Last week, Fitch Ratings announced numerous rating outlook revisions to negative from stable for U.S. health insurers, including their fixed income and subsidiary insurer financial strength (IFS) ratings.

Aetna Inc. —Long-term issuer-default rating (IDR) A —Short-term IDR F1 Aetna Life Insurance Co. —IFS AA- Aetna Health Inc. (Maryland, New Jersey, Pennsylvania, Texas, Florida, New York) —IFS A+ Aetna Health Inc. (Arizona, Colorado, Connecticut, Delaware, Georgia, Maine, Massachusetts, Michigan, Missouri, Ohio, Oklahoma, Tennessee, Washington), Aetna Health of California Inc., Aetna Health of Illinois Inc., Aetna Health of the Carolinas Inc. —IFS A

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