SEC FORM 3 SEC Form 3
FORM 3 UNITED STATES SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

INITIAL STATEMENT OF BENEFICIAL OWNERSHIP OF SECURITIES

Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934
or Section 30(h) of the Investment Company Act of 1940
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1. Name and Address of Reporting Person*
Kates Jamie G

(Last) (First) (Middle)
900 COTTAGE GROVE ROAD

(Street)
BLOOMFIELD CT 06002

(City) (State) (Zip)
2. Date of Event Requiring Statement (Month/Day/Year)
07/01/2024
3. Issuer Name and Ticker or Trading Symbol
Cigna Group [ CI ]
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director 10% Owner
X Officer (give title below) Other (specify below)
Chief Accounting Officer
5. If Amendment, Date of Original Filed (Month/Day/Year)
6. Individual or Joint/Group Filing (Check Applicable Line)
X Form filed by One Reporting Person
Form filed by More than One Reporting Person
Table I - Non-Derivative Securities Beneficially Owned
1. Title of Security (Instr. 4) 2. Amount of Securities Beneficially Owned (Instr. 4) 3. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 4. Nature of Indirect Beneficial Ownership (Instr. 5)
Common Stock, $.01 Par Value 1,216 D
Table II - Derivative Securities Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
1. Title of Derivative Security (Instr. 4) 2. Date Exercisable and Expiration Date (Month/Day/Year) 3. Title and Amount of Securities Underlying Derivative Security (Instr. 4) 4. Conversion or Exercise Price of Derivative Security 5. Ownership Form: Direct (D) or Indirect (I) (Instr. 5) 6. Nature of Indirect Beneficial Ownership (Instr. 5)
Date Exercisable Expiration Date Title Amount or Number of Shares
Employee Stock Option (Right to Buy) 02/28/2019(1) 03/07/2028 Common Stock, $.01 Par Value 899 $152.8947 D
Employee Stock Option (Right to Buy) 02/27/2020(1) 02/27/2029 Common Stock, $.01 Par Value 471 $183.4405 D
Employee Stock Option (Right to Buy) 02/26/2021(1) 02/26/2030 Common Stock, $.01 Par Value 644 $192.02 D
Employee Stock Option (Right to Buy) 03/01/2022(1) 02/24/2031 Common Stock, $.01 Par Value 614 $213.8 D
Employee Stock Option (Right to Buy) 03/01/2023(2) 02/23/2032 Common Stock, $.01 Par Value 704 $227.02 D
Employee Stock Option (Right to Buy) 03/01/2024(3) 02/22/2033 Common Stock, $.01 Par Value 518 $294.61 D
Employee Stock Option (Right to Buy) 03/01/2025(4) 02/28/2034 Common Stock, $.01 Par Value 447 $336.475 D
Explanation of Responses:
1. This option is fully vested.
2. This option was granted on February 23, 2022 and vests in three equal annual installments. The first two installments became exercisable on March 1, 2023 and March 1, 2024, and the last installment becomes exercisable on March 1, 2025.
3. This option was granted on February 22, 2023, and vests in three equal annual installments. The first installment became exercisable on March 1, 2024, and the next two installments become exercisable on March 1, 2025 and March 1, 2026.
4. This option vests in three equal annual installments beginning March 1, 2025.
Remarks:
Exhibit List: Ex-24 Power of Attorney poakates.txt
Matthew Arnold, attorney-in-fact 07/10/2024
** Signature of Reporting Person Date
Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see Instruction 5 (b)(v).
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
Note: File three copies of this Form, one of which must be manually signed. If space is insufficient, see Instruction 6 for procedure.
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