CIGNA IN PERSPECTIVE Global Health Care  Global Supplemental Benefits Global Health Care includes a  Commercial line of business  encompassing U.S. and International operations. Commercial offers a broad line of insured and self-insured medical, dental, behavioral health, vision, and prescription  drug benefit plans, health advocacy programs and other products and services that may be integrated to provide  comprehensive global health care benefit programs to employers and their employees, including globally mobile  individuals. Cigna serves its globally mobile customers virtually everywhere in the world.  Global Health Care also includes a  Government line of business  that offers Medicare Advantage, Medicare Part D and Medicaid plans sold to Medicare or Medicaid-eligible individuals, primarily seniors. Approximately 75  percent of our Medicare Advantage customers are served by physicians in innovative models designed to improve  health outcomes and lower medical costs. Cigna offers Medicare Advantage plans in 13 states and the District  of Columbia, Medicare Part D plans in all 50 states and the District of Columbia, and Medicaid plans in targeted  markets, including the business associated with the 2012 acquisition of HealthSpring.  Global Supplemental Benefits offers supplemental health, life and accident insurance products in the U.S. and selected  international markets. With local licenses and partnerships across Asia-Pacific, Europe and North America, Cigna  offers products and services to local citizens and globally mobile individuals. Global Supplemental Benefits also  includes Medicare supplemental coverage following the 2012 acquisition of Great American Supplemental Benefits. 14 Cigna is a global health service organization that provides medical, dental, disability, life and  accident insurance and related products and services  to customers in the United States and  around the globe. In 2012, Cigna realigned its businesses according to the nature of the Company’s  products and services, rather than its geographies, to better leverage distribution and service  capabilities for the benefit of customers worldwide. As of December 31, 2012, Cigna’s business  segment results reflect the Company’s realignment. 