Cigna has made some changes to plan benefits that you will start to see communication about in your upcoming plan renewal. The following are changes that you should be aware of effective at renewals on 7/1/12 and beyond:

· Travel Immunizations will be a defined exclusion

· Medical treatment for erectile dysfunction will be a defined exclusion. This change is not tied to the Pharmacy benefit, prescription drugs previously covered under the pharmacy benefits for the treatment of erectile dysfunction will continue to be covered.

· Massage Therapy will be a defined exclusion.

· Orthotics will be a defined exclusion.

Notification of the above July 1, 2012 adjustments will be sent to all Cigna clients with upcoming renewals in four waves beginning March 30th of 2012. The first wave of client communication will include 7/1, 8/1, and 9/1 effective dates. You can view a copy of that communication here for your reference.

In addition to the direct client communication, you can view a copy of the notice which will be included in your renewal package prior to the change here. This notice includes FACETS benefit alignments applied in your group's renewal as well as those being applied in the your upcoming renewal.

Also effective for renewing partially self-funded customers 7/1/12 forward:

·Coverage for dependent grandchildren will be excluded (previously covered for the natural child of a minor dependent).

·Non Network Reimbursement: Average Contracted Rate (ACR) to industry standard of Medicare-based Maximum Reimbursable Charge (MRC). View that communication here.