Notice - Aetna 2026

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