Health Net Forms - Connecticut small group (2-50)
 

To respect the privacy of our members, if you download and print enrollment forms that include a medical questionnaire, you should suggest a mechanism for transmitting the completed form.  That mechanism should be one that will protect the confidentiality of the person's health information, such as taping or stapling the forms closed, sealing them in an envelope, and mailing or faxing them to an Aetna address or fax number that you provide.

Enrollment/Change Form Download Use form to enroll an employee and their family Use in Connecticut
Group Application Download Use form for employer's Small Group products coverage selections Use in Connecticut
COBRA Election groups under 20 Download Use for COBRA Election groups <20 Use in Connecticut
COBRA Election groups over 20 Download Use for COBRA Election groups >20 Use in Connecticut