COLORADO Questions? Call us: 855.939.1251 Compare our plans online: Cigna.com/COplans 2022 Important Plan Disclosures Medical plan rates vary based on plan design, age, family size, geographic location (residential zip code) and tobacco use. Rates for new medical policies/service agreements with a start date on or after 01/01/2022 are guaranteed through 12/31/2022. Thereafter, medical rates are subject to change on 75 days’ prior notice. Insurance policies/service agreements have exclusions, limitations, reduction of benefits and terms under which the policies/service agreements may be continued in force or discontinued. Medical applications are accepted during the annual Open Enrollment Period or within 60 calendar days of a qualifying life event. Benefits are provided only for those services that are medically necessary as defined in the policy/service agreement and for which the insured person has benefits. Form Series for Cigna Health and Life Insurance Company: Exclusive Provider: CO: COINDEPO052021 The policy/service agreement may be canceled by Cigna due to failure to pay premium, fraud, ineligibility, when the insured no longer lives in the service area, or when Cigna ceases to offer policies/service agreements of this type or ceases to offer any plans in the individual market in the state, in accordance with applicable law. You may cancel the policy/service agreement on the first of the month following our receipt of your written notice. We reserve the right to modify the policy/service agreement, including plan provisions, benefits and coverages, consistent with state or federal law. Policies/service agreements renew on a calendar-year basis. Cigna does not intentionally discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of the plan, including enrollment and benefit determinations. For costs, and additional details about coverage, contact Cigna at 900 Cottage Grove Road, Hartford, CT 06152 or call 866.GET. CIGNA (866.438.2446) . No-cost language services are available. You can have an interpreter. You can get documents read to you and some sent to you in your language. For help, call us at 866.494.2111 . Servicios de idiomas sin costo. Puede obtener un intérprete. Le pueden leer documentos y que le envíen algunos en español. Para obtener ayuda, llámenos al 866.494.2111 . ACCESS PLAN If you would like more information on: (1) who participates in our provider network; (2) how we ensure that the network meets the health care needs of our members; (3) how our provider referral process works; (4) how care is continued if providers leave our network; (5) what steps we take to ensure medical quality and customer satisfaction; (6) where you can go for information on other plan services and features; you may request a copy of our Access Plan. The Access Plan is designed to disclose all the plan information required under Colorado law, and can be obtained by calling Customer Service or visiting Cigna.com . All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of Illinois, Inc., and Cigna HealthCare of North Carolina, Inc. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 941305 11/21 © 2021 Cigna. Some content provided under license.

Colorado - Page 7 Colorado Page 6