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CVS Healths Aetna signs reinsurance protection deal with Vitality Re X

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AFMEโ€™s European AML Conference 2026

Aetna, the insurance business of American retail pharmacy chain CVS Health, has signed a four-year reinsurance arrangement with Vitality Re X.

The arrangement will enable CVS Health to slash its required capital and offer $200m of collateralised excess of loss reinsurance coverage on a portion of Aetnaโ€™s group commercial health insurance operation.

Under the agreement, Aetna will receive the full $200m of coverage if the medical benefit ratio (MBR) of the covered business reaches an initial exhaustion point of 118% for calendar year 2019.

CVS Health chief financial officer Eva Boratto said: โ€œTodayโ€™s transaction marks the successful completion of the tenth reinsurance arrangement under the Vitality Re program.

โ€œThe Vitality Re programme is an important component of our capital structure that lowers our cost of capital and drives capital efficiency.โ€

This Aetnaโ€™s ILS transaction and was issued through Vitality Re X, a special purpose insurer domiciled in the Cayman Islands.

AFMEโ€™s European AML Conference 2026

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