AETNA GLOBAL HEALTH, INC. 

International employees are those employees stationed outside the borders of the United States of America for a period of six months or longer. 

Eligibility / Enrollment 

PSCs and TCNs are eligible to join the plan. 

Coverage will begin on the 1^st day of the month following 30 days of employment. Each subsequent open season will be 30 days prior to the anniversary date of October 1 (September 1 through September 30, annually). Employees may join at any time when meeting one or more of the following qualifying events: (1) change in marital status; (2) birth of a child; (3) change in job status for employee or spouse; (4) transfer from a U.S. jobsite to an International jobsite.

Medical Plan Basics

This plan is a PPO Plan that covers you and your dependents anywhere in the world.  You may access the Aetna PPO network while in the U.S., or you may see a doctor of your choice.  Internationally, you are covered for medical benefits 24 hours a day, 365 days per year.  See below for further details.

Dental Plan Basics

This indemnity dental plan covers you and your dependents both domestically and internationally.  In the U.S. you may visit the licensed dentist of your choice.  Internationally, you may file a claim for dental treatment received from a licensed and or certified practitioner.  You may not choose the dental coverage without being covered by the medical as well.

Prescription Drug Benefits

The medical plan includes coverage for prescription drugs.  In the U.S., you may use a network pharmacy and only pay the associated co-payment.  Internationally, drug coverage is based on a reimbursement of expenses for prescribed medications.

Plan Document and Summary of Coverage 

The following Adobe Acrobat files contain the current health and dental plan Plan Document and Summary of Coverage.  These documents include in-depth descriptions regarding topics such as levels of coverage for health and dental benefits, eligibility descriptions, claim policies, and numerous other topics.

Aetna Global Plan Booklet 2005.pdf

Summary of Coverage 2005.pdf

How do I join?

1.      Read and acknowledge disclaimer box found below.

2.   Complete the International Application Form that pops up after signing disclaimer below.  Submitted files are subject to review and verification of employment from the respective branch administrator.   Please allow three business days for processing and verification. 

For PSC employees of USAID

You will need to sign and complete the Salary Reduction Agreement form (SF 1198) Section A and return this form to your Controller.  Click here to download Form SF 1198 in Adobe PDF format. (Use back button on the browser to return to this page)

For PSC employees of OBO

     You will need to complete the following Salary Reduction Agreement form (SF 1199) and return this form to Abolade (AB) Thomas at OBO.  You may forward the form via fax to 703-875-5771.  AB’s mailing address is as follows:       Abolade Thomas, OBO/RM/EX/HR U.S. Department of State (SA-6), Room L200, Rosslyn, VA 22209 Please allow for sufficient delivery time if mailing.

Click here to download Form SF 1199 in Adobe PDF format. (Use back button on the browser to return to this page.).

For PSC Employees of INL

You will need to complete the following Salary Reduction Agreement form (SF 1199) and return this form to Barbara Stevenson at INL.  You may forward the form via fax to 202-776-8989.  Barbara’s mailing address is as follows:    Barbara Stevenson, U.S. Dept. of State 2340 E Street, N.W.  South Building, SA-4, Washington, D.C. INL/RM/HR 20036.  Please allow for sufficient delivery time if mailing.   Barbara's phone number is 202-776-8735 and her fax is 202-776-8989.  e-mail is stevensonba@state.gov.

 ** No coverage will commence until payment of first month premium is received. ***

Ongoing Payment Method

All subsequent premiums will be made via direct deposit from payroll deductions, in the amount of 50% of the premium per pay period. All premium payments are made with after – tax dollars.

Cancellation Policy

Benefits will be cancelled automatically if payment is not received within 30 days of the due date. All premium payments after the initial enrollment MUST be made via direct deposit from payroll deductions. 

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If you have any questions about this information please fill in box below with your question(s) Click on Submit (once) and we will give you a reply within 48 hours. Your email address is required so we can respond to you.