Better Health for All

Cigna's core business, health services, aims to improve health and well-being, with approximately 3.2 million customers receiving value-based care by the end of 2024.

The company identified nearly 4,000 cancer patients earlier in their journey in 2024. However, Cigna has incurred significant penalties totaling $879.7 million since 2000, including $400.7 million for False Claims Act and $295.9 million for consumer protection violations. For mental health, Cigna demonstrates strong commitment, with its behavioral health network growing to approximately 473,000 providers in 2024, an approximately 26% year-over-year increase, offering over 96% appointment availability within three days. Approximately 83% of patients show a clinically significant reduction in depression or anxiety symptoms. The Cigna Group Foundation committed over $9 million over three years to improve youth mental health and another $9 million for veteran mental health. Cigna engaged nearly 80% of identified candidates through its maternal health program. Its security controls are 100% aligned with NIST SP 800-53 Security Control Baseline Moderate, with regular third-party assessments. Through Advanced Opioid Management, Cigna achieved a 43% reduction in average morphine milligram equivalents for first-time opioid users and a 90% success rate in dispensing a seven-day supply or less of medications. The company provides comprehensive health education through various initiatives, including a behavioral awareness series and resources for parents, caregivers, and educators. In 2023, Cigna spent approximately $4.535 billion on preventive care services, which represents 2.32% of its $195.3 billion total revenue for that year.

Fair Money & Economic Opportunity

Cigna is a health service company and does not offer consumer credit products, nor does it generate revenue from high-cost financial products or penalty fees. Consequently, KPIs related to lending APRs, fee structures, and customer debt burden are not applicable to its core business model. Cigna is not regulated as a lender and has no fair-lending history. While the company provides access to health-related data via customer portals

, there is no evidence of open-banking APIs for financial data portability. The company does not directly track or report on customer credit-score increases, savings growth, homeownership, or business creation. No specific percentage of total customers from underserved or minority segments is provided. While Cigna offers health benefit plans to small businesses , the share of its total insurance book aimed at these segments is not disclosed. Information on the percentage of annual pre-tax profit reinvested in community finance or profit-sharing with underserved communities is not available. No measurable reach or outcomes for customer financial literacy programs are provided. No quantifiable percentage of service points in underserved geographic regions is provided. No evidence of product readability standards or disclosure transparency metrics for all products is available.

Fair Pay & Worker Respect

Cigna's CEO-to-median-worker pay ratio was 277:1 as of August 2023.

In 2024, the company reported a voluntary employee turnover rate of approximately 9%. A 2024 analysis, with a more recent analysis in 2025 for U.S. employees, showed that female employees and ethnic minority employees earn more than 99 cents for every dollar earned by their similarly situated male and white counterparts, respectively.

Fair Trade & Ethical Sourcing

As a health service company, Cigna's operations do not involve the procurement or trade of physical commodities, rendering fair-trade certification and materials risk indices not applicable. Cigna has implemented a Supplier Code of Ethics and a Human Rights Statement, which prohibit child or forced labor and human trafficking, and set ethical expectations for its vendors, suppliers, and partners

. The company also operates an Inclusive Supply Chain Program and a Supplier Mentor Protégé Program to support diverse suppliers . By the end of 2023, Cigna's annual U.S. spend with small and diverse businesses, including minority- and women-owned enterprises, reached approximately $1.4 billion, surpassing its $1 billion goal two years ahead of schedule . The company aims to increase this spend to $1.6 billion annually by 2025 .

Honest & Fair Business

Cigna incurred $209 million in ethics-related regulatory fines in the past three years, stemming from September 2023 settlements for submitting inaccurate diagnosis codes for Medicare Advantage Plan enrollees.

, The company has a “Low Risk” score from Sustainalytics for ESG controversies. Its board comprises 92% independent directors. Cigna maintains a comprehensive Anti-Corruption Compliance Policy, updated in July 2024, which applies globally, strictly prohibits bribery and facilitation payments, requires regular and risk-based training for high-risk employees, mandates regular risk assessments, and includes independent testing by Internal Audit. The company also has a “Protection Against Retaliation Policy” that prohibits retaliation against good-faith reporters, including those communicating with the SEC, and provides a confidential, anonymous 24/7 global Ethics Help Line. , In 2024, approximately 2,300 reports were received through the Ethics Help Line or Ethics Office, with 29% made anonymously and 39% of matters handled by the Ethics Office and Enterprise Investigations team found to be substantiated.

Kind to Animals

Cigna's core operations in healthcare services and insurance do not involve animal testing or sourcing animal-derived products.

The company's environmental policy focuses on reducing carbon emissions, responsible energy use, water conservation, and waste reduction, but does not specifically address animal welfare or habitat conservation. Cigna provides resources on pet safety and recognized an employee for volunteer work with the Dade County Animal Resource Team (DART), awarding grants of $2,500 each to the employee and DART.

No War, No Weapons

Cigna Corporation operates primarily in the healthcare services industry, focusing on insurance and health services.

Its business model is inherently neutral regarding military activities and does not involve arms production, military contracts, or weapons proliferation. There is no evidence to suggest Cigna engages in manufacturing or supplying military goods or weapons. While the company does not have a declared stance on peace or disarmament initiatives, it contributes to supporting veterans with healthcare services.

Planet-Friendly Business

Cigna aims to achieve carbon neutrality across its operations by 2040, with an interim target to reduce Scope 1 and 2 greenhouse gas emissions by 50% by 2030.

The company has already achieved a 44% reduction in Scope 1 and 2 emissions from a 2019 baseline. Cigna has pledged to source 100% renewable electricity by 2030 as part of the RE100 initiative. In 2023, the company reported a 22% reduction in energy consumption and an 18% reduction in water usage across its facilities. Cigna targets a 30% reduction in water consumption per square foot and aims for zero waste in paper, plastic, and e-waste by 2030. The company prioritizes LEED-certified buildings and incorporates ISO 14001 management principles. Cigna has been recognized as a corporate sustainability industry leader by Dow Jones Sustainability Indices for seven consecutive years and topped Forbes' Net Zero Leaders List for sustainability in the healthcare industry.

Respect for Cultures & Communities

The provided articles detail Cigna's initiatives related to cultural competency and health equity, including offering free cultural competency training to healthcare providers and staff

, providing bilingual patient care advocates and extensive Spanish language services , and offering CultureVision, an online resource about nearly 75 ethnic and religious groups . The Cigna Group Foundation has a $9 million Health Equity Impact Fund supporting nonprofits in Hartford, CT, and Houston, TX . Cigna also states it exceeds its $1 billion diverse supplier spending goal, including Hispanic and Latino-owned businesses . However, the articles do not provide specific quantitative data points, such as percentages, counts, or scores, that align with the exact thresholds defined in the rubric for any of the KPIs.

Zero Waste & Sustainable Products

Cigna has set a target to achieve zero waste for key materials by 2030.

The company has implemented waste reduction initiatives, including recycling at pharmaceutical centers and a partnership that diverted 100% of surplus inventory in Minnesota from landfills through recycling and donations. Cigna also ensures responsible handling of hazardous waste.