Cigna 2015 Annual Report Download - page 39

PART I
ITEM 1. Business
Our primary competitors in our U.S.-based health care businesses health advocacy, customer insight and physician engagement
include: capabilities, along with decision support tools (some of which are
web-based) and enabling technology are critical to success in the
Other national insurance and health services companies that health care industry, and we believe our capabilities in these areas will
provide group health and life insurance products; be competitive differentiators.
Not for profit managed care organizations; The health insurance marketplace will continue to be shaped by
Health Care Reform and changes in Health Care Reform are
Other regional stand-alone managed care and specialty companies;
continuing to occur, including a proposed definition of ‘‘small
Managed care organizations affiliated with major insurance employer’’ that was to automatically increase to apply to employers
companies and hospitals; and with up to 100 employees in 2016. This would have subjected Cigna’s
insured group health insurance plans to PPACA requirements that are
National managed pharmacy, behavioral health and utilization
unique to the small employer and individual market. However
review services companies.
legislation repealing this change was enacted late in 2015. In 2017,
Our primary competitors in the international health care business states have the ability to include larger employer groups
include U.S. and other health insurance companies with global health (i.e. employers with more than 50 employees) in their small employer
benefits operations. health exchanges. If that occurs, all group insurance policies issued in
the state will be subject to small employer requirements such as
In addition to our traditional competitors, new competitors are
community-rating. Late in 2015, legislation was enacted that delays
emerging. Some of these newer competitors, such as hospitals and
implementation from 2018 to 2020 of the excise tax on high cost
companies that offer web-based tools for employers and employees,
employer-sponsored health coverage (commonly referred to as the
are focused on delivering employee benefits and services through
‘‘Cadillac Tax’’). State law changes that are inconsistent with federal
internet-enabled technology that allows consumers to take a more
law changes add additional uncertainty. See the ‘‘Regulation’’ section
active role in the management of their health. This can be
of this Form 10-K for additional information regarding Health Care
accomplished through financial incentives, access to enhanced quality
Reform.
medical data and other information sharing. The effective use of our
Global Supplemental Benefits
Leveraging deep consumer insights to drive product innovation
Targeting the growing middle class and seniors populations globally
Leading innovative, direct to consumer distribution capabilities (over 150 affinity partners)
Easy to understand, affordable products designed to fill gaps in either private or public coverage
Locally licensed and managed by strong, locally developed talent
Hospitalization Asia: South Korea, China, Taiwan, Telemarketing
Dental Indonesia and India Home Shopping & Direct
Medicare Supplement Europe: UK and Turkey Response Television
Critical Illness United States: Medigap-style plans Independent agents
Personal Accident for retirees Bancassurance
Term or Variable Universal Life Internet
We continue to distinguish ourselves in the global supplemental product and health solutions is attractive. Over the past several years,
health, life and accident businesses through our differentiated we have continued to extend our product offerings and geographic
direct-to-consumer distribution, customer insights and marketing reach. For example, in 2014, we began offering products in India
capabilities. We enter new markets when the opportunity to bring our through our joint venture with TTK Group.
CIGNA CORPORATION - 2015 Form 10-K 9
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How We Win
Key Geographies and
Products and Services Growth Markets Distribution Channels