0000950159-19-000178 Sample Contracts

CIGNA CORPORATION REGISTRATION RIGHTS AGREEMENT
Registration Rights Agreement • October 11th, 2019 • Cigna Corp • Hospital & medical service plans • New York

This REGISTRATION RIGHTS AGREEMENT, dated October 11, 2019 (this “Agreement”), is entered into by and among Cigna Corporation, a Delaware corporation (“Cigna”), Cigna Holding Company, a Delaware Corporation (“Cigna Holding”), Express Scripts Holding Company, a Delaware corporation (“Express Scripts”, and together with Express Scripts, the “Guarantors”), and J.P. Morgan Securities LLC, Deutsche Bank Securities Inc. and Wells Fargo Securities, LLC as dealer managers hereunder (collectively, the “Dealer Managers”).

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SUPPLEMENTAL INDENTURE NO. 2
Supplemental Indenture • October 11th, 2019 • Cigna Corp • Hospital & medical service plans • New York

THIS SUPPLEMENTAL INDENTURE NO. 2, dated as of October 11, 2019 (this “Supplemental Indenture No. 2”), among CIGNA HOLDING COMPANY, a corporation organized and existing under the laws of the State of Delaware (the “Company”), CIGNA CORPORATION, a corporation organized and existing under the laws of the State of Delaware, and the Company’s parent company (“Cigna”) and HSBC BANK USA, National Association (as successor to Marine Midland Bank, N.A.), as trustee (the “Trustee”).

SUPPLEMENTAL INDENTURE NO. 3
Supplemental Indenture • October 11th, 2019 • Cigna Corp • Hospital & medical service plans • New York

THIS SUPPLEMENTAL INDENTURE No. 3, dated as of October 11, 2019 (this “Supplemental Indenture”), among CIGNA CORPORATION, a corporation duly organized and existing under the laws of the State of Delaware (the “Company”), Cigna Holding Company, a corporation duly organized and existing under the laws of the State of Delaware (“Cigna”), Express Scripts Holding Company, a corporation duly organized and existing under the laws of the State of Delaware (“Express Scripts” and, together with Cigna, the “Guarantors”) and U.S. BANK NATIONAL ASSOCIATION, a national banking association duly organized and existing under the laws of the United States of America, as trustee and collateral agent (the “Trustee”).

TWENTY-SIXTH SUPPLEMENTAL INDENTURE
Supplemental Indenture • October 11th, 2019 • Cigna Corp • Hospital & medical service plans • New York

THIS TWENTY-SIXTH SUPPLEMENTAL INDENTURE, dated as of October 11, 2019 (this “Twenty-Sixth Supplemental Indenture”), among EXPRESS SCRIPTS HOLDING COMPANY, a corporation organized and existing under the laws of the State of Delaware (the “Company”), CIGNA CORPORATION, a corporation organized and existing under the laws of the State of Delaware, and the Company’s parent Company (“Cigna”), and WELLS FARGO BANK, NATIONAL ASSOCIATION, a national banking association, as trustee (the “Trustee”).

SUPPLEMENTAL INDENTURE NO. 12
Supplemental Indenture • October 11th, 2019 • Cigna Corp • Hospital & medical service plans • New York

THIS SUPPLEMENTAL INDENTURE NO. 12, dated as of October 11, 2019 (this “Supplemental Indenture No. 12”), among CIGNA HOLDING COMPANY, a corporation organized and existing under the laws of the State of Delaware (the “Company”), CIGNA CORPORATION, a corporation organized and existing under the laws of the State of Delaware, and the Company’s parent company (“Cigna”) and U.S. BANK NATIONAL ASSOCIATION, a national banking association duly organized and existing under the laws of the United States of America, as trustee (the “Trustee”).

SEVENTH SUPPLEMENTAL INDENTURE
Seventh Supplemental Indenture • October 11th, 2019 • Cigna Corp • Hospital & medical service plans • New York

THIS SEVENTH SUPPLEMENTAL INDENTURE, dated as of October 11, 2019 (this “Seventh Supplemental Indenture”), among MEDCO HEALTH SOLUTIONS, INC., a corporation organized and existing under the laws of the State of Delaware (the “Company”), CIGNA CORPORATION, a corporation organized and existing under the laws of the State of Delaware, and the Company’s parent company (“Cigna”), and U.S. BANK TRUST NATIONAL ASSOCIATION, a national banking association, as trustee (the “Trustee”).

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