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Ohio Employer Application and Joinder Agreement - Aetna Ohio Employer Application and Joinder Agreem

Ohio Employer Application and Joinder Agreement - Aetna Ohio Employer Application and Joinder Agreem 2026

Ohio Employer Application and Joinder Agreement - Aetna Ohio Employer Application and Joinder Agreem Preview on Page 1

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The document is an Employer Application and Joinder Agreement for group coverage provided by Aetna Life Insurance Company, intended for businesses with 2 to 100 eligible employees. It outlines the necessary information required from employers, including company details, employee classifications, medical and dental coverage selections, eligibility criteria, and compliance with regulations such as COBRA. The agreement also includes sections on employer contributions, medical information disclosures, and a cancellation policy. Additionally, it establishes a trust fund for insurance purposes and designates Aetna as the fiduciary responsible for claims.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your Company Name (Legal Name) and DBA (if applicable) in the designated fields. Ensure that the street address is complete, as P.O. Box addresses are not acceptable.
Fill in the City, State, and ZIP code for both the company address and billing address if different. Include your phone number and fax number.
Provide details for the Company Contact, including name, title, date of birth (for eBilling setup), and email address. If there are different billing or enrollment contacts, include their information as well.
Complete sections regarding business classification, federal tax ID number, nature of business, and years in operation. This information is crucial for eligibility assessment.
Select your desired medical coverage options from the provided plans. Make sure to check any additional questions related to group qualifications under federal regulations.
Review all entered information for accuracy before submitting the form through our platform.

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What is an example of a joinder?

Joinder of claims Claimants may bring new claims even if the new claims are not related to the claims already stated; for example, a plaintiff suing someone for bdocHub of contract may also sue the same person for assault. The claims may be unrelated, but they may be joined if the plaintiff desires.

Is a joinder an NDA?

Joinder Agreement (Non-Disclosure Agreement)

Are Ohio employers required to provide health insurance?

Most Ohioans get health insurance coverage through their employers. It is important to understand, however, that employers offer insurance voluntarily no law requires it. The employer may offer insurance that covers only you, or may offer coverage to you and your dependents.

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