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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

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

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.