Ownership Submission
FORM 3
 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934, Section 17(a) of the Public Utility Holding Company Act of 1935 or Section 30(h) of the Investment Company Act of 1940
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(Print or Type Responses)
1. Name and Address of Reporting Person *
  Reisman Lonny
 2. Date of Event Requiring Statement (Month/Day/Year)
11/12/2008		 3. Issuer Name and Ticker or Trading Symbol
AETNA INC /PA/ [AET]
(Last)
(First)
(Middle)
AETNA INC., 151 FARMINGTON AVENUE		 4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
_____ Director _____ 10% Owner
__X__ Officer (give title below) _____ Other (specify below)
SVP, Chief Medical Officer
 5. If Amendment, Date Original Filed(Month/Day/Year)
(Street)

HARTFORD, CT 06156		 6. Individual or Joint/Group Filing(Check Applicable Line)
_X_ Form filed by One Reporting Person
___ Form filed by More than One Reporting Person
(City)
(State)
(Zip)
Table I - Non-Derivative Securities Beneficially Owned
1.Title of Security
(Instr. 4)		 2. Amount of Securities Beneficially Owned
(Instr. 4)		 3. Ownership Form: Direct (D) or Indirect (I)
(Instr. 5)		 4. Nature of Indirect Beneficial Ownership
(Instr. 5)
Common Stock 49,000
D
 

Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. SEC 1473 (7-02)
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security
(Instr. 4)		 2. Date Exercisable and Expiration Date
(Month/Day/Year)		 3. Title and Amount of Securities Underlying Derivative Security
(Instr. 4)		 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form of Derivative Security: Direct (D) or Indirect (I)
(Instr. 5)		 6. Nature of Indirect Beneficial Ownership
(Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option   (1) 05/27/2015 Common Stock 72,000 $ 39.045 D  
Restricted Stock Units   (2) 06/30/2009 Common Stock 3,006 $ 0 (3) D  
Restricted Stock Units   (4) 02/09/2010 Common Stock 3,066 $ 0 (3) D  
Stock Appreciation Right   (5) 06/30/2016 Common Stock 21,314 $ 39.93 D  
Stock Appreciation Right   (6) 02/09/2017 Common Stock 21,480 $ 42.57 D  
Stock Appreciation Right   (7) 02/08/2018 Common Stock 27,614 $ 50.7 D  

Reporting Owners

Reporting Owner Name / Address Relationships
Director 10% Owner Officer Other
Reisman Lonny
AETNA INC.
151 FARMINGTON AVENUE
HARTFORD, CT 06156		       SVP, Chief Medical Officer  

Signatures

Lonny Reisman by Judith H. Jones, Attorney-in-Fact 11/14/2008
**Signature of Reporting Person Date

Explanation of Responses:

* If the form is filed by more than one reporting person, see Instruction 5(b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations. See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
(1) 36,000 options currently exercisable. Remaining 36,000 options are exercisable on December 31, 2008.
(2) Vests on June 30, 2009.
(3) Each Restricted Stock Unit represents a right to receive one share of Aetna Inc. Common Stock net of taxes.
(4) Vests in two annual installments beginning February 9, 2009.
(5) Exercisable in three equal annual installments beginning June 30, 2007.
(6) Exercisable in three annual installments beginning February 9, 2008.
(7) Exercisable in three annual installments beginning February 8, 2009.

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