Utilize the input text as a context reference, choose the right relationship between Cigna and health insurance from the options. Options: product/material produced, manufacturer, distributed by, industry, position held, original broadcaster, owned by, founded by, distribution format, headquarters location, stock exchange, currency, parent organization, chief executive officer, director/manager, owner of, operator, member of, employer, chairperson, platform, subsidiary, legal form, publisher, developer, brand, business division, location of formation, creator.

The most recent positive coverage decision was received from Cigna which provides health insurance coverage for approximately 16 million members in the U.S.

Answer: product_or_material_produced