The Cigna Group — Ethics Grade D+

The Cigna Group receives an overall ethics grade of D+ (32/100) on CancelCo's corporate accountability database. Sector: Health Insurance. Market cap: Large Cap.

Category scores

• labor: 45
• privacy: 45
• consumer: 8
• environment: 55
• humanRights: 35

Documented incidents (3)

• Auto-denial of claims without review (high, 2023) — ProPublica investigation revealed Cigna doctors rejected 300,000+ claims in 2 months using system that let them deny without opening patient files.
• Express Scripts PBM practices (high, 2023) — FTC investigation into Express Scripts steering patients to preferred pharmacies and inflating drug costs through spread pricing.
• Mental health parity violations (high, 2022) — Sued for systematically imposing stricter limits on mental health coverage than physical health coverage, violating federal parity law.

Documented good deeds

• Health equity initiatives — Invested $300M to reduce health disparities in underserved communities through Cigna Foundation.

Ethical alternatives

• Kaiser Permanente — Integrated non-profit model with doctors and insurance under one roof, reducing perverse incentives.