SEC Form 4
FORM 4 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP

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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Check this box if no longer subject to Section 16. Form 4 or Form 5 obligations may continue. See Instruction 1(b).
1. Name and Address of Reporting Person*
Miller Steven B

(Last) (First) (Middle)
900 COTTAGE GROVE ROAD

(Street)
BLOOMFIELD CT 06002

(City) (State) (Zip)
2. Issuer Name and Ticker or Trading Symbol
Cigna Corp [ CI ]
5. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
EVP, Chief Clinical Officer
3. Date of Earliest Transaction (Month/Day/Year)
02/27/2019
4. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
1. Title of Security (Instr. 3) 2. Transaction Date (Month/Day/Year) 2A. Deemed Execution Date, if any (Month/Day/Year) 3. Transaction Code (Instr. 8) 4. Securities Acquired (A) or Disposed Of (D) (Instr. 3, 4 and 5) 5. Amount of Securities Beneficially Owned Following Reported Transaction(s) (Instr. 3 and 4) 6. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 7. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V Amount (A) or (D) Price
Common Stock, $.01 Par Value 02/27/2019 M 12,566 A $110.4749 32,877 D
Common Stock, $.01 Par Value 02/27/2019 A 1,500(1) A $0.0000 34,377 D
Common Stock, $.01 Par Value 02/27/2019 M 1,116 A $110.4749 35,493 D
Common Stock, $.01 Par Value 02/27/2019 F 812(2) D $180.72 34,681 D
Common Stock, $.01 Par Value 02/27/2019 F 9,135(2) D $180.72 25,546 D
Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 3) 2. Conversion or Exercise Price of Derivative Security 3. Transaction Date (Month/Day/Year) 3A. Deemed Execution Date, if any (Month/Day/Year) 4. Transaction Code (Instr. 8) 5. Number of Derivative Securities Acquired (A) or Disposed of (D) (Instr. 3, 4 and 5) 6. Date Exercisable and Expiration Date (Month/Day/Year) 7. Title and Amount of Securities Underlying Derivative Security (Instr. 3 and 4) 8. Price of Derivative Security (Instr. 5) 9. Number of derivative Securities Beneficially Owned Following Reported Transaction(s) (Instr. 4) 10. Ownership Form: Direct (D) or Indirect (I) (Instr. 4) 11. Nature of Indirect Beneficial Ownership (Instr. 4)
Code V (A) (D) Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) $110.4749 02/27/2019 M(3) 12,566 (4) 02/27/2019 Common Stock, $.01 Par Value 12,566 $0.0000 0.0000 D
Employee Stock Option (Right to Buy) $183.4405 02/27/2019 A 5,179 02/27/2020(5) 02/27/2029 Common Stock, $.01 Par Value 5,179 $0.0000 5,179 D
Employee Stock Option (Right to Buy) $110.4749 02/27/2019 M(3) 1,116 02/28/2014(6) 02/27/2019 Common Stock, $.01 Par Value 1,116 $0.0000 0.0000 D
Explanation of Responses:
1. These restricted shares vest in three equal annual installments beginning February 27, 2020.
2. Represents shares tendered to Company to cover payment of exercise price and tax liability due upon exercise of stock option.
3. Represents options that were automatically exercised immediately prior to their expiration.
4. Stock option previously awarded pursuant to Express Scripts, Inc. 2011 Long-Term Incentive Plan. Options vested in three equal annual installments on February 28, 2013, February 28, 2014, and February 28, 2015.
5. This option vests in three equal annual installments beginning February 27, 2020.
6. Stock option previously awarded pursuant to Express Scripts, Inc. 2011 Long-Term Incentive Plan.
By: Jill M. Stadelman, attorney-in-fact 03/01/2019
** 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).
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