Employers, Request to Use Aetna Logo

(Includes an Option to Use the Aetna Logo as a Link to the Aetna.com Home Page)

For Current Employers Offering Aetna Plans

Please use this form to meet the following needs:

Permission to display the Aetna Logo on your Intranet or Internet site for the purpose of benefits administration (with or without a link)
Permission to use the Aetna Logo on enrollment materials and benefits communications to Aetna participants for the purpose of benefits administration

For all other needs, please click here.

Thank you for your interest in using the Aetna Logo. We would like to gather some basic information from you for our records. Upon submission of this form, and your agreement to be bound by the Terms of Use of the Aetna Logo, you will automatically be provided with instructions on how to download the Aetna Logo and link to the Aetna.com home page.

Please enter your contact information

All fields marked with a RED asterisk (*) are required in order to proceed.

*I am a current Aetna Plan Sponsor

Yes

*Company Name

*Last Name

*First Name

Title

*Address

Country

International postal code

Phone Number

International phone number

Fax Number

*Your Email Address

*Your Website URL

*Aetna Contract/Policy Number

*How will you be using the Aetna logo?

To display it on an Intranet site for the purpose of benefits administration (with or without a link)

To display it on an Internet site for the purpose of benefits administration (with or without a link)

To use it on enrollment materials and benefits communications to Aetna participants for the purpose of benefits administration

To proceed you must read and agree to abide by the Terms of Use of the Aetna Logo by clicking on the Submit button below:

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Employers, Request to Use Aetna Logo

Please enter your contact information

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