2016 Political Contributions and Lobbying Activity Report Cigna’s mission is to help improve the health, well-being and sense of security of the more than 90 million people we serve around the world. Our strategic focus is centered on delivering high quality, affordable, and personalized products and solutions to our customers and clients by leveraging our insights, brand, talent and localized approach. Around the world, individuals are seeking access to these quality healthcare and sense of security programs. At the same time, employers of all sizes and across all industries and geographies increasingly recognize that healthier, more engaged and productive work forces are essential to driving their businesses forward, while they continue to David M. Cordani seek solutions that are affordable and sustainable. President and Chief Executive Officer Amid this backdrop, many individuals and employers are concerned that they must accept either constrained access or diminished quality or both, in order to achieve affordability of care. At Cigna, we see it differently. We have demonstrated that quality and affordability can be achieved by designing personally-tailored access and high- quality care delivery, with engagement, alignment and support for individuals, and healthcare professionals. We deliver this through personalized and localized benefits and services, which empower our customers and support their actions and decision making. We take a convening role in building communities of health, alongside our employer and provider partners. We support healthcare professionals with actionable insights and further expanded care resources, all while ensuring alignment with them to deliver superior quality and improve affordability. To further innovate for our customers and clients, we are accelerating investments in value-based care programs and incentive payment models with our provider partners that continue to drive enhancements in both care quality and affordability. With that understanding, I am pleased to share our annual political contributions report to provide transparency and insight into how our mission and strategy guide our constructive engagement in external dialogues. As part of Cigna’s federal and state lobbying and advocacy efforts, we make political contributions, as allowed by law. Attached you will find the 2016 annual report of the Cigna Political Action Committee. Cigna is committed to transparency about these activities and is providing this report to communicate openly with our shareholders. Our proven strategy of go deep, go global, go individual differentiates Cigna in the marketplace. We are focused on anticipating and meeting the needs of our customers and clients through ongoing innovation, and committed to being a collaborative, trusted partner. Cigna understands the importance of investing in the health of our communities, and we work to positively impact the health of people, communities and the environment. We will continue to invest in future growth and capabilities, to deliver affordable, personalized solutions, and further expand our geographic reach. David M. Cordani President and Chief Executive Officer 2016 Political Contributions and Lobbying Activity Report • 2 Overview and Cigna takes its engagement in the legislative, regulatory and public policy areas very seriously, approaching all of our efforts with care and integrity. There are two major Governance components that comprise Cigna’s major 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, vision, strategic goals and direction. With respect to political giving activities, all contributions that are made directly by the Company must be made in accordance with Cigna’s Political Contributions Policy that requires, among other things, oversight of decisions at the highest corporate level. Political contributions that are made through Cigna’s Political Action Committee (PAC) are reviewed and approved by the CignaPAC board, comprised of executive-level Cigna leadership, and 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 bi- annually reviews compliance with Cigna’s Political Contributions Policy, including the contributions made under that policy by the Company during the previous year, and annually reviews lobbying expenses and trade association memberships. 2016 Political Contributions and Lobbying Activity Report • 3 Political Cigna regularly supports federal, state, and local officials, candidates, parties and other politically oriented groups and organizations where the Company believes it can advance Contributions 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. Contributions attributable to Cigna are made in two ways: (1) corporate contributions and (2) through CignaPAC. Cigna has strict standards in place governing its political giving activity, and all of 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 specifically regarding Cigna’s direct corporate contributions and we have attached a copy of the 2016 CignaPAC report for information regarding contributions made through CignaPAC. Corporate Contributions In certain states, corporations are permitted to contribute to state election campaigns. The Cigna Political Contributions Policy authorizes the use of corporate funds for state contributions on an exception-only basis, requiring the express approval of the General Counsel of the Company after consultation with the Chief Executive Officer. In 2016, Cigna made certain non-PAC corporate contributions – as detailed below – to each of the Republican and Democratic Governors Associations, and the Republican and Democratic Attorneys General Associations to support advocacy of the Company’s priority issues. Corporate Political Contributions 2016 Corporate Contributions to the Following National Party Associations Republican Governors’ Association $100,000 Republican Attorneys General Association $50,000 Democratic Attorneys General Association $50,000 Democratic Governors’ Association $100,000 Cigna did not make any independent expenditures in 2016. 2016 Political Contributions and Lobbying Activity Report • 4 Lobbying Sustained Lobbying Activity and Priorities Cigna engages in lobbying activity to support its position on public policy issues Activities within federal and state political, legislative and regulatory environments. The Company uses both internal and external resources at the federal and state levels, including memberships in trade associations. In 2016, Cigna focused its lobbying efforts on advancing public policies in support of our global business and our clients’ and customers’ needs and interests. Such policies include increasing access to affordable health care; incentives and information to drive better health care and value-based buying decisions; and marketplace competition to afford consumers a wide range of choices to meet their unique health care needs. A crucial part of our lobbying efforts is sharing the work we do to create a more sustainable health care system by partnering with customer, physician and broker partners. We continue to work toward our goal to deliver 90 percent of payments through value-based arrangements and 50 percent of payments through alternative payment models by the end of 2018. Cigna is on track to meet our goals, with 43 percent of payments in alternative models at the end of 2016.Cigna is a leader in the volume to value transition and is well-positioned