New York Small Group Business Employee Enrollment / Change Form for Medical, Dental and Vision Coverage - Aetna - New York

The New York Small Group Business Employee Enrollment/Change Form for Medical, Dental and Vision Coverage - Aetna - New York is used for enrolling or making changes to health insurance coverage for employees in small businesses in New York. It is specifically applicable to Aetna health insurance plans in New York.

The employer or the business files the New York Small Group Business Employee Enrollment/Change Form for Medical, Dental and Vision Coverage with Aetna in New York.

FAQ

Q: What is the Small Group Business Employee Enrollment/Change Form?A: It is a form to enroll in or make changes to medical, dental, and vision coverage for small group businesses in New York.

Q: Which insurance company is this form for?A: This form is for Aetna insurance company.

Q: What type of coverage can be enrolled or changed using this form?A: This form can be used for enrolling or changing medical, dental, and vision coverage.

Q: Who is eligible to use this form?A: Employees of small group businesses in New York are eligible to use this form.

Q: What is the purpose of this form?A: The purpose of this form is to enroll in or make changes to medical, dental, and vision coverage.

Q: Do I need to fill out a separate form for medical, dental, and vision coverage?A: No, this form can be used for enrolling or changing all three types of coverage.

Q: Is this form only for New York residents?A: Yes, this form is specifically for residents of New York.

Q: Can I use this form if I am not part of a small group business?A: No, this form is only for employees of small group businesses.