Income StatementBalance SheetCash FlowSegments
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Cigna Business Segments

Business, geographic, and product segment breakdowns

Cigna generates $277.89B in annual revenue across 2 key segments: Cigna Healthcare ($38.3B), and Other Operations ($278.0M). The company-wide operating margin is 3.45%. Based on the Q1 2026 filing.

Cigna Healthcare (TTM)$38.3BOther Operations (TTM)$278.0M
Latest FilingQ1 2026
Report Date2026-04-30
Market Cap$75.7B
P/E Ratio12.21
ROE15.05%

Products & Services

Concentration percentage

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Variable Annuity—90.0%10.0%——100.0%
Acquisition, disposition or run-off activities18.3%75.0%——1.0%77.0%

Number of reinsurers

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Acquisition, disposition or run-off activities21.006.006.006.006.006.00

Reinsurance recoverables before market risk benefits

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Acquisition, disposition or run-off activities—$3.3B$3.3B$3.2B$3.2B$3.1B
Ongoing Operations—$183.0M$208.0M$233.0M$216.0M$232.0M

Revenue

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Other external revenues$75.0M$162.0M$114.0M$276.0M$144.0M$159.0M

Premiums

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Long Duration Contracts$500.0M$250.0M$250.0M$250.0M$250.0M—
Short Duration Contracts$11.0B$9.8B$9.8B$9.8B$9.8B—

Assets maintained by employers (minimum)

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Retirement And Life Insurance Contracts—$410.0M———$390.0M

Liability for guarantees

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Retirement And Life Insurance Contracts$0.0$0.0$0.0$0.0$0.0$0.0

Maximum guarantee exposure

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Retirement And Life Insurance Contracts$410.0M$410.0M$400.0M$400.0M$400.0M$390.0M

Guaranteed Minimum Death Benefits Total Contractholders

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Variable Annuity130000.00———110000.00—

Net amount at risk

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Variable Annuity$1.3B$1.4B$1.2B$1.1B$1.1B$1.2B

Remaining overall limit under reinsurance agreement

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Variable Annuity$3.0B$3.0B$3.0B$3.0B$3.0B$3.0B

Geographic

MetricQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Concentration percentage24.5%24.5%24.5%24.5%24.5%—

Business Segments

Adjusted revenues

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$13.3B$14.5B$10.8B$10.8B$11.2B$11.5B
Other Operations$201.0M$175.0M$184.0M$162.0M$153.0M$120.0M

Acquired Intangible Amortization

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$9.0M$7.0M$6.0M$5.0M$5.0M$2.0M
Other Operations$0.0$0.0$0.0$0.0$0.0$0.0

(Benefits) charges associated with litigation matters

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare———-$17.0M—-$11.0M
Evernorth———$0.0$0.0$0.0
Other Operations———$0.0$0.0$0.0

Claim frequency

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare132500000.0%122500000.0%122500000.0%122500000.0%122500000.0%—

Cumulative Costs Paid

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$32.7B———$65.2B—

Current year

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$10.0B$6.1B$6.9B$7.4B$8.4B$4.1B

D&A

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$83.0M$83.0M$81.0M$88.0M$87.0M$83.0M
Other Operations$2.0M$2.0M$9.0M$2.0M$3.0M$2.0M

Divestiture and other

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare————-$1.1B—

Favorable (unfavorable) variance, percentage

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare0.1%0.6%0.2%0.0%0.1%0.6%

Future policy benefits, current

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Other Operations$157.0M$151.0M$147.0M$142.0M$142.0M$139.0M
Cigna Healthcare—$38.0M$38.0M$38.0M$38.0M$37.0M

Future policy benefits, non-current

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Other Operations$3.1B$3.2B$3.1B$3.2B$3.1B$3.0B
Cigna Healthcare—$154.0M$154.0M$154.0M$153.0M$148.0M

Goodwill

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$8.9B———$8.9B—

Goodwill acquired

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$0.0$0.0$0.0$0.0$0.0—
Evernorth Health Services$28.5M$137.0M$137.0M$137.0M$137.0M—

Goodwill, Foreign Currency Translation Gain (Loss) Other Increase Decrease

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare-$48.3M$1.5M$1.5M$1.5M$1.5M—
Evernorth Health Services$47.5M$0.0$0.0$0.0$0.0—

Income Loss Attributable To Noncontrolling Interest Before Tax

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$0.0$0.0$0.0$0.0$0.0$0.0
Other Operations$0.0$0.0$0.0$0.0$0.0$0.0

Income (Loss) from Continuing Operations before Income Taxes, Noncontrolling Interest

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$94.0M$1.4B$1.1B$1.3B$580.0M$1.5B
Other Operations-$3.0M-$20.0M-$20.0M$0.0-$6.0M$24.0M

Incurred Costs

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$37.2B———$70.4B—

Integration and transaction-related costs

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$0.0$0.0$0.0$0.0$0.0$0.0
Other Operations$0.0$0.0$0.0$0.0$0.0$0.0

Interest expense and other

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$0.0$2.0M$2.0M$2.0M$3.0M$2.0M
Evernorth Health Services$0.0$0.0$1.0M-$2.0M$0.0-$1.0M

Less: Divestiture and other

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$0.0$1.3B———$0.0

Less: Income attributable to noncontrolling interests

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Evernorth Health Services$134.0M$102.0M$117.0M$123.0M$133.0M$226.0M
Cigna Healthcare$0.0$0.0$0.0$0.0$0.0$0.0

Liability for Claims and Claims Adjustment Expense

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare—$4.5B$4.6B$4.7B$4.2B$4.9B

Liability For Claims And Claims Adjustment Expense Excluding Physician Incentives And Other Expenses

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$4.6B$4.4B$4.5B$4.5B$4.0B$4.7B

Liability for Future Policy Benefit, before Reinsurance

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Other Operations$3.3B$3.3B$3.3B$3.3B$3.2B$3.1B
Cigna Healthcare—$192.0M$192.0M$192.0M$191.0M$185.0M

Liability for Unpaid Claims and Claims Adjustment Expense, Claims Paid

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$10.1B$9.6B$7.4B$7.5B$8.5B$7.0B

Liability for Unpaid Claims and Claims Adjustment Expense, Incurred Claims

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$10.0B$10.4B$7.5B$7.6B$8.0B$7.7B

Liability for Unpaid Claims and Claims Adjustment Expense, Net

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare—$4.4B$4.5B$4.5B$4.1B$4.8B

Medical costs and other benefit expenses

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$10.0B$10.4B$7.5B$7.6B$8.0B$7.7B
Evernorth Health Services$0.0$0.0$0.0$0.0$0.0$0.0

Net Investment Gain Loss Including Equity Method Subsidiaries

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Evernorth Health Services$0.0$4.0M$80.0M-$17.0M—$261.0M
Cigna Healthcare-$42.0M$47.0M$20.0M$218.0M—-$29.0M
Other Operations—-$3.0M-$4.0M$5.0M$0.0$0.0

Net Investment Gains Losses Equity Method Investments

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare—$50.0M$44.0M$178.0M$0.0-$23.0M
Evernorth Health Services$0.0$0.0$0.0$0.0$0.0$0.0
Other Operations$0.0$0.0$0.0$0.0$0.0$0.0

Net investment income

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$155.0M$133.0M$127.0M$116.0M$205.0M$103.0M
Other Operations$78.0M$69.0M$73.0M$80.0M$76.0M$70.0M

Non Investment Revenue

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$11.8B$13.2B$9.4B$9.5B$9.4B$10.0B
Other Operations$107.0M$94.0M$98.0M$68.0M$65.0M$47.0M

Percent of health claims paid within one year

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare95.0%———95.0%—

Pharmacy and other service costs

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Evernorth Health Services$50.5B$51.1B$54.9B$57.3B$59.7B$55.7B
Cigna Healthcare$0.0$0.0$0.0$0.0$0.0$0.0

Pre-tax adjusted income (loss) from operations

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$511.0M$1.3B$1.1B$1.0B$734.0M$1.5B
Other Operations-$5.0M$0.0$25.0M$36.0M$28.0M$27.0M

Premiums

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$11.4B$12.6B$9.0B$8.9B$9.1B$9.6B
Other Operations$95.0M$81.0M$78.0M$68.0M$61.0M$53.0M

Prior years

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$111.0M$3.5B$417.0M$166.0M$92.0M$2.9B

Reinsurance Recoverable for Unpaid Claims and Claims Adjustments

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare—$138.0M$142.0M$150.0M$147.0M$140.0M

Revenue

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$13.3B$14.5B$10.8B$10.9B$11.1B$11.5B
Other Operations$201.0M$175.0M$184.0M$162.0M$153.0M$120.0M

Selling, general and administrative expenses

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare$2.8B$2.8B$2.2B$2.1B$2.4B$2.3B
Evernorth Health Services$954.0M$1.0B$1.1B$1.0B$1.0B$1.0B

Shortduration Insurance Contracts Liability For Unpaid Claims And Allocated Claim Adjustment Expense Used In Claims Development Net, Including Disposal Group Including Discontinued Operation

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare————$5.2B—

Strategic optimization program

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare—$0.0$10.0M$4.0M$8.0M$13.0M
Evernorth—$21.0M$47.0M$15.0M$91.0M$4.0M
Other Operations—$17.0M$41.0M$41.0M$34.0M$3.0M

Unpaid claims and claim expenses, current

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare—$4.5B$4.6B$4.6B$4.2B$4.9B

Unpaid claims and claim expenses, non-current

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Cigna Healthcare—$56.0M$59.0M$60.0M$61.0M$64.0M

Guarantee liability

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Evernorth Health Services$1.9B$1.9B$1.4B$1.6B$1.8B$2.0B

Deferred profit liability included in future policy benefits

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Other Operations$366.0M$359.0M$353.0M$400.0M$347.0M$348.0M

Future policy benefit, excluding deferred profit liability

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Other Operations$2.9B$3.0B$2.9B$2.9B$2.9B$2.8B

Future policy benefits reserve, reinsurance recoverables

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Other Operations$900.0M$900.0M$900.0M$900.0M$800.0M$800.0M

Undiscounted expected future policy benefits

SegmentQ4 '24Q1 '25Q2 '25Q3 '25Q4 '25Q1 '26
Other Operations$4.3B$4.3B$4.2B$4.2B$4.2B$4.1B