Information for Small Group Brokers

Welcome to information on the health care benefits we offer to Arizona companies with 50 or fewer eligible employees. This page contains much of the general information you may need and we are also available to answer any questions.

Select your State to view our Small Group offerings

For Brokers in Arizona
The following information will be helpful when working with Cigna and is available for your convenience.

Rate Model
Follow the instructions to use our rate model quoting software for the most current rate models for Arizona. Remember to check here often so you have the current version.

You must be a licensed producer with Cigna of Arizona in order to access our small group rate model. If you have not received a password, please contact us at 1.800.456.6575 or email us at

Use the links below to access the Cigna Small Group Rate Model for Arizona. You will be prompted to save the Microsoft Excel file to your hard drive. If you receive a prompt about macros, please choose "Enable Macros."

Cigna Arizona Rating Model Effective 01/01/2021 to 12/31/2021

Cigna Arizona Rating Model Effective 01/01/2020 to 12/31/2020

Opening the files:
Please be patient as these files may take a little longer to download than they do to open. Please right-click on the links above and choose "Save Target As" (Microsoft Internet Explorer) or "Save Link As" (Netscape Navigator) to save the rate model to your hard drive.

Document Library
Get the forms you need to submit new groups, Benefit Summaries for all available plans, and other useful forms.

Group Documents

Arizona Small Group Checklist [PDF]
Arizona Small Group Employer Application [PDF]
Arizona Employee Enrollment/Change Form [PDF]
Client and Benefit Advisor Compensation Form [PDF]
Late Paperwork Form [PDF]

Benefit Summaries for New & Renewing Business Effective 01/01/2021

Arizona HMO [PDF]
Arizona HSA [PDF]

Benefit Summaries for New & Renewing Business Effective 01/01/2020

Arizona HMO [PDF]
Arizona HSA [PDF]

Miscellaneous Forms

HIPPA Limitations [PDF]

Small Group Sales Department:
Cigna Small Group Sales
Two College Park Dr
Hooksett, NH 03106
Fax: 603.268.7973

Member Services:

Claims Mailing Address:
PO Box 5200
Scranton, PA 18505

Fax: 603.268.7830
Cigna Employer Services
P.O. Box 2010
Concord, NH 03302

What do I need to include in a new group submission?
You will need to supply everything on the Arizona Small Group Submission Checklist. The forms required are located in the Documents.

How do I get a preliminary rate quote?
All quotes are processed through the Arizona small group rating model.

When will renewal rates be available?
Renewal rates are mailed to the Broker and the Employer Group at least 60 days prior to the scheduled renewal date.

Who do I contact about billing issues?
You should contact Eligibility/Billing at 1.800.753.5190

Who do I contact about claims issues?
You should contact Member Inquiry at 1.800.244.6224. Keep in mind, you will need the member number, member's date of birth, and the member's zip code.