0001231553-17-000001.txt : 20170222
0001231553-17-000001.hdr.sgml : 20170222
20170222162534
ACCESSION NUMBER: 0001231553-17-000001
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20170217
FILED AS OF DATE: 20170222
DATE AS OF CHANGE: 20170222
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: AETNA INC /PA/
CENTRAL INDEX KEY: 0001122304
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 232229683
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 151 FARMINGTON AVENUE
CITY: HARTFORD
STATE: CT
ZIP: 06156
BUSINESS PHONE: 8602730123
MAIL ADDRESS:
STREET 1: 151 FARMINGTON AVENUE
CITY: HARTFORD
STATE: CT
ZIP: 06156
FORMER COMPANY:
FORMER CONFORMED NAME: AETNA U S HEALTHCARE INC
DATE OF NAME CHANGE: 20000822
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Bertolini Mark T
CENTRAL INDEX KEY: 0001352552
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-16095
FILM NUMBER: 17628759
MAIL ADDRESS:
STREET 1: AETNA INC.
STREET 2: 151 FARMINGTON AVENUE
CITY: HARTFORD
STATE: CT
ZIP: 06156
4
1
edgar.xml
PRIMARY DOCUMENT
X0306
4
2017-02-17
0001122304
AETNA INC /PA/
AET
0001352552
Bertolini Mark T
151 FARMINGTON AVENUE
HARTFORD
CT
06156
0
1
0
0
Chairman and CEO
Common Stock
2017-02-21
4
M
0
8894
A
304070
D
Common Stock
2017-02-21
4
F
0
4362
126.34
D
299708
D
Common Stock
120000
I
by Charitable Lead Annuity Trust ("CLAT")
Common Stock
454071
I
by Grantor Retained Annuity Trust ("GRAT")
Stock Appreciation Rights
125.27
2017-02-17
4
A
0
260037
0
A
2018-02-17
2027-02-17
Common Stock
260037
260037
D
Restricted Stock Units
2017-02-17
4
A
0
19830
0
A
Common Stock
19830
19830
D
Restricted Stock Units
2017-02-21
4
M
0
8894
0
D
Common Stock
8894
17786
D
Represents vesting of previously reported Restricted Stock Units granted under the Aetna Inc. 2010 Stock Incentive Plan (the "Plan").
Each Restricted Stock Unit represents a right to receive one share of Aetna Inc. Common Stock net of taxes.
Represents tax withholding on vesting of previously reported Restricted Stock Units.
Represents shares held by CLAT where Reporting Person is investment advisor.
Represents shares held by GRAT where Reporting Person is sole trustee.
Stock Appreciation Rights granted under the Plan, exercisable in three annual installments beginning February 17, 2018.
Restricted Stock Units granted under the Plan vest in three annual installments beginning February 17, 2018.
Restricted Stock Units granted under the Plan.
Mark T. Bertolini, by Judith H. Jones, Attorney-in-Fact
2017-02-22