A health insurer has created a pair of high-level management positions.

Aetna Inc., Hartford, has promoted Mark Bertolini to executive vice president of regional businesses and James Foreman to executive vice president of national businesses.

Bertolini, who has been senior vice president of specialty products, will be in charge of retiree markets and individual customer markets as well as the units that handle small and midsize employers.

Foreman, who has been senior vice president of national accounts and global benefits, will be in charge of group insurance and dental as well as large corporate accounts.