SEC Form 4 · accession 0001225208-19-004237
Cigna Group · CI
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Hoeltzel Mary T Agoglia
Officer — SVP Tax & Chief Acct. Officer
Period of report
Feb 27, 2019
Accepted (ET)
Mar 1, 2019 · 8:21 pm EST
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001739940
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock, $.01 Par ValueF1 | Feb 27, 2019 | A | 682 | $0.00 | A | 4,317 | D | |
| Common Stock, $.01 Par ValueF2 | holding | — | — | — | 485 | I | By 401(k) |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Employee Stock Option (Right to Buy)F3 | $183.4405 | Feb 27, 2019 | A | 2,354 | A | Feb 27, 2020 | Feb 27, 2029 | Common Stock, $.01 Par Value | 2,354 | 2,354 | D |
Explanation of responses
- F1These restricted shares vest in three equal annual installments beginning February 27, 2020.
- F2Represents shares acquired through ongoing participation in Cigna's 401(k) Plan.
- F3This option vests in three equal annual installments beginning February 27, 2020.