Climate Change Data

Environmental Metrics

ESG Focus Areas

• Health and Well-Being
• Environment
• Responsible and Inclusive Business

Environmental Achievements

• Nearly 40% reduction in absolute greenhouse gas emissions at Cigna corporate headquarters and data centers since 2013
• 21 LEED® certified buildings in Cigna’s integrated global real estate portfolio
• Over 50% of Cigna’s locations are currently enrolled in the U.S. Environmental Protection Agency’s ENERGY STAR® program
• 50 million paper statements and envelopes are avoided annually through Cigna’s paperless options offerings
• 8,000 tons of waste have been diverted from landfills through Cigna’s 100% paper shredding policy since 2014
• More than 200,000 single-use plastic bottles avoided by implementing infused water stations at our corporate headquarters
• 1,000 tons of cans, bottles, cardboard, equipment, and materials recycled during the renovation of our corporate headquarters
• Nearly 15,000 pounds of food waste composted at our corporate headquarters

Social Achievements

• Successfully partnered with health care providers, pharmacists, and nonprofits to combat opioid use
• Launched three major initiatives: 1) Patient Assurance program; 2) the Embarc Benefit Protection program; and 3) our Digital Health Formulary
• 1 in 5 Cigna customers visited an Accountable Care Organization, resulting in a 22% increase in customer engagement and an 8% increase in preventive care visits
• Cigna’s 300 customer centricity ambassadors act as advocates for customers and ensure that customer centricity is embedded in our company
• 13% increase in employee visits to behavioral health providers as a result of Cigna evolving its internal health and well-being strategy to encompass a more holistic mind-body focus
• 92% of the health care providers in our programs are delivering a differentiated level of quality of care and 90% believe that Cigna is the industry leader in this area

Governance Achievements

• 6 directors have joined Cigna’s Board since 2018, including 4 who previously served on the Board of Express Scripts
• Revised Code of Ethics and Principles of Conduct to reflect our values as a combined company and harmonized more than 100 labor policies
• Supplier risk assessments evaluate nearly 20 dimensions, including privacy and information protection
• Cigna has a dedicated Cyber and Privacy Council, which is comprised of a cross-functional group of company executives
• 15% of Cigna’s Tier 1 and Tier 2 spend is targeted to come from diverse suppliers by 2023

Climate Goals & Targets

Environmental Challenges

• Meeting 2020 energy and water reduction targets due to the combination with Express Scripts and its affiliates
• Addressing opioid overdoses and the effects of loneliness on mental health
• Increasing diverse spend within our key sales markets

Mitigation Strategies

• Strategic investments in infrastructure; closely monitoring our emissions, energy, and water performance; and executing capital investments to support our reduction targets
• Multifaceted approach including identifying and managing opioid use; providing chronic pain support; intervening through connective care coordination; and collaborating with stakeholders
• Advancing national, local and regional diverse partnerships; continuing the integration of diverse suppliers; and developing a robust, sustainable supply chain program

Supply Chain Management

Supplier Audits: Select suppliers audited based on risk assessment results

Responsible Procurement

• Supplier Code of Ethics
• Third-party risk management software platform to monitor supply chain risks
• Supplier sustainability survey

Climate-Related Risks & Opportunities

Physical Risks

• Extreme weather events

Transition Risks

• Not disclosed

Opportunities

• Not disclosed

Reporting Standards

Frameworks Used: GRI Standards: Core option

Certifications: LEED, ISO 50001

Third-party Assurance: Third-party verifier for Scope 1 and 2 greenhouse gas emissions

UN Sustainable Development Goals

• Goal 1: No Poverty
• Goal 2: Zero Hunger
• Goal 3: Good Health and Well-being
• Goal 10: Reduced Inequalities

Healthier Kids for Our Future program, World of Difference grants, community investments

Sustainable Products & Innovation

• Plant-based recyclable cooler for temperature-sensitive medications

Awards & Recognition

• Innovation in Advancing Health Equity Award from NBGH
• eValue8 Innovation Award from NAHPC
• Named to the Dow Jones Sustainability World and North America Indices

Environmental Metrics

ESG Focus Areas

• Sustainable health care
• Product service and quality
• Health equity
• Community resilience
• Employee health, safety, and vitality
• Diversity, equity, and inclusion (DEI) within our workforce
• Human capital development
• Climate change and emissions
• Sustainable operations
• Leadership and accountability
• Business ethics and compliance
• Data protection
• Responsible supply chain

Environmental Achievements

• Reduced combined Scope 1 and 2 location-based GHG emissions by approximately 3% over 2022 and market-based by approximately 8%
• Reduced Scope 1 emissions by approximately 3%
• Reduced location-based Scope 2 emissions by approximately 3% and market-based by approximately 10% over 2022
• Reduced overall Scope 1 and 2 footprint by 49% since 2019 baseline
• Sourced approximately 32% of global power needs from renewable electricity
• Recycled approximately 600 metric tons of pill bottles in 2023
• Recycled approximately 1,100 metric tons of cardboard from high-volume fulfillment centers
• Composted nearly 34,000 pounds of waste at Bloomfield, Connecticut headquarters

Social Achievements

• Expanded behavioral health and other resources available to employees and their families
• Expanded caregiver leave program, doubling paid leave from four to eight weeks
• Launched a health equity curriculum for all employees
• Achieved $1 billion in annual total diverse supplier spend two years ahead of schedule
• Engaged nearly 80% of identified candidates through the maternal health program

Governance Achievements

• Removed prior authorization on more than 1,100 medical services since 2020
• Added information about the National Labor Relations Act and updated language related to harassment and communications with media to the Code of Ethics
• Completed third-party pre-ISO certification audits at high-volume pharmacy fulfillment centers

Climate Goals & Targets

Environmental Challenges

• Rising costs of prescription and specialty drugs
• Access to care, particularly in rural areas
• Health disparities among underserved populations
• Climate change impacts on business operations and human health
• Uncertainty in the price of energy and fuel
• Data security risks
• Supply chain disruptions

Mitigation Strategies

• Investing in value-based care models
• Adding preferred biosimilars to formularies
• Implementing the IndependentRx Initiative to support rural pharmacies
• Prioritizing energy efficiency in buildings and sourcing renewable electricity
• Implementing robust data protection programs
• Leveraging a third-party risk management software platform to assess suppliers
• Implementing a comprehensive occupational health and safety framework

Supply Chain Management

Supplier Audits: 32% of indirect suppliers under management rated by EcoVadis in 2023

Responsible Procurement

• Supplier Code of Ethics
• Ethical Procurement Policy
• EcoVadis assessments

Climate-Related Risks & Opportunities

Physical Risks

• Extreme weather events (hurricanes, wildfires)
• Damage to physical assets

Transition Risks

• Increased energy and fuel prices
• Changes in consumer preferences

Opportunities

• Energy efficiency improvements in buildings
• Renewable energy procurement

Reporting Standards

Frameworks Used: SASB Managed Care and Professional and Commercial Services Industry Standards, GRI Sustainability Reporting Standards, TCFD recommendations, UN Global Compact

Certifications: LEED, ENERGY STAR, ISO 50001 (UK offices)

Third-party Assurance: ERM CVS (limited assurance for GHG emissions, energy consumption, and water withdrawals)

UN Sustainable Development Goals

• SDG 2
• SDG 3
• SDG 4
• SDG 5
• SDG 8
• SDG 10
• SDG 12
• SDG 13

Initiatives described throughout the report contribute to these goals.

Sustainable Products & Innovation

• Virtual care solutions (MDLIVE)
• Digital health tools

Awards & Recognition

• Dow Jones Sustainability Index
• America’s Most JUST Companies
• Fair360’s Top Companies for Diversity
• Human Rights Campaign Foundation’s Corporate Equality Index