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Purpose of Committee

The primary purpose of the Medical Affairs Committee (the "Committee") of Aetna Inc. (the "Company") is to assist the Company's Board of Directors (the "Board") in the general oversight of Company policies and practices that relate to providing members with access to cost-effective quality health care.

Committee Membership

The Committee shall be composed of at least three members of the Board. The members of the Committee shall be appointed annually and replaced by the Board.

The Company's Chief Medical Officer shall support the Committee in identifying the issues and policies to be reviewed by the Committee, and in coordinating presentations and the distribution of information to the Committee.

Committee Structure and Operations

The Board shall designate one member of the Committee as its chairperson. The Committee shall meet as often as necessary to carry out its responsibilities under this Charter, but at least three times a year. The Committee shall make regular reports to the Board. The Committee may, in its discretion, delegate all or a portion of its duties and responsibilities to a subcommittee of the Committee.

The Committee shall have the resources and authority appropriate to discharge its responsibilities, including the authority to retain counsel and other experts or consultants.

Committee Goals and Responsibilities

Among the Committee's goals and responsibilities are the following:

1. To review significant Company strategies and initiatives relating to the objective of promoting access to cost-effective quality health care; to consider the impact of those strategies and initiatives on members and participating physicians, hospitals and other health care providers; and to assess the programs' role in differentiating the Company's products and services in the marketplace.
   
   
2. To review Company strategies that have been designed to enhance the effectiveness of the Company's interaction with physicians and which thereby assist in the promotion of access to quality health care for members and assist in promoting high-quality, cost-effective networks.
   
   
3. To review the scope and effectiveness of the Company's disease management and case management programs.
   
   
4. To oversee the Company's development of an integrated medical management model that utilizes medical, pharmacy, laboratory and behavioral/mental health data to assist in the promotion of appropriate health care to members.
   
   
5. To review Company initiatives designed to address socioeconomic, racial and ethnic disparities in health care.
   
   
6. To review and reassess the adequacy of this Charter annually and to recommend any proposed changes to the Board for approval.
   
   
7. To evaluate its own performance annually.
   
   
8. To perform any other responsibilities delegated to the Committee by the Board from time to time.

December 1, 2006