Cigna : Notice of 2025 Annual Meeting and Proxy Statement

CI

900 Cottage Grove Road

Bloomfield, Connecticut 06002

March 14, 2025

Dear Fellow Shareholders:

The mission of The Cigna Group®, to improve the health and vitality of those we serve, guided us in navigating a highly dynamic environment in 2024 while we also strengthened our capabilities and grew our business.

More than 230 years ago, our company was created to provide a safety net for individuals and businesses. While our business has changed and grown, our fundamental commitment to serve others has never wavered. We believe that sustainable performance is essential to delivering on our mission. When we talk about performance, we mean delivering value for our customers, patients, and clients. That is why we exist. Creating and delivering value to them, in turn, fuels our growth.

To further ensure we are holding ourselves accountable to deliver on our promises, we have initiated a rigorous series of process changes and improvements. For example, we have taken steps to further strengthen our performance management processes to further align our results with our goals and priorities as an organization.

In addition, starting in 2025, we will tie a portion of our leaders' compensation to improving the satisfaction of our customers and patients.

Together, these initiatives foster a culture of performance, and are designed to help further align the work of our colleagues throughout the enterprise with the company's overall mission and goals.

Advancing Our Strategy

We have worked to deliver stronger personalized service and value for our customers and patients as part of our effort to help improve the health care system.

In 2024, this included meaningful steps to create even more value in our growth platforms: Evernorth® Health Services and Cigna Healthcare®. We delivered affordable and innovative solutions for our customers and patients and grew our total customer relationships in 2024 by 11% to approximately 182 million.

2024 Evernorth Health Services Key Highlights

2024 Cigna Healthcare Key Highlights

We also continued to sharpen our focus on our growth priorities in Cigna Healthcare and Evernorth, resulting in the announced sale of our Medicare businesses to Health Care Service Corporation (HCSC). This divestiture will enable us to capitalize on the value of a leading asset. We are looking forward to serving HCSC through our Express Scripts Pharmacy Benefit Services business.

Striving for Excellence in Performance

Our advancements in our business strategy priorities resulted in year-over-year financial growth in 2024 in a dynamic and challenging environment:

Even with our strong performance, our 2024 results were below expectations due to higher-than-anticipated medical costs in our stop loss product within Cigna Healthcare. We are taking corrective actions on this near-term pressure and expect to recapture margins over the next two years.

In 2025, we are confident that we will deliver on our adjusted income from operations outlook of at least $29.50 per share and approximately $10 billion of operating cash flow, and our long-term average annual adjusted earnings per share growth target remains 10-14% growth fueled by differentiated capabilities across our diverse portfolio of business.

Seeking to Do Better

In the current environment, we recognize the need to accelerate change for individuals and make their experience of the health care system better. That is why we recently announced a multi-year set of commitments and several initial specific actions to improve the health of our customers and the value we provide. More information can be found on the inside cover of this report as well as online at TheCignaGroup.com.

To ensure we bring a clinical view to this work, our commitments will be governed by a new Office of Excellence and Transformation and overseen by our Executive Vice President and Chief Health Officer, Dr. David Brailer, a physician with decades of patient experience.

Making a Difference in Our Communities

In 2024 we launched a new multi-year philanthropic and community engagement initiative focused on partnering with nonprofit organizations with expertise in three essential areas: improving youth mental health, improving veteran mental health, with an emphasis on housing stability, and reducing barriers to health equity. As part of this engagement initiative, The Cigna Group Foundation will allocate more than $27 million in grants to nonprofit organizations over the next three years.

Annual Meeting of Shareholders

On behalf of The Cigna Group Board of Directors, we invite you to attend our 2025 Annual Meeting of Shareholders, to be held April 23, 2025. The attached Notice of 2025 Annual Meeting of Shareholders and Proxy Statement contains important information about the business to be conducted.

We look forward to continuing to serve our customers, patients, and clients and delivering attractive value creation and sustained growth in the years ahead. On behalf of our employees around the world and the entire Board of Directors, we thank you for your support and investment in The Cigna Group.

Sincerely,

/s/ David M. Cordani

/s/ Eric C. Wiseman

David M. Cordani

Eric C. Wiseman

Chairman and Chief Executive Officer (CEO)

Lead Independent Director

Notice of 2025 Annual Meeting of Shareholders

Meeting Details

Date

Wednesday,

April 23, 2025

Time

10:00 a.m. Eastern Time

Location

Virtual Meeting

Record Date

March 4, 2025

Items of Business

The Board of Directors has fixed March 4, 2025, as the record date for determining shareholders entitled to receive notice of, and to vote at, the Annual Meeting or any adjournment or postponement thereof. Only shareholders of record at the close of business on that date will be entitled to notice of, and to vote at, the Annual Meeting. This Notice of Annual Meeting and the accompanying Proxy Statement are being distributed or made available, as the case may be, on or about March 14, 2025.

Your vote is very important, regardless of the number of shares you own. We urge you to promptly vote by telephone, by using the internet, or, if you received a proxy card or instruction form, by completing, dating, signing, and returning it by mail.

By order of the Board of Directors,

/s/ Kari Knight Stevens

Kari Knight Stevens

Corporate Secretary

March 14, 2025

IMPORTANT NOTICE REGARDING THE AVAILABILITY OF PROXY MATERIALS FOR THE ANNUAL MEETING OF SHAREHOLDERS TO BE HELD ON APRIL 23, 2025.

The Notice of Annual Meeting, Proxy Statement, and Annual Report for the fiscal year ended December 31, 2024 are available at www.proxyvote.com.

Table of Contents

Proxy Statement Summary

1

Corporate Governance Matters

11

Election of Directors (Proposal 1)

12

Director Expectations and Qualifications

12

Areas of Expertise of Our Director Nominees

13

Nomination Process

13

Process for Director Elections

14

Tenure, Background and Experience of Our

15

Directors

Other Practices

16

Board of Directors' Nominees

16

Corporate Governance Policies and Practices

28

Key Governance Practices

28

Director Independence

29

Board Leadership Structure

29

Board Evaluations and Board Effectiveness

30

Responsibilities of the Board

32

Board Meetings and Committees

36

Codes of Ethics

40

Environmental, Social, and Governance

40

Human Capital Management

41

Community Programs

43

Lobbying Activity and Political Contributions

44

Certain Transactions

44

Non-Employee Director Compensation

45

Overview

45

Director Compensation Program

45

Director Compensation Table for 2024

47

Director Ownership

48

Compensation Matters

50

Advisory Approval of Executive Compensation

51

(Proposal 2)

Compensation Discussion and Analysis

52

Executive Summary

53

Processes and Procedures for Determining

57

Executive Compensation

Executive Compensation Policies and

58

Practices

Elements of Compensation

61

Employment Arrangements and Post-

74

Termination Payments

Compensation Policies and Governance

77

Practices

Report of the People Resources Committee

80

Executive Compensation Tables

81

2024 Summary Compensation Table

81

Grants of Plan-Based Awards in 2024

84

Outstanding Equity Awards at Year-End 2024

86

Option Exercises and Stock Vested in 2024

89

Pension Benefits for 2024

90

Nonqualified Deferred Compensation for

92

2024

Potential Payments upon Termination or

93

Change of Control

Audit Matters

102

Ratification of Appointment of Independent

102

Registered Public Accounting Firm (Proposal 3)

Report of the Audit Committee

104

Shareholder Proposals

105

Shareholder Proposal - Support Special

106

Shareholder Meeting Improvement

(Proposal 4)

Ownership of The Cigna Group Common

110

Stock

Stock Held by Directors, Nominees, and

110

Executive Officers

Stock Held by Certain Beneficial Owners

112

Annual Meeting Information

113

Annex A - Non-GAAP Financial Information

A-1

Proxy Statement Summary

Meeting Information

Date and Time

Wednesday, April 23, 2025 10:00 a.m. Eastern Time

Location

The Annual Meeting will be held in a virtual format only, at www.virtualshare holdermeeting.com/CI2025.

Record Date

March 4, 2025

Admission

To attend, vote, and submit questions during the Annual Meeting, visit www.virtualshareholdermeeting.com/ CI2025 and enter the 16-digit control number included in your notice of internet availability of proxy materials, voting instruction form, or proxy card.

Ways to Vote

Over the internet.

By telephone.

Vote at

Use the telephone

www.proxyvote.com

number shown on

in advance of the

your proxy card.

meeting.

By mail. If you received a proxy card, mark your voting instructions on the card and sign, date, and return it in the postage-paid envelope provided.

At the meeting. To vote during the Annual Meeting, visit www.virtualshareholdermeeting.com/CI2025 and enter the 16-digit control number included in your notice of internet availability of proxy materials or proxy card.

Voting Recommendation

Board

Items of Business

Recommendation

Page

1

Election of eleven director nominees named in this Proxy Statement for one-year terms to

FOR the election of each

12

expire at the next Annual Meeting of shareholders.

director nominee

FOR51

FOR102

AGAINST106

The Cigna Group | 2025 Notice of Annual Meeting of Shareholders and Proxy Statement

1

PROXY STATEMENT SUMMARY

2024 Performance and Accomplishments

Delivering in a Dynamic Environment

Thanks to the dedicated efforts of our approximately 70,000 colleagues around the world, The Cigna Group delivered the following financial results for fiscal year 2024:

To drive meaningful value for all our stakeholders, we announced the sale of our Medicare businesses to Health Care Service Corporation (HCSC). The transaction is expected to close in the first quarter of 2025, subject to receipt of applicable regulatory approvals and other customary closing conditions.

Continuing to Drive Our Growth Strategy

We innovated, partnered, expanded access to care, and delivered differentiated value to improve lives and advance our vision for the future of health care. We will continue to focus on driving value and supporting accountability and transparency while executing on our growth strategy to have an even greater positive impact.

PROXY STATEMENT SUMMARY

Advancing Better Health for All

We aim to transform the ecosystem of health into one that is well functioning, sustainable, accessible, and equitable. Our environmental, social, and governance approach is structured around four connected pillars- Healthy Society, Healthy Workforce, Healthy Environment, and Healthy Company-that underscore our mission to improve the health and vitality of those we serve. In 2024, we:

Throughout this Proxy Statement, we reference information available on our website. The information on our website is not, and shall not be deemed to be, part of this Proxy Statement or incorporated herein or into any of our other filings with the SEC.

*We encourage you to review our Annual Report on Form 10-K for the year ended December 31, 2024. Consolidated adjusted income from operations, per share is not determined in accordance with accounting principles generally accepted in the United States (GAAP) and should not be viewed as a substitute for the most directly comparable GAAP measure, shareholders' net income, per share. Additional information regarding our use of non-GAAP measures and reconciliations to the most directly comparable GAAP measure can be found on Annex A.

The Cigna Group | 2025 Notice of Annual Meeting of Shareholders and Proxy Statement

3

Disclaimer

The CIGNA Corporation published this content on March 14, 2025, and is solely responsible for the information contained therein. Distributed by Public, unedited and unaltered, on March 14, 2025 at 21:16:41.389.