Cigna

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Cigna Corporation
TypePublic
IndustryManaged healthcare
Insurance
Founded1982
HeadquartersBloomfield, Connecticut, United States
Key people
David Cordani
(Chairman, President and CEO)
Brian Evanko (CFO)
ProductsHealthcare services
Health insurance
Life insurance
PBM
RevenueIncrease US$174.1 billion (2021)[1]
Decrease US$7 billion (2021)[1]
Decrease US$5.4 billion (2021)[1]
Total assets Decrease US$154.889 billion (2021)[2]
Total equityDecrease US$47.112 billion (2021)[2]
Number of employees
73,800 (2021)[3]
SubsidiariesExpress Scripts
Websitecigna.com

Cigna is an American multinational managed healthcare and insurance company based in Bloomfield, Connecticut.[4] Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups (e.g. governmental and non-governmental organizations, unions and associations). Cigna is incorporated in Connecticut.[5]

Cigna offers Medicare[6] and Medicaid products and health, life and accident insurance coverages primarily to individuals in the U.S.[7] and selected international markets. In addition to its ongoing operations described above, Cigna also has certain run-off operations, including a Run-off Reinsurance segment.[8] In the Phoenix metropolitan area, Cigna runs a full-service staff-model health maintenance organization with satellite clinics throughout the region, known as the Cigna Medical Group.[9] Cigna Global Health Benefits also operates under the Cigna corporation.

The company ranked No. 12 in the 2021 Fortune 500 list of the largest United States corporations by total revenue.[10]

History[edit]

Cigna was formed by the 1982 merger of the Connecticut General Life Insurance Company (CG) and INA Corporation (the parent corporation of Insurance Company of North America, the first stock insurance company in America).[11] The company name, Cigna, is a mix of letters from the merging companies, CG and INA.[12] Insurance Company of North America was formed in 1792, while CG was created in 1865 by a special act of the Governor of Connecticut. In October 1871, the great Chicago Fire burned for two days, destroyed 2,000 acres, and left 100,000 people in Illinois homeless. INA paid $650,000, one of only 51 insurance companies (out of a total of 202) to pay claims in full.[13]

Before selling its domestic and international property and casualty business to the Bermuda-based ACE Insurance company in the late 1990s, Cigna was among the companies with a large international network comparable to those of AIG, Allianz, and Zurich. The strategy behind the sale was to concentrate on core business. ACE – at that time a key player at the Bermuda and Lloyds insurance market – on the other hand, was interested in expanding the international network in the traditional insurance market.[14]

Cigna sold the majority of its life insurance operations to Lincoln National Corporation in 1997.[15][16]

In 2002, it was alleged in violation of the Securities Exchange Act for earnings manipulation. Its common stock price plummeted significantly as a result.[17] In October 2011, Cigna agreed to buy HealthSpring Inc. for $3.8 billion to jump-start its business selling Medicare plans from 46,000 Medicare Advantage members to almost 400,000 Medicare Advantage members.[18] The payment would come from an issue of new equity to cover about 20 percent of the value, with the rest funded by additional cash and debt.[19][20] In 2013, Cigna operated in 30 countries, had approximately 35,800 employees and managed around US$53.734 billion in assets.[8]

In June 2015, U.S. health insurer Anthem Inc. announced that it would acquire Cigna for $47 billion in cash and stock.[21] Anthem confirmed it had reached a deal to buy Cigna on July 24, 2015.[22] On July 21, 2016, the US Justice Department filed an antitrust suit to block the proposed merger,[23] and a District Court ruling on February 8, 2017 blocked the merger on anticompetitive grounds.[24] That month, Cigna Corp. called off its $48 billion merger agreement with Anthem Inc., with Anthem stating it would "continue to enforce its rights under the merger agreement and remains committed to closing the transaction."[25]

On March 7, 2018, it was announced that Cigna would acquire Express Scripts in a $67 billion deal[26][27] and on August 24, 2018, the shareholders of Cigna and Express Scripts approved the deal.[28]

In June 2020, Cigna formed a strategic alliance with Priority Health to make comprehensive health care coverage more affordable and accessible to Michigan employers and customers.[29]

In September 2020, Cigna rebranded its health services portfolio under the name Evernorth, which included Express Scripts, Accredo, and eviCore.[30]

In October 2020, it was announced that Cigna and Envision Healthcare had renewed their agreement to include Envision's clinicians as in-network providers for Cigna's members.[31] In 2021, Molina Healthcare acquired Cigna's Medicaid contracts in Texas for US$60 million.[32]

Cigna Global Health Benefits[edit]

Cigna Global Health Benefits
TypeSubsidiary
IndustryEmployee Benefits
Founded1977
HeadquartersWilmington, Delaware, US
Key people
Jason Sadler, President, Cigna Global Health Benefits
ProductsMedical, Dental, Disability, Life Insurance
Revenue174,078,000,000 United States dollar (2021) Edit this on Wikidata
ParentCigna Corporation
Websitecignaglobalhealth.com

Cigna Global Health Benefits is a business unit within Cigna. The company is headquartered in Wilmington, Delaware, close to Philadelphia. Additional Cigna Global Health Benefits operations are located in Visalia, California, and Greenock, Scotland and Shanghai, China and Antwerp, Belgium. Sales offices are located in North America, Europe, Asia and the Middle East.

Products and services[edit]

CGHB global health plans typically include medical, dental, behavioral and disability, as well as business travel and life components. Expatriates are defined as employees of multinational companies working outside their home country on short, and long-term international assignments.[33] CGHB maintains its own, in-house international claims platform, and offers a network of physicians and hospitals for its members (including 550,000 in the U.S. and more than 141,000 outside the U.S.).

Accounting and investor relations[edit]

On February 9, 2005, Cigna elected to adopt in the fourth quarter of 2004 fair value accounting for its stock options in accordance with SFAS No. 123 and to restate prior periods.[34]

Public relations and lobbying[edit]

The UK newspaper Guardian in their Esc and Ctrl videoblog about control of the Internet by corporations, documented an incident with Nataline Sarkisyan and the former vice president of Cigna talking about astroturfing, the practice of creating fake blogs by interested groups, e.g. health insurance companies, to push claims that are profitable for said company into media, e.g. dismissing universal health care.[35]

Cigna spent more than $4.4 million from 2005 to 2009 on lobbying to attain legislation that the company favors. This includes $720,000 spent in 2009 alone, when it had 20 lobbyists at five firms working on their behalf.[36]

In 2008, the head of Cigna's public relations, Wendell Potter, resigned, becoming a whistleblower who gave testimony in 2009 to the U.S. Senate Committee on Commerce, Science and Transportation in favor of reform of the health care industry.[37]

Nataline Sarkisyan liver transplant case[edit]

In December 2007, Cigna was criticized after the company refused to pay for a liver transplant of a California teenage girl, Nataline Sarkisyan, justifying their refusal to pay by claiming that the procedure was experimental, even though there was a liver ready and waiting to be transplanted and doctors estimated she had a 65% chance of surviving at least six months.[38] In response to much protest and public scrutiny, Cigna reversed its decision, though Ms. Sarkisyan died awaiting the transplant.[39] Cigna notes that it had no financial stake in the decision to authorize the transplant because it merely administers the insurance plan of Mr. Sarkisyan's employer and would not bear the cost of any operation. However, Cigna offered to pay for the transplant itself when it made the exception to the policy.[40]

Even though liver transplants have been performed since 1963 and are a well-accepted treatment option for end-stage liver disease and acute liver failure, Cigna defended its actions by claiming that there was insufficient data to show that a transplant for a patient in Sarkisyan's condition would be safe and effective.[40] The California court agreed with Cigna's position that the Sarkisyans’ claims regarding Cigna's decision-making were preempted by federal ERISA law. On April 16, 2009, the United States District Court for the Central District of California dismissed all of the claims against Cigna related to the coverage determination.[41]

Awards and evaluations[edit]

Cigna received gold in the 2009 Gartner & 1to1 Customer Experience Excellence Award. The awards are given to the companies that "most clearly demonstrate exemplary customer relationship strategy and an unrivaled level of excellence in delivering the customer experience".[42]

In January 2010, Cigna received the JD Power award for customer service for all of its call centers for the fourth time in a row.[43]

In 2011, the California Nurses Association determined that Cigna denies roughly 39.6% of all claims (compared to competitors such as Aetna who denied about 5.9% of all claims in the same time frame).[44]

Community and civic affairs and charitable giving[edit]

In 2008, the Cigna Foundation contributed $2,533,535 to charitable activities that promote wellness.[45] Since 1995, Cigna and its employees have contributed $22.3 million to the March of Dimes.[45]

In July 2010, Cigna began giving each company employee eight hours of paid time off annually to volunteer with non-profit health and community service organizations.[46] The Salvation Army of Greater Philadelphia helped kick off the program in front of Cigna's Philadelphia headquarters with the Christmas in July campaign.[47]

Strategic alliances[edit]

On April 16, 2010, Cigna announced an alliance with Humana group to offer a streamlined Medicare Advantage offering through employer clients for retirees.[48]

In November 2011, Cigna and TTK Group, an Indian business conglomerate focused on healthcare, formed a joint venture called Cigna TTK to develop a health insurance business in India subject to obtaining government approvals.[49]

Controversies[edit]

In 2015, the American Consumer Satisfaction Index named Cigna as one of the most hated companies in the U.S.[50] Cigna's name returned on the ACSI's most hated list in 2018.[51]

In August 2020, the Department of Justice filed a lawsuit against Cigna alleging that the company defrauded Medicare Advantage, Medicare, and Medicaid for $1.4B by submitting diagnostic codes for health conditions that patients did not have.[52]

In November 2020, investors sued Cigna's CEO and board alleging that they had used “black-ops-style” tactics to “blow up the merger with Anthem in 2017.[53] One pension fund accused Cigna CEO David Cordani of seeking to poison the deal after he had failed to secure the top post in the resulting company. The fund claimed he had utilized lawyers and public relations specialists to set up a “Trojan Horse” campaign. The merger would have produced the largest U.S. health insurer.

See also[edit]

References[edit]

  1. ^ a b c "Cigna Reports Fourth Quarter and Full Year 2021 Results, Expects Continued Revenue and Attractive Earnings Per Share Growth in 2022". Yahoo! Finance. February 3, 2022.
  2. ^ a b "2021 10-K Annual Report". Sec.gov. Retrieved 19 April 2022.
  3. ^ "Cigna". owler.com. Retrieved 8 December 2021.
  4. ^ "Contact Us - Customer Service - Cigna". Cigna.com. Retrieved 2 June 2019.
  5. ^ "10-K". 10-K. Retrieved 1 June 2019.
  6. ^ "Cigna Insurance wants to make healthcare 'affordable and accessible' in the UAE via new smart product". MobiHealthNews. 2021-06-04.
  7. ^ "How does Cigna coverage work?". American Addiction Centers. November 17, 2020. Retrieved 2021-02-18.
  8. ^ a b "Cigna, Form 10-K, Annual Report, Filing Date Feb 28, 2013" (PDF). Secdatabase.com. Retrieved Mar 25, 2013.
  9. ^ "About Cigna - More than a Health Insurance Company". Cigna, a Global Health Insurance and Health Service Company. Retrieved 2 June 2019.
  10. ^ "Fortune 500". fortune.com. Retrieved 8 December 2021.
  11. ^ "Global Expertise | Cigna Global Health Benefits". Archived from the original on 2014-10-31. Retrieved 2014-10-25.
  12. ^ "Name Origins". 17 January 2010.
  13. ^ "Cigna Milestones". Cigna, a Global Health Insurance and Health Service Company. Retrieved 24 July 2015.
  14. ^ "ACE to Buy Cigna Unit for $3.45 Billion in Cash". The New York Times.
  15. ^ "Cigna, Form 8-K, Current Report, Filing Date Jul 31, 1997". Secdatabase.com. Retrieved Mar 25, 2013.
  16. ^ "Lincoln National Set to Acquire Bulk of a Cigna Business". The New York Times.
  17. ^ "Cigna Corporation". Archived from the original on 2007-06-10. Retrieved Jun 26, 2013.
  18. ^ "Cigna, Form 8-K, Current Report, Filing Date Oct 24, 2011". Secdatabase.com. Retrieved Mar 25, 2013.
  19. ^ "Cigna, Form 8-K, Current Report, Filing Date Oct 27, 2011" (PDF). Secdatabase.com. Retrieved Mar 25, 2013.
  20. ^ "Cigna to buy Medicare co HealthSpring for $3.8 billion". Reuters.com. October 24, 2011.
  21. ^ Cane, Jeffrey; Abelson, Reed (20 June 2015). "Anthem Makes $47 Billion Offer for Rival Cigna". The New York Times. Retrieved 20 June 2015.
  22. ^ Bomey, Nathan (24 July 2015). "Anthem to buy Cigna for $54B in mega insurance merger". USA Today. Retrieved 24 July 2015.
  23. ^ "Anthem, Aetna Sued by U.S. Seeking to Block Insurer Mergers". Bloomberg.com.
  24. ^ "Federal Judge Blocks Anthem's Planned Acquisition of Cigna". The Wall Street Journal. February 9, 2017. Retrieved February 10, 2017.
  25. ^ Wilde Mathews, Anna; Kendall, Brent (February 14, 2017), Antitrust Rulings Put Chill on Health-Insurance Mergers, The Wall Street Journal, retrieved February 15, 2017
  26. ^ "Health insurer Cigna to buy Express Scripts in $67 billion deal". CNBC. March 7, 2018. Retrieved March 8, 2018.
  27. ^ Minemyer, Paige (March 8, 2018). "Cigna to buy Express Scripts in $67B deal". FierceHealthcare. Retrieved March 8, 2018.
  28. ^ "Cigna, Express Scripts Shareholders Approve $67 Billion Deal". Hamodia. August 26, 2018. Retrieved August 31, 2018.
  29. ^ Affholter, Danielle. "New deal with Cigna gives Priority Health national reach". mibiz.com. Retrieved 2020-07-14.
  30. ^ "Cigna launches Evernorth, in a rebrand of its health services portfolio". healthcarefinancenews.com.com. Retrieved 28 January 2022.
  31. ^ Hackett, Mallory (22 October 2020). "Cigna renews partnership with Envision Healthcare to give in-network access to its Florida members". Healthcare Finance News. Retrieved 2020-11-11.
  32. ^ "Molina buys up Cigna's Medicaid business in Texas for $60M". healthcarefinancenews.com.com. Retrieved 28 January 2022.
  33. ^ "Flexible Products for a Global Workforce - Cigna Global Health Benefits". Cignaglobalhealth.com. Retrieved 24 July 2015.
  34. ^ "CIGNA Reports Fourth Quarter and Full Year 2004 Results; Strong Earnings Growth Driven by Health Care Results". Newsroom.cigna.com.
  35. ^ Ronson, Jon; Greenwell, Lucy; Lamont, Remy (21 September 2011). "Esc and Ctrl: Jon Ronson investigates astroturfing - video episode two". Theguardian.com. Retrieved 27 December 2018.
  36. ^ "Cigna". OpenSecrets.
  37. ^ "Profile: Wendell Potter on Profits Before Patients". Pbs.org. Bill Moyers Journal. July 10, 2009. Retrieved May 14, 2015. Last month, testimony in front of the U.S. Senate Committee on Commerce, Science and Transportation by a former health insurance insider named Wendell Potter made news even before it occurred: CBS News headlined: "Cigna Whistleblower to Testify." After Potter's testimony, the industry scrambled to do damage control: "Insurers defend rescissions, take heat for lack of transparency."
  38. ^ "Los Angeles Local News, US & World, Business, Entertainment, Green News | NBC Los Angeles". Knbc.com. Archived from the original on January 7, 2009. Retrieved December 20, 2011.
  39. ^ "Health Insurer to Be Charged With Teen's Murder – ABC News". Abcnews.go.com. December 21, 2007. Archived from the original on May 26, 2008. Retrieved December 20, 2011.
  40. ^ a b Vanessa Fuhrmans and Laura Meckler (January 7, 2008). "A Medical Case Becomes Political". The Wall Street Journal: A1. Archived from the original on January 8, 2008. Retrieved February 11, 2013.
  41. ^ "Site Suspended - This site has stepped out for a bit". Atlantainsurancetips.com. Retrieved 24 July 2015.
  42. ^ "Gartner & 1to1 Media Announce Winners of the 2009 Customer Experience Excellence Awards". 15 September 2009. Archived from the original on 15 September 2009. Retrieved 27 December 2018.
  43. ^ "CIGNA HealthCare Recognized for Providing an Outstanding Customer Service Experience For a Fourth Consecutive Year". Businesswire.com. Retrieved 8 July 2017.
  44. ^ "California insurers deny 26 percent of all claims". Pnhp.org. Retrieved 2 June 2019.
  45. ^ a b "Cigna Newsroom - Home" (PDF). Newsroom.cigna.com.
  46. ^ "Cigna rings in new volunteerism program". Philadelphia.bizjournals.com. July 19, 2010.
  47. ^ "The Salvation Army of Greater Philadelphia: The Salvation Army Launches Christmas in July Campaign". Use.salvationarmy.org. June 29, 2010. Archived from the original on October 9, 2011. Retrieved December 20, 2011.
  48. ^ "Cigna Newsroom | Cigna and Humana Form Alliance on Retiree Solutions for Employers". Newsroom.Cigna.com. Archived from the original on February 23, 2012. Retrieved December 20, 2011.
  49. ^ "Cigna & TTK form health insurance JV". Financialexpress.com. Retrieved April 8, 2014.
  50. ^ "The Most Hated Health Insurance Company of 2015". The Fiscal Times. Retrieved 2022-02-23.
  51. ^ Stockdale, Samuel Stebbins, Evan Comen, Michael B. Sauter and Charles. "Bad reputation: America's Top 20 most-hated companies". USA TODAY. Retrieved 2022-02-23.
  52. ^ "DOJ brings lawsuit against Cigna for allegedly submitting $1.4 billion in false Medicare Advantage claims". Healthcare Finance News. Retrieved 2022-02-23.
  53. ^ says, Big Bob (2020-11-24). "Cigna's CEO and Board Sued for 'Black-Ops-Style' Tactics to Kill Merger with Anthem". Insurance Journal. Retrieved 2022-02-23.

External links[edit]