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Cigna Layoffs April 2024 Toby Aeriell . Cigna Preferred Select Medicare (HMO) offered by Cigna Healthcare ANNUAL NOTICE OF CHANGES FOR 2025 You are currently enrolled as a member of Cigna Preferred Select Medicare (HMO) After many months of contract renewal meetings with Cigna, beginning June, 2024, we unfortunately, have not been able to reach a resolution