Aetna 10-Q 2013 Q2 Quarterly report

Exhibit 12.1

Computation of Ratios

The computation of the ratio of earnings to fixed charges for the six months ended June 30, 2013 and the years ended December 31, 2012, 2011, 2010, 2009 and 2008 are as follows:

Six Months Ended			Years Ended December 31,
(Millions)	June 30, 2013		2012		2011		2010		2009		2008
Income from continuing operations before income taxes	$	1,596.7	$	2,545.4	$	3,077.8	$	2,644.2	$	1,901.2	$	2,174.2
Add back fixed charges	187.9		318.6		293.6		307.7		302.9		297.9
Income as adjusted ("earnings")	$	1,784.6	$	2,864	$	3,371.4	$	2,951.9	$	2,204.1	$	2,472.1
Fixed charges:
Interest expense	$	161.3	$	268.8	$	246.9	$	254.6	$	243.4	$	236.4
Portion of rents representative of interest factor	26.6		49.8		46.7		53.1		59.5		61.5
Total fixed charges	$	187.9	$	318.6	$	293.6	$	307.7	$	302.9	$	297.9
Ratio of earnings to fixed charges	9.50		8.99		11.48		9.59		7.28		8.30