District of Columbia Employer Application and Jonider ... - Aetna 2026

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  1. Click ‘Get Form’ to open the District of Columbia Employer Application and Joinder Agreement in the editor.
  2. Begin by entering your Company Name (Legal Name) and DBA/Doing Business As if applicable. Ensure that the Street Address is complete, as P.O. Boxes are not acceptable.
  3. Fill in the City, State, and ZIP code for both the main address and billing address if different. Include your Phone Number and Fax Number.
  4. Provide details for the Company Contact including Name, Title, Date of Birth (for eBilling setup), and Email Address. If there are different contacts for Billing or Enrollment, include their information as well.
  5. Complete the Employer Classification section by selecting your business type (e.g., Corporation, Partnership) and provide your Federal Tax ID Number.
  6. Select your Medical Coverage options from the provided choices. Be sure to answer any questions regarding funding or flex plans accurately.
  7. Proceed to fill out Dental Coverage selections if applicable, ensuring you check all relevant options available for your group size.
  8. Review all sections carefully before signing at the end of the document to confirm accuracy and compliance with Aetna's requirements.

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Aetna health benefits through your employer. With an Aetna health plan, you get the care you deserve. Care thats more convenient and easier to access. Thats how healthier happens together.
Aetna is proud to be part of the CVS Health family.
Employer-sponsored health insurance is a health policy selected and purchased by your employer and offered to eligible employees and their dependents. These are also called group plans.
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