Aetna Inc. Smarter is Aetna’s retiree solutions. © 2011 Aetna Inc. XX.XX.XXX.X Month XX, 2011 Presenter Name

Aetna Inc. Smarter is healthy

Aetna Inc. Affordable care. Preventive care. Access to quality care. Keeping people healthy. 3 Aetna Inc. Aetna’s Retiree Solutions

Aetna Inc. Employer-Sponsored Retiree Health Care: The Landscape 4 Aetna Inc. Aetna’s Retiree Solutions 45% of large employers currently offer subsidized retiree medical benefits Large employers will continue to shift significant costs of funding retiree health care programs or eliminate them completely Many employers are missing significant opportunities to deliver retiree benefit value Employers need to ensure that every dollar invested in retiree health care is spent wisely Source: 2010 Towers Perrin 2010 Health Care Cost Survey

Aetna Inc. Retiree Medical Trends 5 Aetna Inc. Aetna’s Retiree Solutions Administration Sourcing Paternal/Control Shared Comprehensive Group Limited/Detached Fixed/Eliminated Financial Only Individual Relationship Cost

Aetna Inc. Why Aetna?

Aetna Inc. 7 Aetna’s Retiree Solutions A Smarter Health Plan Integrated Solutions Full Spectrum Life Stage and Age-In Solutions Care Management Strong Networks Sophisticated Data Analytics Provider Engagement

Aetna Inc. 8 Aetna’s Retiree Solutions Know More, Get Better Tools & Technology CareEngine ® Member Health Engagement Plan Personal Health Record Aetna SmartSource SM Member Services Team Dedicated to Medicare Beneficiaries

Aetna Inc. 9 Aetna’s Retiree Solutions Putting People First Member Experience Member Services –Aetna Strategic Desktop Aetna Total Clinical View (ATV) SM Aetna Navigator ® Highly Trained Account Teams

Aetna Inc. How Aetna’s Range of Retiree Health Solutions Can Help Support Your Strategy 10 Aetna Inc. Aetna’s Retiree Solutions Maintain Retiree Coverage Maximizing cost effectiveness and savings potential for pre-65 and post-65 retiree coverage Transferring risk and volatility Minimizing long-term costs by maximizing retiree health Reduce Contributions to Retiree Benefits Providing retirees access to group benefits with reduced or no company subsidy Effectively communicating benefits changes to retirees Minimizing your involvement through turnkey administration Offering new, creative solutions that work for your organization Provide Access to Retiree Benefits Providing group health benefits Offering plans that are 100 percent retiree paid Leveraging tax-favored funding vehicles

Aetna Inc. Aetna’s Retiree Program Solutions

Aetna Inc. 12 Aetna Inc. Aetna’s Retiree Solutions Here are some of our smarter health plans and solutions to help support your strategy: Maintain retiree coverage Eliminate or reduce contribution levels for retiree benefits Provide access to retiree benefits Retiree Medical Plans Care Management Trust Services Asset Management Program Funding Options Prescription Drug Plans Integrated Administration and Record Keeping

Aetna Inc. What makes Aetna’s Plans Different and Better?

Aetna Inc. 14 Aetna Inc. Aetna’s Retiree Solutions Retiree Medical Plans Affordable Aetna Medicare Advantage HMO and PPO plans Supplemental Retiree Medical Plans Pre-65 retiree health plans Indemnity plans that coordinate with Medicare Individual plans – Available Aggregator model offers additional multicarrier individual solutions

Aetna Inc. 15 Aetna Inc. Aetna’s Retiree Solutions Retiree Medical Plans: Benefit Solutions Medicare Advantage Plans High level of member satisfaction No employer subsidy required More benefits and generally lower costs Care Management Medical and pharmacy integrated coverage Discount/value-add programs Supplemental Retiree Medical Plans Covers certain amounts of Medicare Parts A and B deductible and coinsurance Use of any care provider that accepts Medicare A range of plan designs based on standard Medigap plan designs Early Retirees (Not eligible for Medicare) Group-subsidized plans, including consumer-directed Aetna HealthFund ® plans Fully insured, guaranteed- issue pre-65 plan Individual plan options, including some that can be used with a health savings account Retiree reimbursement accounts to help save for future medical expenses

Aetna Inc. 16 Aetna Inc. Aetna’s Retiree Solutions Care Management A holistic approach to a member’s care A comprehensive solution for every stage of health Signature programs for members with multiple chronic conditions Integrated into Aetna Medicare Advantage plans at no extra cost

Aetna Inc. 17 Aetna Inc. Aetna’s Retiree Solutions Prescription Drug Plans Medicare prescription drug plans (Part D) Lower-cost prescription drug options Leveraging pharmaceutical and government discounts Aetna Specialty Pharmacy ® Standalone or integrated plan flexibility: – Integration into Medicare Advantage plans – Standalone PDP – Standalone PDP with Supplemental Retiree Medical (SRM) Plan

Aetna Inc. 18 Aetna Inc. Aetna’s Retiree Solutions Administrative Services Outsourcing benefits administration Retiree communication and educational materials Personalized enrollment kits Web portal enrollment capabilities Enhanced billing and payment methods

Aetna Inc. 19 Aetna Inc. Aetna’s Retiree Solutions Health insurance plans are offered and/or underwritten by Aetna Life Insurance Company (Aetna). This material is for information only. Health insurance plans contain exclusions and limitations. Information is believed to be accurate as of the production date; however, it is subject to change. Policy forms issued in OK include: GR-23 and/or GR-29/GR-29N. ©2011 Aetna Inc (5/11)

Aetna Inc. Appendix

Aetna Inc. 21 Aetna Inc. Aetna’s Retiree Solutions Asset Management and Trust Services Asset Management Targeted retirement date funds Integration with trust services Integration with medical programs Trust Services Prototype trust documents Bundled investment options Trust reporting

Aetna Inc. 22 Aetna Inc. Aetna’s Retiree Solutions Program Funding Options Tax-advantaged savings accounts Individual record keeping Employee-directed investments of employer contributions for retirement medical expenses, e.g., IPT, VEBA, national account, HSA