New Jersey Health Plan Choices (2017)

Special Enrollment Period

Aetna is withdrawing from the Individual health insurance market in New Jersey at the end of 2017. We will not offer Individual plans in 2018. New and existing Aetna members will need to shop for a new 2018 plan with a different carrier during the upcoming 2018 open enrollment period beginning on November 1, 2017.

Aetna (ALIC and AHI) is withdrawing from the Individual health insurance market in New Jersey at the end of 2017. We will not offer Individual plans in 2018. In accordance with New Jersey Department of Banking and Insurance rules, there can be no effective dates after July 1, 2017 for new policies.

  • A Special Enrollment Period (SEP) for new Individual health plans with an effective date no later than July 1, 2017 will be honored. This includes SEPs for new policies resulting from birth/adoption/foster that occur no later than July 1, 2017.

  • Adding a dependent to an existing Individual health plan does NOT involve an SEP. Dependents may be added in the normal course through the remainder of 2017.

    • A dependent added to an existing policy based on a marriage in December 2017 would NOT be eligible. The last 2017 marriage date we’ll accept for a December 1, 2017 effective date would be November 30, 2017, provided the enrollment was submitted on November 30, 2017.

    • A child added to an existing policy based on a birth/adoption/foster date up until December 31, 2017 will be accepted effective on the date of birth/adoption/foster, as long as the application is submitted within 60 days of the birth/adoption/foster.
       
  • Individuals wanting either new SEP Individual health plans or to add dependents to existing policies to our Inside Sales Representatives (ISRs) at 1-800-217-2386.

  • Here are some examples of standard application submissions and effective date timelines:
Life Event SEP Accepted SEP Declined
Lost of other coverage Application is submitted by the day before the loss, up to June 30, 2017 where the loss is July 1, 2017; Effective date is the loss of coverage date.

Loss is July 2, 2017 or after.

 

Application is submitted July 1, 2017 or after.

Marriage

Marriage occurs up to 60 days before July 1, 2017.

 

Application is submitted within 60 days after the marriage but before July 1, 2017; Effective date is the 1st of the month following application receipt.

Marriage occurs July 1, 2017 or after.

 

Application is submitted July 1, 2017 or after.

Aetna individual health insurance plans are underwritten by Aetna Life Insurance Company (Aetna).

This material is for information only and is not an offer or invitation to contract. An application must be completed to obtain coverage. Rates and benefits vary by location. Health insurance plans contain exclusions and limitations. Providers are independent contractors and are not agents of Aetna. Provider participation may change without notice. Aetna does not provide care or guarantee access to health services. Information is believed to be accurate as of the production date; however, it is subject to change.

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