Global Reporting Initiative

Cigna utilizes the Global Reporting Initiative (GRI) Standards for voluntary, nonfinancial reporting.

To assist our stakeholders in locating corporate responsibility disclosures of interest, Cigna has utilized the GRI Standards, which represent current best practice for reporting on an internationally recognized set of indicators covering economic, environmental, and social aspects of business performance.

Cigna’s Corporate Responsibility Report applies the 2016 version of the GRI Standards with the exception of GRI 303 and GRI 403, which apply the 2018 version of the GRI Standards.

For additional information on the GRI, please visit www.globalreporting.org.

GRI 102: General Disclosures 2016

Indicator

Description

Location

Organizational Profile

102-1

Name of the organization

Cigna Corporation, ("Cigna") (NYSE: CI)

102-2

Activities, brands, products, and services

Company Profile

2019 Annual Report; page 20

Form 10-K; pages 1-2

102-3

Location of headquarters

Bloomfield, Connecticut

102-4

Location of operations

2019 Annual Report page 20

Form 10-K; pages 13-14, 46

102-5

Ownership and legal form

Cigna (NYSE: CI) is a publicly traded corporation

102-6

Markets served

Company Profile

Stakeholder Engagement

2019 Annual Report; pages 3-19

Form 10-K; pages 1-19

102-7

Scale of the organization

Company Profile

2019 Annual Report; page 21

Form 10-K; page 50

102-8

Information on employees and other workers

2016-2019 Performance Tables

Our Culture

Diversity and Inclusion

Human Capital Development

Employee Health, Safety, and Wellness

102-9

Supply chain

Supply Chain Management

102-10

Significant changes to the organization and its supply chain

About This Report

Combination with Express Scripts

Annual Report; page 20

Form 10-K; pages 3-19

Supply Chain Management

102-11

Precautionary Principle or approach

Environmental Policy Statement

Sustainability Performance Plan

102-12

External initiatives

Cigna is a signatory to the United Nations Global Compact, and a member of the UNGC’s Health is Everyone’s Business, action platform.

Cigna is also a signatory to the CEO Action for Diversity & Inclusion pledge and the United Nations’ Women’s Empowerment Principles, as well as a member of Paradigm for Parity.

102-13

Membership of associations

2019 Political Contributions and Lobbying Activity Report

Strategy

102-14

Statement from senior decision-maker

Message from David Cordani

102-15

Key impacts, risks, and opportunities

Strategy and Key Issues

Form 10-K; pages 31-45 and 55-57

CDP 2020 Climate Change Information Request (Question C2)

Ethics, Integrity, and Human Rights

102-16

Values, principles, standards, and norms of behavior

Our Culture

Code of Ethics and Principles of Conduct

Ethics, Integrity, and Human Rights

Human Rights Statement

Supplier Code of Ethics

102-17

Mechanisms for advice and concerns about ethics

Code of Ethics and Principles of Conduct

Ethics, Integrity, and Human Rights

Ethics-Based Web Reporting

Governance

102-18

Governance structure

Corporate Governance and Risk Management

Cigna Corporate Governance

Board of Directors

102-21

Consulting stakeholders on economic, environmental, and social topics

Stakeholder Engagement

Corporate Governance and Risk Management

102-22

Composition of the highest governance body and its committees

Board Committees and Charters

102-23

Chair of the highest governance body

Isaiah Harris, Jr. is the Chairman of Cigna’s Board of Directors. Mr. Harris is an independent member of the Board.

102-24

Nominating and selecting the highest governance body

Corporate Governance Guidelines; pages 1-3

102-25

Conflicts of interest

Director Code of Business Conduct and Ethics; pages 1-2

102-28

Evaluating the highest governance body's performance

Corporate Governance Guidelines; pages 6-7

102-35

Remuneration policies

2020 Proxy Statement; pages 41-44

102-36

Process for determining remuneration

2020 Proxy Statement; pages 44-56

Stakeholder Engagement

102-40

List of stakeholder groups

Stakeholder Engagement

102-41

Collective bargaining agreements

Approximately 2% of Cigna employees were represented by collective bargaining agreements during the reporting period.

Ethics, Integrity, and Human Rights

102-42

Identifying and selecting stakeholders

Stakeholder Engagement

102-43

Approach to stakeholder engagement

Stakeholder Engagement

Customer Centricity

2019 Highlights

102-44

Key topics and concerns raised

Stakeholder Engagement

Strategy and Key Issues

Health Equity

Advancing the UN SDGs

Reporting Practice

102-45

Entities included in the consolidated financial statements

About This Report

Form 10-K; page 87

102-46

Defining report content and topic boundaries

About This Report

Strategy and Key Issues

Stakeholder Engagement

102-47

List of material topics

Please refer to the Management Approach Disclosures in this GRI Content Index where we have provided disclosures on 20 economic, environment, and social topics.

102-48

Restatements of information

None during the reporting period.

102-49

Changes in reporting

None during the reporting period.

102-50

Reporting period

Our reporting period is calendar year 2019.

102-51

Date of most recent report

2018 Corporate Responsibility Report

102-52

Reporting cycle

Annual

102-53

Contact point for questions regarding the report

cignaconnects@cigna.com

102-54

Claims of reporting in accordance with the GRI Standards

About This Report

102-55

GRI content index

GRI Content Index

102-56

External assurance

We received assurance for our greenhouse gas emissions during the reporting period for Scope 1 and 2 greenhouse gas (GHG) emissions.

GHG Emissions Assurance Statement

GRI 103: Topics and Boundaries

Material Aspects

Management Approach Disclosures

Material within the organization

Material outside the organization

Relevance outside the organization

Economic

GRI 201: Economic Performance 2016

Form 10-K ; pages 67-73

Annual Report; pages 20-21

Formula For Change

   

Cigna's economic performance is relevant to our investors, client employers, customers, suppliers, and communities.

GRI 203: Indirect Economic Impacts 2016

2019 Annual Report pages 2-6

Supply Chain Management

Health Equity

Quality and Access

Value of Integration Study

Opioids and Mental Health

Community Investment

Advancing the UN SDGs

   

Cigna's activities and investments to support health care systems and communities are relevant to our investors, client employers, customers, and communities.

GRI 205: Anti-Corruption 2016

Ethics, Integrity, and Human Rights

Code of Ethics and Principles of Conduct; page 18

   

Anti-corruption is relevant to all stakeholders, including our investors, employer clients, customers, and the communities where we work, and the markets that we serve.

Environmental

GRI 302: Energy 2016

Sustainability Performance Plan

Energy, Emissions, Water, and Waste

   

Energy consumption associated with operations is relevant to all stakeholders, including our communities, employer clients, customers, and investors.

GRI 303: Water 2018

Sustainability Performance Plan

Energy, Emissions, Water and Waste

CDP 2020 Water Security Information Request

   

Water and associated potential risks or challenges are relevant to all stakeholders, including our communities, employer clients, customers, and investors.

GRI 305: Emissions 2016

Sustainability Performance Plan

Energy, Emissions, Water, and Waste

   

Greenhouse gas (GHG) emissions and associated potential risks or challenges are relevant to all stakeholders, including our communities, employer clients, customers, and investors.

GRI 306: Effluents and Waste 2016

Energy, Emissions, Water, and Waste

   

Efficient use of resources and management of waste is relevant to our investors, employer clients, customers, and the communities where we operate.

GRI 307: Environmental Compliance 2016

Sustainability Performance Plan

Environmental Policy Statement

   

Compliance with environmental regulations is relevant to our investors and the communities where we operate.

GRI 308: Supplier Environmental Assessment 2016

Supply Chain Management

   

Our assessment of suppliers’ environmental practices is relevant to our employer clients, investors, suppliers, customers, and the communities where we work.

Social

GRI 401: Employment 2016

Our Culture

   

Cigna’s employment practices are relevant to our investors, client employers, customers, and the communities where we operate.

GRI 403: Occupational Health and Safety 2018

Employee Health, Safety, and Wellness

   

Occupational health and safety is relevant to our investors, employer clients, customers, suppliers, and the communities where we operate.

GRI 404: Training and Education 2016

Human Capital Development

   

Training and education is relevant to our investors, employer clients, customers, and the communities where we operate.

GRI 405: Diversity and Equal Opportunity 2016

Diversity and Inclusion

2020 Proxy Statement; page 28

   

Diversity and equal opportunity is relevant to our investors, employer clients, customers, and the communities where we operate.

GRI 412: Human Rights Assessment 2016

Ethics, Integrity, and Human Rights

Human Rights Statement

   

Our assessment of any human rights issues with our operations is relevant to our investors, employer clients, customers, and the communities where we operate.

GRI 413: Local Communities 2016

Health Equity

Cigna Foundation

Global Citizenship

Community Investment

Employee Volunteerism and Giving

Advancing the UN SDGs

Community Resilience

Coronavirus (COVID-19) Response

   

Local community impacts are relevant to all of our stakeholders, particularly the communities where we operate and the markets that we serve.

GRI 414: Supplier Social Assessment 2016

Supply Chain Management

Human Rights Statement

Supplier Code fo Ethics

   

Our assessment of suppliers’ social practices, particularly pertaining to labor and human rights topics, is relevant to our employer clients, investors, suppliers, customers, and the communities where we operate.

GRI 415: Public Policy 2016

2019 Political Contributions and Lobbying Activity Report

   

Our public policy activities are relevant to all of our stakeholders, including our customers.

GRI 416: Customer Health and Safety 2016

Customer Centricity

Health Equity

Quality and Access

Formula For Change

Cigna Accreditation

Opioids and Metal Health

Go. Know. Take Control® Campaign

   

Customer health and safety is relevant to our customers, employer clients, and investors.

GRI 418: Customer Privacy 2016

Global Privacy and Information Protection

Cigna Privacy Information

   

The protection of customer privacy and information is relevant to our customers, employer clients, and investors.

GRI 200-400: Topic-Specific Disclosures

Material Aspects

GRI Indicators

Location

Economic

GRI 201: Economic Performance 2016

201-1

Direct economic value generated and distributed

Form 10-K; 67-73

Annual Report; pages 20-21

2016-2019 Performance Tables

Community Investment

201-2

Financial implications and other risks and opportunities for the organization's activities due to climate change

CDP 2020 Climate Change Information Request (Question C2)

Indirect Economic Impacts

203-1

Infrastructure investments and services supported

Cigna Foundation

Advancing the UN SDGs

Opioids and Mental Health

2019 Highlights

Go. Know. Take Control ® Campaign

Healthier Kids for our Future

Coronavirus (COVID-19) Response

GRI 205: Anti-Corruption 2016

205-2

Communication and training about anti-corruption policies and procedures

Ethics, Integrity, and Human Rights

Environmental

GRI 302: Energy 2016

302-1

Energy consumption within the organization

2016-2019 Performance Tables

302-3

Energy intensity

2016-2019 Performance Tables

GRI 303: Water 2018

303-3

Water withdrawals

2016-2019 Performance Tables

CDP 2020 Water Security Information Request

GRI 305: Emissions 2016

305-1

Direct greenhouse gas (GHG) emissions (Scope 1)

Assured by third-party verifier

2016-2019 Performance Tables

GHG Emissions Assurance Statement

305-2

Energy indirect greenhouse gas (GHG) emissions (Scope 2)

Assured by third-party verifier

2016-2019 Performance Tables

GHG Emissions Assurance Statement

305-3

Energy indirect greenhouse gas (GHG) emissions (Scope 3)

2016-2019 Performance Tables

305-4

Greenhouse gas (GHG) emissions intensity

2016-2019 Performance Tables

305-7

NOX, SOX, and other significant air emissions

These emissions are not material to our operations.

GRI 306: Effluents and Waste 2016

306-1

Waste by type and disposal method

Energy, Emissions, Water, and Waste

This indicator is partially reported.

306-3

Significant spills

None during the reporting period.

GRI 307: Environmental Compliance 2016

307-1

Non-compliance with environmental laws and regulations

None during the reporting period.

GRI 308: Supplier Environmental Assessment 2016

308-1

New suppliers that were screened using environmental criteria

Supply Chain Management

Social

GRI 401: Employment 2016

401-1

New employee hires and employee turnover

2016-2019 Performance Tables

401-3

Parental leave

Our Culture

GRI 403: Occupational Health and Safety 2018

403-9

Work-related injuries

2016-2019 Performance Tables

Our employees primarily work in office settings. Work-related fatalities were not applicable during the reporting period.

GRI 404: Training and Education 2016

404-1

Average hours of training per year per employee

2016-2019 Performance Tables

Human Capital Development

404-2

Programs for upgrading employee skills and transition assistance programs

Human Capital Development

2016-2019 Performance Tables

404-3

Percentage of employees receiving regular performance and career development reviews

Human Capital Development

Cigna employees are required to complete both Interim and Annual Reviews. Additionally, employees are encouraged to complete annual development action plans.

GRI 405: Diversity and Equal Opportunity 2016

405-1

Diversity of governance bodies and employees

2016-2019 Performance Tables

Diversity and Inclusion

2020 Proxy Statement; page 9

GRI 412: Human Rights Assessment 2016

412-2

Employee training on human rights policies or procedures

Ethics, Integrity, and Human Rights

Human Capital Development

GRI 413: Local Communities 2016

413-1

Operations with local community engagement, impact assessments, and development programs

Health Equity

Community Investment

Cigna Foundation

Global Citizenship

Community Resilience

Coronavirus (COVID-19) Response

Every Cigna location has local community engagement programs and/or activities in place.

GRI 414: Supplier Social Assessment

414-1

New suppliers that were screened using social criteria

Supply Chain Management

GRI 415: Public Policy 2016

415-1

Political contributions

2019 Political Contributions and Lobbying Activity Report

GRI 416: Customer Health and Safety 2016

416-1

Assessment of the health and safety impacts of product and service categories

Customer Centricity

Quality and Access

Cigna Accreditation

Health Equity

Opioids and Mental Health

Go. Know. Take Control ® Campaign

GRI 418: Customer Privacy

418-1

Substantiated complaints regarding breaches of customer privacy and losses of customer data

Not applicable during the reporting period

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. Forwardlooking 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 contained 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. 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.