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Texas Health Aetna Employer Application - 51-100 Employees - Aetna Texas Health Aetna Employer Appli

Texas Health Aetna Employer Application - 51-100 Employees - Aetna Texas Health Aetna Employer Appli 2026

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The document is an Employer Application for group health insurance coverage from Texas Health + Aetna Health Insurance Company, specifically designed for businesses with 51 to 100 eligible employees. It outlines the option to select a Consumer Choice of Benefits Health Insurance Plan that may not include all state-mandated health benefits, potentially offering a more affordable policy. The application requires detailed company information, employee eligibility criteria, and compliance with federal regulations regarding waiting periods and COBRA. It also includes sections for medical coverage selection, business eligibility, and agent certification.

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Click ‘Get Form’ to open the Texas Health Aetna Employer Application in our editor.
Begin by entering your company name and legal address in the designated fields. Ensure accuracy as this information is crucial for processing.
Fill out the contact details, including phone numbers and emails for both the company and billing contacts. This ensures seamless communication.
Complete the sections regarding business eligibility, including SIC code and federal tax ID number. This information helps determine your company's insurance options.
Select your desired medical coverage plan from the options provided. Review each plan's benefits carefully to choose what best fits your needs.
Provide details about employee eligibility, including hours worked per week and total number of employees. This data is essential for accurate enrollment.
Review all entered information for accuracy before submitting. Use our platform’s features to save or print a copy for your records.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (80 Votes)

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

Is Texas Health Aetna the same as Aetna?

Texas Health Aetna are affiliates of Texas Health Resources and of Aetna Life Insurance Company and its affiliates (Aetna). Aetna provides certain management services to Texas Health Aetna. Self-funded plans are administered by Texas Health + Aetna Health Insurance Company.

How to verify employment identity?

You can use any document from the following list: State identification (ID) card. Driver license. US passport or passport card. US military card (front and back) Military dependents ID card (front and back) Permanent Resident Card. Certificate of Citizenship. Certificate of Naturalization.

How to verify your employment eligibility?

Use Form I-9, Employment Eligibility Verification, to verify the identity and employment authorization of individuals hired for employment in the United States. All U.S. employers must properly complete Form I-9 for every individual they hire for employment in the United States.

How to verify employment with Aetna?

For general questions, call 1-888-792-3862 (TTY: 711).

Can you call HR to verify employment?

Other ways to verify employment To get one, contact human resources at your employer. Pay stubs or W-2s: Your pay stubs and W-2s provide proof of income from a previous employer and can prove when you worked there.

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