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In this Tuesday, Aug. 19, 2014, photo, a pedestrian walks past a sign for Aetna Inc., at the company headquarters in Hartford, Conn. Aetna will become the latest health insurer to chop its participation in the Affordable Care Act’s public exchanges when it trims its presence to four states for 2017, from 15 this year. The nation’s third-largest insurer said late Monday, Aug. 15, 2016, that a second-quarter pre-tax loss of $200 million from its individual insurance coverage helped it decide to limit exposure to the exchanges, which also have generated losses for UnitedHealth Group and Anthem, among other carriers. (AP Photo/Jessica Hill)

In this Tuesday, Aug. 19, 2014, photo, a pedestrian walks past a sign for Aetna Inc., at the company headquarters in Hartford, Conn. Aetna will become the latest health insurer to chop its participation in the Affordable Care Act’s public exchanges when it trims its presence to four states for 2017, from 15 this year. The nation’s third-largest insurer said late Monday, Aug. 15, 2016, that a second-quarter pre-tax loss of $200 million from its individual insurance coverage helped it decide to limit exposure to the exchanges, which also have generated losses for UnitedHealth Group and Anthem, among other carriers. (AP Photo/Jessica Hill)

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