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HEALTH QUARTERLY STATEMENT Aetna Health Inc. (a Maine corporation)

AS OF MARCH 31, 2005
OF THE CONDITION AND AFFAIRS

NAIC Group Code..... 0001, 0001
(Current Period) (Prior Period)

NAIC Company Code..... 95517

Employer's ID Number..... 01-0504252

Organized under the Laws of Maine

State of Domicile or Port of Entry.... Maine

Country of Domicile.... United States

Licensed as business type: Life, Accident & Health [ ] Property/Casualty [ ]
Hospital, Medical & Dental Service or Indemnity [ ] Dental Service Corporation [ ]
Vision Service Corporation [ ] Health Maintenance Organization [ X ] Other [ ]
Is HMO Federally Qualified? Yes [ ] No [ X ]

Date Incorporated or Organized..... October 3, 1995

Date Commenced Business..... April 10, 1996

Statutory Home Office One Monument Square, 4th Floor ... Portland ..... ME ..... 04101
(Street and Number) (City, State and Zip Code)

Main Administrative Office 980 Jolly Road, P.O. Box 1109 ... Blue Bell ..... PA ..... 19422 800-872-3862
(Street and Number) (City, State and Zip Code) (Area Code) (Telephone Number)

Mail Address 980 Jolly Road, U11S, P.O. Box 1109 ... Blue Bell ..... PA ..... 19422
(Street and Number or P. O. Box) (City, State and Zip Code)

Primary Location of Books and Records 980 Jolly Road, P.O. Box 1109 ... Blue Bell ..... PA ..... 19422 800-872-3862
(Street and Number) (City, State and Zip Code) (Area Code) (Telephone Number)

Internet Website Address www.aetna.com

Statutory Statement Contact James David Weiss 215-775-6508
(Name) (Area Code) (Telephone Number) (Extension)

Aetna.HMOReporting@aetna.com 215-775-6790
(E-Mail Address) (Fax Number)

Policyowner Relations Contact ...... Plan Sponsor Services, 151 Farmington Avenue, Hartford, CT 06156 800-247-5472
(Street and Number)(City, State and Zip Code) (Area Code) (Telephone Number)

OFFICERS
Charles Alan Peck, M.D., President
William Calvin Baskin III, Vice President and Secretary
James David Weiss, Controller

OTHER
Emanuel Francis Germano, Principal Financial Officer
Gordon William Grundy, M.D., Senior Medical Director
Russell Page Smith, Treasurer
Gregory Stephen Martino, Vice President
Kevin James Casey, Senior Investment Officer
Alicia Helene Bolton, Assistant Controller



DIRECTORS OR TRUSTEES
Gordon William Grundy, M.D.
Charles Alan Peck, M.D.
David Andrew Swords#

The officers of this reporting entity being duly sworn, each depose and say that they are the described officers of the reporting entity, and that on the reporting period stated above, all of the herein described assets were the absolute property of the said reporting entity, free and clear from any liens or claims thereon, except as herein stated, and that this statement, together with related exhibits, schedules and explanations therein contained, annexed or referred to, is a full and true statement of all the assets and liabilities and of the condition and affairs of the said reporting entity as of the reporting period stated above, and of its income and deductions therefrom for the period ended, and have been completed in accordance with the NAIC Annual Statement Instructions and Accounting Practices and Procedures
manuals except to the extent that: (1) state law may differ; or, (2) that state rules or regulations require differences in reporting not related to accounting practices and procedures, according to the best of their information, knowledge and belief, respectively. Furthermore, the scope of this attestation by the described officers also includes the related corresponding electronic filing with the NAIC, when required, that is an exact copy (except for formatting differences due to electronic filing) of the enclosed statement. The electronic filing may be requested by various regulators in lieu of or in addition to the enclosed statement.

_____________________
(Signature)
Charles Alan Peck
President

_____________________
(Signature)
William Calvin Baskin III
Vice President and Secretary@

____________________
(Signature)
James David Weiss
Controller@@

State of.....Connecticut
County of.....Middlesex
Subscribed and sworn to before me this
.........day of ........................ 2005
______________________________
NOTARY PUBLIC (Seal)

State of.....Connecticut
County of.....Hartford
@Subscribed and sworn to before me this
.........day of ........................ 2005
______________________________
NOTARY PUBLIC (Seal)

State of.....Pennsylvania
County of.....Montgomery
@@Subscribed and sworn to before me this
.........day of ........................ 2005
______________________________
NOTARY PUBLIC (Seal)

a. Is this an original filing? Yes [ X ] No [ ]
b. If no: 1. State the amendment number.....
2. Date filed.....
3. Number of pages attached.....


 

Last Updated: August 22, 2012