TABLE OF CONTENTS EXECUTIVE SUMMARY OF CIGNA’S ADMINISTRATION OF MEDICAL BENEFIT PLAN EXECUTIVE SUMMARY OF DELTA DENTAL’S ADMINISTRATION OF MEDICAL BENEFIT PLAN EXECUTIVE SUMMARY OF MEDIMPACT’S ADMINISTRATION OF PRESCRIPTION BENEFIT PLAN 2 Comprehensive Claim Administration Audit EXECUTIVE SUMMARY State of Montana Medical Plans Administered by Cigna Audit Period: January 1, 2014 through December 31, 2015 Presented to State of Montana July 13, 2016 Presented by Known in Montana as CTI Claim Audit Technologies Corp. TABLE OF CONTENTS Page INTRODUCTION ..................................................................................................................................... 1 OBJECTIVES AND SCOPE OF COMPREHENSIVE AUDIT.......................................................................... 1 KEY FINDINGS ........................................................................................................................................ 3 RECOMMENDATIONS ........................................................................................................................... 9 EXHIBITS .............................................................................................................................................. 13 A. Performance Measurements B. Key Performance Indicators and Definitions C. Cigna’s Response to Draft Report i