Vital Savings by Aetna ® August 2006

2 Marketplace Overview The demand for discount cards is growing… Tens of millions of people have little or no dental, health, or LTC insurance –No medical insurance – 44 million (Oct 2003 US Census) –No dental insurance – million (Sept 2003 NADP Report) Note: Sources of insurance statistics include: 2003 US Census data, Commonwealth, and National Association of Dental Plans data

3 Marketplace Overview Factors driving the continued growth of discount cards  Cost shifting – As with medical, dental cost shifting to employees continues, with employees paying 42% of costs in 2002, up from 38.2% two years before*  Employers scaling back - Certain segments of the population are losing their dental coverage entirely – e.g., retirees  Early retirees – not eligible for Medicare Rx plan and living on fixed incomes. *Employee Benefit Adviser – Jan/Feb 2004

4 Marketplace Overview  2006 Internet key word searches: –Over 200,000 searches on the term “Discount Dental” since March 1 st*.  2006 Visitors to –135,000 referrals to Vital Savings from Aetna.com –1,400 cards sold from those visitors * Source: Google Analytics

5 Marketplace Overview Stretching Dollars Further Today and In the Future Consumer / Cardholder Reduced Exposure to Consumer Bad Debt Physicians/Dentists Affordable Choice, Superior Quality and Service Sponsor  Flexible, affordable alternative when health insurance is not an option  Attract and retain workers  Simple and easy to administer  Outstanding choice, value for the money and service  Get the care you need when you need it  Convenient – no claims to file to access discounts.  New Patients  New Revenue Stream  Payment at Point of Service  No claims to file

6 Aetna’s Response ServicesDentalPharmacy Long Term Care Vital Savings SM On Health Physician / Specialist X Pharmacy (including mail order pharmacy) X X Long Term Care X Dental X Hospital** Vision XXXX Fitness XXXX Alternative Health Care* XXXX Discounts on Oral Health Care Supplies XXXX Hearing XX Informed Health® Line X Durable Medical Equipment X Life Assistance Program X

7 Aetna’s Response Oct 2003 Intro Vital Savings Group Dental July 2004 Intro Voluntary Group and Consumer Dental Cards Sept 2006 Intro Consumer Rx and LTC Discount Cards January 2006 Added Fitness and Alternative Healthcare discounts April 2005 Intro Group Health Discount Prepaid Debit Card

8 Aetna’s Presence  Currently sell Vital Savings in 49 states plus D.C and Puerto Rico. –Dental (All states except Montana) –Rx (All states except FL, OK, UT, Montana) –LTC (All states except FL, OK, UT, Montana) –Health (Piloting currently in CO, FL, NC and NJ)

9 Aetna’s Presence

10 What Aetna Brings 68,000 + dental practice locations nationwide (discounts range 15-50%) 35,000 pharmacies including CVS/pharmacy ®, Rite Aid, and Longs Drug store. (Discounts range from 10-40%) 4,700 Long Term Care Facilities (discounts range from 5-30%) 13,000 Vision Care Centers National network of providers Respected Aetna brand name Same Services and tools available to All Aetna members Substantial discounts (same level as PPO plans) Networks

11 What Aetna Brings Additional Services  Access to many of the same tools and services as Aetna Insured Dental/Pharmacy/medical members  These include: DocFind – locate a network dental provider InteliHealth - comprehensive consumer health information website Estimate the Cost of Care tool Aetna Navigator – online member self-service website Brand and Reputation Strong, positive brand recognition Trusted company for over 150 years High and increasing provider and member satisfaction

12 Conclusion  Discount plans important to consumers  Regulation and enforcement of ‘Bad Actors’  Keep regulation and administrative costs to a minimum  Thank you!