Elizabeth Warren is one of five Democratic senators who sent a letter to Aetna CEO Bill Bertolini questioning the insurer's decision to quit several Affordable Care Act marketplaces. (Photo: iStock)

Five Democratic senators are demanding that Aetna explain how its abrupt decision to leave multiple Affordable Care Act exchanges, after previously declaring its intent to expand its presence, can be justified — other than by the U.S. Department of Justice’s challenge to its proposed merger with Humana.

The Huffington Post reports a letter sent to Bill Bertolini, Aetna’s chief executive officer, from Sens. Bernie Sanders of Vermont, Elizabeth Warren of Masschusetts, Ed Markey of Massachusetts, Sherrod Brown of Ohio and Bill Nelson of Florida, calls for an explanation by Sept. 15 for the company’s sudden turn against exchanges.

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