Aetna Announces Transaction with Vitality Re

Monday, January 10, 2011

Newly formed insurance company issues health insurance linked notes

HARTFORD, Conn. – Aetna (NYSE: AET) today announced that, as part of its long-term capital management strategy, it has entered into a three-year reinsurance agreement with Vitality Re Limited. The agreement allows Aetna to reduce its required capital and provides $150 million of collateralized excess of loss reinsurance coverage on a portion of Aetna’s group commercial health insurance business.Amounts payable under the reinsurance agreement are based on the annual medical benefit ratio (“MBR”) of a portion of Aetna Life Insurance Company’s group commercial PPO, POS and indemnity business compared to a threshold attachment point specified in the reinsurance agreement. The principal amount of the Vitality Re notes, which are non-recourse to Aetna, and the coverage available under the reinsurance agreement will be reduced by any payments to Aetna under the reinsurance agreement. Aetna will be entitled to begin to receive payments from Vitality Re under the reinsurance agreement if the MBR of the covered business for calendar year 2011 reaches an initial attachment point of 104%. The full $150 million of coverage would be paid to Aetna if the MBR of the covered business reaches an initial exhaustion point of 114% for calendar year 2011. The attachment and exhaustion points will be reset annually for 2012 and 2013 to maintain modeled probabilities of attachment and expected loss on the Vitality Re notes equal to the initial modeled probabilities of attachment and expected loss. Vitality Re is a newly formed insurance company which issued the industry’s inaugural health insurance-linked notes in a private offering in connection with this agreement.

“I am pleased to announce the successful completion of this transaction, which allows Aetna to free up capital held with respect to the covered business, and deploy it accretively for other purposes,” said Joseph M. Zubretsky, senior executive vice president and CFO. “Through this innovative transaction, we have improved our capital efficiency, enhanced our financial flexibility and reduced our weighted average cost of capital. We expect this to be the first step in a larger program.”

About Aetna

Aetna is one of the nation’s leading diversified health care benefits companies, serving approximately 35.4 million people with information and resources to help them make better informed decisions about their health care. Aetna offers a broad range of traditional and consumer-directed health insurance products and related services, including medical, pharmacy, dental, behavioral health, group life and disability plans, and medical management capabilities and health care management services for Medicaid plans. Our customers include employer groups, individuals, college students, part-time and hourly workers, health plans, governmental units, government-sponsored plans, labor groups and expatriates. For more information, see To learn more about Aetna’s innovative online tools, visit

Aetna Media Contact:

Fred Laberge

Investor Contact:

Tom Cowhey