0001140361-23-010511 Sample Contracts

SUPPLEMENTAL INDENTURE NO. 6
Supplemental Indenture • March 7th, 2023 • Cigna Group • Hospital & medical service plans • New York

THIS SUPPLEMENTAL INDENTURE NO. 6, dated as of March 7, 2023 (this “Supplemental Indenture”), between THE CIGNA GROUP, a corporation duly organized and existing under the laws of the State of Delaware (the “Company”), and U.S. BANK TRUST COMPANY, NATIONAL ASSOCIATION, a national banking association duly organized and existing under the laws of the United States of America, as successor to U.S. Bank National Association, as trustee (the “Trustee”).

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700,000,000 5.685% Senior Notes due 2026 $800,000,000 5.400% Senior Notes due 2033 Underwriting Agreement
Underwriting Agreement • March 7th, 2023 • Cigna Group • Hospital & medical service plans • New York

The Cigna Group, a Delaware corporation (formerly Cigna Corporation) (the “Company”), confirms, subject to the terms and conditions stated herein, its agreement to issue and sell to the Underwriters named in Schedule I hereto (the “Underwriters”), for whom BofA Securities, Inc., Morgan Stanley & Co. LLC and U.S. Bancorp Investments, Inc. are acting as the representatives (the “Representatives”), the aggregate principal amounts of its 5.685% Senior Notes due 2026 (the “2026 Notes”) and its 5.400% Senior Notes due 2033 (the “2033 Notes” and, collectively with the 2026 Notes, the “Notes”) listed in Schedule I to be issued pursuant to the Indenture, dated as of September 17, 2018, between the Company and U.S. Bank Trust Company, National Association, as successor to U.S. Bank National Association, as trustee (the “Trustee”) (the “Base Indenture”), as supplemented by Supplemental Indenture No. 6 to the Base Indenture to be entered into between the Company and the Trustee (the “Supplemental

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