SEC Form 3
FORM 3UNITED 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*
Kautzner Adam

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

(Street)
BLOOMFIELD CONNECTICUT 06002

(City)(State)(Zip)

UNITED STATES

(Country)
2. Date of Event Requiring Statement (Month/Day/Year)
07/01/2026
3. Issuer Name and Ticker or Trading Symbol
Cigna Group [ CI ]
3a. Foreign Trading Symbol
5. If Amendment, Date of Original Filed (Month/Day/Year)
4. Relationship of Reporting Person(s) to Issuer
(Check all applicable)
Director10% Owner
XOfficer (give title below)Other (specify below)
See Remarks
6. Individual or Joint/Group Filing (Check Applicable Line)
XForm 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 Value13,532.51D
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 ExercisableExpiration DateTitleAmount or Number of Shares
Employee Stock Option (Right to Buy)02/27/2020(1)02/27/2029Common Stock, $.01 Par Value1,608$183.4405D
Employee Stock Option (Right to Buy)02/26/2021(2)02/26/2030Common Stock, $.01 Par Value1,579$192.02D
Employee Stock Option (Right to Buy)03/01/2022(3)02/24/2031Common Stock, $.01 Par Value2,008$213.8D
Employee Stock Option (Right to Buy)03/01/2023(4)02/23/2032Common Stock, $.01 Par Value1,778$227.02D
Employee Stock Option (Right to Buy)03/01/2024(5)02/22/2033Common Stock, $.01 Par Value3,764$294.61D
Employee Stock Option (Right to Buy)03/01/2025(6)02/28/2034Common Stock, $.01 Par Value5,955$336.475D
Employee Stock Option (Right to Buy)03/01/2026(7)02/28/2035Common Stock, $.01 Par Value8,708$305.855D
Employee Stock Option (Right to Buy)03/01/2027(8)02/27/2036Common Stock, $.01 Par Value5,628$287.5475D
Explanation of Responses:
1. This option vested in three equal annual installments beginning February 27, 2020.
2. This option vested in three equal annual installments beginning February 26, 2021.
3. This option vested in three equal annual installments beginning March 1, 2022.
4. This option vested in three equal annual installments beginning March 1, 2023.
5. This option vested in three equal annual installments beginning March 1, 2024.
6. This option vests in three equal annual installments beginning March 1, 2025.
7. This option vests in three equal annual installments beginning March 1, 2026.
8. This option vests in three equal annual installments beginning March 1, 2027.
Remarks:
Title - President, Evernorth Care Management & Express Scripts and EVP, Customer Personalization / EX-24 Power of Attorney
Tyler Gratton, attorney-in-fact07/09/2026
** Signature of Reporting PersonDate
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.
Persons who respond to the collection of information contained in this form are not required to respond unless the form displays a currently valid OMB Number.
* Form 3: SEC 1473 (03-26)