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93-564: 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,

186-418: 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

279-463: A balanced budget, some tax reforms , a labor-market reform, scheduled nuclear phase-out and instigated legislation allowing more stringent war crime and more lenient soft drug usage prosecution. Restrictions on euthanasia were reduced, and in 2003, Belgium became one of the first countries in the world to legalise same-sex marriage . The government promoted active diplomacy in Africa and opposed

372-504: 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

465-511: 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

558-828: A decade after the other regions) is included in both the Flemish and French Communities, and the territory of the German-speaking Community lies wholly within the Walloon Region. Conflicts about jurisdiction between the bodies are resolved by the Constitutional Court of Belgium . The structure is intended as a compromise to allow different cultures to live together peacefully. The Federal State's authority includes justice, defense, federal police, social security, nuclear energy, monetary policy and public debt, and other aspects of public finances. State-owned companies include

651-706: A founding member and formed the Benelux group of nations with the Netherlands and Luxembourg. Belgium became one of the six founding members of the European Coal and Steel Community in 1951 and of the European Atomic Energy Community and European Economic Community , established in 1957. The latter has now become the European Union, for which Belgium hosts major administrations and institutions, including

744-539: A new government . By 30 March 2011, this set a new world record for the elapsed time without an official government, previously held by war-torn Iraq . Finally, in December 2011 the Di Rupo Government led by Walloon socialist Prime Minister Elio Di Rupo was sworn in. The 2014 federal election (coinciding with the regional elections ) resulted in a further electoral gain for the Flemish nationalist N-VA, although

837-945: A policy of mediation. The Belgians have been strong advocates of European integration . The headquarters of NATO and of several of the institutions of the European Union are located in Belgium. The Belgian Armed Forces had 23,200 active personnel in 2023, including 8,500 in the Land Component , 1,400 in the Naval Component , 4,900 in the Air Component , 1,450 in the Medical Component , and 6,950 in joint service, in addition to 5,900 reserve personnel. In 2019, Belgium's defense budget totaled €4.303 billion ($ 4.921 billion) representing .93% of its GDP. The operational commands of

930-740: 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"

1023-452: A somewhat larger region than the Benelux group of states, as it also included parts of northern France. The capital and largest metropolitan region is Brussels ; other major cities are Antwerp , Ghent , Charleroi , Liège , Bruges , Namur , and Leuven . Belgium is a sovereign state and a federal constitutional monarchy with a parliamentary system . Its institutional organization

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1116-623: A surprise victory at the Battle of the Golden Spurs against a strong force of mounted knights in 1302, but France soon regained control of the rebellious province. In the 15th century, the Duke of Burgundy in France took control of Flanders, and from there proceeded to unite much of what is now the Benelux, the so-called Burgundian Netherlands . "Burgundy" and "Flanders" were the first two common names used for

1209-721: 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

1302-672: Is a developed country , with an advanced high-income economy . The country is one of the six founding members of the European Union , and its capital, Brussels, is the de facto capital of the European Union itself, hosting the official seats of the European Commission , the Council of the European Union , and the European Council , as well as one of two seats of the European Parliament (the other being Strasbourg ). Belgium

1395-541: 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

1488-610: Is also a founding member of the Eurozone , NATO , OECD , and WTO , and a part of the trilateral Benelux Union and the Schengen Area . Brussels also hosts the headquarters of many major international organizations, such as NATO . According to Julius Caesar , the Belgae were the inhabitants of the northernmost part of Gaul . They lived in a region stretching from Paris to the Rhine , which

1581-440: Is around 23% of the total land area, equivalent to 689,300 hectares (ha) of forest in 2020, up from 677,400 hectares (ha) in 1990. In 2020, naturally regenerating forest covered 251,200 hectares (ha) and planted forest covered 438,200 hectares (ha). For the year 2015, 47% of the forest area was reported to be under public ownership , 53% private ownership and 0% with ownership listed as other or unknown. The territory of Belgium

1674-477: Is based on civil law and originates from the Napoleonic code . The Court of Cassation is the court of last resort, with the courts of appeal one level below. Belgium's political institutions are complex; most political power rests on representation of the main cultural communities . Since about 1970, the significant national Belgian political parties have split into distinct components that mainly represent

1767-622: Is complex and is structured on both regional and linguistic grounds. It is divided into three highly autonomous regions : the Flemish Region (Flanders) in the north, the Walloon Region (Wallonia) in the south, and the Brussels-Capital Region in the middle. Brussels is the smallest and most densely populated region, as well as the richest region in terms of GDP per capita . Belgium is also home to two main linguistic communities:

1860-495: Is divided into three Regions, two of which, the Flemish Region and Walloon Region , are in turn subdivided into provinces ; the third Region, the Brussels Capital Region , is neither a province nor a part of a province. Belgium is a constitutional , popular monarchy and a federal parliamentary democracy . The bicameral federal parliament is composed of a Senate and a Chamber of Representatives . The former

1953-658: Is lowest in January at 3 °C (37.4 °F) and highest in July at 18 °C (64.4 °F). The average precipitation per month varies between 54 mm (2.1 in) for February and April, to 78 mm (3.1 in) for July. Averages for the years 2000 to 2006 show daily temperature minimums of 7 °C (44.6 °F) and maximums of 14 °C (57.2 °F) and monthly rainfall of 74 mm (2.9 in); these are about 1 °C and nearly 10 millimeters above last century's normal values, respectively. Phytogeographically , Belgium

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2046-493: Is made up of 50 senators appointed by the parliaments of the communities and regions and 10 co-opted senators . Prior to 2014, most of the Senate's members were directly elected. The Chamber 's 150 representatives are elected under a proportional voting system from 11 electoral districts . Belgium has compulsory voting and thus maintains one of the highest rates of voter turnout in the world. The King (currently Philippe )

2139-623: Is much bigger than modern Belgium. However, he also specifically used the Latin word " Belgium " to refer to a politically dominant part of that region, which is now in northernmost France. In contrast, modern Belgium, together with neighbouring parts of the Netherlands and Germany, corresponds to the lands of the most northerly Belgae – the Morini , Menapii , Nervii , Germani Cisrhenani , and Aduatuci . Caesar found these peoples particularly warlike and economically undeveloped, and described them as kinsmen of

2232-515: Is particularly significant separatist sentiment among the Flemish ; language laws such as the municipalities with language facilities have been the source of much controversy; and the government formation period following the 2010 federal election set a world record at 589 days. Unemployment in Wallonia is more than double that of Flanders, which boomed after the Second World War. Belgium

2325-698: Is shared between the Atlantic European and Central European provinces of the Circumboreal Region within the Boreal Kingdom . According to the World Wide Fund for Nature , the territory of Belgium belongs to the terrestrial ecoregions of Atlantic mixed forests and Western European broadleaf forests . Belgium had a 2018 Forest Landscape Integrity Index mean score of 1.36/10, ranking it 163rd globally out of 172 countries. In Belgium forest cover

2418-614: Is the head of state , though with limited prerogatives . He appoints ministers, including a Prime Minister, that have the confidence of the Chamber of Representatives to form the federal government . The Council of Ministers is composed of no more than fifteen members. With the possible exception of the Prime Minister, the Council of Ministers is composed of an equal number of Dutch-speaking members and French-speaking members. The judicial system

2511-676: Is the list of the top 18 states with the most companies within the Fortune 500 as of 2024. Belgium – in Europe  (light green & dark grey) – in the European Union  (light green) Belgium , officially the Kingdom of Belgium , is a country in Northwestern Europe . The country is bordered by the Netherlands to the north, Germany to the east, Luxembourg to

2604-629: Is the majority language and lingua franca . Belgium's linguistic diversity and related political conflicts are reflected in its complex system of governance, made up of six different governments . In antiquity the region around Belgium was inhabited by the Belgae , and became the Roman province of Gallia Belgica in 22 BC. In the Middle Ages , the region was part of the Carolingian Empire , and much of it

2697-492: The Belgian Post Group and Belgian Railways . The Federal Government is responsible for the obligations of Belgium and its federalized institutions towards the European Union and NATO. It controls substantial parts of public health, home affairs and foreign affairs. The budget—without the debt—controlled by the federal government amounts to about 50% of the national fiscal income. The federal government employs around 12% of

2790-509: The European Commission , the Council of the European Union and the extraordinary and committee sessions of the European Parliament . In the early 1990s, Belgium saw several large corruption scandals notably surrounding Marc Dutroux , Andre Cools , the Dioxin Affair , Agusta Scandal and the murder of Karel van Noppen . Belgium shares borders with France ( 620 km ), Germany ( 162/167 km ), Luxembourg ( 148 km ), and

2883-625: The Flemish Community ( Dutch -speaking), which constitutes about 60 percent of the population, and the French Community ( French -speaking), which constitutes about 40 percent of the population. A small German-speaking Community , making up around one percent of the population, exists in the East Cantons . The Brussels-Capital Region is officially bilingual in French and Dutch, although French

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2976-699: The German colonies of Ruanda-Urundi (modern-day Rwanda and Burundi ) during the war, and in 1924 the League of Nations mandated them to Belgium. In the aftermath of the First World War, Belgium annexed the Prussian districts of Eupen and Malmedy in 1925, thereby causing the presence of a German-speaking minority. German forces again invaded the country in May 1940 , and 40,690 Belgians, over half of them Jews, were killed during

3069-553: The Germanic tribes east of the Rhine. The area around Arlon in southern Belgium was a part of the country of the powerful Treveri , to whom some of them paid tribute. After Caesar's conquests, Gallia Belgica first came to be the Latin name of a large Roman province covering most of Northern Gaul, including the Belgae and Treveri. However, areas closer to the lower Rhine frontier, including

3162-734: The Michel Government . It was the first time N-VA was part of the federal cabinet, while the French-speaking side was represented only by the MR, which achieved a minority of the public votes in Wallonia. In May 2019 federal elections in the Flemish-speaking northern region of Flanders far-right Vlaams Belang party made major gains. In the French-speaking southern area of Wallonia the Socialists were strong. The moderate Flemish nationalist party

3255-507: 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

3348-581: The Napoleonic code . Although the franchise was initially restricted, universal suffrage for men was introduced after the general strike of 1893 (with plural voting until 1919) and for women in 1949. The main political parties of the 19th century were the Catholic Party and the Liberal Party , with the Belgian Labour Party emerging towards the end of the 19th century. French was originally

3441-412: The Netherlands ( 450 km ). Its total surface, including water area, is 30,689 km (11,849 sq mi). Before 2018, its total area was believed to be 30,528 km (11,787 sq mi). However, when the country's statistics were measured in 2018, a new calculation method was used. Unlike previous calculations, this one included the area from the coast to the low-water line, revealing

3534-650: The Pragmatic Sanction of 1549 he gave the Seventeen Provinces more legitimacy as a stable entity, rather than just a temporary personal union . He also increased the influence of these Netherlands over the Prince-Bishopric of Liège , which continued to exist as a large semi-independent enclave. The Eighty Years' War (1568–1648) was triggered by the Spanish government's policy towards Protestantism , which

3627-790: The Southern Netherlands (which comprised most of modern-day Belgium) after the Congress of Vienna in 1815. Belgium has been called "the Battlefield of Europe", a reputation reinforced in the 20th century by both world wars . Belgium was an early participant in the Industrial Revolution , and during the course of the 20th century, possessed a number of colonies , notably the Belgian Congo and Ruanda-Urundi . These colonies gained independence between 1960 and 1962. The second half of

3720-428: 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

3813-399: 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,

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3906-423: The 20th century was marked by rising tensions between the Dutch-speakers and French-speakers, fueled by differences in political culture and the unequal economic development of Flanders and Wallonia. This continuing antagonism has led to several far-reaching state reforms , resulting in the transition from a unitary to a federal arrangement between 1970 and 1993. Despite the reforms, tensions have persisted: there

3999-464: 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

4092-474: The Ardennes are more rugged and rocky with caves and small gorges . Extending westward into France, this area is eastwardly connected to the Eifel in Germany by the High Fens plateau, on which the Signal de Botrange forms the country's highest point at 694 m (2,277 ft). The climate is maritime temperate with significant precipitation in all seasons ( Köppen climate classification : Cfb ), like most of northwest Europe. The average temperature

4185-445: The Burgundian Netherlands which was the predecessor of the Austrian Netherlands, the predecessor of modern Belgium. The union, technically stretching between two kingdoms, gave the area economic and political stability which led to an even greater prosperity and artistic creation. Born in Belgium, the Habsburg Emperor Charles V was heir of the Burgundians, but also of the royal families of Austria , Castile and Aragon . With

4278-438: 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

4371-428: The Communities and Regions were created in 1980, Flemish politicians decided to merge both. Thus the Flemings just have one single institutional body of parliament and government is empowered for all except federal and specific municipal matters. The overlapping boundaries of the Regions and Communities have created two notable peculiarities: the territory of the Brussels-Capital Region (which came into existence nearly

4464-491: The Flemings refused to do so and succeeded progressively in making Dutch an equal language in the education system. Following World War II, Belgian politics became increasingly dominated by the autonomy of its two main linguistic communities. Intercommunal tensions rose and the constitution was amended to minimize the potential for conflict. Based on the four language areas defined in 1962–63 (the Dutch, bilingual, French and German language areas), consecutive revisions of

4557-493: 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

4650-458: The N-VA remained the largest party in parliament. In July 2019 prime minister Charles Michel was selected to hold the post of President of the European Council . His successor Sophie Wilmès was Belgium's first female prime minister. She led the caretaker government since October 2019. The Flemish Liberal party politician Alexander De Croo became new prime minister in October 2020. The parties had agreed on federal government 16 months after

4743-420: The Netherlands and to the establishment of a Catholic and bourgeois, officially French-speaking and neutral, independent Belgium under a provisional government and a national congress . Since the installation of Leopold I as king on 21 July 1831, now celebrated as Belgium's National Day , Belgium has been a constitutional monarchy and parliamentary democracy , with a laicist constitution based on

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4836-399: The Prince-Bishopric of Liège – were annexed by the French First Republic , ending Austrian rule in the region. A reunification of the Low Countries as the United Kingdom of the Netherlands occurred at the dissolution of the First French Empire in 1814, after the abdication of Napoleon. In 1830, the Belgian Revolution led to the re-separation of the Southern Provinces from

4929-426: The Regions' and Communities' Governments is the broadest of all the Federating units of all the Federations all over the world. Because of its location at the crossroads of Western Europe , Belgium has historically been the route of invading armies from its larger neighbors. With virtually defenseless borders, Belgium has traditionally sought to avoid domination by the more powerful nations which surround it through

5022-466: 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,

5115-436: The area which is now eastern Belgium. Over the centuries, it was divided up in many ways, but the Treaty of Verdun in 843 divided the Carolingian Empire into three kingdoms whose borders had a lasting impact on medieval political boundaries. Most of modern Belgium was in the Middle Kingdom , later known as Lotharingia , but the coastal county of Flanders , west of the Scheldt , became the northernmost part of West Francia ,

5208-399: The cabinet to the king, as no progress in constitutional reforms had been made. In December 2008, Leterme once more offered his resignation after a crisis surrounding the sale of Fortis to BNP Paribas . At this juncture, his resignation was accepted and Christian Democratic and Flemish Herman Van Rompuy was sworn in as Prime Minister on 30 December 2008. After Herman Van Rompuy

5301-731: The civil servants. Communities exercise their authority only within linguistically determined geographical boundaries, originally oriented towards the individuals of a Community's language: culture (including audiovisual media), education and the use of the relevant language. Extensions to personal matters less directly connected with language comprise health policy (curative and preventive medicine) and assistance to individuals (protection of youth, social welfare, aid to families, immigrant assistance services, and so on.). Regions have authority in fields that can be broadly associated with their territory. These include economy, employment, agriculture, water policy, housing, public works, energy, transport,

5394-458: The colony, henceforth called the Belgian Congo . A Belgian commission in 1919 estimated that Congo's population was half what it was in 1879. Germany invaded Belgium in August 1914 as part of the Schlieffen Plan to attack France , and much of the Western Front fighting of World War I occurred in western parts of the country. The opening months of the war were known as the Rape of Belgium due to German excesses. Belgium assumed control of

5487-447: 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,

5580-470: 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

5673-409: The country to be 160 km (62 sq mi) larger in surface area than previously thought. Its land area alone is 30,494 square kilometers. It lies between latitudes 49°30' and 51°30' N, and longitudes 2°33' and 6°24' E. Belgium has three main geographical regions; the coastal plain in the northwest and the central plateau both belong to the Anglo-Belgian Basin, and the Ardennes uplands in

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5766-407: The country's constitution in 1970, 1980, 1988 and 1993 established a unique form of a federal state with segregated political power into three levels: The constitutional language areas determine the official languages in their municipalities, as well as the geographical limits of the empowered institutions for specific matters. Although this would allow for seven parliaments and governments when

5859-428: The county of Flanders expanded over the Scheldt into the empire, and during several periods was ruled by the same lords as the county of Hainaut . In the 13th and 14th centuries, the cloth industry and commerce boomed especially in the County of Flanders and it became one of the richest areas in Europe. This prosperity played a role in conflicts between Flanders and the king of France . Famously, Flemish militias scored

5952-434: 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

6045-406: The eastern part of modern Belgium, subsequently became part of the frontier province of Germania Inferior , which continued to interact with their neighbours outside the empire. At the time when central government collapsed in the Western Roman Empire , the Roman provinces of Belgica and Germania were inhabited by a mix of a Romanized population and Germanic -speaking Franks who came to dominate

6138-521: The elections. Following a usage which can be traced back to the Burgundian and Habsburg courts, in the 19th century it was necessary to speak French to belong to the governing upper class, and those who could only speak Dutch were effectively second-class citizens. Late that century, and continuing into the 20th century, Flemish movements evolved to counter this situation. While the people in Southern Belgium spoke French or dialects of French, and most Brusselers adopted French as their first language,

6231-621: The environment, town and country planning, nature conservation, credit and foreign trade. They supervise the provinces, municipalities and intercommunal utility companies. In several fields, the different levels each have their own say on specifics. With education, for instance, the autonomy of the Communities neither includes decisions about the compulsory aspect nor allows for setting minimum requirements for awarding qualifications, which remain federal matters. Each level of government can be involved in scientific research and international relations associated with its powers. The treaty-making power of

6324-507: The four components are subordinate to the Staff Department for Operations and Training of the Ministry of Defense , which is headed by the Assistant Chief of Staff Operations and Training , and to the Chief of Defense . The Belgian military consists of volunteers (conscription was abolished in 1995), and citizens of other EU states, Iceland, Norway, Switzerland, or Lichtenstein are also able to join. Belgium has troops deployed in several African countries as part of UN or EU missions, in Iraq for

6417-423: The government, and on 26 April 2010 King Albert officially accepted the resignation. The Parliamentary elections in Belgium on 13 June 2010 saw the Flemish nationalist N-VA become the largest party in Flanders, and the Socialist Party PS the largest party in Wallonia. Until December 2011, Belgium was governed by Leterme's caretaker government awaiting the end of the deadlocked negotiations for formation of

6510-591: 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

6603-440: The incumbent coalition (composed of Flemish and French-speaking Social Democrats, Liberals, and Christian Democrats) maintains a solid majority in Parliament and in all electoral constituencies. On 22 July 2014, King Philippe nominated Charles Michel (MR) and Kris Peeters (CD&V) to lead the formation of a new federal cabinet composed of the Flemish parties N-VA, CD&V, Open Vld and the French-speaking MR, which resulted in

6696-467: The invasion of Iraq . It is the only country that does not have age restrictions on euthanasia. Verhofstadt's coalition fared badly in the June 2007 elections . For more than a year, the country experienced a political crisis . This crisis was such that many observers speculated on a possible partition of Belgium . From 21 December 2007 until 20 March 2008 the temporary Verhofstadt III Government

6789-547: 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,

6882-719: 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

6975-622: The military and political class. During the 5th century, the area came under the rule of the Frankish Merovingian kings, who initially established a kingdom ruling over the Romanized population in what is now northern France, and then conquered the other Frankish kingdoms. During the 8th century, the empire of the Franks came to be ruled by the Carolingian dynasty , whose centre of power included

7068-681: The official language used by the nobility and the bourgeoisie , especially after the rejection of the Dutch monarchy. French progressively lost its dominance as Dutch began to recover its status. This recognition became official in 1898, and in 1967, the parliament accepted a Dutch version of the Constitution . The Berlin Conference of 1885 ceded control of the Congo Free State to King Leopold II as his private possession. From around 1900 there

7161-504: The political and linguistic interests of these communities. The major parties in each community, though close to the political center, belong to three main groups: Christian Democrats , Liberals , and Social Democrats . Further notable parties came into being well after the middle of last century, mainly to represent linguistic , nationalist, or environmental interests, and recently smaller ones of some specific liberal nature. A string of Christian Democrat coalition governments from 1958

7254-402: 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

7347-545: The predecessor of France . In 870 in the Treaty of Meerssen , modern Belgium lands all became part of the western kingdom for a period, but in 880 in the Treaty of Ribemont , Lotharingia came under the lasting control of the eastern kingdom, which became the Holy Roman Empire . The lordships and bishoprics along the "March" (frontier) between the two great kingdoms maintained important connections between each other. For example,

7440-419: 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

7533-523: The southeast to the Hercynian orogenic belt . The Paris Basin reaches a small fourth area at Belgium's southernmost tip, Belgian Lorraine . The coastal plain consists mainly of sand dunes and polders . Further inland lies a smooth, slowly rising landscape irrigated by numerous waterways, with fertile valleys and the northeastern sandy plain of the Campine ( Kempen ). The thickly forested hills and plateaus of

7626-577: The southeast, France to the south, and the North Sea to the west. It covers an area of 30,689 km (11,849 sq mi) and has a population of more than 11.7 million, making it the 22nd most densely populated country in the world and the 6th most densely populated country in Europe, with a density of 383/km (990/sq mi). Belgium is part of an area known as the Low Countries , historically

7719-651: The subsequent occupation and the Holocaust . From September 1944 to February 1945 the Allies liberated Belgium. After World War II , a general strike forced King Leopold III to abdicate in 1951 in favour of his son, Prince Baudouin , since many Belgians thought he had collaborated with Germany during the war. The Belgian Congo gained independence in 1960 during the Congo Crisis ; Ruanda-Urundi followed with its independence two years later. Belgium joined NATO as

7812-474: 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,

7905-512: 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,

7998-654: Was becoming popular in the Low Countries. The rebellious northern United Provinces ( Belgica Foederata in Latin , the "Federated Netherlands") eventually separated from the Southern Netherlands ( Belgica Regia , the "Royal Netherlands"). The southern part continued to be ruled successively by the Spanish ( Spanish Netherlands ) and the Austrian House of Habsburgs ( Austrian Netherlands ) and comprised most of modern Belgium. This

8091-554: Was broken in 1999 after the first dioxin crisis , a major food contamination scandal. A "rainbow coalition" emerged from six parties: the Flemish and the French-speaking Liberals, Social Democrats and Greens. Later, a " purple coalition " of Liberals and Social Democrats formed after the Greens lost most of their seats in the 2003 election . The government led by Prime Minister Guy Verhofstadt from 1999 to 2007 achieved

8184-534: Was designated the first permanent President of the European Council on 19 November 2009, he offered the resignation of his government to King Albert II on 25 November 2009. A few hours later, the new government under Prime Minister Yves Leterme was sworn in. On 22 April 2010, Leterme again offered the resignation of his cabinet to the king after one of the coalition partners, the OpenVLD , withdrew from

8277-411: 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

8370-559: Was growing international concern for the extreme and savage treatment of the Congolese population under Leopold II , for whom the Congo was primarily a source of revenue from ivory and rubber production. Many Congolese were killed by Leopold's agents for failing to meet production quotas for ivory and rubber. In 1908, this outcry led the Belgian state to assume responsibility for the government of

8463-524: Was in office. This was a coalition of the Flemish and Francophone Christian Democrats , the Flemish and Francophone Liberals together with the Francophone Social Democrats . On that day a new government , led by Flemish Christian Democrat Yves Leterme , the actual winner of the federal elections of June 2007 , was sworn in by the king. On 15 July 2008 Leterme offered the resignation of

8556-530: Was later part of the Holy Roman Empire , and subsequently the Burgundian Netherlands . Belgium's central location has meant that the area has been relatively prosperous, connected commercially and politically to its bigger neighbours. The country as it exists today was established following the 1830 Belgian Revolution , when it seceded from the United Kingdom of the Netherlands , which had incorporated

8649-894: Was the theatre of several more protracted conflicts during much of the 17th and 18th centuries involving France, including the Franco-Dutch War (1672–1678), the Nine Years' War (1688–1697), the War of the Spanish Succession (1701–1714), and part of the War of the Austrian Succession (1740–1748). Following the campaigns of 1794 in the French Revolutionary Wars , the Low Countries ;– including territories that were never nominally under Habsburg rule, such as

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