Employers, Request to Use Aetna Logo

For employers (plan sponsors): Please use this form to obtain permission to display the Aetna logo on your website or printed material, for the purpose of:

Benefits administration
Enrollment materials and benefits communications to Aetna participants

Other logo permissions – online form

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

Job title

* Address

* City

*State (if US-based)

*5 digit ZIP code

Country

International postal code

Phone number (10 digits)

International phone number

Fax number (10 digits)

* Email address (formatted as example@sample.com)

* Provide website address (formatted as www.website.com)

* Aetna contract/policy number

*Will the Aetna logo be associated with any Medicare offerings?

Yes

*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

Click on the Submit button below to be taken to the Terms of Use of the Aetna logo:

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