Strong Employee Engagement is an advantage at any time, but it's particularly potent in a competitive, dynamic marketplace. Over the past several years, Aetna has worked hard to create an engaged workforce by including employees in building the very heart of our business – focusing on the people who use our services. Engaged employees are those like Lucille Lima, who took the initiative to put herself in her customers' place and suggested real solutions to improve service. Engaged employees such as Marie Alfano, Aetna's 2008 Voice of Conscience^® Award winner, also are willing to act as Aetna ambassadors. In our 2008 annual employee survey, we recorded our highest ever level of employee engagement in terms of confidence and pride in the company. And we are proud of our employees and the achievements they have made on behalf of Aetna.