Company Description
The Cigna Group (NYSE: CI) is described as a global health company that focuses on creating what it calls a better future built on the vitality of individuals and communities. According to multiple company disclosures, it positions itself around improving health, vitality, and connection for people and organizations across many markets.
The Cigna Group reports that it maintains sales capabilities in more than 30 markets and jurisdictions and has approximately or more than 180 million customer relationships worldwide, spanning medical, pharmacy, behavioral, dental and other health-related services. The company notes that its products and services are marketed under two primary brands: Cigna Healthcare and Evernorth Health Services, or their subsidiaries.
Business Structure and Segments
In its public communications and SEC filings, The Cigna Group organizes its operations into major segments that reflect its health services and health insurance activities.
Evernorth Health Services is described as the health services division of The Cigna Group. It includes the Pharmacy Benefit Services and Specialty and Care Services operating segments. Pharmacy Benefit Services focuses on pharmacy benefit management activities such as drug claim adjudication, retail pharmacy network administration, benefit design consultation, drug utilization review, and formulary management, as well as access to home delivery pharmacy. Specialty and Care Services provides specialty drugs for complex and rare diseases, specialty distribution of pharmaceuticals and medical supplies, and clinical programs that are intended to support whole-person health outcomes through care services.
Cigna Healthcare is the segment that encompasses the company’s health insurance and coordinated medical solutions. It includes U.S. Healthcare and International Health operating segments. U.S. Healthcare provides medical plans and other benefits and solutions for insured and self-insured clients, as well as individual health plans. International Health provides health care solutions in international markets and for globally mobile individuals and employees of multinational organizations. Company disclosures note that certain Medicare-related businesses were divested to Health Care Services Corporation in March 2025, which affected the mix of business within Cigna Healthcare.
Core Activities and Customer Relationships
The Cigna Group’s public financial reporting highlights both pharmacy customers and medical customers, as well as other relationships such as behavioral care, dental, and Medicare Part D customers. As of a recent reporting period, the company cited a total of about 182 million customer relationships, with a large base of pharmacy customers and a significant base of medical customers in the U.S. and international markets. The company emphasizes that Evernorth Health Services has been a driver of revenue growth, supported by growth of existing client relationships and specialty pharmacy volume.
In the direct health and medical insurance area, Cigna Healthcare provides medical coverage and coordinated solutions for employers, individuals, and international clients. The company’s disclosures indicate that it serves employers through insured and self-insured arrangements and offers a range of health benefits and solutions. The company also references behavioral care and dental offerings as part of its broader health relationship base.
Financial and Capital Markets Profile
The Cigna Group’s common stock trades on the New York Stock Exchange under the ticker CI. In its SEC filings, the company has described itself as issuing senior notes under an existing shelf registration statement and using proceeds for purposes such as repaying loans used to fund strategic investments and for general corporate purposes. It has also disclosed regular earnings releases and outlook affirmations, including references to adjusted income from operations as a key non-GAAP measure used by management to evaluate underlying performance.
The company has reported that its consolidated results reflect contributions from Evernorth Health Services, Cigna Healthcare, and Corporate and Other Operations. Evernorth Health Services has been cited as a significant contributor to revenue growth, while Cigna Healthcare results are influenced by medical care ratios, premium rate changes, and changes in business mix such as the divestiture of certain Medicare businesses.
Governance and Board Oversight
In an 8-K filing, The Cigna Group detailed changes to its Board committee structure to align oversight responsibilities with its strategic priorities and the evolving health services landscape. The company reported that its Compliance Committee’s responsibilities would be assumed by the full Board and other committees, and that the Audit Committee would be renamed the Audit and Compliance Committee with responsibility for enterprise compliance matters. The Corporate Governance Committee was assigned oversight of the ethics program and public clinical reporting, and oversight of clinical compliance, including patient experience and satisfaction, was designated for the full Board. The Finance Committee was renamed the Finance and Technology Committee, with oversight of technology strategy, information protection, business continuity, disaster recovery, and artificial intelligence.
The company has also reported on changes in Board membership and committee assignments through 8-K and 8-K/A filings, reflecting ongoing attention to corporate governance and Board composition.
Research, Vitality, and Purpose
The Cigna Group publishes research on topics it associates with health and vitality. In its Vitality in America reports, the company has highlighted findings about the role of purpose in health, resilience, and engagement. One such report found that fewer than one in three American adults report having a strong sense of purpose, and it linked strong purpose to higher vitality, better health, stronger relationships, and greater engagement at work. The company uses the Evernorth Vitality Index to measure aspects of competency, autonomy, and relatedness across multiple dimensions of health, including emotional, environmental, financial, intellectual, occupational, physical, purpose, and social.
These research efforts are presented as part of The Cigna Group’s focus on understanding factors that influence health and providing insights that may inform individuals, employers, and communities.
Community and Sponsorship Activities
The Cigna Group’s news releases describe several community-focused initiatives. For example, the company announced a renewed multiyear sponsorship of the Achilles Freedom Team, part of Achilles International, committing nearly $1 million over three years to support wounded veterans and athletes with disabilities in participating in major endurance races. The company has stated that it has donated more than $3 million to Achilles International since 2009 and has supported events such as the Walt Disney World Marathon Weekend and community biking events linked to honoring veterans.
These activities are presented as aligned with the company’s emphasis on health, vitality, movement, and community connection.
Evernorth Health Services and Pharmacy Benefit Innovation
Through its Evernorth Health Services division, The Cigna Group has announced initiatives in pharmacy benefit services. One notable development is a rebate-free pharmacy benefit model introduced by Evernorth’s Express Scripts pharmacy benefit services. According to company communications, this model is intended to make discounts negotiated with drug manufacturers available upfront at the point of sale, simplifying the pricing process and providing more transparent and potentially lower costs for brand-name medications.
Evernorth has also described technology that compares multiple pricing options for medications, including negotiated prices, cash discount prices, and other options, with the goal of charging the lowest available cost at the pharmacy counter. The company states that this approach is designed to help Americans, including those in high-deductible health plans, manage out-of-pocket costs while ensuring that spending counts toward deductibles and that clinical safety checks remain in place.
Additionally, Evernorth has outlined a reimbursement model for community pharmacies that is based on medication cost plus a dispensing fee and additional reimbursement tied to clinical services and quality standards, with the stated intent of supporting local pharmacies as key access points for care.
Onsite and Workplace-Based Care
In collaboration with employers, The Cigna Group, through Evernorth Health Services and its affiliates, participates in workplace-based care models. For example, a news release from Hankook Tire described the opening of the Hankook Tire Clinic Powered by Evernorth, an onsite health center at a manufacturing plant in Tennessee. Services at that clinic are provided by Evernorth Direct Health, LLC and related entities, which are part of Evernorth Health Services, the health services business of The Cigna Group. The clinic offers primary and preventive care, acute care for common conditions, chronic condition management, and certain occupational health services, with in-person and virtual visit options.
This example illustrates how Evernorth’s capabilities can be used to support employer-sponsored, onsite health solutions aimed at improving access to care and overall well-being for employees and their families.
Dividend and Capital Management
The Cigna Group’s Board of Directors has declared cash dividends on the company’s common stock, as reported in press releases and corresponding 8-K filings. These announcements provide information on dividend amounts, payment dates, and record dates. In addition, the company has disclosed the issuance of senior notes and the use of proceeds for debt repayment and general corporate purposes, indicating an active approach to capital structure management.
Stock, Sector, and Industry Context
The Cigna Group’s shares trade under the symbol CI on the New York Stock Exchange. The company is associated with the Finance and Insurance sector and the Direct Health and Medical Insurance Carriers industry classification. Its activities, however, extend beyond traditional health insurance into pharmacy benefit management, specialty pharmacy, care services, behavioral health, dental, and other health-related offerings through its Evernorth Health Services division.
FAQs about The Cigna Group (CI)
- What does The Cigna Group do?
The Cigna Group describes itself as a global health company that offers health-related products and services through Cigna Healthcare and Evernorth Health Services. Its activities include health insurance and medical plans, pharmacy benefit services, specialty pharmacy, care services, and related health solutions. - How is The Cigna Group organized?
The company reports two primary operating platforms: Evernorth Health Services, which includes Pharmacy Benefit Services and Specialty and Care Services, and Cigna Healthcare, which includes U.S. Healthcare and International Health. Corporate and Other Operations are reported separately in financial disclosures. - What is Evernorth Health Services?
Evernorth Health Services is the health services division of The Cigna Group. It includes pharmacy benefit management activities, specialty pharmacy and distribution, and care services with clinical programs aimed at supporting whole-person health. - What is Cigna Healthcare?
Cigna Healthcare is the segment of The Cigna Group that provides medical plans and coordinated health solutions for insured and self-insured clients, individuals, and international customers. It includes U.S. Healthcare and International Health operations. - Where does The Cigna Group operate?
Company disclosures state that The Cigna Group maintains sales capabilities in more than 30 markets and jurisdictions and serves tens of millions of customers globally across medical, pharmacy, behavioral, dental, and other health-related services. - How many customer relationships does The Cigna Group report?
The company has reported approximately or more than 180 million customer relationships worldwide, including pharmacy customers, medical customers, behavioral care, dental, and other health-related relationships. - What stock exchange is CI listed on?
The Cigna Group’s common stock is listed on the New York Stock Exchange under the ticker symbol CI. - What role does research play in The Cigna Group’s strategy?
Through its Vitality in America reports and the Evernorth Vitality Index, The Cigna Group publishes research on factors such as purpose, vitality, and health. These reports examine links between purpose, mental and physical health, relationships, and workplace engagement. - How does The Cigna Group engage with communities?
The company reports community-focused initiatives such as long-standing sponsorship of the Achilles Freedom Team, supporting wounded veterans and athletes with disabilities in endurance events, and collaborations that promote movement, health, and inclusion. - What governance changes has The Cigna Group reported?
In an 8-K filing, the company described changes to its Board committee structure, including consolidating compliance oversight into the Audit and Compliance Committee and the full Board, assigning ethics and public clinical reporting oversight to the Corporate Governance Committee, and expanding the Finance and Technology Committee’s remit to include technology and information protection.