## Remaining Operations 

Our remaining operations – including operations in run off – reported a combined adjusted loss from operations* of $175 million in 2012. Our early-2013 agreement with Berkshire Hathaway to effectively exit our run off reinsurance businesses creates improved financial flexibility, eliminates volatility and enables us to better focus on our ongoing health and related businesses. 

## Continued Success in a Dynamic Global Business Environment 

As we look forward, and assess the transforming economic and regulatory environment, we see good opportunities for continued innovation and growth. Demographic shifts and economic pressures are creating a search for solutions – especially in the health care sector, where the need to improve health quality and provide affordable care is prompting a number of legislative and regulatory activities – including in the U.S., where health care reform is well underway. We are well prepared to continue our success by going deep in our existing markets and selectively expanding our operations. 

As we’ve already seen, the organizations that excel will be those best equipped to act strategically, nimbly and with laser focus. Our agility in this environment, in large part, comes from the degree to which we have successfully distinguished ourselves as a global health service company, set apart from traditional health insurance companies. 

This transformation began several years ago as we pioneered the health service model and determined that our relationships with customers must go deeper than paying claims. Our thousands of nurses, health coaches, case managers, health educators and other allied health professionals form the backbone of a health service approach that promotes prevention, helps customers stay well, and understands how to help each customer on a one-to-one basis – a capability we’ve bolstered significantly through our acquisition of HealthSpring, which provides us with a best-in-class physician engagement model that complements our path to build collaborative provider relationships. 

Our success also comes from the ability to apply the breadth of our expertise across a diverse global portfolio of businesses. By orienting ourselves around customer segments and solutions, rather than geographies, we can take advantage of our distribution and service delivery capabilities, more effectively execute our strategy, and capitalize on market opportunities for the benefit of our customers and clients. For example, we can now better serve our global employers and better serve our individual customers both internationally and in the growing seniors segment in the United States. In one specific example, we learned from our U.S. dental operation how to create a dental product that has become one of the fastest-growing products in South Korea, to the direct benefit of our customers in that country. 

## Cigna’s Critical Differentiators 

Cigna has the scale, experience and talent to continue being successful in developed, developing and emerging markets as we leverage three critical differentiators. 

The first is putting our customers at the center of everything we do , aided by deep analytical insights that allow us to better understand their needs. Customer-supporting technologies are a major part of the integrated, tailored programs we bring to our customers to empower them to make more informed health care decisions. More than “apps for the sake of apps” or technology for the sake of technology, these programs are at the forefront of the support we bring, and are serious investments to keep our customers healthy, which ultimately saves on medical costs. 

For example, in 2012, we enhanced myCigna.com  to provide pricing and quality information on doctors and hospitals for more than 200 medical procedures – representing 80 percent of customer claims – based on the customer’s health plan and available health account funds. We also recently introduced four healthy living mobile phone applications designed to help our customers eat right, exercise, get enough sleep and manage stress. 

