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The following is a summary of certain preliminary 2007 projected financial information and metrics provided by Aetna on January 9, 2007.
This information is provided for reference only, and has not been updated. You should consider the information to speak only as of its date of
original publication. Aetna does not assume any responsibility to update the information to reflect subsequent events. Please also refer to
the Cautionary Statement below for additional information regarding important risk factors that may affect the forward looking and other
information in this document.

You should read this information in conjunction with Aetna’s presentation at the JPMorgan 25th Annual Healthcare Conference on January 9,
2007, and should review the replay of that presentation in full, since the presentation provides further discussion of the Company’s results and
important context for the forward looking information.


                                                                                                     Aetna Inc.
                                                                                            Preliminary 2007 Guidance
                                                                                                  as of 1/9/2007
                                                                                      (Full year unless otherwise noted)
              Aetna Inc.
                   Operating Earnings (1)                                                           $3.26 per share

              Health Care Segment
                                                                                         Growth of 575k-600k net members
                   Medical Membership

                                                                                      1Q07 growth of 175k-200k net members


Footnote
(1) Projected full year 2007 operating earnings per share exclude any future net realized capital gains or losses from income from continuing
operations. The Company is not able to project the amount of future net realized capital gains or losses and therefore cannot reconcile
projected operating earnings to projected income from continuing operations or to a projected change in income from continuing operations in
any period. Although the excluded items may recur, management believes that operating earnings and operating earnings per share provide a
more useful comparison of the Company’s underlying business performance from period to period. Net realized capital gains or losses arise
from various types of transactions primarily in the course of managing a portfolio of assets that support the payment of liabilities. However,
these transactions do not directly relate to the underwriting or servicing of products for customers and are not directly related to the core
performance of the Company’s business operations. In addition, management uses operating earnings to assess business performance and to
make decisions regarding the Company’s operations and allocation of resources among the Company’s businesses.

Projected operating earnings per share for Aetna Inc. also exclude any future development of prior periods’ health care cost estimates. The
Company believes excluding this reserve development better reflects the underlying current-period health care costs.


ADDITIONAL INFORMATION; CAUTIONARY STATEMENT – Certain information in this document is forward looking, including
our projections as to operating earnings and membership and all of the other information in the table on the first page of this document.
Forward-looking information is based on management's estimates, assumptions and projections, and is subject to significant
uncertainties and other factors, many of which are beyond Aetna's control, such as the increasing competitiveness we are experiencing
in certain markets, which could cause our membership to be lower than we expect and our medical cost ratios to be higher than we
expect. Important risk factors could cause actual future results and other future events to differ materially from those currently
estimated by management. Those risk factors include, but are not limited to: unanticipated increases in medical costs (including
increased medical utilization, increased pharmacy costs, increases resulting from unfavorable changes in contracting or re-contracting
with providers, changes in membership mix to lower-premium or higher-cost products or membership-adverse selection; as well as
changes in medical cost estimates due to the necessary extensive judgment that is used in the medical cost estimation process, the
considerable variability inherent in such estimates, and the sensitivity of such estimates to changes in medical claims payment patterns
and changes in medical cost trends); decreases in membership or failure to achieve desired membership growth due to significant
competition, reputational issues or other factors in key geographic markets where membership is concentrated; the ability to reduce
administrative expenses while maintaining targeted levels of service and operating performance, and to improve relations with
providers while taking actions to reduce medical costs; the ability to successfully implement multiple strategic and operational
initiatives simultaneously; lower levels of investment income from continued low interest rates; adverse government regulation
(including legislative proposals eliminating or reducing ERISA pre-emption of state laws that would increase potential litigation


January 9, 2007                                                  Aetna Inc.                                                        Page 1 of 2
.
exposure, and other proposals, such as patients' rights legislation, that would increase potential litigation exposure or mandate coverage
of certain health benefits); adverse pricing actions by government payors; changes in size, product mix and medical cost experience of
membership in key markets; our ability to integrate, simplify, and enhance our existing information technology systems and platforms
to keep pace with changing customer and regulatory needs; and the outcome of various litigation and regulatory matters, including
litigation and ongoing reviews of business practices by various regulatory authorities (including the current industry wide investigation
into insurance brokerage practices concerning broker compensation arrangements, bid quoting practices and potential antitrust
violations being conducted by the New York Attorney General, the Connecticut Attorney General and others, and for which the
Company has received and may receive subpoenas, and related litigation); and increases in medical costs or Group Insurance claims
resulting from any acts of terrorism, epidemics or other extreme events. For more discussion of important risk factors that may
materially affect Aetna, please see the risk factors contained in Aetna's 2005 Annual Report on Form 10-K, on file with the Securities
and Exchange Commission. You also should read Aetna's 2005 Annual Report on Form 10-K and Aetna's 2006 third quarter report on
Form 10-Q on file with the Securities and Exchange Commission for a discussion of Aetna's historical results of operations and
financial condition.

                                                                   ###




January 9, 2007                                               Aetna Inc.                                                     Page 2 of 2

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Aetna 2007 Preliminary Guidance

  • 1. . The following is a summary of certain preliminary 2007 projected financial information and metrics provided by Aetna on January 9, 2007. This information is provided for reference only, and has not been updated. You should consider the information to speak only as of its date of original publication. Aetna does not assume any responsibility to update the information to reflect subsequent events. Please also refer to the Cautionary Statement below for additional information regarding important risk factors that may affect the forward looking and other information in this document. You should read this information in conjunction with Aetna’s presentation at the JPMorgan 25th Annual Healthcare Conference on January 9, 2007, and should review the replay of that presentation in full, since the presentation provides further discussion of the Company’s results and important context for the forward looking information. Aetna Inc. Preliminary 2007 Guidance as of 1/9/2007 (Full year unless otherwise noted) Aetna Inc. Operating Earnings (1) $3.26 per share Health Care Segment Growth of 575k-600k net members Medical Membership 1Q07 growth of 175k-200k net members Footnote (1) Projected full year 2007 operating earnings per share exclude any future net realized capital gains or losses from income from continuing operations. The Company is not able to project the amount of future net realized capital gains or losses and therefore cannot reconcile projected operating earnings to projected income from continuing operations or to a projected change in income from continuing operations in any period. Although the excluded items may recur, management believes that operating earnings and operating earnings per share provide a more useful comparison of the Company’s underlying business performance from period to period. Net realized capital gains or losses arise from various types of transactions primarily in the course of managing a portfolio of assets that support the payment of liabilities. However, these transactions do not directly relate to the underwriting or servicing of products for customers and are not directly related to the core performance of the Company’s business operations. In addition, management uses operating earnings to assess business performance and to make decisions regarding the Company’s operations and allocation of resources among the Company’s businesses. Projected operating earnings per share for Aetna Inc. also exclude any future development of prior periods’ health care cost estimates. The Company believes excluding this reserve development better reflects the underlying current-period health care costs. ADDITIONAL INFORMATION; CAUTIONARY STATEMENT – Certain information in this document is forward looking, including our projections as to operating earnings and membership and all of the other information in the table on the first page of this document. Forward-looking information is based on management's estimates, assumptions and projections, and is subject to significant uncertainties and other factors, many of which are beyond Aetna's control, such as the increasing competitiveness we are experiencing in certain markets, which could cause our membership to be lower than we expect and our medical cost ratios to be higher than we expect. Important risk factors could cause actual future results and other future events to differ materially from those currently estimated by management. Those risk factors include, but are not limited to: unanticipated increases in medical costs (including increased medical utilization, increased pharmacy costs, increases resulting from unfavorable changes in contracting or re-contracting with providers, changes in membership mix to lower-premium or higher-cost products or membership-adverse selection; as well as changes in medical cost estimates due to the necessary extensive judgment that is used in the medical cost estimation process, the considerable variability inherent in such estimates, and the sensitivity of such estimates to changes in medical claims payment patterns and changes in medical cost trends); decreases in membership or failure to achieve desired membership growth due to significant competition, reputational issues or other factors in key geographic markets where membership is concentrated; the ability to reduce administrative expenses while maintaining targeted levels of service and operating performance, and to improve relations with providers while taking actions to reduce medical costs; the ability to successfully implement multiple strategic and operational initiatives simultaneously; lower levels of investment income from continued low interest rates; adverse government regulation (including legislative proposals eliminating or reducing ERISA pre-emption of state laws that would increase potential litigation January 9, 2007 Aetna Inc. Page 1 of 2
  • 2. . exposure, and other proposals, such as patients' rights legislation, that would increase potential litigation exposure or mandate coverage of certain health benefits); adverse pricing actions by government payors; changes in size, product mix and medical cost experience of membership in key markets; our ability to integrate, simplify, and enhance our existing information technology systems and platforms to keep pace with changing customer and regulatory needs; and the outcome of various litigation and regulatory matters, including litigation and ongoing reviews of business practices by various regulatory authorities (including the current industry wide investigation into insurance brokerage practices concerning broker compensation arrangements, bid quoting practices and potential antitrust violations being conducted by the New York Attorney General, the Connecticut Attorney General and others, and for which the Company has received and may receive subpoenas, and related litigation); and increases in medical costs or Group Insurance claims resulting from any acts of terrorism, epidemics or other extreme events. For more discussion of important risk factors that may materially affect Aetna, please see the risk factors contained in Aetna's 2005 Annual Report on Form 10-K, on file with the Securities and Exchange Commission. You also should read Aetna's 2005 Annual Report on Form 10-K and Aetna's 2006 third quarter report on Form 10-Q on file with the Securities and Exchange Commission for a discussion of Aetna's historical results of operations and financial condition. ### January 9, 2007 Aetna Inc. Page 2 of 2