Cigna Net premiums earned increased by 5.6% to $9.81B in Q1 2026 compared to the prior quarter. Year-over-year, this metric declined by 23.0%, from $12.74B to $9.81B. Over 4 years (FY 2021 to FY 2025), Net premiums earned shows relatively stable performance with a -0.5% CAGR. This is a positive signal — higher values indicate stronger performance for this metric.
An increase indicates growth in the insurance book of business, while a decrease may signal shrinking market share or increased reinsurance activity.
This represents the portion of insurance premiums that the company has recognized as revenue during the reporting period...
Standard across all insurance carriers; peers typically report this as the primary top-line revenue driver.
net_premiums_earned| Q2 '21 | Q3 '21 | Q4 '21 | Q1 '22 | Q2 '22 | Q3 '22 | Q4 '22 | Q1 '23 | Q2 '23 | Q3 '23 | Q4 '23 | Q1 '24 | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Value | $10.32B | $10.28B | $10.34B | $10.36B | $10.43B | $9.59B | $9.55B | $11.03B | $11.04B | $11.00B | $11.18B | $11.60B | $11.45B | $11.44B | $11.50B | $12.74B | $9.16B | $9.08B | $9.29B | $9.81B |
| QoQ Change | — | -0.5% | +0.7% | +0.1% | +0.7% | -8.1% | -0.4% | +15.5% | +0.1% | -0.4% | +1.6% | +3.8% | -1.3% | -0.2% | +0.6% | +10.7% | -28.1% | -0.8% | +2.3% | +5.6% |
| YoY Change | — | — | — | — | +1.0% | -6.7% | -7.7% | +6.5% | +5.9% | +14.7% | +17.0% | +5.2% | +3.8% | +4.0% | +2.9% | +9.8% | -20.1% | -20.6% | -19.3% | -23.0% |
| Segment | FY'23 | FY'24 |
|---|---|---|
| Short Duration Contracts | $42.30B | $43.90B |
| Long Duration Contracts | $1.90B | $2.00B |
| Total | $44.24B | $46.00B |
All segment values are derived from annual filings.
| Segment | Q2 '24 | Q3 '24 | Q4 '24 | Q1 '25 | Q2 '25 | Q3 '25 | Q4 '25 | Q1 '26 |
|---|---|---|---|---|---|---|---|---|
| Cigna Healthcare | $11.31B | $11.30B | $11.38B | $12.63B | $8.99B | $8.94B | $9.12B | $9.61B |
| Other Operations | $115.00M | $122.00M | $95.00M | $81.00M | $78.00M | $68.00M | $61.00M | $53.00M |
| Total | $11.45B | $11.44B | $11.50B | $12.74B | $9.16B | $9.08B | $9.29B | $9.81B |