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David Cordani, chief executive officer of Cigna Corp., speaks during an interview in New York, U.S., on Wednesday, March 14, 2012. Cigna’s international revenue increased 31 percent in 2011 as the company took advantage of a growing middle class in countries including South Korea and China. This year, Cigna expects to increase earnings outside of the U.S. by 20 percent to 30 percent. Photographer: Scott Eells/Bloomberg via Getty Images

David Cordani, chief executive officer of Cigna Corp., speaks during an interview in New York, U.S., on Wednesday, March 14, 2012. Cigna’s international revenue increased 31 percent in 2011 as the company took advantage of a growing middle class in countries including South Korea and China. This year, Cigna expects to increase earnings outside of the U.S. by 20 percent to 30 percent. Photographer: Scott Eells/Bloomberg via Getty Images