- Statement of Changes in Beneficial Ownership (4)
February 10 2012 - 4:38PM
Edgar (US Regulatory)
FORM 4
[ ]
Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue.
See
Instruction 1(b).
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UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP OF SECURITIES
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Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public
Utility Holding Company Act of 1935 or Section 30(f) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person
*
Bertolini Mark T
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2. Issuer Name
and
Ticker or Trading Symbol
AETNA INC /PA/
[
AET
]
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5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director
_____ 10% Owner
__
X
__ Officer (give title below)
_____ Other (specify below)
Chairman, CEO and President
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(Last)
(First)
(Middle)
151 FARMINGTON AVENUE
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3. Date of Earliest Transaction
(MM/DD/YYYY)
2/8/2012
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(Street)
HARTFORD, CT 06156
(City)
(State)
(Zip)
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4. If Amendment, Date Original Filed
(MM/DD/YYYY)
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6. Individual or Joint/Group Filing
(Check Applicable Line)
_
X
_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
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Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1.Title of Security
(Instr. 3)
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2. Trans. Date
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2A. Deemed Execution Date, if any
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3. Trans. Code
(Instr. 8)
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4. Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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5. Amount of Securities Beneficially Owned Following Reported Transaction(s)
(Instr. 3 and 4)
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6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4)
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7. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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Amount
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(A) or (D)
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Price
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Common Stock
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2/8/2012
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M
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170448
(1)
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A
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(2)
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295933
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D
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Common Stock
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2/8/2012
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F
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70894
(3)
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D
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$45.14
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225039
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D
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Common Stock
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2/8/2012
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M
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113014
(4)
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A
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(5)
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338053
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D
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Common Stock
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2/8/2012
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F
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47976
(6)
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D
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$45.14
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290077
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D
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Table II - Derivative Securities Beneficially Owned (
e.g.
, puts, calls, warrants, options, convertible securities)
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1. Title of Derivate Security
(Instr. 3)
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2. Conversion or Exercise Price of Derivative Security
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3. Trans. Date
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3A. Deemed Execution Date, if any
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4. Trans. Code
(Instr. 8)
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5. Number of Derivative Securities Acquired (A) or Disposed of (D)
(Instr. 3, 4 and 5)
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6. Date Exercisable and Expiration Date
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7. Title and Amount of Securities Underlying Derivative Security
(Instr. 3 and 4)
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8. Price of Derivative Security
(Instr. 5)
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9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4)
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10. Ownership Form of Derivative Security: Direct (D) or Indirect (I) (Instr. 4)
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11. Nature of Indirect Beneficial Ownership (Instr. 4)
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Code
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V
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(A)
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(D)
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Date Exercisable
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Expiration Date
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Title
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Amount or Number of Shares
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Market Stock Unit
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(2)
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2/8/2012
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M
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113738
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(7)
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(7)
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Common Stock
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113738
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$
0
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0
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D
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Performance Stock Unit
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(5)
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2/8/2012
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M
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56507
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(8)
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(8)
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Common Stock
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56507
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$
0
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0
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D
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Explanation of Responses:
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(
1)
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Represents vesting of previously reported Market Stock Units granted under the Aetna Inc 2000 Stock Incentive Plan.
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(
2)
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Each Market Stock Unit represents a right to receive up to 1.5 shares of Aetna Inc. Common Stock net of taxes. Vesting amount was determined based on the weighted average closing stock price for the thirty trading days prior to the vest date.
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(
3)
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Represents tax withholding on vesting of previously reported Market Stock Units.
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(
4)
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Represents vesting of previously reported Performance Stock Units granted under the 2000 Stock Incentive Plan.
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(
5)
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Each Performance Stock Unit represents a right to receive up to two shares of Aetna Inc. Common Stock net of taxes.
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(
6)
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Represents tax withholding on vesting of previously reported Performance Stock Units.
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(
7)
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Market Stock Units granted under the Aetna Inc. 2000 Stock Incentive Plan.
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(
8)
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Performance Stock Units granted under the Aetna Inc. 2000 Stock Incentive Plan.
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Reporting Owners
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Reporting Owner Name / Address
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Relationships
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Director
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10% Owner
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Officer
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Other
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Bertolini Mark T
151 FARMINGTON AVENUE
HARTFORD, CT 06156
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Chairman, CEO and President
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Signatures
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Mark T. Bertolini by Judith H. Jones, Attorney-in-Fact
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2/10/2012
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**
Signature of Reporting Person
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Date
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
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*
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If the form is filed by more than one reporting person,
see
Instruction 4(b)(v).
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**
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Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See
18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
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Note:
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File three copies of this Form, one of which must be manually signed. If space is insufficient,
see
Instruction 6 for procedure.
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Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB control number.
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