Volume 1, Edition 4

 

 

  Table of Contents:

      Page 1 – Report on Shareholders’ Meeting

      Page 3 – ARA and Aetna

      Page 4 - Further Questions

      Page 6 – Letter on Donaldson Commitment

      Page 7 – Approval of Nonprofit Status

 


 

Aetna Shareholders Meeting

The following report attempts to capture those issues discussed at the Shareholders meeting that might be of greatest interest to Aetna Retirees.

 

The Aetna Shareholders meeting was held on April 29th in Philadelphia, PA.   Chairman John Rowe presided and gave the reason for the change in venue as management’s desire to move the meeting to where Aetna has a major customer base.  This seemed a little strange because customers would not be welcome if they were not shareholders as well.  We thought the Company might have made a special effort to bring employees from Blue Bell (the former home of US Healthcare) but that did not appear to be the case.  Attendance was less than a third of what it was in Hartford meetings.

 

Opening Remarks:

Chairman Rowe’s opening statement focused on the incredible results that the Company has achieved.  He called it the “best year in the history of the Company.”  Aetna stock has appreciated 72% since the last shareholders’ meeting.  Operating earnings were up 44%.  The Company was able to buy back $1.5 billion worth of Company stock to increase shareholder value.  He recognized all employees as playing a role in this success as Aetna moves to a high performance culture, and he credited being steadfast in disciplined expense management as key.  Strong membership growth was now becoming a factor as well.

 

Rowe expressed his pride in Aetna being recognized by Business Ethics Magazine as the number one “top corporate citizen” in our industry and by Fortune Magazine as number two in the industry for its list of “most respected companies.”  He felt these awards showed Aetna to not only be doing the right things but to be doing them in the right way.

 

Aetna’s cost structure still exceeds the best of its competitors, whom he later referred to as United Healthcare, Wellpoint and Pacificare in an answer to a John Dwyer question.  He had also mentioned CIGNA as a competitor in response to another question.  When later asked for more specific information on expenses, he indicated they had reduced expenses by 2.5 percentage points to 19.6%.  The target they are after is 19.1% and he indicated they still have several points of additional improvement to equal their most efficient competitors.  Rowe indicated that most of these competitors are doing less for retirees than Aetna is.  Management is very proud of what they have been able to do, not only in reducing expenses, but in continuing the benefits they have for retirees.

 

Rowe also announced that Aetna would support a government mandate that all people must obtain basic health insurance.  He called for subsidies to help low-income people afford coverage.  He also emphasized that a way must be found not to overload such a program with mandates or place unreasonable burdens on insurers or employers.  His willingness to step out on this issue is likely to remind retirees of the “old Aetna.”

 

Ron Williams spoke after Rowe and emphasized the importance of a combination of innovation and integration of products.  He sees putting the customer at the center of all Aetna services and then adhering to Aetna values as critical to future success.  He cited the values as: a.) integrity;  b.) employee engagement; c.) excellence and accountability; d.) quality service and value.

 

He sees Aetna’s strategy as involving: a.) innovation; b.) information; c.) integration of data to get a better view of what is happening; d.) leadership in high performance, consumer directed, health plans (currently Aetna is the only one on such a plan); e.) true differentiation in a unique value proposition.


 

Preliminary vote:

Rowe then announced that all the proxy proposals were approved.  The surprises were, of course, that the proposals on cumulative voting (with 54% approval) and expensing of stock options (with 76% approval) were approved by shareholders contrary to the recommendation of Aetna management (but consistent with ARA’s recommended voting stance).  It is a clear victory for shareholder involvement and should serve as a reminder to all shareholders that understanding issues of corporate governance and voting one’s shares do get management’s attention.  These outcomes had to be a surprise to management.  It will be interesting to see how quickly the Board reacts to the clear direction of shareholders.

 

Questions on Agenda Items:

 

Appointment of Board: Emmett McTeague commented that he was very interested in the comments the Chairman had made on ethics because he had observed that most large companies that failed seemed to first fail in their commitment to ethical behavior.  He asked whether there was anyone on the Board with the specific responsibility of looking at the Company’s ethics “to assure it fulfils its promises to shareholders, customers, employees, retirees and other constituencies.”  Rowe indicated that he thought that was primarily the job of management and the Board as a whole but that the Audit Committee was probably the focal point for the Board’s consideration of such corporate risks.

 

McTeague then asked whether there was any information on how members of the Board voted because it was very hard to decide on how to vote when you don’t give shareholders any information on how Board members vote on given issues.  (If such information were available the follow-up question would have been to ask which Board members supported the dental subsidy elimination.)  However, Rowe answered that only abstentions are recorded and they are not shared.  McTeague recommended that they share Board voting information so shareholders may vote more intelligently in the future.

 

Incentive Stock Options: John Dwyer read from the Morningstar Report on Aetna that, among other things, talked about the “confiscation of shareholder wealth” and how executives are “egregiously overpaid.”  He then asked how we can be assured of a better balance between executive pay and shareholder interests.  Rowe indicated that most analysts see Aetna’s quality of earnings as high and that he believes executive pay is properly aligned with shareholder interests.  If share price had not risen, executives would not have earned so much.

 

Emmett McTeague indicated that he had an accountant look at their “incentive plan” and that the accountant had informed him that twelve of the twenty measures would be positively affected by reducing employee and retiree benefits.  This means that executives directly increase their own income by cutting the benefits of those who are not making such generous incomes.  Rowe indicated that they look at cuts in expense separate from executive compensation.  When they focus on expenses, they must look at all options.  McTeague responded that he understood that retirees average $6,000 a year while executives are making millions.  Benefits cuts should not enhance those millions.  One shareholder applauded.

 

General Questions: John Dwyer commented that his proposal to restore the dental subsidy based on Chairman Donaldson’s commitment at the 2000 shareholders’ meeting was rejected by Aetna and that rejection was supported by the SEC.  This was doubly disappointing given the approval of two other shareholder proposals.  “You are familiar with Donaldson’s assurance that benefits would continue as is.  Now people are trying to say we took it out of context.  It is hard to see how that statement could be misinterpreted.  How can shareholders or employees trust the word of any executive when the people who come behind him can change it?”  Rowe responded that “We have agreed to disagree on Donaldson’s comments.”  He went on to say it is difficult to be confident that what has been said will hold in the future.  He again claimed that they had put $44 million into retiree benefits (Editor’s note: almost as much as they put in the Aetna Foundation) and a billion into the pension fund while continuing to provide other benefits and absorb this year’s medical cost increases.  He went on to say to John that “we appreciate your engagement with us and we are increasingly aware of the impact of these changes” on retirees.  “That is why we absorbed the increase in cost this year.”

 

In one of the final questions, Alyce Rawlins asked her annual question on whether they were going to put a black woman on the Board.  Chairman Rowe indicated that they were very hopeful of doing so this year.  Thus Alyce shows us the importance of sticking with our issues and seeing them become reality.

 

Editor’s Note: It should be clear that not all shareholders support us in our efforts.  One suggested they hold the meetings where retirees can’t show up.  We will need to take the time to educate as many as we can in the issues that concern us.  Above all we must be willing to persist in our determination to be heard.  It is in assuring that we are heard that we will have our ideas considered; and change will become possible.

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ARA and Aetna:

 

It is clear from the comments in Chairman Rowe’s opening remarks as well as in his thoughtful responses to our questions that Aetna management is more aware of retiree concerns and retirees willingness to challenge management on those concerns.  The Chairman indicated that this increased awareness resulted in the Company absorbing medical costs increases for this year.  Both the Chairman (at the Shareholders’ meeting) and Aetna’s General Counsel (at a Retiree Matters information meeting) have mentioned that the Company has been discussing these issues with John Dwyer and others.  John is hopeful that “these discussions may yet prove fruitful.”  But he also cautions that “such discussions are complex and require a great deal of time and thought.  The specifics discussed must remain confidential until there is sufficient substance to share.  There is no timetable for when the discussions may reach a conclusion.  However, when they are concluded, we will provide all members with details.”

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Other Questions:

 

There were many questions that your ARA representatives would have liked to ask Aetna management but only so many were appropriate in the context, and within the time limits, of the shareholders meeting.  We hope that our members will take it upon themselves to ask these questions in meetings such as those for “Retiree Matters,” in letters to Chairman Rowe, in letters to Board members, or in other contacts with Aetna or any of its constituents.

 

1.     Who has fiduciary responsibility for protecting retiree benefits and what role has that person (have those persons) played in the elimination of the dental subsidy for retirees? Would you consider making a retiree a member of the committee that looks at these issues?

 

2.   The 3-17-04 WSJ reported that “thanks to ceilings put in a decade ago, Aetna’s health care costs have not been rising substantially.” If this is true, why is Aetna claiming they are rising? As a matter of fact, according to Aetna’s 10K, the actual cost to the Aetna, pre-tax in those three years was $304.5 million as opposed to the $1 billion claimed by Ms.  Wright in her recent letter to the editor of the Hartford Courant.  The 10K goes on to show on page 71 that in 2004 there was actually $9.9 of income, not cost, due to the other post-retirement plans.   This resulted largely from a $31.8 million “curtailment benefit”.   The footnote to that entry notes that this is due to “a plan amendment related to the elimination of the dental subsidy for all retirees…” It also shows benefits curtailments totaling $46 million for the years 2002 and 2003.

 

3.   Aetna retirees are concerned that Aetna may consider further erosion of our retiree benefits.   Aetna has already eliminated the subsidy for our Dental benefits.   Does Aetna have any plans at this time to change any other Medical benefits?

 

4.   Aetna has announced that it filed a letter of intent with CMS indicating it plans to become a national provider of the new Medicare Prescription Drug Plan.   How will this affect Aetna retirees who are under Medicare?  We have a very good mail order drug program now.   We don't want to have it jeopardized.

 

5.   It wasn’t too long ago that Aetna had a pension surplus.  Acknowledging the stock market downturn, whatever happened to all that money?

 

6.   The retiree newsletter implies a desire for parity between active employee and retiree benefits, but active employees are still getting paychecks, raises, bonuses, and stock options while retiree incomes are fixed.  Since the implied “contract” with retirees is being changed by Aetna, can retirees get their jobs back and/or can they renegotiate their retirements?

 

7.   The recent retiree newsletter seems to be saying that maintaining and increasing executive compensation is more important than maintaining benefits, including benefits of those already retired.  Is that correct? If so why?

 

8.   If reducing retiree benefits contributes to Aetna’s profitability, will future profitability be shared with retirees? Will subsidies be restored? (Or do we only get to contribute to profitability but not benefit from it?)

 

9.   Did you involve the Board in the decision to eliminate the dental subsidy? If not, should I conclude that neither you nor they consider the treatment of the people who made Aetna great should be a matter of good corporate governance?

 

10.  In light of all the corporate scandals and outrage over excessive executive pay, what is Aetna doing to ensure executive compensation is reasonable? What is Aetna doing to ensure its Board isn’t merely a rubber stamp for senior management?

 

11. How can the Board support such high levels of executive compensation at the expense of those who are already retired?

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Further Clarifying the Donaldson Commitment:

 

The following letter, which was sent to Elease Wright, conveys with great clarity the reality of the events surrounding Chairman Bill Donaldson’s assertion at the 2000 shareholders’ meeting.  We share this and other letters with our members in hopes that you will continue to share your views with Aetna management, Board members, legislators and others.  When they receive one such letter, no matter how well written, they see it as that person’s view.  When they receive ten letters they know there are probably a hundred others with that view.  Please think about what you may be able to do to reinforce this message as you read this letter. 

 

Dear Ms.  Wright;

 

Re: Chairman Donaldson’s promises to Aetna Retirees.

 

The April, 2005 edition of Retiree Matters that Aetna sent to retirees claims that the answer is “No” to the question of whether former Aetna Chairman Donaldson once promised that Aetna would not change the dental subsidy [which, as we know, Aetna totally eliminated for all retirees beginning in 2005].   This revisionist history by Aetna is most disappointing.  

 

At the April 28, 2000 Aetna, Inc.  Annual Shareholders meeting, then-Aetna Chairman William H.  Donaldson was asked about an April 3, 2000 letter that he had written to Aetna retirees.  That “Dear Retiree” letter explaining Aetna’s strategic plans said “No decisions have been made about the Retiree Health and Life Plans”, prompting the following question and answer [from the actual, official transcript of the April 28, 2000 Shareholders meeting obtained from Aetna]:

 

p.  28-29

MR.  ROGER LAWSON, shareholder:  Mr.  Donaldson, I am a shareholder and one of the 16,000-plus Aetna retirees that received your April 3 letter in which you indicated that we would get further information regarding certain pension and health benefits that we are currently being provided.  We believe very strongly that these benefits are a corporate obligations (sic) of Aetna, whether it is divided into two corporations or in the event that it might be acquired in the future by another organization.   Any reduction or elimination of these benefits would cause substantial financial hardship to retirees.  And we think that it would also have a very negative impact on Aetna’s reputation as a responsible employer.  My obvious question is, Mr.  Donaldson, do we have your assurances that this benefits (sic) will continue as promised?

 

CHAIRMAN DONALDSON:  It’s a good question.   I know retiree benefits are of concern, of great concern.   You have the commitment of this Corporation that the retiree benefits will not change in terms of what benefits you have now, and the obligations and the details of the future are, will be the same as they are right now.   Nothing is going to change with the two Companies being split into two pieces.   In fact, it is my hope that the two companies will, through the focus that they will get from being two separate companies, will be even more profitable companies and will have even more resources to fulfill their obligations.   Aetna will stand behind its obligation.   Thank You.[1][1]

 

[1][1] Notably, Mr.  Donaldson began that meeting by introducing nominees for Aetna’s Board of Directors, noting that Aetna’s “senior officers” were arrayed in the front, and that Aetna’s independent auditor was present.    


No equivocation, no caveats were included in Mr. Donaldson’s response, and he did not misspeak at the Shareholders meeting, because Mr. Donaldson subsequently repeated the same unqualified assurance to retiree George L. Hogeman, who had written expressing concern that Aetna’s Board might decide to cut retiree benefits for those already retired.  Mr. Donaldson replied to Mr. Hogeman as follows on May 8, 2000, a few days after the Shareholders meeting:

 

“Please be assured that the concerns you have raised are important to us.  That is why, when it comes to retiree benefits, the separation of the company will not cause any change.  We will stand behind our obligations and retiree benefits will not change in terms of what retirees have today.”

 

Mr. Donaldson’s answers were unqualified, and in keeping with Aetna’s long tradition of not curtailing benefits and subsidies to those already retired. 

 

However, Mr. Donaldson’s assurances obviously caused some consternation within Aetna, because the spin control effort began a few weeks later when Aetna issued Vol. 1, No. 1 of Retiree Matters in June, 2000.  Under the headline “Chairman States Aetna Will Stand Behind Its Obligations to Retirees”, the body of the article started waffling, adding qualifications not included by Mr. Donaldson, saying that Aetna “retains the right to make any changes or terminate any of its programs in the future.”  That is exactly the opposite of what Mr. Donaldson said. 

 

Apparently Aetna is still quite sensitive about former Chairman Donaldson’s honest, straightforward assurances to retirees in front of Aetna’s Board of Directors, Aetna’s top management, and Aetna’s auditor--with Aetna’s shareholders as his audience.  The spin control effort by Aetna to create confusion where absolutely none existed concerning former Chairman Donaldson’s promises to retirees continues, unfortunately, to this day. 

 

Sincerely,

John S.  Backer

Aetna retiree

Manchester, CT

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Nonprofit Status Approved:

 

In addition to the initiatives we have undertaken to reverse the cut in dental benefits, ARA continues to make progress on the organizational front.  The IRS has recently approved our application for non-profit status.  This means that our income from members will not be subject to federal income tax.  As a reminder, due to the nature of our activities, our tax exempt status does not allow for individual members to deduct their dues and donations on their federal tax return. 

 

We are very grateful to Dick Baxter for his work with Bob Gilligan and others to make this possible.

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