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75-585: The company ranked #15 in the 2023 Fortune 500 list of the largest U.S. corporations by total revenue and in the 2023 Forbes Global 2000 ranking the company took 68th place. Cigna was formed by the 1982 merger of the Connecticut General Life Insurance Company (CG) and INA Corporation (the parent corporation of Insurance Company of North America , the first stock insurance company in America). The company name, Cigna,

150-541: A long siege and as part of the terms of surrender its Protestant citizens were given two years to settle their affairs before quitting the city. Most went to the United Provinces in the north, starting the Dutch Golden Age . Antwerp's banking was controlled for a generation by Genoa , and Amsterdam became the new trading centre. The recognition of the independence of the United Provinces by

225-418: A 65% chance of surviving at least six months. In response to much protest and public scrutiny, Cigna reversed its decision, though Ms. Sarkisyan died awaiting the transplant. Even though liver transplants have been performed since 1963 and are a well-accepted treatment option for end-stage liver disease and acute liver failure, Cigna defended its actions by claiming that there was insufficient data to show that

300-551: A Gallo-Roman vicus . Excavations carried out in the oldest section near the Scheldt in 1952–1961 (ref. Princeton), produced pottery shards and fragments of glass from mid-2nd century to the end of the 3rd century. In the 4th century, Antwerp was first named, having been settled by the Germanic Franks . The Merovingian Antwerp was evangelized by Saint Amand in the 7th century. Het Steen Castle has its origins in

375-528: A Gamma + (third level/top tier) Global City . Both economically and culturally, Antwerp is and has long been an important city in the Low Countries , especially before and during the Spanish Fury (1576) and throughout and after the subsequent Dutch Revolt . The Bourse at Antwerp , originally built in 1531 and re-built in 1872, was the world's first purpose-built commodity exchange . In 1920,

450-622: A cultural centre, has been built in Antwerp (Wilrijk). Ramesh Mehta, a Jain, is a member of the Belgian Council of Religious Leaders, put up on 17 December 2009. There are significant Armenian communities that reside in Antwerp, many of whom are descendants of traders who settled during the 19th century. Most Armenian Belgians are adherents of the Armenian Apostolic Church , while a smaller number are adherents of

525-513: A deal to buy Cigna on July 24, 2015. On July 21, 2016, the US Justice Department filed an antitrust suit to block the proposed merger, and a District Court ruling on February 8, 2017, blocked the merger on anticompetitive grounds. That month, Cigna Corp. called off its $ 48 billion merger agreement with Anthem Inc. , with Anthem stating it would "continue to enforce its rights under the merger agreement and remains committed to closing

600-515: A deal totalling $ 60 billion. In December 2023, The Wall Street Journal reported that merger talks ended. In November 2011, Cigna and TTK Group , an Indian business conglomerate focused on healthcare, formed a joint venture called Cigna TTK to develop a health insurance business in India subject to obtaining government approvals. Fortune 500 The Fortune 500 is an annual list compiled and published by Fortune magazine that ranks 500 of

675-664: A diverse range of parks and recreational areas for locals and tourists to explore. One of the most popular attractions is the Antwerp Zoo . It opened on 21 July 1843, making it one of the oldest and most famous zoos in the world. The zoo covers an area of 10 hectares and is home to more than 5,000 animals from over 950 species. The zoo is located right next to Antwerp Central Station on the Koningin Astridplein. Antwerp Zoo has played its role in preservation and breeding programmes for several endangered species, including

750-565: A few of them, the postal code has become a cultural reference. Encompassing the area between the river and the Spanish fortification walls, this is the historical heart of Antwerp. On the place of the Spanish walls is now an avenue called de Leien in Dutch or den Boulevard in the local dialect. Tourist sights such as the Cathedral are located here, but also more mundane places. Quarters in

825-460: A gallant defence, Chassé made an honourable surrender, ending the Siege of Antwerp (1832) . Later that century, a double ring of Brialmont Fortresses was constructed some 10 km (6 mi) from the city centre, as Antwerp was considered vital for the survival of the young Belgian state. And in 1894 Antwerp presented itself to the world via a World's Fair attended by 3 million. Antwerp

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900-523: A parent that was not a Belgian citizen at birth. A notable community is the Jewish one , as Antwerp is one of the only two cities in Europe (together with London and its Stamford Hill neighbourhood) that is home to a considerable Haredi population in the 21st century. Early recorded versions of the name include Ando Verpia on Roman coins found in the city centre, Germanic Andhunerbo from around

975-408: A policy of toleration, which attracted a large crypto- Jewish community composed of migrants from Spain and Portugal. Antwerp experienced three booms during its golden age: the first based on the pepper market, a second launched by American silver coming from Seville (ending with the bankruptcy of Spain in 1557), and a third boom, after the stabilizing Treaty of Cateau-Cambresis in 1559, based on

1050-764: A result. In 2015, the American Consumer Satisfaction Index named Cigna as one of the most hated companies in the U.S. Cigna's name returned on the ACSI's most hated list in 2018. In August 2020, the Department of Justice filed a lawsuit against Cigna alleging that the company defrauded Medicare Advantage , Medicare , and Medicaid for $ 1.4B by submitting diagnostic codes for health conditions that patients did not have. In November 2020, investors sued Cigna's CEO and board alleging that they had used "black-ops-style" tactics to "blow up"

1125-425: A set of canal docks. The broader aim was to facilitate the growth of the north-eastern Antwerp metropolitan region, which attracted new industry based on a flexible and strategic implementation of the project as a co-production between various authorities and private parties. The plan succeeded in extending the linear layout along the Scheldt river by connecting new satellite communities to the main strip. Starting in

1200-506: A toll from passing boatmen. He severed the hand of anyone who did not pay, and threw it in the river. Eventually the giant was killed by a young hero named Silvius Brabo , who cut off the giant's own hand and flung that into the river. This is unlikely to be the true origin, but it is celebrated by a statue (illustrated further below) in the city's main market square, the Grote Markt . Historical Antwerp allegedly had its origins in

1275-752: A transplant for a patient in Sarkisyan's condition would be safe and effective. The California court agreed with Cigna's position that the Sarkisyans’ claims regarding Cigna's decision-making were preempted by federal ERISA law. On April 16, 2009, the United States District Court for the Central District of California dismissed all of the claims against Cigna related to the coverage determination. The UK newspaper Guardian in their Esc and Ctrl videoblog about control of

1350-536: Is a blend of old and new, with a cultural heritage spanning from the Gothic and Renaissance periods to contemporary designs. In the 16th century, the city was noted for the wealth of its citizens ( Antwerpia nummis ). The houses of these wealthy merchants and manufacturers have been preserved throughout the city. However, fire has destroyed several old buildings, such as the house of the Hanseatic League on

1425-551: Is a mix of letters from the merging companies, CG and INA. Insurance Company of North America was formed in 1792, while CG was created in 1865 by a special act of the Governor of Connecticut . In October 1871, the great Chicago Fire burned for two days, destroyed 2,000 acres, and left 100,000 people in Illinois homeless. INA paid $ 650,000, one of only 51 insurance companies (out of a total of 202) to pay claims in full. Cigna sold

1500-502: Is estimated that the port of Antwerp was earning the Spanish crown seven times more revenues than the Spanish colonization of the Americas". Without a long-distance merchant fleet, and governed by an oligarchy of banker-aristocrats forbidden to engage in trade, the economy of Antwerp was foreign-controlled, which made the city very cosmopolitan, with merchants and traders from Venice , Genoa , Ragusa , Spain and Portugal. Antwerp had

1575-534: Is the list of the top 18 states with the most companies within the Fortune 500 as of 2024. Antwerp Antwerp ( / ˈ æ n t w ɜːr p / ; Dutch : Antwerpen [ˈɑntʋɛrpə(n)] ; French : Anvers [ɑ̃vɛʁs] ) is a city and a municipality in the Flemish Region of Belgium . It is the capital and largest city of Antwerp Province , and

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1650-685: The 1920 Summer Olympics . During World War II , the city was an important strategic target because of its port. It was occupied by Germany on 18 May 1940 and liberated by the British 11th Armoured Division on 4 September 1944. After this, the Germans attempted to destroy the Port of Antwerp , which was used by the Allies to bring new material ashore. Thousands of Rheinbote , V-1 and V-2 missiles were fired (more V-2s than used on all other targets during

1725-524: The Baltic . The city's skilled workers processed soap, fish, sugar, and especially cloth. Banks helped finance the trade, the merchants, and the manufacturers. The city was a cosmopolitan center; its bourse opened in 1531, "To the merchants of all nations." Antwerp became the sugar capital of Europe, importing the raw commodity from Portuguese and Spanish plantations on both sides of the Atlantic, where it

1800-625: The Carolingian period in the 9th century. The castle may have been built after the Viking incursions in the early Middle Ages; in 879 the Normans invaded Flanders. The surviving structure was built between 1200 and 1225 as a gateway to a larger castle of the Dukes of Brabant which was demolished in the 19th century. It is Antwerp's oldest building. At the end of the 10th century, the Scheldt became

1875-467: The Duchy of Brabant , grew in importance, with the city doubling its population between 1500 and 1569. At the end of the 15th century, the foreign trading houses were transferred from Bruges to Antwerp, and the building assigned to the association of English merchants active in the city is specifically mentioned in 1510. During this time, the old Mediterranean trade routes were gradually losing importance and

1950-513: The Middle East . CGHB global health plans typically include medical, dental, behavioral and disability, as well as business travel and life components. Expatriates are defined as employees of multinational companies working outside their home country on short or long-term international assignments. CGHB maintains its own, in-house international claims platform, and offers a network of physicians and hospitals for its members (including 550,000 in

2025-624: The North Sea by the river's Westerschelde estuary. It is about 40 km (25 mi) north of Brussels, and about 15 km (9 mi) south of the Dutch border. The Port of Antwerp is one of the biggest in the world, ranking second in Europe after Rotterdam and within the top 20 globally . The city is also known as the hub of the world's diamond trade . In 2020, the Globalization and World Cities Research Network rated Antwerp as

2100-780: The Treaty of Münster in 1648 stipulated that the Scheldt should be closed to navigation, which destroyed Antwerp's trading activities. This impediment remained in force until 1863, although the provisions were relaxed during French rule from 1795 to 1814, and also during the time Belgium formed part of the Kingdom of the United Netherlands (1815 to 1830). Antwerp had reached the lowest point in its fortunes in 1800, and its population had sunk to under 40,000, when Napoleon , realizing its strategic importance, assigned funds to enlarge

2175-490: The United States' gross domestic product with approximately $ 14.2 trillion in revenue, $ 1.2 trillion in profits, and $ 20.4 trillion in total market value. These revenue figures also account for approximately 18% of the gross world product . The companies collectively employ a total of 29.2 million people worldwide, or nearly 0.4% of the world's total population . The following is the list of top 20 companies. This

2250-480: The 10-year development plan for the Port of Antwerp , the municipalities of Berendrecht-Zandvliet-Lillo were integrated into the city territory and lost their administrative independence. During the 1983 merger of municipalities, conducted by the Belgian government as an administrative simplification, the municipalities of Berchem , Borgerhout , Deurne , Ekeren , Hoboken , Merksem and Wilrijk were merged into

2325-415: The 1570s, the city's banking business declined: England ceased its borrowing in Antwerp in 1574. Fernand Braudel states that Antwerp became "the centre of the entire international economy, something Bruges had never been even at its height." Antwerp had the highest growth rate and was the richest city in Europe at the time. Antwerp's Golden Age is tightly linked to the " Age of Exploration ". During

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2400-451: The 1990s, Antwerp rebranded itself as a world-class fashion centre. Emphasizing the avant-garde, it tried to compete with London , Milan , New York and Paris . It emerged from organized tourism and mega-cultural events. The municipality comprises the city of Antwerp proper and several towns. It is divided into nine entities (districts): (km ) in residential areas In 1958, in preparation of

2475-454: The 2009 Gartner & 1to1 Customer Experience Excellence Award. The awards are given to the companies that "most clearly demonstrate exemplary customer relationship strategy and an unrivaled level of excellence in delivering the customer experience". In January 2010, Cigna received the JD Power award for customer service for all of its call centers for the fourth time in a row. In 2011,

2550-567: The 50 largest commercial banks (ranked by assets), utilities (ranked by assets), life insurance companies (ranked by assets), retailers (ranked by gross revenues) and transportation companies (ranked by revenues). Fortune magazine changed its methodology in 1994 to include service companies. With the change came 291 new entrants to the famous list including three in the Top 10. As of 2020, the Fortune 500 companies represent approximately two-thirds of

2625-522: The California Nurses Association determined that Cigna denies roughly 39.6% of all claims (compared to competitors such as Aetna who denied about 5.9% of all claims in the same time frame). On April 16, 2010, Cigna announced an alliance with Humana group to offer a streamlined Medicare Advantage offering through employer clients for retirees. In November 2023, Reuters reported that Cigna and Humana were in talk to merge, in

2700-609: The Holy Sepulchre (1099–1100). In the 12th century, Norbert of Xanten established a community of his Premonstratensian canons at St. Michael's Abbey at Caloes. Antwerp was also the headquarters of Edward III during his early negotiations with Jacob van Artevelde , and his son Lionel , the Duke of Clarence , was born there in 1338. After the silting-up of the Zwin and the consequent decline of Bruges , Antwerp, then part of

2775-624: The Internet by corporations, documented the incident with Nataline Sarkisyan and the former vice president of Cigna talking about astroturfing , the practice of creating fake blogs by interested groups, e.g. health insurance companies, to push claims that are profitable for said company into media, e.g. dismissing universal health care. In 2002, it was alleged in violation of the Securities Exchange Act for earnings manipulation. Its common stock price plummeted significantly as

2850-567: The Portuguese Community Ben Moshe. Antwerp has an extensive network of synagogues, shops, schools and organizations. Significant Hasidic movements in Antwerp include Pshevorsk , based in Antwerp, as well as branches of Satmar , Belz , Bobov , Ger , Skver , Klausenburg , Vizhnitz and several others. Rabbi Chaim Kreiswirth , chief rabbi of the Machsike Hadas community, who died in 2001, was arguably one of

2925-555: The Spanish port of Bilbao collapsed and became impossible. On 4 November 1576, Spanish soldiers sacked the city during the so-called Spanish Fury : 8,000 citizens were massacred, several houses burnt down, and over £2 million sterling of damage was done. Subsequently, the city joined the Union of Utrecht in 1579 and became the capital of the Dutch Revolt . In 1585, Alessandro Farnese, Duke of Parma and Piacenza , captured it after

3000-466: The U.S. and more than 141,000 outside the U.S.). On February 9, 2005, Cigna elected to adopt in the fourth quarter of 2004 fair value accounting for its stock options in accordance with SFAS No. 123 and to restate prior periods. Cigna spent more than $ 4.4 million from 2005 to 2009 on lobbying to attain legislation that the company favors. This includes $ 720,000 spent in 2009 alone, when it had 20 lobbyists at five firms working on their behalf. In 2008,

3075-614: The better known personalities to have been based in Antwerp. An attempt to have a street named after him has received the support of the Town Hall and is in the process of being implemented. The Jains in Belgium are estimated to be around about 1,500 people. The majority live in Antwerp, mostly involved in the very lucrative diamond business. Belgian Indian Jains control two-thirds of the rough diamonds trade and supplied India with roughly 36% of their rough diamonds. A major temple, with

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3150-653: The boundary of the Holy Roman Empire . Antwerp became a margraviate in 980, by the German emperor Otto II , a border province facing the County of Flanders . In the 11th century, the best-known leader of the First Crusade (1096–1099), Godfrey of Bouillon , was originally Margrave of Antwerp , from 1076 until his death in 1100, though he was later also Duke of Lower Lorraine (1087–1100) and Defender of

3225-472: The city hosted the Summer Olympics . The inhabitants of Antwerp are nicknamed Sinjoren ( Dutch pronunciation: [sɪˈɲoːrə(n)] ), after the Spanish honorific señor or French seigneur , "lord", referring to the Spanish noblemen who ruled the city in the 17th century. The city's population is very diverse, including about 180 nationalities; as of 2019, more than 50% of its population had

3300-496: The city was captured by the Belgian insurgents, but the citadel continued to be held by a Dutch garrison under General David Hendrik Chassé . For a time, Chassé subjected the town to periodic bombardment which inflicted much damage, and at the end of 1832, the citadel itself was besieged by the French Northern Army commanded by Marechal Gerard . During this attack, the town was further damaged. In December 1832, after

3375-404: The city. At that time the city was also divided into the districts mentioned above. Simultaneously, districts received an appointed district council; later district councils became elected bodies. The neighboring municipality of Borsbeek has declared the intention to become the tenth district of the city of Antwerp. However, the final decision has not been made and a non-binding citizens vote on

3450-533: The company agreed with the Health Care Service Corporation (HCSC) to sell Cigna Group's Medicare Advantage, Cigna Supplemental Benefits, Medicare Part D and CareAllies businesses. The total value of the transaction is about $ 3.7 billion. The deal also included a four-year service agreement under which Evernorth Health Services, a subsidiary of Cigna Group, will continue to provide pharmacy benefits to Medicare. With all necessary approvals,

3525-470: The company’s doctors never had to open a file or conduct any in-depth review. They simply denied the claims in bulk with an electronic signature." The speed with which denials were placed was termed internally as "click and close." In December 2007, Cigna refused to pay for a liver transplant of a California teenage girl, Nataline Sarkisyan , coming under scrutiny as a result. There was a liver ready and waiting to be transplanted and doctors estimated she had

3600-468: The corner of Bloedberg and Burchtgracht. Steen castle on the Scheldt-quai is the gate wing of the demolished castle of the Dukes of Brabant. It was partly reconstructed in the 19th century. Antwerp's development as a fortified city is documented between the 10th and the 20th century. The fortifications were developed in different phases: This is the population of the city of Antwerp only, not of

3675-660: The deal will be completed in the first quarter of 2025. Cigna Global Health Benefits is a business unit within Cigna. The company is headquartered in Wilmington, Delaware , close to Philadelphia . Additional Cigna Global Health Benefits operations are located in Visalia, California , and Greenock , Scotland and Shanghai , China and Antwerp , Belgium . Sales offices are located in North America , Europe , Asia and

3750-562: The discovery of new sea routes via Africa to Asia and via the Atlantic to America helped push Antwerp to a position of prominence. By 1504, the Portuguese had established Antwerp as one of their main shipping bases, bringing in spices from Asia and trading them for textiles and metal goods. The city's trade expanded to include cloth from England, Italy and Germany, wines from Germany, France and Spain, salt from France, and wheat from

3825-441: The entire war combined), causing severe damage to the city but failed to destroy the port due to poor accuracy. After the war, Antwerp, which had already had a sizeable Jewish population before the war, once again became a major European centre of Haredi (and particularly Hasidic ) Orthodox Judaism . A Ten-Year Plan for the port of Antwerp (1956–1965) expanded and modernized the port's infrastructure with national funding to build

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3900-528: The first half of the 16th century, Antwerp grew to become the second-largest European city north of the Alps. Many foreign merchants were resident in the city. Francesco Guicciardini , the Florentine envoy, stated that hundreds of ships would pass in a day, and 2,000 carts entered the city each week. Portuguese ships laden with pepper and cinnamon would unload their cargo. According to Luc-Normand Tellier "It

3975-582: The harbour by constructing a new dock (still named the Bonaparte Dock), an access-lock and mole , and deepening the Scheldt to allow larger ships to approach Antwerp. Napoleon hoped that by making Antwerp's harbour the finest in Europe he would be able to counter the Port of London and hamper British growth. However, he was defeated at the Battle of Waterloo before he could see the plan through. In 1830,

4050-591: The head of Cigna's public relations, Wendell Potter , resigned, becoming a whistleblower who gave testimony in 2009 to the U.S. Senate Committee on Commerce, Science and Transportation in favor of reform of the health care industry. In 2023, Cigna was criticized for allowing company doctors to reject claims even if they had not opened the patient file. The company was found to be using a system, "PXDX," that according to Propublica, "saved money in two ways. It allowed Cigna to begin turning down claims that it had once paid. And it made it cheaper to turn down claims, because

4125-524: The inner city are: Antwerpen-Noord or synonymously 2060 is a densely populated part of the city, and the most diverse one as well. This is not a neighborhood by itself, but is the postal code for the remaining quarters of the district that lie between de Leien and the ringway. United with the city in 1923, Linkeroever ("Left bank") consists of the former polders of Zwijndrecht and Burcht . Antwerp-Berchem : Vibrant district, rich history, lively streets, major transportation hub. Antwerp's architecture

4200-699: The larger current municipality of the same name. In 2010, 36% to 39% of the inhabitants of Antwerp had foreign origins. A study projected that in 2020, 55% of the population would be of immigrant background, either first, second, or third generation. After the Holocaust and the murder of its many Jews, Antwerp became a major centre for Orthodox Jews. At present, about 15,000 Haredi Jews, many of them Hasidic , live in Antwerp. The city has three official Jewish Congregations: Shomrei Hadass, headed by Rabbi Dovid Moishe Lieberman, Machsike Hadass, headed by Rabbi Aron Schiff (formerly by Chief Rabbi Chaim Kreiswirth ) and

4275-498: The largest United States corporations by total revenue for their respective fiscal years. The list includes publicly held companies , along with privately held companies for which revenues are publicly available. The concept of the Fortune 500 was created by Edgar P. Smith, a Fortune editor, and the first list was published in 1955. The Fortune 500 is more commonly used than its subset Fortune 100 or superset Fortune 1000 . The Fortune 500, created by Edgar P. Smith,

4350-523: The major trading center for the region. The religious revolution of the Reformation erupted in violent riots in August 1566, as in other parts of the Low Countries . The regent Margaret, Duchess of Parma , was swept aside when Philip II sent the Duke of Alba at the head of an army the following summer. When the Dutch revolt against Spain broke out in 1568, commercial trading between Antwerp and

4425-719: The majority of its life insurance operations to Lincoln National Corporation in 1997. In October 2011, Cigna agreed to buy HealthSpring Inc. for $ 3.8 billion to jump-start its business selling Medicare plans from 46,000 Medicare Advantage members to almost 400,000 Medicare Advantage members. The payment would come from an issue of new equity to cover about 20 percent of the value, with the rest funded by additional cash and debt. In 2013, Cigna operated in 30 countries, had approximately 35,800 employees and managed around US$ 53.734 billion in assets. In June 2015, U.S. health insurer Anthem Inc. announced that it would acquire Cigna for $ 47 billion in cash and stock. Anthem confirmed it had reached

4500-413: The matter is scheduled for September 2023. With the exception of Ekeren and Berendrecht-Zandvliet-Lillo, all the districts form together one contiguous inhabited area. The former town halls have been converted into district halls and the former town centers are now local main streets within the larger urban agglomeration. The historical city of Antwerp consists nowadays of the following neighborhoods. For

4575-686: The northern quays, in 1891. During World War II , the city also suffered considerable damage from V-bombs . Here are some of the most notable examples of Antwerp's diverse architecture: Antwerp is also home to a wealth of historic Gothic, Baroque and Renaissance-style buildings, such as the Antwerp City Hall , the Cathedral of Our Lady , the St. James' Church , the Vleeshuis Museum and the St. Charles Borromeo Church . Antwerp offers

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4650-774: The okapi, the Przewalski horse, the Congo peafowl, the bonobo, the golden-headed lion tamarin, the European otter, and the Knysna seahorse. They take part in the European Endangered Species Programme . On 1 January 1983 the entire park (architecture and garden) was listed as a monument. Other well-known parks include: Antwerp has an oceanic climate ( Köppen : Cfb ), with cool winters, warm summers and frequent, though light, precipitation throughout

4725-402: The potential merger with Anthem in 2017. One pension fund accused Cigna CEO David Cordani of seeking to poison the deal after he had failed to secure the top post in the resulting company. The fund claimed he had utilized lawyers and public relations specialists to set up a "Trojan Horse" campaign. The merger would have produced the largest U.S. health insurer in 2017. Cigna received gold in

4800-417: The riverbank; an alluvial deposit ; a mound (like a terp ) thrown up (as a defence) against (something or someone); or a wharf. If Andoverpis is Celtic in origin, it could mean "those who live on both banks". There is a folklore tradition that the name Antwerpen is from Dutch handwerpen ("hand-throwing"). A giant called Antigoon is said to have lived near the Scheldt river and extracted

4875-419: The shareholders of Cigna and Express Scripts approved the deal. In June 2020, Cigna formed a strategic alliance with Priority Health to make comprehensive health care coverage more affordable and accessible to Michigan employers and customers. In September 2020, Cigna rebranded its health services portfolio under the name Evernorth , which included Express Scripts, Accredo, and eviCore . In October 2020, it

4950-445: The textiles industry. At the beginning of the 16th century, Antwerp accounted for 40% of world trade. The boom-and-bust cycles and inflationary cost-of-living squeezed less-skilled workers. In the century after 1541, the city's economy and population declined dramatically. The Portuguese merchants left in 1549, and there was much less trade in English cloth. Numerous financial bankruptcies began around 1557. Amsterdam replaced Antwerp as

5025-399: The third largest city in Belgium by area at 204.51 km (78.96 sq mi) after Tournai and Couvin . With a population of 536,079, it is the most populous municipality in Belgium, and with a metropolitan population of over 1.2 million people, the country's second-largest metropolitan area after Brussels . Flowing through Antwerp is the river Scheldt . Antwerp is linked to

5100-420: The time Austrasia became a separate kingdom (that is, about 567 CE), and (possibly originally Celtic) Andoverpis in Dado 's Life of St. Eligius (Vita Eligii) from about 700 CE. The form Antverpia is Neo-Latin . A Germanic ( Frankish or Frisian ) origin could contain prefix anda ("against") and a noun derived from the verb werpen ("to throw") and denote, for example: land thrown up at

5175-423: The transaction." After exhausting federal appeals of the antitrust merger block, the companies turned on each other in Delaware's Court of Chancery. The legal saga came to an end with an August 31, 2020 decision denying both companies claims for compensation from the other for the failed merger. On March 7, 2018, it was announced that Cigna would acquire Express Scripts in a $ 67 billion deal and on August 24, 2018,

5250-410: The year. Due to the influence of the Gulf Stream , Antwerp has a relatively mild climate throughout the year, with the average temperature fluctuating between 4 °C (39 °F) and 19 °C (66 °F) throughout the year. Although Antwerp was formerly a fortified city, hardly anything remains of the former enceinte , only some remains of the city wall can be seen near the Vleeshuis museum at

5325-464: Was announced that Cigna and Envision Healthcare had renewed their agreement to include Envision's clinicians as in-network providers for Cigna's members. In 2021, Molina Healthcare acquired Cigna's Medicaid contracts in Texas for US$ 60 million. On February 13, 2023, Cigna renamed its holding company The Cigna Group, its health benefits provider business unit Cigna Healthcare, and its Evernorth business unit Evernorth Health Services. In January 2024,

5400-411: Was first published in 1955. The original top ten companies were General Motors , Jersey Standard , U.S. Steel , General Electric , Esmark , Chrysler , Armour , Gulf Oil , Mobil , and DuPont . The original Fortune 500 was limited to companies whose revenues were derived from manufacturing, mining, and energy exploration. At the same time, Fortune published companion " Fortune 50" lists of

5475-404: Was grown by a mixture of free and forced labour, increasingly with enslaved Africans as the century progressed. The city attracted Italian and German sugar refiners by 1550, and shipped their refined product to Germany, especially Cologne . Antwerp also had an unusually high number of painters, around 360 in 1560, in a city with a population of roughly 89,000 in 1569 (250 people per painter), it

5550-754: Was the first city to host the World Gymnastics Championships , in 1903. During World War I , the city became the fallback point of the Belgian Army after the defeat at Liège . The Siege of Antwerp lasted for 11 days, but the city was taken after heavy fighting by the German Army, and the Belgians were forced to retreat westwards. Antwerp remained under German occupation until the Armistice. A few years later, Antwerp hosted

5625-507: Was the most important artistic centre north of the Alps , serving notable painters such as Pieter Bruegel . Moneylenders and financiers developed a large business lending money all over Europe including the English government in 1544–1574. London bankers were too small to operate on that scale, and Antwerp had a highly efficient bourse that itself attracted rich bankers from around Europe. After

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