Health Insurance Plans
Aetna
For your convenience JC Lewis Insurance Services has an online Aetna interface. If you have any problems or questions before you proceed with the application process please call us during business hours at (866) 745-9555.
The Aetna PDF healthcare insurance forms listed below represent the carrier's applications, enrollment forms, change requests, brochures and rating information for your convenience. Click on the form of your choice - Print and manually complete the information. Then fax back to 707-585-5299.
Forms
Coverage Matrix
- Aetna PPO 500 Plan
- Aetna PPO 1500 Plan
- Aetna PPO 1500 Value Plan
- Aetna PPO 2500 Plan
- Aetna PPO 5000 Plan
- Aetna PPO 5000 Value Plan
- Aetna First Dollar MC 25
- Aetna First Dollar MC 40
- Aetna Dental PPO Matrix
Dental Forms
Health Savings Account Applications
Coverage Matrix
