Securities registered pursuant to section 12 b of the Act :. Securities registered pursuant to section 12 g of the Act: None. Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15 d of the Act. Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. Financial Information about Business Segments.
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Securities registered pursuant to section 12 b of the Act :. Securities registered pursuant to section 12 g of the Act: None. Indicate by check mark if the registrant is not required to file reports pursuant to Section 13 or Section 15 d of the Act.
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. Financial Information about Business Segments. Investments and Investment Income. Unresolved Staff Comments. Submission of Matters to a Vote of Security Holders. Executive Officers of the Registrant. Selected Financial Data. Quantitative and Qualitative Disclosures about Market Risk. Financial Statements and Supplementary Data.
Controls and Procedures. Directors and Executive Officers of the Registrant. Executive Compensation. Certain Relationships and Related Transactions. Principal Accounting Fees and Services. Exhibits and Financial Statement Schedules. Index to Financial Statement Schedules. In addition, the Company has an international operation that offers life, accident and supplemental health insurance products as well as international health care products and services to businesses and individuals in selected markets.
The Company also has certain inactive businesses, including a run-off reinsurance operation. The Company uses its website as a channel of distribution for material company information.
Important information, including news releases, analyst presentations and financial information regarding CIGNA is routinely posted on and accessible at www. Industry rankings and percentages set forth herein are for the year ended December 31, , unless otherwise indicated. CIGNA expects to focus on the following areas it believes represent the markets or areas with the most potential for profitable growth:. The Company plans to improve its strategic and financial flexibility by driving further reductions in its Health Care operating expenses, improving its medical cost competitiveness in targeted markets and effectively managing balance sheet exposures.
CIGNA HealthCare also provides disability and life insurance products that were historically sold in connection with certain experience-rated medical products. Virgin Islands. CIGNA HealthCare is focused on helping to improve the health, well-being and sense of security of the individuals it serves. CIGNA HealthCare believes the most sustainable approach to enhancing quality and managing health care costs is to fully engage individuals in the decisions that affect their health and the health care services they receive.
To assist individuals in making informed choices about health care for themselves and their families, CIGNA HealthCare makes available to its members actionable information about health and advocacy programs as well as about the cost and quality of health care services and supplies provided to them.
Principal Products and Services and Funding Arrangements. CIGNA may sell multiple products under the same funding arrangement to the same employer. CIGNA HealthCare provides a wide array of products and services to meet the needs of employers, other sponsors of health benefit plans and their plan participants i. CIGNA HealthCare also offers a PPO product line that features a broader national network with generally less favorable provider discounts than the managed care products described above, no option to select a primary care physician, and in-network and out-of-network coverage with greater member coinsurance liability for out-of-network services.
HMOs are required by law in most states to provide coverage for all basic health services. HMOs control unit costs by negotiating rates of reimbursement with providers and by requiring that certain treatments be authorized for coverage in advance. The out-of-network coverage is generally provided through separate insurance coverage that is sold with the HMO benefits. An HRA allows plan sponsors to choose from a variety of benefit plan designs and for employees to fund un-reimbursed health care expenses with reimbursement account funds that can be rolled over from year to year.
HSA plans allow plan sponsors to choose from a variety of benefit plan designs and funding options and combine a high deductible payment feature for a health plan with a tax-preferred savings account offering mutual fund investment options. Funds in an HSA can be used to pay the deductible and other eligible tax-deductible medical expenses and can be rolled over from year to year.
In connection with its consumer-directed products, CIGNA HealthCare offers Custom Benefit Builder SM , a tool that allows members to customize plan options including co-payments and deductible levels, to create a personalized benefit design that meets their individual needs.
The HRA and HSA products for employers with generally more than 50 but fewer than employees are now available in 49 states. An FSA pays for certain health care-related expenses, that are either not covered or only partially covered by health care plans, with pretax contributions by employees. Unused FSA account funds cannot be rolled over from year to year; they are forfeited by the employee.
CIGNA HealthCare provides Taft-Hartley trusts and other self-insured groups access to its national provider network and provides claim re-pricing and other services e. Health Advocacy. CIGNA HealthCare offers medical management, disease management, and other health advocacy services to employers and other plan sponsors. CIGNA offers a seamless integration of services to address the clinical and administrative challenges that are inherent in coordinating multiple vendors.
CIGNA HealthCare offers a wide array of health advocacy programs and services to help individuals improve the health of the mind and body, including:. Behavioral Health. Managed dental care products are offered in 36 states and the District of Columbia through a network of independent providers that have contracted with CIGNA Dental Health to provide dental services to members.
CIGNA Dental Health stresses preventive dentistry; it believes that promoting preventive care contributes to a healthier workforce, an improved quality of life, increased productivity and fewer treatment claims and associated costs over time. CIGNA Dental Health offers members a dental treatment cost estimator to educate individuals on oral health and aid them in their dental health care decision-making.
CIGNA Pharmacy offers prescription drug plans to its insured and self-funded customers both in conjunction with its medical products and on a stand-alone basis. Programs that reflect this integration of medical, behavioral and pharmacy offerings include:.
Because it offers both medical and pharmacy benefit management products and services, CIGNA HealthCare is uniquely positioned to manage holistic care for individuals with chronic conditions. This approach allows individuals to access medication in the most appropriate setting based on their unique circumstances. This results in less confusion and disruption in care, which in turn promotes medication adherence and healthier outcomes.
CIGNA HealthCare also offers cost-effective mail order, telephone and on-line pharmaceutical fulfillment services through its home delivery operation. CIGNA Tel-Drug Home Delivery Pharmacy provides an individual-focused, efficient home delivery pharmacy with high standards of quality, accuracy and individual care relating to maintenance and specialty medications.
Private Fee For Service. Retail Pharmacies. The Company operates onsite health centers at five CIGNA employee locations and expects to open several onsite health clinics at other employer locations during In addition, the Company has multiple health advocates at employer sites across the country.
Onsite operations are projected to expand throughout and beyond. Cost Containment Service. These programs, which may involve contracted vendors, are intended to control health costs through the reduction of out-of-network utilization, the auditing of provider bills and recovery of overpayments from other insurance carriers or providers.
CIGNA earns fees for providing or arranging these services. Guaranteed Cost. Under guaranteed cost funding arrangements, policyholders pay a fixed premium and CIGNA HealthCare bears the risk for claims and costs. The HMO product is offered only on a guaranteed cost basis. Under insurance policies using an experience-rated funding arrangement, a premium that typically includes a margin to partially protect against adverse claim fluctuations is determined at the beginning of the policy period.
If premiums exceed claims and expenses, any surplus amount is generally first used to offset prior deficits and otherwise generally returned to the policyholder. Under insurance policies using a minimum premium funding arrangement, instead of paying a fixed monthly premium, the group policyholder establishes and funds a bank account and authorizes the insurer to draw upon funds in the account to pay claims and other authorized expenses. Minimum premium funding arrangements combine insurance protection with an element of self-funding.
The policyholder is responsible for funding all claims up to a predetermined aggregate, maximum monthly amount, and CIGNA HealthCare bears the risk for claim costs incurred in excess of that amount. As with other experience-rated insurance products, CIGNA HealthCare may recover deficits from margins in future years if the policy is renewed.
Administrative Services Only. See Note 3 to the Consolidated Financial Statements beginning on page of this Form K for details about this purchase. Service and Quality.
To further this objective, in , the Company made its call centers available 24 hours a day, seven days a week. CIGNA HealthCare customer service representatives are empowered to immediately resolve a wide range of issues to help members obtain the most from their benefit plans.
If an issue cannot be resolved informally, CIGNA HealthCare has a formal appeals process that can be initiated by telephone or in writing and involves two levels of internal review.
For those matters not resolved by internal reviews, CIGNA HealthCare members are offered the option of a voluntary external review of claims. Participating Provider Network. In most instances, CIGNA HealthCare contracts directly with the participating provider to provide covered services to members at agreed-upon rates of reimbursement. Members pay reduced co-payments or co-insurance when they receive care from a specialist designated as a CIGNA Care provider.
Provider Credentialing. CIGNA HealthCare credentials physicians, hospitals and other health care providers in its participating provider networks using quality criteria which meet or exceed the standards of external accreditation or state regulatory agencies, or both. Typically, most providers are re-credentialed every three years. Health Plan Credentialing. CIGNA continues to demonstrate its commitment to quality and has expanded its scope of external validation of its quality programs through nationally recognized accreditation organizations.
CIGNA HealthCare understands the critical importance of information technology to the level of service the Company is able to provide to its members and to the continued growth of its health care business. The health care marketplace is evolving and the level of service that is acceptable to consumers today may not be acceptable tomorrow. The application gives members information on the total health care cost to them and their employer;.
Pricing, Reserves and Reinsurance. Premiums and fees charged for HMO and most health insurance products and life insurance products are generally set in advance of the policy period and are typically guaranteed for one year unless specified events occur, such as changes in benefits, significant changes in enrollment or laws affecting the coverage or costs. Premium rates for fully insured products are established either on a guaranteed cost basis or on a retrospectively experience-rated basis.
Annual Reports and Proxy Statements
Table of Contents. Washington, D. Mark One. Exact name of registrant as specified in its charter. Forward-looking statements are based on Cigna's current expectations and projections about future trends, events and uncertainties. These statements are not historical facts. Forward-looking statements may include, among others, statements concerning future financial or operating performance, including our ability to deliver affordable, personalized and innovative solutions for our customers and clients; future growth, business strategy, strategic or operational initiatives; economic, regulatory or competitive environments, particularly with respect to the pace and extent of change in these areas; financing or capital deployment plans and amounts available for future deployment; our prospects for growth in the coming years; the merger "Merger" with Express Scripts Holding Company; and other statements regarding Cigna's future beliefs, expectations, plans, intentions, financial condition or performance.
Washington, D. FORM K. Mark One. For the fiscal year ended December 31, Commission file number Exact name of registrant as specified in its charter.
Cigna Quarterly Reports and SEC Filings
View differences made from one year to another to evaluate Cigna Holding Co's financial trajectory. We provide 5 of these remarks for FREE. To see all the remarks without having to find them in the K Annual Report, become a member of Last10K. Corporate reflects amounts not allocated to operating segments, including net interest expense defined as interest on corporate debt less net investment income on investments not supporting segment operations, interest on uncertain tax positions, certain litigation matters, intersegment eliminations, compensation cost for stock options and related excess tax benefits, expense associated with our frozen pension plans and certain overhead and project costs. However, if actual experience differs from the assumptions used in estimating amounts reflected in our Consolidated Financial Statements, the resulting changes could have a material adverse effect on our consolidated results of operations and, in certain situations, could have a material adverse effect on our liquidity and financial condition.
Cigna Corp (CI) SEC Filing 10-K Annual report for the fiscal year ending Sunday, December 31, 2017
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