Exhibit 99.20

CityPlace II
185 Asylum Street, 5th Floor
Hartford, CT 06103-3494

WEBSTER BANK

Acceptance of Request for Extension

December 27, 2006

Aetna Inc.
151 Farmington Avenue
Hartford, CT 06156

Re: Amended and Restated Five-Year Credit Agreement dated as of January 20, 2006 (the “Credit Agreement”)

Attention: Alfred P. Quirk, Vice President, Finance and Treasurer

Dear Al:

We have received your Extension Request, dated December 5, 2006, and pursuant to Section 2.06(c) (Maturity of Loans) of the above-referenced Credit Agreement, we hereby agree to the extension set forth in such request. Upon the effectiveness of the Extension Request in accordance with Section 2.06(c) of the Credit Agreement, the new Maturity Date will be January 20, 2012.

We have made a notation of this extension on the Schedule of Loans, Payments of Principal attached to our Syndicated Note(s).

Very truly yours,

Webster Bank, National Association

By:	/s/ Lawrence Davis
	Name: Lawrence Davis
	Title: Vice President