Global Reporting Initiative

Cigna utilizes the Global Reporting Initiative standards for voluntary, nonfinancial reporting.

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

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

I. General Disclosures:

Indicator	Description	Location
Organizational Profile
102-1	Name of the organization	Cigna Corporation ("Cigna")
102-2	Activities, brands, products, and services	2018 Annual Report (pages 18-19) Facts About Cigna
102-3	Location of headquarters	Our corporate headquarters are located in Bloomfield, Connecticut.
102-4	Location of operations	2018 Annual Report (pages 18-19) Facts About Cigna
102-5	Ownership and legal form	Cigna is a publicly-traded corporation.
102-6	Markets served	2018 Annual Report (pages 1-11 of 10-K Filing) Stakeholder Engagement Facts About Cigna
102-7	Scale of the organization	2018 Annual Report (pages 19) Facts About Cigna
102-8	Information on employees and other workers	2015-2018 Performance Tables
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
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.
102-13	Membership of associations	2018 Political Contributions and Lobbying Activity Report
Strategy
102-14	Statement from the most senior decision-maker about the relevance of sustainability and organization's strategy	Message from David Cordani
102-15	Key impacts, risks, and opportunities	2018 Highlights 2018 Annual Report CDP 2018 Climate Change Information Request(Question C2)
Ethics, Integrity & Human Rights
102-16	Values, principles, standards, and norms of behavior	Our Culture Code of Ethics and Principles of Conduct Human Rights Statement Supplier Code of Ethics
102-17	Mechanisms for advice and concerns about ethics	Code of Ethics and Principles of Conduct Ethics-Based Web Reporting
Governance
102-18	Governance structure of the organization, including committees of the highest governance body and those responsible for decision-making on economic, environmental and social impacts.	Corporate Governance & Risk Management Corporate Governance Practices Board of Directors
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 (Section 2)
102-28	Evaluating the highest governance body's performance	Corporate Governance Guidelines (pages. 6-7)
102-35	Remuneration policies	2019 Proxy Statement (pages 37-40)
102-36	Process for determining remuneration	2019 Proxy Statement (pages 55-59)
Stakeholder Engagement
102-40	List of stakeholder groups	Stakeholder Engagement
102-41	Collective bargaining agreements	Approximately 1% of Cigna employees (employees from our operations formerly known as Vanbreda) were represented by collective bargaining agreements during the reporting period.
102-42	Identifying and selecting stakeholders	Stakeholder Engagement
102-43	Approach to stakeholder engagement	Stakeholder Engagement Customer Centricity 2018 Highlights
102-44	Key topics and concerns raised	Stakeholder Engagement Health Equity
Reporting Practice
102-45	Entities included in the consolidated financial statements	About This Report 2018 Annual Report (page 117 of 10-K Filing)
102-46	Defining report content and topic boundaries	About This Report
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 2018.
102-51	Date of most recent report	2017 Corporate Responsibility Report
102-52	Reporting cycle	Annual
102-53	Contact point for questions regarding the report	cignaconnects@cigna.com
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
Management Approach
103-1	Explanation of the material topic and its Boundary	Please refer to the Management Approach Disclosures in this GRI Content Index, where we aim to frame our disclosures with an explanation of each topic's importance to the organization and our stakeholders, as well as the scope of our impacts.
103-2	The management approach and its components	Please refer to the Management Approach Disclosures in this GRI Content Index, where we discuss policies, procedures and practices in addition to goals and objectives for material topics.
103-3	Evaluation of the management approach	Please refer to the Management Approach Disclosures in this GRI Content Index, where we aim to report on challenges and opportunities in a balanced manner and identify future plans.

II. Specific Disclosures:

Management Approach Disclosures

Material Aspects	Location	Material within the organization	Material outside the organization	Relevance outside the organization
Economic
Economic Performance (201)	2018 Annual Report Formula for Change	●	●	Cigna's economic performance is relevant to our investors, client employers, customers, suppliers, and communities.
Indirect Economic Impacts (203)	2018 Annual Report (pages 2-14) Health Equity Quality and Access Opioids and Mental Health Community Investments United Nations Sustainable Development Goals	●	●	Cigna's activities and investments to support health care systems and communities are relevant to our investors, client employers, customers, and communities.
Anti-Corruption (205)	Ethics, Integrity & Human Rights Code of Ethics and Principles of Conduct	●	●	Anti-corruption is relevant to all stakeholders, including our investors and the global communities that we serve.
Environmental
Energy (302)	Sustainability Performance Plan Energy, Emissions, Water and Waste	●	●	Energy consumption associated with operations is relevant to all stakeholders including our communities, client employers, customers, and investors.
Water (303)	Sustainability Performance Plan Energy, Emissions, Water and Waste	●	●	Water and associated potential risks or challenges are relevant to all stakeholders including our communities, client employers, customers, and investors.
Emissions (305)	Sustainability Performance Plan Energy, Emissions, Water and Waste	●	●	Greenhouse gas emissions and associated potential risks or challenges are relevant to all stakeholders including our communities, client employers, customers, and investors.
Effluents and Waste (306)	Energy, Emissions, Water and Waste	●	●	Efficient use of resources and management of waste is relevant to our investors, client employers, customers, and communities.
Environmental Compliance (307)	Sustainability Performance Plan Environmental Policy Statement	●	●	Compliance with environmental regulations is relevant to our investors and the communities where we operate.
Supplier Environmental Assessment (308)	Supply Chain Management	●	●	Our assessment of suppliers' environmental practices is relevant to our corporate client employers, investors, suppliers, and our communities.
Social
Employment (401)	Our Culture	●	●	Cigna's employment practices are relevant to our investors, client employers, customers, and the communities where we are employers.
Occupational Health and Safety (403)	Employee Health, Safety & Wellness	●	●	Occupational health and safety is relevant to our investors, client employers, and communities.
Training and Education (404)	Human Capital Development	●	●	Training and education is relevant to our investors and communities.
Diversity and Equal Opportunity (405)	Diversity and Inclusion	●	●	Diversity and equal opportunity is relevant to our investors, client employers and communities.
Human Rights Assessment (412)	Ethics, Integrity & Human Rights Human Rights Statement	●	●	Our assessment of any human rights issues with our operations is relevant to our investors and our communities.
Local Communities (413)	Health Equity The Cigna Foundation Global Citizenship Employee Volunteerism & Giving United Nations Sustainable Development Goals	●	●	Local community impacts are relevant to all stakeholders, particularly the communities where we operate.
Supplier Social Assessment (414)	Supply Chain Management Human Rights Statement Supplier Code of Ethics	●	●	Our assessment of suppliers' social practices, particularly pertaining to labor and human rights topics, is relevant to our client employers, investors, suppliers, and our communities.
Public Policy (415)	2018 Political Contributions and Lobbying Activity Report	●	●	Public policy activities are relevant to all stakeholders including our customers.
Customer Health and Safety (416)	Customer Centricity Health Equity Quality & Access Accreditation Opioids and Mental Health Go. Know. Take Control^® Campaign Partnership with Achilles International	●	●	Customer health and safety is relevant to our customers, employer clients, and investors.
Customer Privacy (418)	Global Privacy & Information Protection	●	●	The protection of customer privacy and information is relevant to our customers, employer clients, and investors.

Indicators

Material Aspects	GRI Indicators		Location
Economic
Economic Performance	201-1	Direct economic value generated and distributed	2018 Annual Report 2015-2018 Performance Tables Community Investments
Economic Performance	201-2	Financial implications and other risks and opportunities for the organization's activities due to climate change	CDP 2018 Climate Change Information Request (Question C2)
Indirect Economic Impacts	203-1	Infrastructure investments and services supported	The Cigna Foundation United Nations Sustainable Development Goals Opioids and Mental Health 2018 Highlights Go. Know. Take Control^® Campaign Healthier Kids for our Future
Anti-Corruption	205-2	Communication and training about anti-corruption policies and procedures	Ethics, Integrity & Human Rights
Environmental
Energy	302-1	Energy consumption within the organization	2015-2018 Performance Tables
Energy	302-3	Energy intensity	2015-2018 Performance Tables
Water	303-1	Total water withdrawal by source	2015-2018 Performance Tables
Emissions	305-1	Direct greenhouse gas (GHG) emissions (Scope 1) ✓ Assured by third-party verifier	2015-2018 Performance Tables GHG Emissions Assurance Statement
	305-2	Energy indirect greenhouse gas (GHG) emissions (Scope 2) ✓ Assured by third-party verifier	2015-2018 Performance Tables GHG Emissions Assurance Statement
	305-3	Energy indirect greenhouse gas (GHG) emissions (Scope 3)	2015-2018 Performance Tables
	305-4	Greenhouse gas (GHG) emissions intensity	2015-2018 Performance Tables
	305-7	NOX, SOX, and other significant air emissions	These emissions are not material to our operations.
Effluents and Waste	306-1	Waste by type and disposal method	Energy, Emissions, Water and Waste This indicator is partially reported.
Environmental Compliance	307-1	Non-compliance with environmental laws and regulations	None during the reporting period.
Supplier Environmental Assessment	308-1	New suppliers that were screened using environmental criteria	Supply Chain Management
Social
Employment	401-1	Total number and rates of new employee hires and employee turnover by age group, gender, and region	2015-2018 Performance Tables
Occupational Health and Safety	403-2	Rates of injury	2015-2018 Performance Tables Our employees primarily work in office settings. Work-related fatalities were not applicable during the reporting period.
Training and Education	404-1	Average hours of training per year per employee	2015-2018 Performance Tables
	404-2	Programs for upgrading employee skills and transition assistance programs	Human Capital Development 2018 Highlights
	404-3	Percentage of employees receiving regular performance and career development reviews	Human Capital Development All full-time, salaried part-time, and hourly part-time employees are required to have check-in conversations that are frequent, quality conversations that enable both managers and employees to better position themselves for the future and perform in a way where they can meet individual, team, and organizational goals. Employees are also encouraged to complete a development action plan.
Diversity and Equal Opportunity	405-1	Diversity of governance bodies and employees	2015-2018 Performance Tables Diversity & Inclusion 2019 Proxy Statement (page 10)
Human Rights Assessment	412-2	Employee training on human rights policies or procedures	Ethics, Integrity & Human Rights Human Capital Development
Local Communities	413-1	Operations with implemented local community engagement, impact assessments, and development programs	Health Equity Community Investments Cigna Foundation Global Citizenship All Cigna global locations have local community engagement programs and/or activities in place.
Supplier Social Assessment	414-1	New suppliers that were screened using social criteria	Supply Chain Management
Public Policy	415-1	Political contributions	2018 Political Contributions and Lobbying Activity Report
Customer Health and Safety	416-1	Assessment of the health and safety impacts of product and service categories	Customer Centricity Quality and Access Accreditation Health Equity Opioids and Mental Health Go. Know. Take Control^® Campaign Partnership with Achilles International
Customer Privacy	418-1	Substantiated complaints regarding breaches of customer privacy and losses of customer data	Global Privacy & Information Protection 2018 Annual Report (pages 21-22 of 10-K Filing)

This report has been prepared in accordance with the Global Reporting Initiative (GRI) Standards. The GRI is the most widely used framework for voluntary, nonfinancial reporting.

This report covers calendar year 2018, 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 contained in Cigna's Annual Report on Form 10-K for the year ended December 31, 2018 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.

Disclaimer: The report covers calendar year 2018 and unless otherwise noted, excludes the combination with Express Scripts, which closed on December 20, 2018.

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