Fill and Sign the Form 706 Rev October 2006 Fill in Capable United States Estate and Generation Skipping Transfer Tax Return

2009 Annual Report Our community commitment Our concern for the health of the communities where we live and work is at the center of our long-standing commitment to making a difference through philanthropy. Since 1980, we have awarded more than $379 million to community programs across the country. Today, our grant making is concentrated on supporting meaningful improvements in health care and the health care system, with a primary focus on addressing obesity, promoting racial and ethnic equity in health and health care, and advancing integrated health care. In 2009, Aetna and the Aetna Foundation awarded more than $20 million in grants and sponsorship in communities across the nation. Our employees are just as committed to making a difference, donating a record-setting $4.4 million and volunteering more than 317,000 hours of their time in 2009 to helping their neighbors. This spirit was never more apparent than when the earthquake struck Haiti in January 2010, resulting in more than 110,000 deaths. Employees responded quickly by pledging more than $173,000 in donations. With matching funding and additional Aetna Foundation grants, Aetna and its employees gave more than $405,000 to help the people of Haiti. Aetna responds to needs across the country routinely. In 2009, the Aetna Foundation, with the help of a two-year $150,000 grant, helped Students Run America combat childhood and adolescent obesity and type II diabetes. In a unique, engaging and creative program, Aetna and the Aetna Foundation in 2009 also helped those suffering from medical conditions that result in hair loss by making 5,000 CUREchief® handmade head scarves available for delivery nationwide free of charge. ©2009 Aetna Inc.