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Commercial product - Strategic Partnerships

Partner evaluation form

Please complete the form with as much detail as possible. Our Strategic Partnership team will review your information and reach out with any questions within 2 to 3 business days. The full evaluation process can take up to 4 weeks. If our Strategic Partnership team determines there's an opportunity for a partnership, we'll reach out to you for a more robust conversation.


All fields marked with an asterisk (*) are required.

Contact information

Company information

If applicable

Company information continued

Is your offering geared towards specific lines of business?
(eg. Medicare, Commercial, Large, Public & Labor, etc.)
Is your offering regional?
Approximate size of your book of business (eg. # of direct users/members)

Product information

What problem(s) does your company/product solve and how?

(e.g. shared savings, per engaged user, flat fee)
Do you offer an ROI guarantee?
Will there be information sharing?
Is there currently a signed NDA?

Legal notices

Aetna is the brand name used for products and services provided by one or more of the Aetna group of companies, including Aetna Life Insurance Company and its affiliates (Aetna).

Health benefits and health insurance plans contain exclusions and limitations.

Also of interest: