Aetna Opt Out Name(Required) First Last UBC# or Last 4 of SSN(Required)Email(Required) Enter Email Confirm Email Primary Phone(Required)Consent(Required) I would like to opt out of Aetna Medicare Coverage.Medical and prescription drug coverage are two separate plans, but they’re offered together. If you choose to opt out of one, you’ll be disenrolled from both and your coverage will be canceled through Mid-Atlantic Regional Council of Carpenters. If you wish to opt out of the new plans, you must do so by December 1, 2026. To opt out check the box. If you opt out, you’ll lose all coverage through Mid-Atlantic Regional Council of Carpenters.
