Form 3 Cigna Corp For: Dec 20 Filed by: ZOLLARS WILLIAM D
| FORM 3 |
UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934 or Section 30(h) of the Investment Company Act of 1940 |
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1. Name and Address of Reporting Person
*
(Street)
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2. Date of Event Requiring Statement
(Month/Day/Year) 12/20/2018 |
3. Issuer Name
and
Ticker or Trading Symbol
Cigna Corp [ CI ] |
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4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
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5. If Amendment, Date of Original Filed
(Month/Day/Year) |
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6. Individual or Joint/Group Filing (Check
Applicable Line)
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| Table I - Non-Derivative Securities Beneficially Owned | |||
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| 1. Title of Security (Instr. 4) | 2. Amount of Securities Beneficially Owned (Instr. 4) | 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 4. Nature of Indirect Beneficial Ownership (Instr. 5) |
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Table II - Derivative Securities Beneficially Owned (e.g., puts, calls, warrants, options, convertible securities) | |||||||
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| 1. Title of Derivative Security (Instr. 4) | 2. Date Exercisable and Expiration Date (Month/Day/Year) | 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) | 4. Conversion or Exercise Price of Derivative Security | 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) | 6. Nature of Indirect Beneficial Ownership (Instr. 5) | ||
| Date Exercisable | Expiration Date | Title | Amount or Number of Shares | ||||
| Explanation of Responses: |
| Remarks: |
| Exhibit 24 Power of Attorney filed herewith. |
| /s/ Jill M. Stadelman, attorney-in-fact | 12/26/2018 | |
| ** Signature of Reporting Person | Date | |
| Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly. | ||
| * If the form is filed by more than one reporting person, see Instruction 4 (b)(v). | ||
| ** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a). | ||
| Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure. | ||
| Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number. | ||
POWER OF ATTORNEY
KNOW ALL PERSONS BY THESE PRESENTS, that the undersigned, a Director of Cigna Corporation, a Delaware corporation (“Cigna”),
hereby makes, designates, constitutes and appoints NICOLE S. JONES, NEIL BOYDEN TANNER, AMY COOK, JILL STADELMAN, and MARGUERITE GEIGER each acting individually, as the undersigned's true and lawful attorneys-in-fact and agents, with full power and
authority to act in the undersigned’s capacity as a director of Cigna for and in the name, place and stead of the undersigned to execute and deliver:
(A) in connection with the filing with the Securities
and Exchange Commission pursuant to the Securities Act of 1933 or the Securities Exchange Act of 1934, both as amended, of:
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(i)
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Forms 3, 4, and 5 in accordance with Section 16(a) of the Securities Exchange Act of 1934, Forms 144 in accordance with Rule 144
promulgated under the Securities Act of 1933 and any and all other documents related thereto (including, but not limited to, Seller’s Representation Letters) and to take further action as they, or any of them, deem appropriate in connection
with the foregoing.
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Such attorneys-in-fact and agents, or any of them, are also hereby granted full power and authority, on behalf of and in
the name, place and stead of the undersigned, to execute and deliver any and all such other documents, and to take further action as they, or any of them, deem appropriate in connection with the foregoing. The powers and authorities granted herein
to such attorneys-in-fact and agents, and each of them, also include the full right, power and authority to effect necessary or appropriate substitutions or revocations.
The undersigned hereby ratifies, confirms, and adopts, as his or her own act and deed, all action lawfully taken by such
attorneys-in-fact and agents, or any of them, or by their respective substitutes, pursuant to the powers and authorities herein granted. This Power of Attorney with respect to Forms 3, 4, 5 and 144 shall remain in full force and effect until:, the
undersigned no longer has responsibilities relating to Section 16 of the Securities Exchange Act of 1934 or Rule 144 promulgated under the Securities Act of 1933 with respect to the undersigned’s beneficial ownership of securities of Cigna, unless
earlier revoked by the undersigned in a signed writing to each such attorney in fact.
IN WITNESS WHEREOF, the undersigned has executed this document as of the 25th day of November, 2018.
/s/ William D. Zollars
Signature
William D. Zollars
Print Name