Chelsey Tucker graduated with a Bachelor of History degree from Metropolitan State University in 2019. She now writes about insurance with her specialty being life insurance and has been quoted on Help Smart Phone and MEL Magazine.

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Dan Walker graduated with a BS in Administrative Management in 2005 and has been working in his family’s insurance agency, FCI Agency, for 15 years. He is licensed as an agent to write property and casualty insurance, including home, auto, umbrella, and dwelling fire insurance. He’s also been featured on sites like

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Reviewed by Daniel Walker
Licensed Auto Insurance Agent Daniel Walker

UPDATED: Mar 30, 2022

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A comparison of Aetna with the Trustmark Insurance Company shows that Aetna is a much larger company and a dynamic leader in the insurance industry. Trustmark Insurance Company provides many of the same insurance products as Aetna, but Aetna enjoys a much larger market share.

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Aetna Overview

Aetna’s primary line of business is providing health insurance to individuals through partially or fully employer-paid programs. Aetna is listed as a Fortune 100 company and is known as a forward-thinking and innovative company. The Aetna corporate headquarters are currently located in Hartford Connecticut.

  • Though the company has been in existence for over 150 years, Aetna has been a leader in the insurance providers industry, pioneering methods, and practices for providing group health insurance through employers.

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The Origins of Aetna Incorporated

Aetna Incorporated, as it is known today, evolved from the Aetna Fire Insurance Company of Hartford, Connecticut. The name “Aetna” was assigned to the company to create an image of Mount Etna, the most active volcano in Europe at the time.

Aetna Incorporated acquired its own identity apart from Aetna Fire Insurance Company in 1853. With the assistance of general counsel, Eliphalet Bulkeley, Aetna initiated the Annuity Fund to begin selling life insurance products. During that same year, the Annuity Fund separated from the company doing business as Aetna Insurance and began doing business under the name Aetna Life Insurance Company.

Aetna’s Growth During the 19th Century

By 1865, Aetna’s income topped one million dollars in net worth, partially due to the expansion in the amounts of life insurance policies during the Civil War. During a time when most life insurance providers were slowing growth, Aetna made aggressive expansions and took the industry by surprise.

Aetna issued its first farm mortgage loan in 1867 and by 1872, farm mortgages accounted for 27% of its assets. Aetna continued to grow rapidly in the years to follow by introducing new practices, such as abandoning the industry-standard half-note premium system for an all-cash premium system.

Aetna’s Innovations in the 20th Century

In 1891, Aetna issued the company’s first accident policy, and in 1899, the company entered the health insurance market. In 1919, Aetna began to offer disability policies. During the Great Depression, Aetna had only 12% of its common stock at risk, so the economic damage to the company was minimal and Aetna continued to grow throughout the economically troubled times. The company continued the impressive growth trajectory throughout the 20th century and remained a major player in the industry with forward-thinking innovations, diversification, and investments.

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Aetna in the New Millennium

In 2005, the company reported earnings of over one billion dollars. By 2007, the company’s earnings were estimated to be over $27 billion dollars. In 2009, Aetna grew to generate total revenue of over $34 billion dollars. At that time, Aetna’s total assets were estimated to be well over $28 billion dollars.

Aetna’s Political Activities

In 2009, Aetna spent over two million dollars in lobbying Congress. Aetna made contributions of approximately $160,000 to various members of Congress including, U.S Senator Joe Leiberman and Senator Max Baucus, chairman of the Senate Financial Committee. Aetna is listed as one of the top ten contributors Congressional members during 2009.

Reviews and Awards

2010 was the third consecutive year that Aetna was selected by Fortune Magazine as the most admired company in the category of Health Care: Insurance and Managed Care. Ratings from the California Health Care Quality Report Card in 2011 scoring how members rated their HMO plans revealed that Aetna received 3 out of 4 stars. In addition, Aetna scored the same rating in the category that assessed how close the company came to the National Standards of Care.

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Types of Insurance Products

Aetna offers a variety of insurance products including Medical policies, Dental insurance, Pharmaceutical coverage, Behavioral Medicine coverage, Group Life, Long Term Care Insurance Policies. Furthermore, Aetna also provides a mobile app where policyholders can have; access to your account information, can view your personal health record, manage disability/absence benefits, and more.

In addition, Aetna offers Disability Insurance Solutions. Aetna also provides supplemental health care coverage, which covers expenses not covered by traditional health insurance policies.

Trustmark Insurance Company Overview

The Trustmark Insurance Company is an employee benefits provider, and one of the major marketing focuses of the company is to provide financial security to its policy holders. The Trustmark Insurance Company prides itself on attempts to improve the quality of health care and assisting its policy holders in navigating the health care system.

The Trustmark Insurance Company currently employ approximately 6000 employees in full and part time jobs. The corporate offices of the Trustmark Insurance Company are located in Lake Forest, Illinois, a suburb of Chicago.

Trustmark Insurance Company History

The Trustmark Insurance Company was originally founded in 1913. However, the name “Trustmark” was not assigned to the company until 1994, when the original company merged with Bankers Mutual Life. In 1997, Trustmark acquired CoreSource, a company that administered and managed insurance benefits. CoreSource is now a subsidiary company of Trustmark and provides benefits administration services to other companies.

In 2001, Trustmark acquired two additional companies: National Worksite Advantage and National Worksite Benefits. Over the next decade, several additional acquisitions increased Trustmark’s market share and provided the company with additional resources and lines of business.

The most recent acquisition was the Health Fitness Corporation, an award winning company that provides health and fitness management programs to corporate clients. Most of the acquisitions have become subsidiary companies of the larger Trustmark Insurance Company.

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Ratings and Awards

In 2011, with revenues of $960 million, Trustmark was rated at #37 by Crain’s Chicago Business magazine in their list of the largest privately held companies in the US.

Trustmark was also given an “A” (excellent) rating by A.M. Best Company, one of the oldest and most trusted insurance rating firms in the nation.

Types of Insurance Products

The Trustmark Insurance Company offers a Voluntary Benefit Solution which provides policy holders with choices of life insurance policies, critical care coverage, disability and accident coverage. In addition, Trustmark’s Group Health Insurance offerings include medical coverage, dental insurance coverage, managed care and disability policies. For companies that fund their own health coverage, Trustmark’s subsidiary company, CoreSource, provides benefits administration services.

Aetna vs Trustmark Insurance Company

The main difference between Aetna and the Trustrmark Insurance Company is that Trustmark offers foreign student insurance policies and focuses on larger companies, including many of the Fortune 500 companies, for the bulk of their business. Aetna’s primary target market is smaller and mid-sized businesses.

Additionally, Aetna has been in existence for well over 150 years, whereas the Trustmark Insurance Company has only recently evolved into an employer-provided benefits insurer. Aetna offers more policy options than Trustmark. However, Trustmark specializes in providing worksite insurance to larger companies.

Before making any final decisions on your insurance company, it is important to learn as much as you can about your local insurance providers, and the coverages they offer. Call your local insurance agent to clear up any questions that you might have. Questions to consider asking include, “What is the best coverage plan for me/my family/my situation?” “What are the minimum coverage requirements in my state and what form of coverage do you recommend?” “Do you guys offer any bundle discounts if I take out both my auto insurance and home insurance with you?” and “What is the average rate of insurance quotes you guys offer?”

Before making any big insurance decisions, use our free tool to compare insurance quotes near you. It’s simple, just plug in your zip code and we’ll do the rest!

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