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 2019 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	●	●	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
GRI 201: Economic Performance 2016	201-2	Financial implications and other risks and opportunities for the organization's activities due to climate change	CDP 2019 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
GRI 302: Energy 2016	302-3	Energy intensity	2016-2019 Performance Tables
GRI 303: Water 2018	303-3	Water withdrawals	2016-2019 Performance Tables
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.
GRI 306: Effluents and Waste 2016	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
GRI 401: Employment 2016	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.

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