0001122304-11-000051 Sample Contracts

AETNA INC.
2010 Stock Incentive Plan • April 28th, 2011 • Aetna Inc /Pa/ • Hospital & medical service plans

Pursuant to its 2010 Stock Incentive Plan, Aetna Inc. hereby grants to the person named below a stock appreciation right on the stated number of shares of Common Stock on the terms and conditions hereinafter set forth and in its Aetna Inc. 2010 Stock Incentive Plan.

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