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Aetna Funding Advantage Underwriting Update for Groups with No Prior Coverage

Aetna Funding Advantage (AFA) Groups with No Prior Coverage Will No Longer Require IMQ’s – Groups down to 5 enrolling

Starting with 2/1/25 effective dates, all AFA groups with no prior coverage, will follow standard underwriting guidelines. IMQs (Individual Medical Questionnaires) will not be required for groups down to 5 enrolling. These groups will follow the same IMQ threshold rules as all other groups with prior coverage. Aetna can now underwrite these, no prior coverage groups, down to 5 enrolled in New Jersey without IMQ’s. ALL NJ groups 2-4 will continue to require IMQ’s. This change will be in effect for all states Aetna Funding Advantage is sold in. The minimum IMQ threshold may vary by state. 

Click on the link below for the updated Aetna Funding Advantage Underwriting Guidelines.

 2025 Aetna Funding Advantage Underwriting Guidelines

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