Aetna Small Group Forms Initial Enrollment Inforce Groups Claim Forms HIPAA Forms/Info Initial Enrollment Size Updated Small Group Employer Application PDF 4 pgs, 108k Jun 2004 Common Ownership Form PDF 1 pg, 24 k Oct 2003 Employee Enrollment/Change Form PDF 4 pgs, 65k Mar 2003 Declaration of Domestic Partnership PDF 3 pgs, 13k Jun 2003 Employee Enrollment/Change Form (Spanish) PDF 4 pgs, 66k Mar 2003 Medical Small Group Enrollment Checklist PDF 2 pgs, 203k Aug 2004 Proof of Eligibility Form For Small Employer Sole Proprietors, Partners, or Corporate Officers PDF 1 pg, 44k Jun 2004 COBRA/Cal-COBRA Questionnaire PDF 1 pg, 270k Apr 2004 Others Request for Participation & Joinder Agreement PDF 1 pg, 226k Jul 2003 Top Inforce Groups Size Updated Employee Enrollment/Change Form PDF 4 pgs, 65k Mar 2003 Employee Enrollment/Change Form (Spanish) PDF 4 pgs, 66k Mar 2003 Declaration of Termination of Domestic Partnership PDF 1 pg, 10k Apr 2001 Declaration of Domestic Partnership PDF 3 pgs, 13k Jun 2003 Medical Exception/Precertification Request Form for Rx Medications PDF 1 pg, 115k Jan 2003 DocFind® Provider Directory: Facts At A Glance PDF 2 pgs, 134k Oct 2003 Aetna Navigator™: Overview for Members PDF 2 pgs, 143k Oct 2003 Top Claim Forms Size Updated Medical Benefits—Claim Instructions/Request Form: HMO PDF 2 pgs, 210k Feb 2004 Medical Benefits—Claim Instructions/Request Form: PPO & POS PDF 2 pgs, 211k Feb 2004 Dental Benefits—Claim Instructions/Request Form PDF 2 pgs, 379k Jan 2004 Prescription Drug Claim Form PDF 2 pgs, 284k Mar 2004 Top HIPAA Forms/Info Size Updated HIPAA Administration Simplification & Privacy—FAQs PDF 13 pgs, 63k Feb 2003 Authorization For Release of Protected Health Information PDF 2 pgs, 34k Mar 2003 HIPAA (Privacy Rules) Requirements PDF 2 pgs, 36k May 2003 Back

HOME  |  WHY B.I.S.  |   WHAT'S NEW  |  MEET OUR TEAM  |  FEATURED PRODUCT  |  REQUEST A QUOTE LETTER FROM OUR PRESIDENT  |  FORMS LIBRARY  |  COMPANIES WE REPRESENT  |  CONTACT US  |  FAQ Copyright © 2004 Business Insurance Services, All Rights Reserved LIC# 0D95594 (click here to view)