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Home About Us Cigna Supplier CommunityThird Party Management Program

Third Party Management Program

High standards across the board

The Third Party Management Program applies to those suppliers or entities performing specific services on Cigna’s behalf. The goal of the Third Party Management Program is to ensure that our customers, members, and/or providers receive a comparable level of service, as though received from Cigna directly.

If an entity or supplier's services fall under one of the following categories this higher level of supplier management will apply.

This policy applies to:

  • Delegated healthcare provider arrangements (e.g., claim, utilization management, credentialing, provider/member appeals)
  • National or regional specialty provider arrangements (e.g., home health care, radiology, lab)
  • Third-party administrator arrangements, shared administration arrangements
  • Outsourced business processes or functions.

This policy does not apply to:

  • Traditional direct contracts with physicians, non-physician providers, ancillary providers, retail pharmacies or facilities
  • Legal-related services
  • Financial audit services
  • Broker/producer relationships
  • Persons or entities retained by the Cigna Board of Directors or any of its committees
  • Outsourced functions that do not affect key stakeholders (e.g., food service, security guards)

Third party management standards

At a minimum, third parties within the management of this program should expect:

  • Execution of confidentiality agreement
  • On-site visit and due diligence activities prior to contracting
  • Risk assessment activities
  • Contract negotiation with involvement of Cigna Sourcing and Legal professionals
  • Creation, implementation and monitoring of performance metrics
  • Minimum annual review of relationship

Related Resources

Information for Current Suppliers Supplier Evaluation Criteria

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Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see a listing of the legal entities  that insure or administer group HMO, dental HMO, and other products or services in your state). Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (“LINA”) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (“NYLGICNY”) (New York, NY), formerly known as Cigna Life Insurance Company of New York. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna.

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