2019 Political Contributions and Lobbying Activity Report

930861 03/20 2019 POLITICAL CONTRIBUTIONS AND LOBBYING ACTIVITY REPORT 2

Table of Contents

Opening Letter from David Cordani, President and CEO 3 Overview and Governance 4 Political Contributions 5 Corporate Contributions 6 Lobbying Activity and Priorities 11 Trade Association Memberships 12

CignaPAC Annual Report About CignaPAC 13 Board Oversight 13 CignaPAC Contribution Strategy 14 Cigna PAC Contributions 15 Cigna Missouri PAC Contributions 34 Cigna New York PAC Contributions 36 2019 POLITICAL CONTRIBUTIONS AND LOBBYING ACTIVITY REPORT 3

The past year was a defining one for Cigna as an organization, and for the entire health care industry. We are at an inflection point in health care in the and the stakes couldn’t be higher. Health spending continues to increase, while Americans continue to get sicker. All of this constricts economic growth, which forces employers to choose between providing benefits or creating jobs. Ultimately American families pay the price. It is indisputable that a transformative change in health care is needed to further evolve the U.S. system and meet the needs of today’s consumers. In 2019, we brought together the best capabilities of Cigna, Express Scripts and eviCore to build a more sustainable model of health service delivery. As a result, we are becoming an even greater force for driving positive change, and furthering our vision of greater affordability, quality and predictability for our customers, patients and communities. David M. Cordani President and As the political debate around health care intensifies, we remain Chief Executive Officer committed to addressing today’s dynamic health care environment through active, principle-based, nonpartisan engagement with policy makers in Washington, DC, as well as at the state and local levels. Whether it is critically important topics such as broadening approaches to drug pricing and transparency; addressing the underlying drivers of health care costs; or expanding the bright spots within our current system – largely within the employer-based system and Medicare Advantage – there has never been a more important time for Cigna to be a powerful and reliable voice in the dialogue. In Cigna’s 2019 Political Contribution and Lobbying Activity Report, you’ll find details about our political contributions, advocacy efforts and the annual report of the Cigna Political Action Committee (CignaPAC). This report details how we translate our mission into constructive engagement and advocacy with elected officials. In 2020, Cigna will remain a strong advocate in the public policy arena for a health care system that is affordable and sustainable for our approximately 170 million valued customer relationships. As the leading global health service company, we remain committed to improving the health, well-being and peace of mind of those we serve.

< Table of Contents 2019 POLITICAL CONTRIBUTIONS AND LOBBYING ACTIVITY REPORT 4 Overview and Governance

Cigna takes its engagement in the legislative, regulatory and public policy areas very seriously, approaching all our efforts with care and integrity. There are two major components of Cigna’s political activity: (1) political contributions and (2) lobbying efforts. This report is organized to provide information on both of these activities. As Cigna engages in political activity, it adheres to strict governance standards designed to ensure alignment with Cigna’s mission and strategic goals. All political contributions that are made directly by the Company must be made in accordance with Political Activity and Government Contacts policy, which requires, among other things, oversight of decisions at the highest corporate level. Political contributions that are made through CignaPAC are reviewed and approved by the CignaPAC board, comprised of executive-level Cigna leadership and other business leaders, in accordance with the CignaPAC Contribution Guidelines. With respect to the Company’s lobbying activities, the Vice President of Global Public Policy and Federal Government Affairs and the Vice President of State Government Affairs report directly to the General Counsel and review lobbying efforts with Cigna’s enterprise leadership, including the Chief Executive Officer, on a regular basis. Additionally, all memberships in trade associations are reviewed by the General Counsel and the Chief Executive Officer. The Company also maintains an Enterprise Risk Management function. This company-wide initiative involves the Board (and its committees), Cigna’s management, Cigna’s Chief Risk Officer and General Auditor, and Cigna’s internal audit function. Together, they work in an integrated effort to (1) identify, assess, prioritize and monitor (as each of their roles dictates) a broad range of risks (e.g., financial, operational, business, compliance, reputational, governance and managerial), and (2) formulate and execute plans to monitor and, to the extent possible, mitigate the effect of those risks. Within this enterprise risk framework, the Corporate Governance Committee of Cigna’s Board of Directors has oversight of and evaluates any material financial, legal, reputational or other risks associated with Cigna’s corporate political spending and lobbying activities. In addition, the Corporate Governance Committee biannually reviews compliance with Cigna’s Political Activity and Government Contacts policy, including the contributions made under that policy by the Company during the previous year, and annually reviews lobbying expenses and trade association memberships.

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Cigna regularly supports federal, state and local officials, candidates, parties and other politically oriented groups and organizations that the Company believes can advance its mission, business objectives and goals, including principles or issues that support Cigna’s vision for a sustainable health care system. As Cigna considers making political contributions, it is always guided by the Company’s strategy and mission, demonstrating an eagerness to work with officials of various political and philosophical beliefs and without regard for the private political preferences of its executives. Cigna makes political contributions in two ways: (1) corporate contributions and (2) through CignaPAC. Cigna has strict standards in place governing its political giving activity, and all its contributions are made in accordance with applicable state and federal laws. In addition, the Company keeps the work of the CignaPAC separate from other Company giving. Accordingly, this section of the report provides information specific to Cigna’s direct corporate contributions, and the CignaPAC Annual Report at the end of the report provides information regarding contributions made through CignaPAC.

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The Cigna Political Activity and Government Contacts policy authorizes the use of corporate funds in certain states where corporations are permitted to contribute to state election campaigns. Cigna made the following corporate contributions to state level candidates.

Title First Name Last Name State Party Amount Atty. Gen. Leslie Rutledge AR R $5,000 Sen. Toni Atkins CA D $6,400 Assm. Frank Bigelow CA R $1,000 Sen. Steven Bradford CA D $2,000 Assm. Autumn Burke CA D $1,000 Sen. Anna Caballero CA D $1,000 Assm. Ian Calderon CA D $4,000 Assm. Wendy Carrillo CA D $1,000 Assm. Jim Cooper CA D $2,000 Assm. Tom Daly CA D $2,000 Sen. Lena Gonzalez CA D $1,000 Sen. Bob Hertzberg CA D $2,000 Assm. Sydney Kamlager-Dove CA D $1,000 Sen. Connie Leyva CA D $1,000 Assm. Monique Limon CA D $1,000 Assm. Chad Mayes CA R $1,000 Sen. Holly Mitchell CA D $1,000 Sen. Richard Pan CA D $2,000 Sen. Anthony Portantino CA D $2,000 Assm. Anthony Rendon CA D $5,000 Sen. Susan Rubio CA D $4,000 Assm. Miguel Santiago CA D $2,000 Assm. Jim Wood CA D $4,000 Rep. Jehan Gordon-Booth IL D $1,000 Sen. Edward Berger KS R $200 Sen. Richard Billinger KS R $200 Sen. Barbara Bollier KS R $200 Rep. Tom Cox KS R $200 Sen. KS R $200 Rep. John Eplee KS R $200 Rep. Blaine Finch KS R $200 Sen. Bruce Givens KS R $200 Rep. Daniel Hawkins KS R $200

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Title First Name Last Name State Party Amount Rep. Jim Kelly KS R $200 Rep. Brenda Landwehr KS R $200 Sen. Jeff Longbine KS R $200 Sen. Ty Masterson KS R $200 Rep. Monica Murnan KS D $200 Rep. Cindy Neighbor KS D $200 Sen. Robert Olson KS R $200 Rep. Ron Ryckman KS R $200 Rep. Tom Sawyer KS D $200 Sen. Gene Suellentrop KS R $200 Rep. Jene Vickrey KS R $200 Sen. Mary Ware KS D $200 Rep. Lawrence Bagley LA R $1,000 Sen. Gerald Boudreaux LA D $750 Sen. Troy Carter LA D $750 Sen. Heather Cloud LA R $750 Rep. Paula Davis LA R $500 Rep. Michael Echols LA R $500 Rep. Randal Gaines LA D $500 Sen. Ryan Gatti LA R $750 Rep. Lance Harris LA R $500 Sen. Ronnie Johns LA R $750 Rep. Edmond Jordan LA D $500 Sen. Eddie Lambert LA R $750 Atty. Gen. Jeffrey Landry LA R $5,000 Sen. Gary Smith LA D $750 Sen. Kirk Talbot LA R $1,000 Sen. Rick Ward LA R $750 Sen. Mack White LA R $500 Rep. Ben Frederick MI NP $750 Sen. Curtis Hertel MI NP $250 Sen. MI NP $1,500 Sen. NV D $500 Assm. Lesley Cohen NV D $500 Assm. Jason Frierson NV D $500 Sen. Julia Ratti NV D $500 Sen. NV R $500 Assm. Robin Titus NV R $500 Sen. Sean Bennett SC R $500 NP – No party affiliation. < Table of Contents 2019 POLITICAL CONTRIBUTIONS AND LOBBYING ACTIVITY REPORT 8

Title First Name Last Name State Party Amount Sen. Ronnie Cromer SC R $500 Rep. Craig Gagnon SC R $250 Sen. C. Bradley Hutto SC D $500 Rep. Russell Ott SC D $250 Rep. William Sandifer SC R $500 Sen. Nikki Setzler SC D $500 Rep. L. Kit Spires SC R $500 Rep. John West SC R $500 Rep. Stewart Barlow UT R $250 Sen. Curtis Bramble UT R $500 Rep. Joel Briscoe UT D $250 Sen. D. Gregg Buxton UT R $500 Sen. Allen Christensen UT R $500 Sen. Kirk Cullimore UT R $500 Rep. Bradley Daw UT R $250 Rep. James Dunnigan UT R $250 Rep. Steven Eliason UT R $250 Sen. Luz Escamilla UT D $1,000 Rep. Francis Gibson UT R $500 Rep. Timothy Hawkes UT R $250 Sen. Daniel Hemmert UT R $500 Rep. Brian King UT D $250 Sen. Derek Kitchen UT D $500 Rep. John Knotwell UT R $250 Rep. A. Maloy UT R $250 Sen. UT D $500 Rep. Mike McKell UT R $250 Rep. Tim Quinn UT R $250 Atty. Gen. Sean Reyes UT R $5,000 Sen. Kathleen Riebe UT D $500 Rep. Mike Schultz UT R $500 Rep. Casey Snider UT R $250 Rep. Robert Spendlove UT R $250 Rep. Norman Thurston UT R $250 Sen. UT R $1,000 Rep. Steve Waldrip UT R $250 Rep. Raymond Ward UT R $250 Sen. WA D $1,000

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Title First Name Last Name State Party Amount Sen. John Braun WA R $1,000 Sen. Annette Cleveland WA D $1,000 Rep. Eileen Cody WA D $1,000 Atty. Gen. Bob Ferguson WA D $1,000 Rep. Paul Harris WA R $1,000 Rep. Laurie Jinkins WA D $1,000 Rep. Steve Kirby WA D $1,000 Rep. Nicole Macri WA D $500 Sen. Mark Mullet WA D $1,000 Sen. Steve O’Ban WA R $1,000 Rep. Timm Ormsby WA D $1,000 Rep. Kristine Reeves WA D $500 Rep. Marcus Riccelli WA D $1,000 Rep. Joe Schmick WA R $500 Sen. WA R $1,000 Rep. Larry Springer WA D $500 Sen. Derek Stanford WA D $1,000 Rep. Drew Stokesbary WA R $500 Rep. Pat Sullivan WA D $1,000 Sen. Kevin Van De Wege WA D $1,000 Rep. Brandon Vick WA R $500 Rep. Amy Walen WA D $500 Rep. J.T. Wilcox WA R $1,000 Sen. Lynda Wilson WA R $1,000 Rep. Alex Ybarra WA R $500

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Cigna also made the following corporate contributions to state party committees and other state level political action committees and organizations.

Organization State Party Amount Women in California Leadership, Inc. CA NP $1,500 Better Colorado Alliance (527) CO D $1,000 Senate Majority Fund (527) CO R $3,000 Values First Colorado (527) CO R $3,500 Republican State Leadership Committee DC R $2,500 Fund for a Vibrant Michigan MI NP $1,250 Liberati for a Better Michigan MI NP $250 Lift Up Michigan MI NP $1,250 Livingston Values Fund MI NP $750 Magna Carta Inc. MI NP $1,250 Reinvent Michigan Fund MI NP $500 House Republican Campaign Committee MO R $3,200 House Victory Committee MO D $6,000 Majority Forward MO D $6,000 Campaign Committee MO R $10,000 MO Opportunity PAC MO R $5,000 Uniting Missouri PAC MO R $12,500 NYS Democratic Assembly Campaign Committee Housekeeping Acct NY D $15,000 NYS Democratic Committee Housekeeping Account NY D $10,000 Harry Truman Fund WA D $1,000 House Democratic Campaign Committee WA D $1,000 House Republican Organizational Committee WA R $1,000 Kennedy Fund WA D $1,000 Senate Republican Campaign Committee WA R $1,000 The Leadership Council WA R $2,000 Washington Senate Democratic Committee WA D $1,000 NP – No party affiliation.

In addition, Cigna made the following corporate contributions in support of our advocacy efforts.

Party Amount Democratic Governors Association D $100,000 Republican Governors Association R $100,000 Democratic Attorneys General Association D $50,000 Republican Attorneys General Association R $50,000

Cigna did not make any independent expenditures or corporate contributions in support of ballot measures in 2019.

< Table of Contents 2019 POLITICAL CONTRIBUTIONS AND LOBBYING ACTIVITY REPORT 11 Lobbying Activity and Priorities

Our colleagues and our communities look to Cigna leaders for thoughts and suggestions on how to advance the goals of an accessible, affordable and sustainable health care system for all Americans. As a company, we believe we have a responsibility to engage in principle-based conversations relative to public policy. There has never been a more important time for us to engage with policy makers in the United States to create and advance reforms that will achieve those goals for the U.S. health care system. Cigna’s State and Federal Government Affairs and Global Public Policy teams lead the company’s engagement in complex policy matters while maintaining Cigna’s commitment to being a thoughtful and constructive participant in public dialogues around the world. Members of the team represent Cigna’s business interests in the U.S. Congress, Executive Branch, and with national thought leaders, trade associations and state legislatures, to advance constructive solutions and reorient others that we believe will not achieve the goals of affordable, high-quality coverage for all Americans. In 2019, Cigna focused its advocacy efforts on advancing public policies that we believe best achieve those goals. Such policies include strengthening flexibility and expanding access to employer-provided coverage; aligning incentives and information around the patient to help support their health care and value-based care decisions; growing opportunities for public-private partnerships; and policies to enable a more integrated service model and whole person health. Cigna spent $8.25 million on federal lobbying expenses and approximately $4.3 million on state lobbying expenses. Cigna complies with the requirements of the Lobbying Disclosure Act of 1995 (the “LDA”) that govern disclosure of federal lobbying expenses. Cigna also complies with the requirements of state laws relevant to state lobbying expenses and disclosure reporting.

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While Cigna recognizes that many of the trade associations in which it participates have broad memberships with sometimes differing views, the Company believes that such organizations can encourage dialogue on important policy issues, ultimately helping to advance industry solutions. Cigna also believes that to be effective and informed, it is important to constructively engage differing perspectives, whether we agree on all points. Active participation in industry- related trade associations is one of the ways in which to Cigna engages in public policy and legislative issues. Because of the breadth and depth of trade association views on key health care issues, Cigna believes memberships in these organizations are generally consistent with the Company’s interests, including those of its shareholders and customers. Certain dues paid to these organizations may be used to support lobbying activity. In 2019, Cigna was a member of the following industry trade associations with more than $50,000 in annual dues and a percentage attributable to lobbying activity:

Portion allocated to Organization 2019 Annual Dues* nondeductible lobbying expense America’s Health Insurance Plans $1,248,493 41.7%

Association of Behavioral Health & Wellness $136,900 14% Association of California Life & Health Insurance Companies $110,850 7.68% Connecticut Association of Health Plans $118,627 61%

Florida Association of Health Plans Inc. $130,000 20%

Healthcare Distribution Alliance $242,684 14.5%

Massachusetts Association of Health Plans $94,029 41%

National Association of Dental Plans $66,480 50%

New Jersey Association of Health Plans $118,000 13%

Pharmaceutical Care Management Association $2,350,000 17%

The Business Roundtable $300,000 40%

The Insurance Federation of Pennsylvania Inc. $51,051 20%

U.S. Chamber of Commerce $355,000 20%

Virginia Association of Health Plans $84,616 20%

*Annual dues do not include supplemental dues or special assessments.

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CignaPAC Annual Report

About CignaPAC

CignaPAC is Cigna’s federal political action committee, a separate, segregated fund established and operated by Cigna, that is funded entirely by voluntary contributions from eligible employees and regulated by federal and/or state governments. Cigna has also established separate but related state political action committees in Missouri (Cigna MO PAC) and New York (Cigna NY PAC), which are referenced collectively in this report as CignaPAC unless otherwise noted. CignaPAC financially supports the election campaigns of candidates who share our views on policy issues, represent areas of geographic importance or meet other criteria deemed appropriate by the CignaPAC Board of Directors. It also engages in the process by supporting national and state party committees, as well as other political action committees and organizations. The CignaPAC is committed to transparency regarding its activities. Cigna obeys all laws in promoting its positions to government authorities, and all contributions made by CignaPAC comply with all applicable campaign finance regulations. After Cigna’s merger with Express Scripts Holding Company in December 2018, CignaPAC and the Express Scripts Political Fund (Express Scripts PAC) have operated as separate, but affiliated political action committees. The Express Scripts PAC did not make any political disbursements in 2019. The Express Scripts Missouri PAC contributed $6,800 to the House Republican Campaign Committee in 2019. Board Oversight

CignaPAC is governed by the CignaPAC Board of Directors, which oversees contributions made with CignaPAC funds. CignaPAC makes political contributions on behalf of Cigna’s business interests pursuant to the approval process for CignaPAC contributions and in accordance with the CignaPAC Articles of Organization.

< Table of Contents 2019 POLITICAL CONTRIBUTIONS AND LOBBYING ACTIVITY REPORT 14 CignaPAC Contribution Strategy

CignaPAC directs contributions to candidates based on a variety of criteria, such as: › Committee assignments and leadership positions. › Geographic concentration of Cigna employees in a district or state. › Candidates’ views on specific or emerging business issue(s). › Candidates’ viability. Contributions to state candidates are concentrated in key business states as determined by market share, health plan customer base and business revenues. Contributions are made to campaigns or initiatives consistent with Cigna’s mission. Party affiliation does not determine support. CignaPAC will support challengers over incumbents if incumbents regularly support legislation inconsistent with Cigna positions. CignaPAC does not participate in presidential primary or general election contests. Proposed CignaPAC contributions are reviewed in advance and approved by the CignaPAC Board. Set forth on the following pages are the political contributions made in 2019 by CignaPAC, including federal, state and municipal level, and ballot measure contributions, in addition to contributions made by the Cigna MO PAC and Cigna NY PAC.

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Federal Level Contributions

U.S. House candidates

First Name Last Name State Party Amount Peter Aguilar CA D $1,000 Jodey Arrington TX R $1,000 Nanette Barragan CA D $2,500 Amerish Bera CA D $3,500 Andrew Biggs AZ R $1,000 Gus Bilirakis FL R $3,500 Earl Blumenauer OR D $1,000 Lisa Blunt Rochester DE D $1,000 Michael Bost IL R $2,500 Brendan Boyle PA D $7,500 Kevin Brady TX R $10,000 Anthony Brown MD D $3,500 Vernon Buchanan FL R $1,000 Michael Burgess TX R $2,500 Cheryl Bustos IL D $2,500 Salud Carbajal CA D $2,500 Tony Cardenas CA D $2,500 Matthew Cartwright PA D $2,000 Katherine Castor FL D $1,000 Katherine Clark MA D $2,500 William Clay MO D $2,500 Emanuel Cleaver MO D $1,000 Thomas Cole OK R $1,000 Joseph Courtney CT D $5,000 Angela Craig MN D $2,500 Danny Davis IL D $1,500 Madeleine Dean PA D $5,000

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First Name Last Name State Party Amount Diana DeGette CO D $2,500 Suzan DelBene WA D $3,500 Deborah Dingell MI D $1,000 Thomas Emmer MN R $1,000 Anna Eshoo CA D $2,500 Dwight Evans PA D $6,000 Drew Ferguson GA R $3,500 Abby Finkenauer IA D $2,500 Brian Fitzpatrick PA R $2,000 Charles Fleischmann TN R $2,500 William Flores TX R $5,000 Foxx NC R $2,500 Ruben Gallego AZ D $5,000 Jimmy Gomez CA D $2,500 Josh Gottheimer NJ D $5,000 Samuel Graves MO R $2,500 Brett Guthrie KY R $2,000 Brian Higgins NY D $2,500 George Holding NC R $3,000 Steven Horsford NV D $3,500 Christina Houlahan PA D $2,500 Steny Hoyer MD D $3,500 Richard Hudson NC R $1,000 Hakeem Jeffries NY D $2,500 William Johnson OH R $2,500 Mike Kelly PA R $6,000 Ronald Kind WI D $2,500 Raja Krishnamoorthi IL D $1,000 Ann Kuster NH D $5,000 David Kustoff TN R $5,000 Darin LaHood IL R $2,500 John Larson CT D $8,500 Robert Latta OH R $2,500 Debbie Lesko AZ R $1,000 John Lewis GA D $2,500 Billy Long MO R $10,000 Blaine Luetkemeyer MO R $2,500 Kevin McCarthy CA R $10,000

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First Name Last Name State Party Amount Michael McCaul TX R $2,500 Donald McEachin VA D $1,500 Markwayne Mullin OK R $3,500 Richard Neal MA D $3,500 Donald Norcross NJ D $3,000 Devin Nunes CA R $2,500 Tom O’Halleran AZ D $1,000 Frank Pallone NJ D $5,000 James Panetta CA D $2,500 William Pascrell NJ D $2,500 Nancy Pelosi CA D $5,000 John Ratcliffe TX R $1,000 Thomas Reed NY R $1,500 Guy Reschenthaler PA R $2,500 Tom Rice SC R $1,000 Stephen Scalise LA R $5,000 Mary Scanlon PA D $5,000 Bradley Schneider IL D $2,500 Kurt Schrader OR D $2,500 David Schweikert AZ R $5,000 Terri Sewell AL D $6,000 Mikie Sherrill NJ D $2,500 Jason Smith MO R $1,000 Adrian Smith NE R $2,500 Darren Soto FL D $2,500 Bryan Steil WI R $2,000 Haley Stevens MI D $2,500 Steve Stivers OH R $5,000 Michael Thompson CA D $2,500 Paul Tonko NY D $1,000 Frederick Upton MI R $5,000 Jeff Van Drew NJ R $2,500 Marc Veasey TX D $1,000 Filemon Vela TX D $2,500 Ann Wagner MO R $10,000 Gregory Walden OR R $3,500 Bradley Walker NC R $1,000 Jacqueline Walorski IN R $2,500 Michael Waltz FL R $1,000

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In addition, the CignaPAC contributed to the following U.S. House candidates’ leadership political action committees.

First Name Last Name State Party Amount Andy Barr KY R $3,000 John Larson CT D $5,000 Stephanie Murphy FL D $5,000 Steve Stivers OH R $5,000 Joseph Courtney CT D $5,000 Kevin Brady TX R $5,000 Michael Burgess TX R $2,500 Frederick Upton MI R $5,000 Devin Nunes CA R $5,000 Steny Hoyer MD D $5,000 William Flores TX R $5,000 Kevin McCarthy CA R $5,000 Frank Pallone NJ D $5,000

U.S. Senate candidates

First Name Last Name State Party Amount Marsha Blackburn TN R $5,000 Robert Casey PA D $2,500 William Cassidy LA R $2,500 Susan Collins ME R $2,500 Christopher Coons DE D $2,500 John Cornyn TX R $2,500 Catherine Cortez Masto NV D $5,000 Steve Daines MT R $4,000 Cory Gardner CO R $7,500 Charles Grassley IA R $3,500 Martin Heinrich NM D $2,500 Doug Jones AL D $3,500 Michael Lee UT R $2,500 Mitch McConnell KY R $5,000 Martha McSally AZ R $5,000 David Perdue GA R $7,500 Gary Peters MI D $1,500 Rob Portman OH R $5,000

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First Name Last Name State Party Amount Jacky Rosen NV D $1,000 Benjamin Sasse NE R $1,000 Jeanne Shaheen NH D $7,500 Kyrsten Sinema AZ D $1,000 Tina Smith MN D $10,000 Thomas Tillis NC R $2,500 Patrick Toomey PA R $2,500 VA D $3,500 IN R $2,500

In addition, the CignaPAC contributed to the following U.S. Senate candidates’ leadership political action committees.

First Name Last Name State Party Amount Marsha Blackburn TN R $5,000 Roy Blunt MO R $5,000 William Cassidy LA R $5,000 Christopher Coons DE D $5,000 Catherine Cortez Masto NV D $2,500 Tammy Duckworth IL D $2,500 Cory Gardner CO R $5,000 Martin Heinrich NM D $5,000 Mitch McConnell KY R $5,000 Michael Rounds SD R $5,000 Tim Scott SC R $2,500 Tina Smith MN D $2,500 Patrick Toomey PA R $5,000 Todd Young IN R $4,000

< Table of Contents 2019 POLITICAL CONTRIBUTIONS AND LOBBYING ACTIVITY REPORT 20 National party committees

Party Amount Democratic Congressional Campaign Committee (DCCC) D $15,000 Democratic Senatorial Campaign Committee (DSCC) D $15,000 National Republican Congressional Committee (NRCC) R $15,000 National Republican Senatorial Committee (NRSC) R $15,000

Other political action committees

Party Amount America’s Health Insurance Plans PAC (AHIP PAC) NP $5,000 Blue Dog PAC D $5,000 Congressional Hispanic Caucus BOLD PAC D $5,000 Congressional Black Caucus PAC D $5,000 Moderate Democrats PAC D $5,000 New Democrat Coalition PAC D $5,000 Pharmaceutical Care Management Association Political Action Committee NP $5,000 (PCMA PAC) Republican Mainstreet Partnership PAC R $5,000 Tuesday Group PAC R $5,000 Value In Electing Women Political Action Committee (VIEW PAC) R $5,000 VoteVets PAC R $5,000 NP – No party affiliation.

In addition, the CignaPAC contributed $5,000 to the Great America Committee, a leadership political action committee sponsored by Vice President .

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State and Municipal Level Contributions

State candidates

Title First Name Last Name State Party Amount Sen. Sean Bowie AZ D $1,000 Sen. David Bradley AZ D $500 Atty. Gen. Mark Brnovich AZ R $2,000 Sen. Kate Brophy McGee AZ R $1,000 Sen. Heather Carter AZ R $1,000 Rep. Regina Cobb AZ R $500 Sen. Lupe Contreras AZ D $1,500 Rep. J. Diego Espinoza AZ D $1,000 Rep. Charlene Fernandez AZ D $500 Rep. Randall Friese AZ D $500 Rep. Alma Hernandez AZ D $500 Hon. Katie Hobbs AZ D $2,000 Sen. David Livingston AZ R $500 Rep. Robert Meza AZ D $500 Sen. Otoniel Navarrete AZ D $500 Rep. Thomas Shope AZ R $500 Rep. Michelle Udall AZ R $500 Rep. Jeff Weninger AZ R $1,000 Rep. Mark Baisley CO R $200 Rep. Susan Beckman CO R $200 Rep. Shannon Bird CO D $200 Sen. Jeff Bridges CO D $200 Rep. Janet Buckner CO D $200 Rep. Bri Buentello CO D $200 Rep. Marc Catlin CO R $200 Rep. James Coleman CO D $200 Rep. Daneya Esgar CO D $200

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Title First Name Last Name State Party Amount Sen. Bob Gardner CO R $200 Sen. Joann Ginal CO D $200 Rep. Matt Gray CO D $200 Rep. Chris Hansen CO D $200 Rep. Leslie Herod CO D $200 Rep. Dominique Jackson CO D $200 Rep. Chris Kennedy CO D $200 Rep. Colin Larson CO R $200 Rep. Larry Liston CO R $200 Rep. Susan Lontine CO D $200 Rep. Julie McCluskie CO D $200 Rep. Hugh McKean CO R $200 Rep. Dafna Michaelson Jenet CO D $200 Sen. Dominick Moreno CO D $200 Rep. Kyle Mullica CO D $200 Sen. Kevin Priola CO R $200 Sen. Bob Rankin CO R $200 Sen. Jim Smallwood CO R $200 Rep. Marc Snyder CO D $200 Rep. Matt Soper CO R $200 Rep. Kerry Tipper CO D $200 Sen. Rachel Zenzinger CO D $200 Rep. GA D $400 Rep. Shaw Blackmon GA R $500 Sen. Dean Burke GA R $500 Rep. Jon Burns GA R $750 Atty. Gen. Christopher Carr GA R $1,000 Rep. Sharon Cooper GA R $500 Sen. William Cowsert GA R $500 Rep. Demetrius Douglas GA D $250 Sen. Michael Dugan GA R $750 Hon. Geoffrey Duncan GA R $2,500 Rep. Chuck Efstration GA R $500 Sen. Ed Harbison GA D $250 Rep. Brett Harrell GA R $500 Rep. Matthew Hatchett GA R $500 Rep. Carolyn Hugley GA D $500 Sen. Lester Jackson GA D $250

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Title First Name Last Name State Party Amount Sen. Burt Jones GA R $750 Rep. Jan Jones GA R $750 Gov. Brian Kemp GA R $2,500 Rep. Jodi Lott GA R $500 Sen. P. K . Martin GA R $500 Sen. Cecil Miller GA R $1,000 Sen. Jeff Mullis GA R $750 Sen. Elena Parent GA D $300 Rep. David Ralston GA R $2,500 Rep. Albert Reeves GA R $500 Rep. Renitta Shannon GA D $250 Rep. Deborah Silcox GA R $300 Rep. Richard Smith GA R $1,500 Rep. Darlene Taylor GA R $500 Rep. Robert Trammell GA D $1,000 Sen. Larry Walker GA R $500 Sen. Ben Watson GA R $750 Sen. Michael Breitbach IA R $250 Rep. Holly Brink IA R $500 Sen. Mark Costello IA R $500 Sen. Dan Dawson IA R $250 Rep. Joel Fry IA R $250 Rep. Chris Hagenow IA R $500 Sen. Liz Mathis IA D $250 Rep. Todd Prichard IA D $250 Sen. Amanda Ragan IA D $250 Gov. Kimberly Reynolds IA R $1,000 Sen. Charles Schneider IA R $500 Rep. Linda Upmeyer IA R $500 Sen. IA R $500 Rep. Mark Batinick IL R $500 Sen. Christopher Belt IL D $500 Sen. William Brady IL R $1,000 Rep. Dan Brady IL R $500 Rep. Monica Bristow IL D $500 Rep. Terri Bryant IL R $500 Rep. Kelly Burke IL D $500 Rep. Dan Caulkins IL R $500

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Title First Name Last Name State Party Amount Sen. Rachelle Crowe IL D $500 Sen. John Cullerton IL D $1,000 Sen. William Cunningham IL D $1,000 Rep. Christopher Davidsmeyer IL R $500 Rep. Anthony DeLuca IL D $1,000 Rep. Tom Demmer IL R $500 Rep. Jim Durkin IL R $2,000 Sen. Dale Fowler IL R $500 Sen. Ann Gillespie IL D $500 Sen. Suzanne Glowiak IL D $500 Rep. Norine Hammond IL R $500 Rep. Gregory Harris IL D $1,000 Sen. Napoleon Harris IL D $1,500 Sen. Michael Hastings IL D $500 Rep. Jay Hoffman IL D $500 Rep. Thaddeus Jones IL D $1,500 Sen. Steven Landek IL D $500 Sen. Kimberly Lightford IL D $2,000 Sen. Terry Link IL D $500 Rep. Michael Madigan IL D $1,000 Rep. Natalie Manley IL D $500 Rep. Rita Mayfield IL D $500 Rep. Deanne Mazzochi IL R $500 Sen. Dan McConchie IL R $500 Rep. Thomas Morrison IL R $500 Sen. Antonio Munoz IL D $500 Sen. Laura Murphy IL D $500 Rep. Lindsay Parkhurst IL R $500 Atty. Gen. Kwame Raoul IL D $2,000 Rep. Lamont Robinson IL D $500 Rep. Nicholas Smith IL D $500 Rep. Ryan Spain IL R $500 Sen. Heather Steans IL D $1,000 Sen. Dave Syverson IL R $1,000 Rep. Michael Unes IL R $500 Rep. Mark Walker IL D $500 Sen. Chuck Weaver IL R $500 Rep. Keith Wheeler IL R $500

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Title First Name Last Name State Party Amount Rep. Kathleen Willis IL D $500 Rep. Michael Zalewski IL D $500 Rep. Terri Austin IN D $300 Sen. Eric Bassler IN R $750 Sen. Phillip Boots IN R $300 Rep. IN R $500 Sen. IN R $500 Sen. Jean Breaux IN D $300 Rep. Martin Carbaugh IN R $750 Sen. Edward Charbonneau IN R $500 Atty. Gen. Curtis Hill IN R $3,000 Gov. IN R $5,000 Sen. Travis Holdman IN R $750 Rep. Matthew Lehman IN R $750 Rep. Shane Lindauer IN R $300 Sen. Andrew Zay IN R $300 Rep. Edmond Jordan LA D $500 Rep. Jack McFarland LA R $500 Sen. Pamela Beidle MD D $150 Del. Harry Bhandari MD D $100 Del. Alfred Carr MD D $100 Del. Nick Charles MD D $100 Del. Bonnie Cullison MD D $500 Del. Dereck Davis MD D $750 Sen. Brian Feldman MD D $500 Sen. Bill Ferguson MD D $1,000 Sen. Antonio Hayes MD D $250 Sen. Stephen Hershey MD R $250 Sen. J. Jennings MD R $250 Del. Adrienne Jones MD D $1,500 Sen. Delores Kelley MD D $750 Del. Ariana Kelly MD D $250 Del. Ken Kerr MD D $100 Del. Nicholaus Kipke MD R $250 Del. Joseline Pena-Melnyk MD D $1,000 Del. Shane Pendergrass MD D $750 Sen. Edward Reilly MD R $250 Del. Sid Saab MD R $100

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Title First Name Last Name State Party Amount Del. Sheree Sample-Hughes MD D $250 Del. Kathryn Szeliga MD R $250 Del. Karen Young MD D $100 Rep. Joshua Morris ME R $400 Atty. Gen. Lynn Fitch MS R $5,000 Rep. John Bell NC R $500 Sen. Philip Berger NC R $750 Sen. Daniel Blue NC D $500 Rep. Dana Bumgardner NC R $500 Sen. James Burgin NC R $500 Rep. Rebecca Carney NC D $500 Rep. Kevin Corbin NC R $500 Rep. Darren Jackson NC D $500 Sen. Todd Johnson NC R $500 Sen. Paul Lowe NC D $500 Rep. Timothy Moore NC R $750 Rep. Garland Pierce NC D $500 Rep. Robert Reives NC D $500 Sen. Victoria Sawyer NC R $500 Rep. Mitchell Setzer NC R $500 Sen. James Woodard NC D $500 Rep. Gail Armstrong NM R $250 Rep. Deborah Armstrong NM D $250 Rep. Alonzo Baldonado NM R $250 Sen. Joseph Cervantes NM D $500 Rep. Rebecca Dow NM R $250 Rep. Brian Egolf NM D $500 Rep. Kelly Fajardo NM R $250 Sen. Candace Gould NM R $500 Sen. NM R $500 Sen. Daniel Ivey-Soto NM D $500 Sen. Gay Kernan NM R $250 Rep. Patricia Lundstrom NM D $250 Rep. Antonio Maestas NM D $500 Sen. Mark Moores NM R $500 Sen. George Munoz NM D $500 Rep. Jane Powdrell-Culbert NM R $250 Sen. Gabriel Ramos NM D $500

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Title First Name Last Name State Party Amount Rep. Patricio Ruiloba NM D $500 Sen. Clemente Sanchez NM D $500 Rep. Larry Scott NM R $500 Rep. Nathan Small NM D $500 Sen. John Smith NM D $500 Rep. Candie Sweetser NM D $500 Sen. Michael Brooks OK D $1,000 Rep. Ryan Martinez OK R $500 Sen. Greg McCortney OK R $1,000 Sen. John Montgomery OK R $1,000 Sen. Brenda Stanley OK R $500 Sen. Herman Baertschiger OR R $500 Sen. Lee Beyer OR D $250 Sen. Ginny Burdick OR D $500 Sen. Peter Courtney OR D $500 Rep. Christine Drazan OR R $500 Sen. William Hansell OR R $250 Rep. Cedric Hayden OR R $250 Sen. Tim Knopp OR R $250 Rep. Tina Kotek OR D $500 Sen. Dennis Linthicum OR R $250 Rep. Robert Nosse OR D $250 Rep. Rachel Prusak OR D $250 Rep. Andrea Salinas OR D $250 Rep. Barbara Smith Warner OR D $500 Sen. John Blake PA D $500 Sen. Jacob Corman PA R $1,000 Rep. Bryan Cutler PA R $1,000 Rep. Anthony DeLuca PA D $500 Rep. Tina Pickett PA R $1,000 Sen. Joe Pittman PA R $1,000 Sen. Joseph Scarnati PA R $1,000 Sen. Mario Scavello PA R $1,000 Sen. Sharif Street PA D $1,000 Rep. Michael Turzai PA R $1,000 Sen. Tom Davis SC R $500 Sen. Raumesh Akbari TN D $500 Sen. Paul Bailey TN R $1,000

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Title First Name Last Name State Party Amount Rep. Karen Camper TN D $1,000 Rep. Scott Cepicky TN R $500 Sen. Rusty Crowe TN R $1,000 Rep. Bill Dunn TN R $1,000 Rep. Ron Gant TN R $1,000 Rep. Johnny Garrett TN R $500 Sen. Dolores Gresham TN R $500 Sen. Ferrell Haile TN R $500 Rep. Mark Hall TN R $1,000 Rep. Patsy Hazlewood TN R $1,000 Sen. Joey Hensley TN R $500 Rep. Timothy Hill TN R $500 Rep. Matthew Hill TN R $1,000 Rep. Jason Hodges TN D $500 Sen. Ed Jackson TN R $500 Rep. Darren Jernigan TN D $500 Sen. Jack Johnson TN R $1,000 Rep. Justin Lafferty TN R $500 Rep. William Lamberth TN R $1,000 Sen. Jon Lundberg TN R $500 Rep. Susan Lynn TN R $1,000 Sen. Becky Massey TN R $500 Sen. Randy McNally TN R $1,500 Rep. Larry Miller TN D $500 Sen. Frank Niceley TN R $500 Rep. Brandon Ogles TN R $500 Rep. Dennis Powers TN R $500 Sen. Shane Reeves TN R $500 Rep. Cameron Sexton TN R $1,500 Rep. Robin Smith TN R $1,000 Sen. Steve Southerland TN R $500 Rep. Mike Sparks TN R $500 Rep. Mike Stewart TN D $1,000 Sen. Art Swann TN R $500 Rep. Bryan Terry TN R $500 Rep. Dwayne Thompson TN D $500 Rep. Ron Travis TN R $500 Sen. Bo Watson TN R $1,000 Rep. Jason Zachary TN R $500

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Title First Name Last Name State Party Amount Sen. Carol Alvarado TX D $500 Sen. C. Creighton TX R $500 Rep. John Frullo TX R $1,000 Sen. Kelly Hancock TX R $2,000 Sen. Juan Hinojosa TX D $500 Rep. Donna Howard TX D $500 Sen. Bryan Hughes TX R $500 Rep. Lyle Larson TX R $1,000 Rep. Oscar Longoria TX D $500 Rep. Eddie Lucio TX D $500 Sen. Eduardo Lucio TX D $1,000 Rep. Trey Martinez Fischer TX D $500 Rep. Joseph Moody TX D $500 Sen. Robert Nichols TX R $500 Rep. Tom Oliverson TX R $500 Rep. Chris Paddie TX R $1,000 Sen. Angela Paxton TX R $500 Atty. Gen. Ken Paxton TX R $3,000 Rep. W. Four Price TX R $1,000 Rep. Richard Raymond TX D $500 Rep. Toni Rose TX D $500 Sen. Charles Schwertner TX R $1,000 Rep. John Smithee TX R $500 Sen. Larry Taylor TX R $1,000 Rep. Senfronia Thompson TX D $500 Rep. Chris Turner TX D $500 Sen. John Whitmire TX D $1,000 Del. Lashrecse Aird VA D $500 Del. Lamont Bagby VA D $500 Sen. George Barker VA D $500 Del. Robert Bell VA R $250 Del. Jeff Bourne VA D $500 Del. Kathy Byron VA R $500 Sen. A. Benton Chafin VA R $500 Sen. John Cosgrove VA R $500 Del. Karrie Delaney VA D $250 Sen. VA R $500 Del. C. VA R $500

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Title First Name Last Name State Party Amount Del. Christopher Head VA R $250 Del. Stephen Heretick VA D $500 Del. VA D $250 Del. Patrick Hope VA D $250 Sen. VA D $500 Del. Timothy Hugo VA R $500 Del. Jerrauld Jones VA D $250 Del. Mark Keam VA D $500 Del. Terry Kilgore VA R $500 Del. Joseph Lindsey VA D $500 Sen. L. VA D $500 Sen. Ryan McDougle VA R $500 Sen. Jeremy McPike VA D $500 Del. Michael Mullin VA D $500 Sen. VA R $500 Sen. Thomas Norment VA R $500 Sen. VA R $500 Del. Margaret Ransone VA R $500 Sen. Richard Saslaw VA D $1,000 Del. Mark Sickles VA D $500 Sen. VA D $500 Sen. William Stanley VA R $500 Sen. VA R $500 Del. Luke Torian VA D $500 Del. Jeion Ward VA D $1,000 Del. R. Lee Ware VA R $500 Del. Michael Webert VA R $500 Sen. Patrick Testin WI R $500 Sen. Liisa Anselmi-Dalton WY D $350 Sen. Fred Baldwin WY R $350 Rep. Stan Blake WY D $250 Rep. Landon Brown WY R $250 Rep. Sara Burlingame WY D $250 Rep. Andrea Clifford WY D $250 Sen. Ogden Driskill WY R $350 Rep. Shelly Duncan WY R $250 Sen. Affie Ellis WY R $350 Rep. Jamie Flitner WY R $250

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Title First Name Last Name State Party Amount Gov. Mark Gordon WY R $750 Rep. Hans Hunt WY R $250 Rep. Tyler Lindholm WY R $250 Sen. Tara Nethercott WY R $350 Rep. Jared Olsen WY R $250 Auditor WY R $500 Rep. Andy Schwartz WY D $250 Rep. JoAnn Selman WY D $250 Rep. Patrick Sweeney WY R $250 Rep. Tom Walters WY R $250 Rep. Cyrus Western WY R $250 Rep. Mike Yin WY D $250 Rep. Dan Zwonitzer WY R $250

The CignaPAC also contributed to the following state candidates’ leadership political action committees.

Title First Name Last Name State Party Amount Rep. K.C. Becker CO D $325 Sen. Stephen Fenberg CO D $325 Sen. Leroy Garcia CO D $325 Rep. Alec Garnett CO D $325 Sen. CO R $325 Rep. Patrick Neville CO R $325 Sen. Brittany Pettersen CO D $325 Rep. Kevin Van Winkle CO R $325 Sen. Aaron Bean FL R $5,000 Sen. FL D $5,000 Sen. Robert Bradley FL R $2,500 Rep. Jason Brodeur FL R $5,000 Sen. Douglas Broxson FL R $5,000 Rep. Nicholas Duran FL D $2,500 Sen. Bill Galvano FL R $5,000 Rep. Shevrin Jones FL D $5,000 Rep. Ray Rodrigues FL R $5,000 Sen. Darryl Rouson FL D $5,000 Rep. Ryan Fecteau ME D $1,000 Rep. Matthew Moonen ME D $1,000 Rep. Harold Trey Stewart ME R $1,000 Del. Jennifer Carroll Foy VA D $500

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Title First Name Last Name State Party Amount Del. M. Kirkland Cox VA R $1,000 Del. Eileen Filler-Corn VA D $1,000 Sen. Jennifer McClellan VA D $500

In addition, the CignaPAC contributed to the following political action committees and political organizations.

Committee/Organization State Party Amount Arizona Democratic Party (nonfederal) AZ D $2,500 Arizonans for Strong Leadership AZ NP $2,500 House Victory PAC AZ R $2,500 Senate Victory PAC AZ R $2,500 Better Colorado Alliance (527) CO D $5,000 Leading Colorado Forward (527) CO D $4,000 Senate Majority Fund (527) CO R $1,000 Values First Colorado (527) CO R $1,000 Connecticut Democratic State Central Committee CT D $5,000 Leadership Connecticut PAC CT NP $1,000 Conservative Solutions for Jacksonville, PC FL R $5,000 Conservatives for a Better Florida FL R $5,000 Conservatives for Principled Leadership FL R $5,000 House Republican Campaign Committee IN R $1,250 House Democratic Caucus IN D $750 Democratic Committee IN D $750 Senate Majority Campaign Committee IN R $1,250 House Democratic Campaign Committee ME D $1,000 House Republican Fund ME R $1,000 Senate Democratic Campaign Committee ME D $2,500 Senate Republican Majority PAC ME R $1,500 Minnesota House Democratic Caucus MN D $2,500 Senate Victory PAC MN R $2,500 The Sununu Inaugural Celebration NH D $5,000 Committee to Elect a Republican Senate WI R $1,500 NP – No party affiliation.

< Table of Contents 2019 POLITICAL CONTRIBUTIONS AND LOBBYING ACTIVITY REPORT 33 Municipal candidates

First Name Last Name Office Sought State Party Amount Mike Coffman Mayor CO D $500 Ricky Booth County Council FL NP $500 Richard Stark Mayor FL D $1,000 Donna Miller County Council IL D $5,000 Angela Alsobrooks County Executive MD D $4,000 John Olszewski County Executive MD D $2,000 Jim Strickland Mayor TN NP $500 Martha Castex-Tatum City Council TX NP $250 Karla Cisneros City Council TX NP $250 Robert Gallegos City Council TX NP $250 Mike Knox City Council TX NP $250 Michael Kubosh City Council TX NP $250 Dave Martin City Council TX NP $250 David Robinson City Council TX NP $250 Greg Travis City Council TX NP $250 Sylvester Turner Mayor TX D $1,000 NP – No party affiliation. Ballot measures

In 2019, the CignaPAC contributed $5,000 to the Mesa Alliance for Educational Excellence, a registered ballot measure committee in Maricopa County, Arizona.

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Cigna MO PAC

The Cigna MO PAC contributed to the following Missouri state candidates.

Title First Name Last Name Party Amount Rep. LaDonna Appelbaum D $500 Sen. Lauren Arthur D $1,000 Rep. Doug Beck D $500 Sen. Eric Burlison R $1,000 Rep. Steve Butz D $500 Rep. Maria Chappelle-Nadal D $500 Rep. Doug Clemens D $500 Rep. Mary Coleman R $500 Rep. Jeff Coleman R $500 Rep. Shamed Dogan R $500 Sen. Bill Eigel R $1,000 Sen. Edgar Emery R $1,000 Rep. David Gregory R $500 Rep. Elijah Haahr R $2,000 Rep. Steve Helms R $500 Rep. Mike Henderson R $500 Rep. Justin Hill R $500 Sen. Denny Hoskins R $1,000 Sen. Lincoln Hough R $1,000 Hon. Mike Kehoe R $2,600 Rep. Ann Kelley R $500 Sen. Andrew Koenig R $1,000 Sen. Tony Luetkemeyer R $1,000 Sen. Karla May D $1,000 Rep. Rocky Miller R $500 Rep. Gina Mitten D $500 Rep. Dave Muntzel R $500 Sen. Jamilah Nasheed D $1,000 Sen. Cindy O’Laughlin R $1,000

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Title First Name Last Name Party Amount Sen. Bob Onder R $1,000 Gov. Michael Parson R $1,650 Rep. Jonathan Patterson R $500 Rep. Donna Pfautsch R $500 Rep. Dean Plocher R $500 Rep. Bradley Pollitt R $500 Rep. Suzie Pollock R $500 Rep. Crystal Quade D $500 Rep. Greg Razer D $500 Rep. Holly Rehder R $500 Sen. Jeanie Riddle R $1,000 Sen. Gary Romine R $1,000 Rep. Robert Ross R $500 Sen. R $1,500 Rep. Becky Ruth R $500 Rep. Robert Sauls D $500 Sen. Dave Schatz R $1,500 Rep. Nick Schroer R $500 Sen. Jill Schupp D $1,000 Rep. Noel Shull R $500 Sen. Scott Sifton D $1,000 Rep. Martha Stevens D $500 Rep. Kathryn Swan R $500 Rep. Curtis Trent R $500 Rep. Rob Vescovo R $2,000 Sen. Paul Wieland R $1,000 Sen. Brian Williams D $1,000 Rep. Kevin Windham D $500 Rep. Dale Wright R $500

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Cigna NY PAC

The Cigna NY PAC contributed to the following New York state candidates.

First Name Last Name Party Amount Kevin Cahill D $2,500 Neil Breslin D $2,500

The Cigna NY PAC also contributed to the following New York state political party housekeeping accounts.

Committee Party Amount Senate Republican Campaign Committee R $5,000 Democratic Senatorial Campaign Committee D $10,000

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