Cigna Health Insurance-Page 2

Management, Inc., and HMO or service company subsidiaries of Cigna Health Corporation and Cigna Dental Health, Inc. The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ATTENTION: If you speak languages other than English, language assistance services, free of charge are available to you.

Then select “Find a Cigna Vision Network Eye Care Professional” to search the Cigna Vision Directory. 2. Don’t have access to myCigna.com? Go to Cigna.com, top of the page select “Find A Doctor, Dentist or Facility”, click Cigna Vision Directory, under Additional Directories. 3.

ment Group, Inc. Cigna Healthcare Holdings, Inc. (CO) Benefit Management Corp. (MT) Cigna Healthcare, Inc. (VT) Great-West Healthcare of Illinois, Inc. (IL) Cigna Holdings, Inc. (DE) [Current Cigna Corporation - name TBD Post -Closing] Vielife Services Inc. (DE) HealthSpring Inc. (DE) Cigna

Cigna Dental Care (DHMO) Cigna Dental PPO-Mid Cigna Dental PPO-High EE Only 161.28 397.92 617.76 EE Spouse 322.44 795.24 1,235.40 EE Child(ren) 403.08 994.08 1,544.16 EE Family 483.60 1,191.84 1,849.68 Costs are subject to change. Plan Details* Cigna Dental Care (DHMO) (Patient Charge Schedule)

The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. ATTENTION: If you speak languages other than English, language assistance services, free of charge are available to you. For current Cigna customers, call the number on the back of your ID card. Otherwise, call 1.800.244.6224 (TTY: Dial 711).

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Cigna Cigna-HealthSpring Rx Secure-Extra S5617 250 Cigna Cigna-HealthSpring Rx Secure-Essential S5617 284 Clear Spring Health Clear Spring Health Value Rx S6946 002 Clear Spring Health Clear Spring Health Premier Rx S6946 031 Envision Insurance EnvisionRxSecure

Why choose a Cigna HealthguardSM plan 4 Put your health in the right hands 5 We have you covered 5 How our plans work 6 How to customise your Cigna HealthguardSM plan 7 Healthy Connect 8 Our Global Health Assist Programme 9 How Co-Pay on outpatient visits works 10 Area of coverage guide for Regional plan 11 Cigna HealthguardSM plan benefits 12

Form Series for Cigna Health and Life Insurance Company: Exclusive Provider: FL: FLINDEPO062021 The policy/service agreement may be canceled by Cigna due to failure to pay premium, fraud, ineligibility, when the insured no longer lives in the service area, or when Cigna ceases to offer policies/service agreements

Cigna Dental Health of Texas, Inc. 1640 Dallas Parkway Plano, Texas 75093 Consent Order TDI Enforcement File No. 19802 General remarks and official action taken: This is a consent order with Cigna Dental Health of Texas, Inc. (Cigna Dental). TDI conducted a triennial quality of care examination and found multiple violations, including

Cigna Health and Life Insurance Company ("Cigna") Home Office: 900 Cottage Grove Road, Bloomfield, CT 06002 Cigna Dental Vision Hearing 2000 Plan THIS IS A LIMITED BENEFIT DENTAL, VISION, AND HEARING EXPENSE POLICY. PLEASE READ IT CAREFULLY. If You Wish To Cancel Or If You Have Questions

Cigna Health and Life Insurance Company ("Cigna") Home Office: 900 Cottage Grove Road Bloomfield, CT 06002 . Cigna Dental Vision Hearing 3500 Plan . THIS IS A LIMITED BENEFIT DENTAL, VISION, AND HEARING EXPENSE POLICY. PLEASE READ IT CAREFULLY. If You Wish To Cancel Or If You Have Questions