Climate Change Data

Environmental Metrics

ESG Focus Areas

• Health and Well-being
• Environment
• Inclusive Business

Environmental Achievements

• Worked toward 2017 Environmental Targets of 3% reduction in greenhouse gas emissions, 3% reduction in energy use and 1% reduction in water consumption annually
• Reached 16 LEED certified buildings and 45 sites are currently enrolled in the U.S. Environmental Protection Agency’s ENERGY STAR® program
• Received third-party verification for Cigna’s greenhouse gas emissions data
• Encouraged more than 2 million Cigna customers to opt out of paper statements resulting in eliminating millions of pieces of paper and envelopes
• Diverted over 1,200 tons of waste from landfills through Cigna’s 100% paper shredding policy for all office paper
• Replaced 7,683 high watt florescent fixtures with low watt LED lamps in our Philadelphia offices – saving 596,580 kWh and avoiding 232 metric tons of GHG emissions

Social Achievements

• Contributed $13.5 million in combined Cigna Giving through our Foundation, Civic Affairs and employee volunteering
• Logged 53,496 hours of Cigna employee volunteer service
• Provided Cigna Foundation grants totaling more than $5 million
• Funded 15 new Cigna Foundation World of Difference Grants to address health disparities and advance community health navigation
• Packed more than 675,000 meals for Feeding Children Everywhere which were assembled by 11,300 Cigna employees – bringing us to over 1.9 million meals packed since 2014 for hungry children
• Provided nearly 500 hours of skill-based community volunteering and 120 hours of pro bono work from Cigna legal associates
• Launched its largest prevention campaign to date, with an ensemble of familiar TV doctors to promote check-ups as an important step in preventive care.
• Increased employee participation in Cigna Health Equity Forums by more than double, with over 200 employees attending each quarter
• Continued the Cultural Awareness Designation program to physicians in our network with more than 400 health care providers having completed the self-assessment, participated in subsequent training and signed an attestation to receive a Cigna certificate of completion
• Supported 9 Cigna Colleague Resource Groups (including more than 3,500 employees) to generate actionable insights and innovate products and services that are culturally relevant and appropriate in meeting the needs of emerging, influential consumers of health services
• Launched Lean In Circles to provide the power of peer support through guided education and peer mentoring
• Increased annual spend in goods and services with diverse suppliers by 8% with more than 600 certified minority-and women-owned business enterprises and other diverse suppliers across the United States
• Scored 100% on the Corporate Equality Index from the Human Rights Campaign for the first time
• Scored 100% on the Disability Equality IndexSM Award from U.S. Business Leadership Network®
• Scored 90% on the Hispanic Association on Corporate Responsibility’s Corporate Inclusion Index
• Tripled participation in our Educational Reimbursement Program with new program features to over 1,700 employees and nearly $5 million in funding

Governance Achievements

• Trained 100% of new employees in our newly refreshed Code of Ethics and all existing employees affirm their adherence to the Code annually
• Supported our commitment to the United Nations Global Compact to back the Compact’s 10 principles on human rights, labor, environment and anti-corruption across the enterprise
• Continued our Privacy Steward program to support and drive privacy compliance within the business/corporate areas
• Communicated our Supplier Code of Conduct to support our responsible sourcing practices
• Continued enterprise-wide guidance of Cigna Connects through our Cigna Connects Corporate Responsibility Governance Council comprised of 20 cross-functional leaders

Climate Goals & Targets

Environmental Challenges

• Not disclosed

Mitigation Strategies

• Not disclosed

Supply Chain Management

Supplier Audits: Not disclosed

Responsible Procurement

• Supplier Code of Ethics

Climate-Related Risks & Opportunities

Physical Risks

• Not disclosed

Transition Risks

• Not disclosed

Opportunities

• Not disclosed

Reporting Standards

Frameworks Used: GRI

Certifications: LEED

Third-party Assurance: Third-party assurance for Scope 1 and 2 GHG emissions

UN Sustainable Development Goals

• Goal 2 (Zero Hunger)
• Goal 3 (Good Health and Well-being)
• Goal 5 (Gender Equality)
• Goal 6 (Clean Water and Sanitation)
• Goal 10 (Reduced Inequalities)

Cigna Foundation and World of Difference Grants align with these goals through various initiatives.

Sustainable Products & Innovation

• Not disclosed

Awards & Recognition

• CR Magazine’s 100 Best Corporate Citizens
• CR Magazine’s Ladder Award
• National Business Group on Health “Best Employers for Healthy Lifestyles” Platinum Award
• National Business Group on Health “Innovation is Advancing Healthy Equity” Award
• CEO Cancer Gold Standard Accreditation
• American Heart Association “Fit Friendly” Worksites Award Platinum winner

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
• Prohibition of child or forced labor
• Third-party risk management software platform to monitor supply chain risks

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, ENERGY STAR, ISO 50001

Third-party Assurance: Third-party assurance 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 investment initiatives

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

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

Environmental Achievements

• Exceeded 2020 greenhouse gas emission reduction target by 18%, exceeding the 15% energy consumption reduction target by 4.8%, and exceeding the 10% water consumption reduction target by 15.9%
• Diverted over 900 tons of debris from landfills (65% of total debris from headquarters and data center construction)
• Recycled nearly 1,000 tons of plastic pill bottles

Social Achievements

• Launched Be HEARD program for employee dispute resolution
• Created Navigating Social Issues Advisory Team to review social justice complaints
• Met 2016 target of reducing opioid use among customers by 25% ahead of schedule
• Launched COVID-19 Disparities Initiative, reaching 5.8 million individuals and distributing over 265,000 PPE items
• Launched the Brave of Heart Fund to support families of frontline healthcare workers who died from COVID-19

Governance Achievements

• More than half of independent directors are diverse
• Implemented mandatory diversity of candidate slates for senior-level positions
• Achieved 99.9% pay equity between male and female employees in the US

Climate Goals & Targets

Environmental Challenges

• COVID-19 pandemic impacted global supply chain and workforce
• Rising drug costs
• Opioid overdoses
• Health disparities exacerbated by COVID-19
• Loneliness epidemic worsening

Mitigation Strategies

• Developed alternative sourcing strategies for PPE
• Developed innovative solutions to address rising drug costs (Embarc Benefit Protection, Parachute Rx)
• Implemented multifaceted approach to reduce opioid overdoses (intervention models, advocacy)
• Launched COVID-19 Disparities Initiative and Building Equity and Equality Program
• Launched initiatives to address loneliness (Social Connector Program, Loneliness Index)

Supply Chain Management

Supplier Audits: Not disclosed

Responsible Procurement

• Supplier Code of Ethics
• Supplier Sustainability Survey
• Responsible Supplier Program (RSP)

Climate-Related Risks & Opportunities

Physical Risks

• Extreme weather events

Transition Risks

• Regulatory changes

Opportunities

• Development of energy-efficient products

Reporting Standards

Frameworks Used: GRI Standards: Core option, TCFD, UNGC

Certifications: LEED, ENERGY STAR, ISO 50001, ISO 14001, NCQA

Third-party Assurance: Not disclosed

UN Sustainable Development Goals

• Goal 1: No Poverty
• Goal 2: Zero Hunger
• Goal 3: Good Health and Well-being
• Goal 5: Gender Equality
• Goal 10: Reduced Inequalities
• Goal 13: Climate Action

Various initiatives contribute to these goals through health equity, community investment, environmental sustainability, and diversity and inclusion programs

Sustainable Products & Innovation

• Recyclable coolers

Awards & Recognition

• eValue8 Innovation Award
• DiversityInc Top 50 Companies for Diversity
• Human Rights Campaign Corporate Equality Index (100%)
• Disability:IN Disability Equality Index (100%)

Environmental Metrics

ESG Focus Areas

• Climate Change and Emissions
• Sustainable Operations
• Sustainable Health Care
• Health Equity
• Community Resilience
• Product Service and Quality
• Human Capital Development
• Employee Health, Safety and Well-Being
• Diversity, Equity and Inclusion (DEI)
• Responsible Supply Chain
• Business Ethics and Compliance
• Leadership and Accountability
• Data Protection

Environmental Achievements

• Reduced Scope 2 greenhouse gas emissions by 15% from 2020
• Reduced water intensity by 8% from 2019 baseline
• Recycled nearly 854 metric tons of pill bottles and nearly 1,264 tons of cardboard from fulfillment centers
• Achieved an 87% landfill diversion rate

Social Achievements

• Launched Building Equity and Equality Program, a five-year initiative to support diversity, inclusion, equity and equality for communities of color
• Funded 142 grants through Cigna Foundation, 94% of which supported efforts to address social determinants of health
• Expanded caregiver leave program to include grandparents and grandchildren
• Improved outcomes and estimated $1 million in savings from a predictive model identifying customers in need of case management
• Reduced 60-day post-disease costs by approximately $2,000 on average for COVID-19 hospitalization case management

Governance Achievements

• Updated Supplier Code of Ethics to strengthen expectations on climate change and human rights
• Updated Code of Ethics to include ESG approach and conflict of interest processes
• Updated Anti-Corruption Policy
• Reviewed and updated large-scale cybersecurity incident response playbooks
• Established a new ESG Advisory Committee

Climate Goals & Targets

Environmental Challenges

• Supply chain disruptions due to the COVID-19 pandemic
• Rising energy and fuel costs
• Potential increases in electricity rates due to utility grid improvements
• Increased opioid overdoses in the United States

Mitigation Strategies

• Developed specialty recycling program for plastic pill bottles
• Implemented energy efficiency measures across operations
• Exploring on-site renewable energy systems and long-term renewable energy procurement agreements
• Leveraging virtual technology to minimize business travel
• Implementing proactive overdose programs, including predictive models and increased access to medication-assisted treatment

Supply Chain Management

Supplier Audits: Approximately 40% of targeted suppliers completed ESG assessment in 2021

Responsible Procurement

• Supplier Code of Ethics
• Third-party risk management software platform
• Supplier questionnaires on potential risks

Climate-Related Risks & Opportunities

Physical Risks

• Extreme weather events
• Hurricanes
• Flooding

Transition Risks

• Market uncertainty in energy and fuel prices
• Increased electricity rates

Opportunities

• Increased energy efficiency of buildings
• Renewable energy programs

Reporting Standards

Frameworks Used: GRI Standards: Core option (2016), SASB Managed Care Standard, TCFD

Certifications: LEED, ENERGY STAR, ISO 50001

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

UN Sustainable Development Goals

• SDG 2: Zero Hunger
• SDG 3: Good Health and Well-being
• SDG 4: Quality Education
• SDG 5: Gender Equality
• SDG 10: Reduced Inequalities

Cigna Foundation grants supporting various initiatives related to these goals

Sustainable Products & Innovation

• Not disclosed

Awards & Recognition

• Included on the Dow Jones Sustainability Indices for the fifth consecutive year
• Included on 3BL Media’s 100 Best Corporate Citizens list for the eighth consecutive year
• 100% on the Human Rights Campaign Foundation’s Corporate Equality Index
• #24 on DiversityInc’s Top 50 Diverse Companies list

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 9% over 2021
• Reduced combined Scope 1 and 2 market-based GHG emissions by approximately 31% over 2021
• Joined RE100, committing to 100% renewable electricity by 2030
• Reduced overall Scope 1 and 2 footprint by 44% since 2019 baseline
• Reduced water consumption by approximately 28% since 2019 at high-risk facilities
• Recycled approximately 700 metric tons of pill bottles and nearly 1,200 metric tons of cardboard from fulfillment centers

Social Achievements

• Expanded caregiver program in the US, doubling available leave
• Doubled the number of employee assistance program (EAP) visits for coworkers and their families
• Improved diversity, equity, and inclusion (DEI) within the workforce, achieving a #14 ranking on Fair360’s Top Companies for Diversity
• Achieved 90% diverse slates for external requisitions of manager-level and above roles, yielding 64% diverse hires
• Expanded maternal health pilot program into three additional markets
• Reached a 30% reduction in opioid overdoses by the end of 2022
• Increased network of behavioral health providers by more than 30%
• Delivered approximately 900,000 meals to more than 45,000 people through meal delivery program

Governance Achievements

• Updated company name to The Cigna Group
• Exceeded S&P benchmarks on median age, tenure, gender, and ethnic diversity on the Board
• Updated Code of Ethics and Principles of Conduct
• Created new, interactive policies and accompanying manager toolkits governing gifts and entertainment for government officials
• Customized anti-corruption training with learning scenarios specific to the business model and risks

Climate Goals & Targets

Environmental Challenges

• Scope 3 emissions beyond business travel
• Uncertainty in the price of energy and fuel
• Geopolitical impacts on the price of fuel
• Potential increases in the price of energy and fuel impacting operations
• Extreme weather events impacting business services, distribution, and physical assets
• Rising economic prices of oil and gas

Mitigation Strategies

• Evaluating Scope 3 emissions and setting science-based reduction targets
• Internal forecasted analysis to anticipate utility grid improvements' impact on electricity bills
• Business Continuity and Global Risk Management teams' processes to prepare for business disruptions
• Customer Disaster Response Program to address customer service issues and provide support during disasters
• Investing in energy-efficient buildings and renewable energy programs
• Annual due diligence review of operations to evaluate exposures and risk financing solutions

Supply Chain Management

Supplier Audits: Approximately 57% of suppliers under management rated by EcoVadis

Responsible Procurement

• Supplier Code of Ethics
• Ethical Procurement Policy

Climate-Related Risks & Opportunities

Physical Risks

• Extreme weather events
• Hurricanes
• Flooding

Transition Risks

• Uncertainty in energy and fuel prices
• Geopolitical impacts on fuel prices
• Increased electricity rates

Opportunities

• Energy efficiency improvements in buildings
• Renewable energy programs

Reporting Standards

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

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

Third-party Assurance: ERM CVS

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 align with these SDGs

Sustainable Products & Innovation

• Digital health insurance ID cards

Awards & Recognition

• #1 ranking for corporate citizenship among health care industry by JUST Capital and CNBC
• #14 ranking on Fair360’s Top Companies for Diversity
• Forefront 50 honor