Aetna Eft Enrollment Change Form - Only one form per email. Web •complete a new authorization agreement form to make changes to an existing enrollment or to cancel an existing. Or 2) to change the financial institution account you have on file with. Web use this form 1) to enroll in eft only; Or 3) to change your bank account. Web use this form 1) to enroll or change in both era and eft; Web use the appropriate form to enroll in era, change your era enrollment, change your era vendor or update your bank account. Web eft (electronic funds transfer) and era (electronic remittance advice) enrollment form. 2) to change your era vendor only;
Only one form per email. Web use this form 1) to enroll or change in both era and eft; Or 3) to change your bank account. Web use this form 1) to enroll in eft only; Web eft (electronic funds transfer) and era (electronic remittance advice) enrollment form. Web •complete a new authorization agreement form to make changes to an existing enrollment or to cancel an existing. Web use the appropriate form to enroll in era, change your era enrollment, change your era vendor or update your bank account. Or 2) to change the financial institution account you have on file with. 2) to change your era vendor only;