X0303 4 2008-09-30 0001122304 AETNA INC /PA/ AET 0001182210 HANCOCK ELLEN M P. O. BOX 169 RIDGEFIELD CT 06877 1 0 0 0 Common Stock 8000 D Common Stock 400 I Held by Spouse and Stepdaughter PHANTOM STOCK UNITS 2008-09-30 4 A 0 432.706 A COMMON STOCK 432.706 51828.117 D UNITS ACCRUED UNDER THE AETNA INC. NON-EMPLOYEE DIRECTOR COMPENSATION PLAN (THE "PLAN") PURSUANT TO DEFERRAL OF DIRECTOR'S FEES. SUBJECT TO TERMS OF PLAN, UNITS MAY BE SETTLED IN AETNA COMMON STOCK, IN CASH OR A COMBINATION OF BOTH UPON REPORTING PERSON'S RETIREMENT. UNITS CONVERT TO COMMON STOCK ON A ONE-FOR-ONE BASIS. ELLEN M. HANCOCK, by Melinda Westbrook, ATTORNEY IN FACT 2008-10-01