SPECIAL DEFERRAL AGREEMENT
This Agreement is dated __________, 199_, and is between ________________, who resides at
___________________, _____, __________________ (referred to as "Executive") and CIGNA
Corporation, 1650 Market Street, Philadelphia, Pennsylvania, 19192, a Delaware corporation (referred to as
Executive and CIGNA, intending to be legally bound and in consideration of the promises in this Agreement,
mutually agree as follows:
1. (a) Executive agrees and acknowledges that, at the sole and absolute discretion of the People Resources
Committee of CIGNA's Board of Directors (the "Committee"), the Committee may direct that payment of all or
any part of Executive's compensation from CIGNA Corporation or any of its subsidiaries (the "Company"),
whether in cash or in shares of CIGNA stock, and whether in the form of salary, annual incentive awards, long
term incentive awards or any other payments, that:
(i) is not paid under a performance based plan as described in Section 162(m) of the Internal Revenue Code
(Section 162(m)); and
(ii) exceeds the limits, if any, on deductibility of compensation to the Executive under
Section 162(m) (the "162(m) limits");
be deferred until the earlier of the calendar year of Executive's termination of employment with the Company or
the calendar year in which payment of such compensation would be deductible under Section 162(m).
(b) Any compensation deferred under subparagraph 1(a) will be credited with interest until the date of payment.
The interest rate for any calendar year shall be equal to one hundred twenty percent (120%) of the applicable
federal long-term rate for the month of January of the calendar year for which the interest will be credited, with
compounding on a monthly basis.
(c) Any compensation deferred under subparagraph 1(a) and any related interest (collectively, the "Deferred
Amount") will be paid to the Executive in a single lump sum in the January following the date on which Executive's