Fitch affirms Aetna

Fitch Ratings said it affirmed Aetna Inc.'s long-term issuer default rating at A, senior notes at A- and short-term issuer default and commercial paper ratings at F1.

The outlook remains negative.

The agency said Aetna's ratings are supported by the company's strong cash flow, strong competitive position and solid balance sheet.

Also considered within Aetna's ratings is the longer-term potential related to the cash funding needs of its employee retirement plans as well as a long-term weakening trend in interest coverage levels, the agency said.

The negative outlook reflects uncertainty related to health-care reform and its ultimate impact on all health-and managed-care companies, Fitch said.

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