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Plan Sponsor (Company) Letterhead Current Date Aetna ATTN: David Brock 509 Progress Drive Lithium, MD 21090RE:BrokerofRecord for Aetna Group # Group Renewal Date: To Whom It May Concern: Please be
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01
Start by gathering all the necessary information and documents required for filling out the Aetna BOR Change-TPA GA form.
02
Open the form and carefully read all the instructions and guidelines provided.
03
Fill in your personal details such as name, address, contact information, and Aetna policy number.
04
Provide the details of the new Third Party Administrator (TPA) that you want to change to, including their name, address, and contact information.
05
Review your filled-out form to ensure all the information provided is accurate and complete.
06
Sign and date the form.
07
Submit the completed form to the designated authority or mailing address as mentioned in the instructions.

Who needs aetna bor change-tpa ga?

01
Anyone who currently has an Aetna policy and wishes to change their Third Party Administrator (TPA) in Georgia (GA) needs to fill out the Aetna BOR Change-TPA GA form.
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Aetna BOR Change-TPA GA is a form used to notify Aetna of any changes to Third Party Administrators.
Employers or organizations that use Third Party Administrators for their Aetna insurance plans are required to file Aetna BOR Change-TPA GA.
To fill out Aetna BOR Change-TPA GA, you need to provide information about the changes to the Third Party Administrator, as well as any other requested details on the form.
The purpose of Aetna BOR Change-TPA GA is to ensure that Aetna has accurate and up-to-date information about Third Party Administrators that are managing their insurance plans.
The information that must be reported on Aetna BOR Change-TPA GA includes details about the Third Party Administrator, contact information, and any changes to the administration of Aetna insurance plans.
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