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The Cigna Group Reports Strong Second Quarter 2026 Results, Raises 2026 Outlook

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The Cigna Group (NYSE: CI) reported second quarter 2026 total revenues of $71.7 billion, up 7% year over year. Shareholders' net income was $1.7 billion, or $6.29 per share, compared with $1.5 billion, or $5.71 per share, primarily driven by growth in Cigna Healthcare.

Adjusted income from operations was $2.1 billion, or $7.78 per share, up 6% from $1.9 billion, or $7.20 per share. Adjusted revenues reached $71.6 billion. The SG&A and adjusted SG&A expense ratios fell to 4.8% and 4.6%, reflecting improved operating efficiency. Year to date, the company repurchased 0.9 million shares for approximately $250 million.

Evernorth Health Services adjusted revenues rose 6% to $61.5 billion, while adjusted pre-tax income declined 2%. Cigna Healthcare adjusted revenues increased 9% to $11.7 billion and adjusted pre-tax income rose 17%, with a pre-tax margin of 10.9%. Total customer relationships decreased 3% since December 31, 2025, to 182.8 million, as pharmacy customers fell 4%, partly offset by a 2% increase in medical customers to 18.4 million.

For full year 2026, The Cigna Group raised its outlook for adjusted income from operations to at least $30.45 per share, a $0.10 increase. The outlook includes at least $6.9 billion in Evernorth pre-tax adjusted income from operations and at least $4.55 billion from Cigna Healthcare, with a projected medical care ratio of 83.7%–84.7%.

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Positive

  • Total revenues up 7% to $71.7 billion in Q2 2026
  • Adjusted income from operations up 6% to $2.1 billion; EPS $7.78
  • Cigna Healthcare adjusted revenues up 9% to $11.7 billion
  • Cigna Healthcare adjusted pre-tax income up 17% to $1.3 billion; 10.9% margin
  • SG&A and adjusted SG&A ratios reduced to 4.8% and 4.6%
  • 2026 adjusted EPS outlook raised to at least $30.45 (+$0.10)

Negative

  • Evernorth pre-tax adjusted income down 2% year over year in Q2 2026
  • Pharmacy Benefit Services pre-tax income down 27% despite 8% revenue growth
  • Total customer relationships down 3% since December 31, 2025 to 182.8 million
  • Total pharmacy customers down 4% to 118.2 million versus December 31, 2025
  • Cigna Healthcare medical care ratio increased to 84.5% from 83.2% year over year
  • Corporate and Other adjusted pre-tax loss widened to $389 million from $357 million

News Explained

Cigna has scheduled its Individual and Family Plans exit for January 1, 2027; the release does not describe it as completed.

The Cigna Group says it plans to exit its Individual and Family Plans medical business as of January 1, 2027, changing the company’s planned business scope.

The wording describes a scheduled future exit rather than a change reported as completed.

Separately, Cigna Healthcare reported net medical costs payable of $5.09 billion at June 30, 2026, compared with $4.78 billion at March 31, 2026 and $4.49 billion at June 30, 2025.

The specific milestone for the planned business change is January 1, 2027; the release does not provide a more advanced completion status.

Market Context

Recent insider activity was classified as Net Selling over 90 days, while earnings-tag history avera...
Analysis

Recent insider activity was classified as Net Selling over 90 days, while earnings-tag history averaged -3.37% across five events. The raised outlook merits attention alongside higher MCR and pharmacy-customer declines.

Key Figures

Total revenues: $71.7 billion, up 7% Shareholders' net income: $1.7 billion Shareholders' net income per share: $6.29 per share +5 more
8 metrics
Total revenues $71.7 billion, up 7% Second quarter 2026 versus second quarter 2025
Shareholders' net income $1.7 billion Second quarter 2026
Shareholders' net income per share $6.29 per share Second quarter 2026
Adjusted income from operations $2.1 billion Second quarter 2026
Adjusted income from operations per share $7.78 per share Second quarter 2026
2026 adjusted income outlook At least $30.45 per share Full-year 2026 projection, increased by $0.10 from prior projection
Medical care ratio 84.5% Cigna Healthcare, second quarter 2026 versus 83.2% in second quarter 2025
Pharmacy customers 118.2 million, down 4% June 30, 2026 versus December 31, 2025

Previous Earnings Reports

5 past events · Latest: Jul 07 (Neutral)
Same Type Pattern 5 events
Date Event Sentiment 24h Move Catalyst
Jul 07 Earnings release details Neutral +1.6% Second-quarter 2026 earnings release timing and conference-call details were announced
Apr 30 First-quarter earnings Positive -0.6% First-quarter revenue, earnings and raised full-year outlook were reported
Apr 02 Earnings release details Neutral +1.0% First-quarter 2026 earnings release schedule and conference call were announced
Jan 13 Fourth-quarter release details Neutral -1.5% Fourth-quarter 2025 results timing, call details and webcast availability were announced
Oct 30 Third-quarter earnings Positive -17.4% Third-quarter revenue, earnings and reaffirmed annual outlook were reported

24h Move is the share-price change in the day after each event; other market factors may also have contributed.

Pattern Detected

Tag-specific earnings events averaged a -3.37% 24-hour reaction, with positive earnings releases previously showing divergent price responses.

Key Terms

adjusted income from operations, medical care ratio, sg&a expense ratio, rule 10b-18
4 terms
adjusted income from operations financial
"Adjusted income from operations1 for second quarter 2026 was $2.1 billion"
Adjusted income from operations is the profit a company earns from its core business activities after removing one-time, unusual, or non-cash items so the number shows the ongoing earning power of operations. Think of it as cleaning up a household budget by excluding a rare roof repair or a one-off gift to see what your normal monthly cash flow looks like. Investors use it to compare real operating performance across periods and companies, but the specific items removed can vary so details matter.
medical care ratio financial
"The Cigna Healthcare MCR4 was 84.5% for second quarter 2026"
Medical care ratio is the share of an insurer’s revenue that goes to paying policyholder medical claims and related care rather than administrative costs or profit. Think of it like the portion of a grocery budget spent on food versus other household bills: a higher ratio means more money is being spent directly on care, which can signal higher claims and lower underwriting profit, while a lower ratio can indicate better profitability but may raise regulatory or quality concerns. Investors use it to assess an insurer’s pricing, cost control and financial health.
sg&a expense ratio financial
"The SG&A expense ratio4 and adjusted SG&A expense ratio4 were 4.8%"
Selling, general and administrative (SG&A) expense ratio measures the share of a company's sales that is spent on overhead items like sales staff, advertising, rent and office costs, calculated by dividing SG&A expenses by total revenue. Investors use it to judge how efficiently a business turns sales into profit — like checking what portion of a household’s income goes to recurring bills — and to compare cost control across companies or over time.
rule 10b-18 regulatory
"in compliance with Rule 10b-18 under the Securities Exchange Act of 1934"
Rule 10b-18 is a regulation that sets strict rules for how a company's executives and employees can buy back their own company's stock from the market. It helps ensure that these buybacks happen in a fair and transparent way, reducing the chance of market manipulation. This is important for investors because it offers protection against unfair practices and promotes confidence in the integrity of the stock market.

AI-generated analysis. How Rhea-AI works. Not financial advice.

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  • Total revenues for the second quarter 2026 increased 7% to $71.7 billion
  • Shareholders' net income for the second quarter 2026 was $1.7 billion, or $6.29 per share
  • Adjusted income from operations1 for the second quarter 2026 was $2.1 billion, or $7.78 per share
  • 2026 outlook2 for adjusted income from operations1,2 increased to at least $30.45 per share2

BLOOMFIELD, Conn., July 30, 2026 /PRNewswire/ -- Global health company The Cigna Group (NYSE: CI) today reported second quarter 2026 results, reflecting solid operational performance across its diversified portfolio of businesses.

The Cigna Group

"Our purpose is to improve the lives of each and every customer and patient we serve," said Brian C. Evanko, President and Chief Executive Officer of The Cigna Group. "By harnessing technology, data and AI to deliver more personalized experiences, improve access and lower costs, we are creating greater value every day. Our strong second quarter results reflect continued progress against these priorities and demonstrate the effectiveness of our strategy and execution."

Shareholders' net income for second quarter 2026 was $1.7 billion, or $6.29 per share compared to $1.5 billion, or $5.71 per share, for second quarter 2025, primarily reflecting growth in Cigna Healthcare.

The Cigna Group's adjusted income from operations1 for second quarter 2026 was $2.1 billion, or $7.78 per share, compared with $1.9 billion, or $7.20 per share, for second quarter 2025.

A reconciliation of shareholders' net income to adjusted income from operations1 is provided on the following page and on Exhibit 1 of this earnings release.

CONSOLIDATED HIGHLIGHTS

The following table includes highlights of results and reconciliations of total revenues to adjusted revenues3 and shareholders' net income to adjusted income from operations1:

Consolidated Financial Results (unaudited, dollars in millions):





Three Months Ended

Six Months
Ended


June 30,

March 31,

June 30,


2026

2025

2026

2026






Total Revenues

$       71,668

$       67,178

$       68,494

$     140,162

Net Investment Results from Equity Method Investments3

(110)

(44)

23

(87)

Adjusted Revenues3

$       71,558

$       67,134

$       68,517

$     140,075






Consolidated Earnings, net of taxes





Shareholders' Net Income

$         1,660

$         1,532

$         1,654

$         3,314

Net Investment (Gains)1

(55)

(103)

(233)

(288)

Amortization of Acquired Intangible Assets1

296

330

315

611

Special Items1

153

171

322

475

Adjusted Income from Operations1

$         2,054

$         1,930

$         2,058

$         4,112






Shareholders' Net Income, per share 

$          6.29

$          5.71

$          6.26

$         12.55

Adjusted Income from Operations1, per share 

$          7.78

$          7.20

$          7.79

$         15.58

  • Total revenues for second quarter 2026 increased 7% relative to second quarter 2025, driven by growth in both Evernorth Health Services and Cigna Healthcare.
  • Adjusted income from operations1 for second quarter 2026 increased 6% relative to second quarter 2025, driven by higher contributions from Cigna Healthcare.
  • The SG&A expense ratio4 and adjusted SG&A expense ratio4 were 4.8% and 4.6% for second quarter 2026, compared to 5.1% and 4.9%, respectively, in second quarter 2025, primarily reflecting operating efficiency.
  • Year to date through July 29, 2026, the company repurchased 0.9 million shares of common stock for approximately $250 million.

CUSTOMER RELATIONSHIPS

The following table summarizes The Cigna Group's medical customers and overall customer relationships:

Customer Relationships (in thousands):





As of the Periods Ended


June 30,

March 31,

December 31,


2026

2025

2026

2025






Total Pharmacy Customers

118,243

121,892

121,020

123,603






U.S. Healthcare

16,678

16,355

16,623

16,423

International Health

1,735

1,691

1,711

1,695

Total Medical Customers5

18,413

18,046

18,334

18,118






Behavioral Care

27,621

23,852

27,558

28,269

Dental

18,488

18,446

18,558

18,438






Total Customer Relationships

182,765

182,236

185,470

188,428

  • Total customer relationships at June 30, 2026 decreased 3% from December 31, 2025 to 182.8 million.
  • Total pharmacy customers at June 30, 2026 decreased 4% from December 31, 2025 to 118.2 million, reflecting expected client transitions and lower membership from health plan clients.
  • Total medical customers5 at June 30, 2026 increased 2% from December 31, 2025 to 18.4 million reflecting growth in Middle and Select markets, partially offset by lower membership in National Accounts.

HIGHLIGHTS OF SEGMENT RESULTS

See Exhibit 1 for a reconciliation of adjusted income from operations1 to shareholders' net income. 

Evernorth Health Services

This segment includes the Pharmacy Benefit Services and Specialty and Care Services operating segments, which provide independent and coordinated health solutions and capabilities to enable the health care system to work better and help people live healthier lives.

Pharmacy Benefit Services drives high-quality, cost-effective pharmacy care through various services such as drug claim adjudication, retail pharmacy network administration, benefit design consultation, drug utilization review, drug formulary management and access to our home delivery pharmacy. Specialty and Care Services provides specialty drugs for the treatment of complex and rare diseases, specialty distribution of pharmaceuticals and medical supplies, as well as clinical programs to help our clients drive better whole-person health outcomes through care services.

Financial Results (dollars in millions):






Three Months Ended

Six Months
Ended


June 30,

March 31,

June 30,


2026

2025

2026

2026

Total Adjusted Revenues





   Pharmacy Benefit Services

$         34,496

$         31,954

$         33,002

$         67,498

   Specialty and Care Services

$         26,972

$         25,871

$         25,440

$         52,412

Adjusted Revenues3

$         61,468

$         57,825

$         58,442

$       119,910

Adjusted Income from Operations, Pre-Tax





Pharmacy Benefit Services

$              609

$              833

$              394

$           1,003

Specialty and Care Services

$           1,054

$              863

$           1,072

$           2,126

Adjusted Income from Operations, Pre-Tax1

$           1,663

$           1,696

$           1,466

$           3,129

Margin, Pre-Tax6

2.7 %

2.9 %

2.5 %

2.6 %

  • Evernorth Health Services second quarter 2026 adjusted revenues3 increased 6% and adjusted income from operations, pre-tax1, decreased 2%, relative to second quarter 2025.
  • For Pharmacy Benefit Services second quarter 2026 relative to second quarter 2025:
    • Adjusted revenues3 increased 8% primarily due to drug mix.
    • Adjusted income from operations, pre-tax1, decreased 27%, primarily reflecting client-focused initiatives, including large client contract renewals, and customer-focused initiatives, consistent with prior commentary.
  • For Specialty and Care Services second quarter 2026 relative to second quarter 2025:
    • Adjusted revenues3 increased 4% reflecting strong specialty volume growth.
    • Adjusted income from operations, pre-tax1, increased 22% primarily reflecting strong organic growth in specialty businesses, including higher generic and biosimilar adoption which benefits clients and patients by delivering lower costs, and operating efficiencies.

Cigna Healthcare

This segment includes the U.S. Healthcare and International Health operating segments, which provide comprehensive medical and coordinated solutions to clients and customers. U.S. Healthcare provides medical plans and other benefits and solutions for insured and self-insured clients as well as individual and family plan customers. International Health provides health care solutions in our international markets, as well as health solutions for globally mobile individuals and employees of multinational organizations. In April 2026, the Company announced its planned exit from the Individual and Family Plans medical business as of January 1, 2027.

Financial Results (dollars in millions):






Three Months Ended

Six Months
Ended


June 30,

March 31,

June 30,


2026

2025

2026

2026






Adjusted Revenues3,7

$          11,728

$          10,754

$          11,477

$          23,205

Adjusted Income from Operations, Pre-Tax1

$            1,276

$            1,094

$            1,514

$            2,790

Margin, Pre-Tax6

10.9 %

10.2 %

13.2 %

12.0 %

  • Second quarter 2026 adjusted revenues3 increased 9% relative to second quarter 2025, primarily reflecting premium rate increases to cover expected increases in medical costs.
  • Second quarter 2026 adjusted income from operations, pre-tax1, increased 17% relative to second quarter 2025, primarily due to an improved margin within our U.S. Employer business.
  • The Cigna Healthcare MCR4 was 84.5% for second quarter 2026, compared to 83.2% for second quarter 2025, primarily reflecting higher prior year risk adjustment benefits within our Individual and Family Plans business recognized in second quarter 2025.
  • Cigna Healthcare net medical costs payable8 was $5.09 billion at June 30, 2026, $4.78 billion at March 31, 2026, and $4.49 billion at June 30, 2025. The sequential increase reflects typical stop loss seasonality. Favorable prior year reserve development on a gross pre-tax basis was $268 million and $297 million for the six months ended June 30, 2026 and 2025, respectively.

Corporate and Other Operations

Corporate reflects interest expense, amounts not allocated to operating segments and includes intersegment eliminations. Other Operations is comprised of Corporate Owned Life Insurance ("COLI"), the Company's run-off operations and other non-strategic businesses.

Financial Results (dollars in millions):






Three Months Ended

Six Months
Ended


June 30,

March 31,

June 30,


2026

2025

2026

2026






Adjusted (Loss) from Operations, Pre-Tax1

$            (389)

$            (357)

$            (377)

$            (766)

2026 OUTLOOK2

The Cigna Group's outlook for full year 2026 consolidated adjusted income from operations1,2 is at least $30.45 per share2. Additionally, this outlook includes the impact of expected future share repurchases and anticipated 2026 dividends.

(dollars in millions, except where noted and per share amounts)


 2026 Consolidated Metrics

Projection for Full Year Ending

December 31, 2026

Change from
Prior Projection

Adjusted Income from Operations, per share1,2

at least $30.45

+$0.10

Evernorth Adjusted Income from Operations, Pre-Tax1,2

at least $6,900


Cigna Healthcare Adjusted Income from Operations, Pre-Tax1,2

at least $4,550

+$25

Cigna Healthcare Medical Care Ratio2,4

83.7% to 84.7%


The foregoing statements represent the Company's current estimates of The Cigna Group's 2026 consolidated and segment adjusted income from operations1,2 and other key metrics as of the date of this release.  Actual results may differ materially depending on a number of factors.  Investors are urged to read the Cautionary Note Regarding Forward-Looking Statements included in this release.  Management does not assume any obligation to update these estimates.

This quarterly earnings release and the Quarterly Financial Supplement are available on The Cigna Group's website in the Investor Relations section (https://investors.thecignagroup.com/overview/default.aspx). Management will be hosting a conference call to review second quarter 2026 results and discuss full year 2026 outlook beginning today at 8:30 a.m. ET.  A link to the conference call is available in the Investor Relations section of The Cigna Group's website located at https://investors.thecignagroup.com/events-and-presentations/default.aspx

The call-in numbers for the conference call are as follows:

          Live Call
          (888) 566-1889   (Domestic)
          (773) 799-3989   (International)
          Passcode: 07302026

          Replay
          (866) 405-7290   (Domestic)
          (203) 369-0603   (International)

It is strongly suggested you dial in to the conference call by 8:15 a.m. ET.

About The Cigna Group

The Cigna Group (NYSE: CI) is a global health company committed to creating a better future built on the vitality of every individual and every community. We relentlessly challenge ourselves to partner and innovate solutions for better health. The Cigna Group includes products and services marketed under Evernorth Health Services, Cigna Healthcare, or its subsidiaries. The Cigna Group maintains sales capabilities in more than 30 markets and jurisdictions, and has over 180 million customer relationships around the world. Learn more at thecignagroup.com.

Notes:

1. Adjusted income (loss) from operations is a principal financial measure of profitability used by The Cigna Group's management because it presents the underlying results of operations of the Company's businesses and facilitates analysis of trends in underlying revenue, expenses and shareholders' net income. Adjusted income (loss) from operations is defined as shareholders' net income (or income before income taxes less pre-tax income (loss) attributable to noncontrolling interests for the segment metric) excluding net investment gains/losses, amortization of acquired intangible assets and special items. The Cigna Group's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting are also excluded. Special items are matters that management believes are not representative of the underlying results of normal, recurring operations due to their nature or size. Adjusted income (loss) from operations is measured on an after-tax basis for consolidated results and on a pre-tax basis for segment results. Consolidated adjusted income (loss) from operations is not determined in accordance with GAAP and should not be viewed as a substitute for the most directly comparable GAAP measure, shareholders' net income. See Exhibit 1 for a reconciliation of consolidated adjusted income from operations to shareholders' net income.

2. Management is not able to provide a reconciliation of adjusted income from operations to shareholders' net income, on a forward-looking basis because it is unable to predict, without unreasonable effort, certain components thereof including (i) future net investment results and (ii) future special items. These items are inherently uncertain and depend on various factors, many of which are beyond The Cigna Group's control. As such, any associated estimate and its impact on shareholders' net income and total revenues could vary materially. 

The Company's outlook excludes the potential effects of any other business combinations that may occur after the date of this earnings release. The Company's outlook includes the potential effects of expected future share repurchases and anticipated 2026 dividends.

The timing and actual number of shares repurchased will depend on a variety of factors, including price, general business and market conditions, and alternate uses of capital. The share repurchase program may be effected through open market purchases in compliance with Rule 10b-18 under the Securities Exchange Act of 1934, as amended, including through Rule 10b5-1 trading plans, or privately negotiated transactions. The program may be suspended or discontinued at any time.

3. Adjusted revenues is used by The Cigna Group's management because it facilitates analysis of trends in underlying revenue. The Company defines adjusted revenues as total revenues excluding the following adjustments: special items and The Cigna Group's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting. Special items are matters that management believes are not representative of the underlying results of normal, recurring operations due to their nature or size. We exclude these items from this measure because management believes they are not indicative of past or future underlying performance of the business. Adjusted revenues is not determined in accordance with GAAP and should not be viewed as a substitute for the most directly comparable GAAP measure, total revenues. See Exhibit 1 for a reconciliation of consolidated adjusted revenues to total revenues.

4. Operating ratios are defined as follows:

  • The Cigna Healthcare medical care ratio ("MCR") represents medical costs as a percentage of premiums for all Cigna Healthcare risk products provided through guaranteed cost or experience-rated funding arrangements. Changes in percentages may be expressed in basis points ("bps").
  • SG&A expense ratio on a GAAP basis for the second quarter 2026 represents enterprise selling, general and administrative expenses of $3,470 million as a percentage of total revenue of $71.7 billion at a consolidated level. SG&A expense ratio on a GAAP basis for the second quarter 2025 represents enterprise selling, general and administrative expenses of $3,433 million as a percentage of total revenue of $67.2 billion at a consolidated level.
  • Adjusted SG&A expense ratio for the second quarter 2026 represents enterprise selling, general and administrative expenses of $3,290 million excluding special items of $180 million as a percentage of adjusted revenue at a consolidated level. Adjusted SG&A expense ratio for the second quarter 2025 represents enterprise selling, general and administrative expenses of $3,271 million excluding special items of $162 million as a percentage of adjusted revenue at a consolidated level.

5. Customer relationships are defined as follows:

  • Total medical customers includes individuals who meet any one of the following criteria: (i) are covered under a medical insurance policy, managed care arrangement, or administrative services agreement issued by Cigna Healthcare; (ii) have access to Cigna Healthcare's provider network for covered services under their medical plan; or (iii) have medical claims that are administered by Cigna Healthcare.

6. Margin, pre-tax, is calculated by dividing adjusted income (loss) from operations, pre-tax by adjusted revenues for each segment.

7. The Cigna Group owns noncontrolling interests in certain operating joint ventures. As such, the adjusted revenues for the Cigna Healthcare segment only include the Company's share of the joint ventures' earnings reported in Fees and Other Revenues using the equity method of accounting under GAAP.

8. Medical costs payable within the Cigna Healthcare segment are presented net of reinsurance and other recoverables. The gross medical costs payable balance was $5.23 billion as of June 30, 2026, $4.92 billion as of March 31, 2026, and $4.64 billion as of June 30, 2025.

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This press release, and oral statements made in connection with this release, may contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based on The Cigna Group's current expectations and projections about future trends, events and uncertainties. These statements are not historical facts. Forward-looking statements may include, among others, statements concerning our projected outlook for 2026 (including adjusted revenues; adjusted income from operations, including on a per share, and segment basis; adjusted SG&A expense ratio; adjusted effective tax rate; cash flow from operations; capital expenditures; shareholder dividends; weighted average shares outstanding; medical care ratio; and total medical customers); future financial or operating performance, including our ability to improve the health and vitality of those we serve; future growth, business strategy and strategic or operational initiatives, including our ability to successfully implement actions across our business to strengthen our platform and build a more sustainable model for healthcare; economic, regulatory or competitive environments; capital deployment plans and amounts available for future deployment; our prospects for growth in the coming years; and other statements regarding The Cigna Group's future beliefs, expectations, plans, intentions, liquidity, cash flows, financial condition or performance. You may identify forward-looking statements by the use of words such as "believe," "expect," "project," "plan," "intend," "anticipate," "estimate," "predict," "potential," "may," "should," "will" or other words or expressions of similar meaning, although not all forward-looking statements contain such terms.

Forward-looking statements are subject to risks and uncertainties, both known and unknown, that could cause actual results to differ materially from those expressed or implied in forward-looking statements. Such risks and uncertainties include, but are not limited to: our ability to manage health care costs and respond to price competition, inflation and other pressures that could compress our margins or result in premiums that are insufficient to cover the cost of services delivered to our customers; our ability to compete effectively, differentiate our products and services from those of our competitors and adapt to changes in an evolving and rapidly changing industry; our ability to develop and effectively implement products and services to improve the accessibility, affordability and transparency of health care; changes in drug pricing or industry pricing benchmarks; our ability to maintain relationships with one or more key pharmaceutical manufacturers or if payments made or discounts provided decline; changes in the pharmacy provider marketplace or pharmacy networks; the potential for actual claims to exceed our estimates related to expected medical claims; our ability to develop and maintain satisfactory relationships with health care payors, physicians, hospitals, other health service providers and with producers and consultants; potential liability in connection with managing medical practices and operating pharmacies, onsite clinics and other types of medical facilities; uncertainties surrounding participation in government-sponsored programs and providing services to payors who participate in government-sponsored programs; the substantial level of government regulation over our business and the potential effects of new laws or regulations or changes in existing laws or regulations; compliance with applicable privacy, security and data laws, regulations and standards; the outcome of litigation, regulatory audits and investigations; compliance costs and potential failure of our prevention, detection and control systems; our ability to invest in and properly maintain our information technology and other business systems; our ability to prevent or contain effects of a potential cyberattack or other privacy or data security incident; risks related to our use of artificial intelligence and machine learning; dependence on success of relationships with third parties; risk of significant disruption within our operations or among key suppliers or third parties; political, legal, operational, regulatory, economic and other risks that could affect our multinational operations, including currency exchange rates; risks related to strategic transactions and realization of the expected benefits of such transactions, as well as integration or separation difficulties or underperformance relative to expectations which could lead to an impairment charge; our ability to achieve our strategic and operational initiatives; unfavorable economic and market conditions, the risk of a recession or other economic downturn and resulting impact on employment metrics, stock market or changes in interest rates; risks related to a downgrade in financial strength ratings of our insurance subsidiaries; the impact of our significant indebtedness and the potential for further indebtedness in the future; credit risk related to our reinsurers; as well as more specific risks and uncertainties discussed in our most recent report on Form 10-K and subsequent reports on Forms 10-Q and 8-K available through the Investor Relations section of www.thecignagroup.com. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made, are not guarantees of future performance or results, and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. The Cigna Group undertakes no obligation to update or revise any forward-looking statement, whether as a result of new information, future events or otherwise, except as may be required by law.

THE CIGNA GROUP








Exhibit 1

COMPARATIVE SUMMARY OF FINANCIAL RESULTS (unaudited)



























Three Months Ended



Six Months Ended


Three Months
Ended



June 30,



June 30,


March 31,

(Dollars in millions, except per share amounts)


2026



2025



2026



2025


2026
















REVENUES






























Pharmacy revenues


$ 57,172



$ 53,649



$        111,209



$        102,282



$ 54,037

Premiums


9,859



9,156



19,671



21,892



9,812

Fees and other revenues


4,365



4,137



8,808



8,032



4,443

Net investment income


272



236



474



474



202

Total revenues


71,668



67,178



140,162



132,680



68,494

Net investment results from certain equity method investments


(110)



(44)



(87)



(94)



23

Adjusted revenues (1)


$ 71,558



$ 67,134



$        140,075



$        132,586



$ 68,517
















Shareholders' net income


$  1,660



$  1,532



$  3,314



$  2,855



$  1,654

Pre-tax adjusted income (loss) from operations by segment















Evernorth Health Services


$  1,663



$  1,696



$  3,129



$  3,130



$  1,466

Cigna Healthcare


1,276



1,094



2,790



2,381



1,514

Corporate and Other Operations


(389)



(357)



(766)



(768)



(377)

   Adjusted income tax expense 


(496)



(503)



(1,041)



(973)



(545)

Consolidated after-tax adjusted income from operations


$  2,054



$  1,930



$  4,112



$  3,770



$  2,058
















Weighted average shares (in thousands)


263,962



268,154



263,990



270,540



264,017

Common shares outstanding (in thousands)








264,154



266,901



264,498

SHAREHOLDERS' EQUITY at June 30,








$ 42,620



$ 40,214




SHAREHOLDERS' EQUITY PER SHARE at June 30,








$ 161.35



$ 150.67




















Three Months Ended


Six Months Ended


Three Months
Ended


June 30,


June 30,


March 31,


2026


2025


2026


2025


2026

(Dollars in millions, except per share amounts)

Pre-tax

After-tax


Pre-tax

After-tax


Pre-tax

After-tax


Pre-tax

After-tax


Pre-tax

After-tax
















SHAREHOLDERS' NET INCOME






























Shareholders' net income


$  1,660



$  1,532



$  3,314



$  2,855



$  1,654

Adjustments to reconcile to adjusted income from operations















Net investment (gains) (2)

$  (41)

(55)


$  (96)

(103)


$ (276)

(288)


$ (144)

(151)


$ (235)

(233)

Amortization of acquired intangible assets

389

296


422

330


779

611


844

666


390

315

Special Items















 Strategic optimization program

70

53


129

98


450

343


344

261


380

290

 Integration and transaction-related costs

34

26


74

56


69

53


290

220


35

27

 Charges (benefits) associated with litigation matters

77

60



66

52



(11)

(8)

 Deferred tax expenses, net

17


17


33


34


16

 (Gain) on sale of businesses

(6)

(3)



(6)

(6)


(41)

(115)


(3)

Adjusted income from operations (3)


$  2,054



$  1,930



$  4,112



$  3,770



$  2,058
















DILUTED EARNINGS PER SHARE






























Shareholders' net income


$   6.29



$   5.71



$  12.55



$  10.55



$   6.26

Adjustments to reconcile to adjusted income from operations















Net investment (gains) (2)

$ (0.16)

(0.21)


$ (0.36)

(0.38)


$ (1.05)

(1.09)


$ (0.53)

(0.56)


$ (0.89)

(0.88)

Amortization of acquired intangible assets

1.48

1.12


1.57

1.23


2.96

2.32


3.12

2.47


1.48

1.19

Special Items















 Strategic optimization program

0.27

0.20


0.48

0.37


1.70

1.29


1.27

0.97


1.44

1.10

 Integration and transaction-related costs

0.13

0.10


0.28

0.21


0.26

0.20


1.07

0.81


0.13

0.10

 Charges (benefits) associated with litigation matters

0.28

0.23



0.25

0.20



(0.04)

(0.03)

 Deferred tax expenses, net

0.06


0.06


0.13


0.13


0.06

 (Gain) on sale of businesses

(0.02)

(0.01)



(0.02)

(0.02)


(0.15)

(0.43)


(0.01)

Adjusted income from operations (3)


$   7.78



$   7.20



$  15.58



$  13.94



$   7.79



(1)

Adjusted revenues is defined as total revenues excluding the following adjustments: special items and The Cigna Group's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting. These items are excluded because they are not indicative of past or future underlying performance of our businesses.

(2)

Includes Net investment gains/losses as presented in our Consolidated Statements of Income, as well as the Company's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting, which are presented within Fees and other revenues in our Consolidated Statements of Income.

(3)

Adjusted income (loss) from operations is defined as shareholders' net income (or income before income taxes less pre-tax income (loss) attributable to noncontrolling interests for the segment metric) excluding the following adjustments: net investment gains/losses, amortization of acquired intangible assets and special items. The Cigna Group's share of certain investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting are also excluded.

INVESTOR RELATIONS CONTACT:
Ralph Giacobbe
860-787-7968
Ralph.Giacobbe@TheCignaGroup.com 

MEDIA CONTACT:
Justine Sessions
860-810-6523
Justine.Sessions@Evernorth.com 

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/the-cigna-group-reports-strong-second-quarter-2026-results-raises-2026-outlook-302838288.html

SOURCE The Cigna Group

FAQ

How did The Cigna Group (CI) perform financially in Q2 2026?

The Cigna Group reported Q2 2026 revenues of $71.7 billion, up 7% year over year. According to the company, shareholders' net income was $1.7 billion and adjusted income from operations reached $2.1 billion, or $7.78 per share, reflecting broad-based operational contributions.

What is The Cigna Group’s updated 2026 earnings outlook for CI shares?

The Cigna Group now expects 2026 adjusted income from operations of at least $30.45 per share. According to the company, this represents a $0.10 increase from prior guidance and includes the anticipated impact of future share repurchases and expected 2026 dividend payments.

How did Evernorth Health Services perform for The Cigna Group in Q2 2026?

Evernorth Health Services delivered $61.5 billion in Q2 2026 adjusted revenues, up 6% year over year. According to The Cigna Group, pre-tax adjusted income from operations was $1.66 billion, a 2% decline, as Pharmacy Benefit Services income fell despite revenue growth, while Specialty and Care Services improved.

What were Cigna Healthcare’s key results in Q2 2026 for CI investors?

Cigna Healthcare reported Q2 2026 adjusted revenues of $11.7 billion, up 9% year over year. According to the company, pre-tax adjusted income from operations rose 17% to $1.28 billion, with a pre-tax margin of 10.9% and a medical care ratio of 84.5%.

What does the 2026 outlook for Evernorth and Cigna Healthcare mean for CI?

For 2026, The Cigna Group projects at least $6.9 billion in Evernorth pre-tax adjusted income and at least $4.55 billion for Cigna Healthcare. According to the company, the Cigna Healthcare medical care ratio is expected between 83.7% and 84.7%, supporting its raised earnings outlook.

Did The Cigna Group (CI) return capital to shareholders in 2026 so far?

Yes. Year to date through July 29, 2026, The Cigna Group repurchased 0.9 million CI shares for about $250 million. According to the company, its full-year adjusted earnings outlook already incorporates the expected impact of ongoing share repurchases and anticipated 2026 dividends.