2019 Corporate Responsibility Report

The Power of Connections

Cigna Connects, our approach to corporate responsibility, aligns with our mission by making powerful connections that positively impact the health of people, communities and the environment. Through Cigna Connects we aim to serve as a catalyst of action and a convener of stakeholders who, together, can make a difference around critical health topics.

Being a good corporate steward is a really important part of who Cigna is as a corporation. We’re mission-based and we’re performance based. Being committed to corporate stewardship, volunteerism, diversity and inclusion, and looking at multiple stakeholder needs, are important parts of who we are today and who we will be in the future.
David Cordani Cigna President and CEO

About This Report

Cigna’s first annual Corporate Responsibility Report since its combination with Express Scripts® illustrates our combined company’s environmental, social, and governance (ESG) approach and the value of our integration.

The structure of this report reflects our ESG framework, “Cigna Connects,” which consists of three focus areas that are material to our business, align with our mission, and create shared value: Health and Well-Being, Environment, and Responsible and Inclusive Business. This report covers the period of January 1 through December 31, 2019, and unless otherwise noted, performance data includes Cigna and Express Scripts combined data. Forward-focused comments will also be provided to help show the trajectory of our work. The report addresses the parent company, wholly owned subsidiaries, and joint ventures comprising U.S. and international subsidiaries’ operations. The report reflects no material changes from the previous period in topic boundaries.

Reporting Guidelines

The Global Reporting Initiative (GRI) is the most widely accepted framework for sustainability reporting. This document has been prepared in accordance with the GRI Standards: Core option. The preparation of this report considered all GRI Principles for sustainability reporting, including guidelines for Principles for Defining Report Content and Report Quality. The process for defining content and boundaries reflects the company’s previous reporting practices, feedback from stakeholders, and discussions with leading internal and external subject matter experts. A GRI Index has been included to direct readers to the report’s general standard disclosures and specific standard disclosures for material topics.

United Nations Global Compact

Cigna was the first U.S. health insurance company to sign on to the United Nations Global Compact (UNGC). As a signatory to the UNGC since 2015, we are committed to living out the Compact's ten principles in our everyday business operations. In this report, we provide our annual communication on progress (COP), as well as the activities undertaken to advance the principles of the UNGC. We also include a UNGC Index tab, which cross-references the ten principles with annual updates on our management approach and how our company addresses the principles.

Invitation to Dialogue

This report is intended to enhance lines of communication with our stakeholders – creating opportunities to better respond to emerging areas of interest and further add value. Please reach out to us at with any thoughts, feedback, or questions.

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*This report covers calendar year 2019 unless otherwise noted, and contains forward-looking statements (within the meaning of the Private Securities Litigation Reform Act of 1995) that are subject to risks and uncertainties. Forward-looking statements are based on Cigna's current expectations and projections about future trends, events and uncertainties. You may identify forward-looking statements by the use of words such as “believe,” “expect,” “plan,” “intend,” “anticipate,” “estimate,” “predict,” “potential,” “may,” “should,” “will” or other words or expressions of similar meaning, although not all forward-looking statements contain such terms. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made, are not guarantees of future performance or results, and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Actual results may differ from those set forth in the forward-looking statements due to a variety of factors, including those described in Cigna's Annual Report on Form 10-K for the year ended December 31, 2019 and Cigna's other filings with the U.S. Securities and Exchange Commission, available on the Investor Relations section of Cigna undertakes no obligation to update or revise any forward-looking statement, whether as a result of new information, future events or otherwise, except as may be required by law. The characterization of items identified throughout this report as “material” should not be construed as a statement by Cigna that the item is material for purposes of U.S. securities laws.