CIGNA GROUP, 10-K filed on 2/26/2026
Annual Report
v3.25.4
Cover Page - USD ($)
$ in Billions
12 Months Ended
Dec. 31, 2025
Jan. 30, 2026
Jun. 30, 2025
Cover [Abstract]      
Document Type 10-K    
Document Annual Report true    
Document Period End Date Dec. 31, 2025    
Current Fiscal Year End Date --12-31    
Document Transition Report false    
Entity File Number 001-38769    
Entity Registrant Name The Cigna Group    
Entity Incorporation, State or Country Code DE    
Entity Tax Identification Number 82-4991898    
Entity Address, Address Line One 900 Cottage Grove Road    
Entity Address, City or Town Bloomfield    
Entity Address, State or Province CT    
Entity Address, Postal Zip Code 06002    
City Area Code 860    
Local Phone Number 226-6000    
Title of 12(b) Security Common Stock, Par Value $0.01    
Trading Symbol CI    
Security Exchange Name NYSE    
Entity Well-known Seasoned Issuer Yes    
Entity Voluntary Filers No    
Entity Current Reporting Status Yes    
Entity Interactive Data Current Yes    
Entity Filer Category Large Accelerated Filer    
Entity Small Business false    
Entity Emerging Growth Company false    
ICFR Auditor Attestation Flag true    
Document Financial Statement Error Correction [Flag] false    
Entity Shell Company false    
Entity Public Float     $ 88.0
Entity Common Stock, Shares Outstanding   263,528,277  
Documents Incorporated by Reference
Part III of this Form 10-K incorporates by reference information from the registrant's definitive proxy statement related to the 2026 Annual Meeting of Shareholders.
   
Amendment Flag false    
Document Fiscal Period Focus FY    
Document Fiscal Year Focus 2025    
Entity Central Index Key 0001739940    
v3.25.4
Audit Information
12 Months Ended
Dec. 31, 2025
Audit Information [Abstract]  
Auditor Name PricewaterhouseCoopers LLP
Auditor Location Hartford, Connecticut
Auditor Firm ID 238
v3.25.4
Consolidated Statements of Income - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Revenues      
Premiums $ 40,261 $ 45,996 $ 44,237
Net investment income 1,046 973 1,166
TOTAL REVENUES 274,900 247,121 195,265
Benefits and expenses      
Pharmacy and other service costs 214,991 182,509 133,801
Medical costs and other benefit expenses 34,349 38,648 36,287
Selling, general and administrative expenses 14,617 14,844 14,822
Amortization of acquired intangible assets 1,743 1,703 1,819
TOTAL BENEFITS AND EXPENSES 265,700 237,704 186,729
Income from operations 9,200 9,417 8,536
Interest expense and other (1,408) (1,435) (1,446)
Net gain (loss) on sale of businesses 13 24 (1,499)
Net investment losses (24) (2,737) (78)
Income before income taxes 7,781 5,269 5,513
TOTAL INCOME TAXES 1,493 1,491 141
Net income 6,288 3,778 5,372
Less: Net income attributable to noncontrolling interests 331 344 208
SHAREHOLDERS' NET INCOME $ 5,957 $ 3,434 $ 5,164
Shareholders' net income per share      
Basic (in dollars per share) $ 22.33 $ 12.25 $ 17.57
Diluted (in dollars per share) $ 22.18 $ 12.12 $ 17.39
Pharmacy revenues      
Revenues      
Revenue from contract with customer $ 216,672 $ 185,362 $ 137,243
Fees and other revenues      
Revenues      
Revenue from contract with customer $ 16,921 $ 14,790 $ 12,619
v3.25.4
Consolidated Statements of Comprehensive Income - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Statement of Comprehensive Income [Abstract]      
Net income $ 6,288 $ 3,778 $ 5,372
Other comprehensive income (loss), net of tax      
Net unrealized (depreciation) appreciation on securities and derivatives (238) 661 503
Net long-duration insurance and contractholder liabilities measurement adjustments (291) (1,067) (715)
Net translation gains (losses) on foreign currencies 71 (49) 5
Postretirement benefits liability adjustment (7) (22) 1
Other comprehensive income (loss) (465) (477) (206)
Total comprehensive income 5,823 3,301 5,166
Net income attributable to redeemable noncontrolling interests 0 0 180
Net income attributable to other noncontrolling interests 331 344 28
Total comprehensive income attributable to noncontrolling interests 331 344 208
SHAREHOLDERS' COMPREHENSIVE INCOME $ 5,492 $ 2,957 $ 4,958
v3.25.4
Consolidated Balance Sheets - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Assets    
Cash and cash equivalents $ 7,676 $ 7,550
Investments 1,056 665
Accounts receivable, net 28,768 24,227
Inventories 7,338 6,692
Other current assets 2,976 2,732
Assets of businesses held for sale 0 7,004
Total current assets 47,814 48,870
Long-term investments 18,471 15,128
Reinsurance recoverables 4,103 4,378
Property and equipment 3,651 3,654
Goodwill 44,924 44,370
Other intangible assets 28,560 29,417
Other assets 2,885 2,786
Separate account assets 7,511 7,278
TOTAL ASSETS 157,919 155,881
Liabilities    
Current insurance and contractholder liabilities 5,710 5,388
Pharmacy and other service costs payable 30,333 28,465
Accounts payable 10,659 9,294
Accrued expenses and other liabilities 9,048 9,387
Short-term debt 592 3,035
Liabilities of businesses held for sale 0 2,410
Total current liabilities 56,342 57,979
Non-current insurance and contractholder liabilities 9,938 10,254
Deferred tax liabilities, net 7,145 6,975
Other non-current liabilities 4,238 3,215
Long-term debt 30,871 28,937
Separate account liabilities 7,511 7,278
TOTAL LIABILITIES 116,045 114,638
Contingencies — Note 22
Shareholders' equity    
Common stock [1] 4 4
Additional paid-in capital 31,790 31,288
Accumulated other comprehensive loss (2,806) (2,341)
Retained earnings 47,865 43,519
Less: Treasury stock, at cost (35,140) (31,437)
TOTAL SHAREHOLDERS' EQUITY 41,713 41,033
Noncontrolling interests 161 210
Total equity 41,874 41,243
Total liabilities and equity $ 157,919 $ 155,881
[1] Par value per share, $0.01; shares issued, 405 million as of December 31, 2025 and 403 million as of December 31, 2024; authorized shares, 600 million.
v3.25.4
Consolidated Balance Sheets (Parenthetical) - $ / shares
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Statement of Financial Position [Abstract]      
Common stock, par value $ 0.01 $ 0.01 $ 0.01
Common stock, shares issued (in shares) 404,600,000 402,512,000 399,894,000
Common stock, shares authorized 600,000,000 600,000,000 600,000,000
v3.25.4
Consolidated Statements of Changes in Total Equity - USD ($)
$ in Millions
Total
Shareholders' Equity
Common Stock
Additional Paid-in Capital
Accumulated Other Comprehensive (Loss)
Retained Earnings
Treasury Stock
Other Non- controlling Interests
Balance at Dec. 31, 2022 $ 44,688 $ 44,675 $ 4 $ 30,233 $ (1,658) $ 37,940 $ (21,844) $ 13
Changes in Total Equity                
Effect of issuing stock for employee benefit plans 365 365   477     (112)  
Other comprehensive income (loss) (206) (206)     (206)      
Net income 5,192 5,164       5,164   28
Common dividends declared (1,452) (1,452)       (1,452)    
Repurchase of common stock (2,282) (2,282)   0     (2,282)  
Other transactions impacting noncontrolling interests (61) (41)   (41)       (20)
Balance at Dec. 31, 2023 46,244 46,223 4 30,669 (1,864) 41,652 (24,238) 21
Balance at Dec. 31, 2022 66              
Change in Redeemable Noncontrolling Interests                
Other comprehensive loss 0              
Other transactions impacting noncontrolling interests (139)              
Balance at Dec. 31, 2023 107              
Changes in Total Equity                
Effect of issuing stock for employee benefit plans 499 499   619     (120)  
Other comprehensive income (loss) (477) (477)     (477)      
Net income 3,778 3,434       3,434   344
Common dividends declared (1,567) (1,567)       (1,567)    
Repurchase of common stock (7,079) (7,079)   0     (7,079)  
Other transactions impacting noncontrolling interests (155) 0   0       (155)
Balance at Dec. 31, 2024 41,243 41,033 4 31,288 (2,341) 43,519 (31,437) 210
Change in Redeemable Noncontrolling Interests                
Other comprehensive loss 0              
Other transactions impacting noncontrolling interests (107)              
Balance at Dec. 31, 2024 0              
Changes in Total Equity                
Effect of issuing stock for employee benefit plans 388 388   502     (114)  
Other comprehensive income (loss) (465) (465)     (465)      
Net income 6,288 5,957       5,957   331
Common dividends declared (1,611) (1,611)       (1,611)    
Repurchase of common stock (3,589) (3,589)   0     (3,589)  
Other transactions impacting noncontrolling interests (380) 0   0       (380)
Balance at Dec. 31, 2025 41,874 $ 41,713 $ 4 $ 31,790 $ (2,806) $ 47,865 $ (35,140) $ 161
Change in Redeemable Noncontrolling Interests                
Other comprehensive loss 0              
Other transactions impacting noncontrolling interests 0              
Balance at Dec. 31, 2025 $ 0              
v3.25.4
Consolidated Statements of Changes in Total Equity (Parenthetical) - $ / shares
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Statement of Stockholders' Equity [Abstract]      
Common dividends declared (in dollars per share) $ 6.04 $ 5.60 $ 4.92
v3.25.4
Consolidated Statements of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Cash Flows from Operating Activities      
Net income $ 6,288 $ 3,778 $ 5,372
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization 2,775 2,775 3,035
Investment losses, net 24 2,737 78
Deferred income tax expense (benefit) 326 (95) (1,659)
Net (gain) loss on sale of businesses (13) (24) 1,499
Net changes in assets and liabilities, net of non-operating effects:      
Accounts receivable, net (4,630) (7,369) (1,663)
Inventories (646) (1,032) (868)
Reinsurance recoverable and Other assets (897) (485) (539)
Insurance liabilities 1,247 (591) 584
Pharmacy and other service costs payable 1,868 8,757 2,030
Accounts payable and Accrued expenses and other liabilities 2,797 1,138 3,481
Other, net 462 774 463
NET CASH PROVIDED BY OPERATING ACTIVITIES 9,601 10,363 11,813
Proceeds from investments sold:      
Debt securities and equity securities 782 856 1,078
Investment maturities and repayments:      
Debt securities and equity securities 986 839 972
Commercial mortgage loans 223 188 186
Other sales, maturities and repayments (primarily short-term and other long-term investments) 884 752 586
Investments purchased or originated:      
Debt securities and equity securities (5,788) (1,386) (4,334)
Commercial mortgage loans (117) (54) (118)
Other (primarily short-term and other long-term investments) (1,416) (1,309) (1,205)
Property and equipment purchases, net (1,212) (1,406) (1,573)
Acquisitions, net of cash acquired (597) (131) (447)
Divestitures, net of cash sold 2,984 521 13
Renewable energy tax credit equity investments (1,102) (1,030) (313)
Other, net (34) 58 (19)
NET CASH USED IN INVESTING ACTIVITIES (4,407) (2,102) (5,174)
Cash Flows from Financing Activities      
Deposits and interest credited to contractholder deposit funds 152 166 167
Withdrawals and benefit payments from contractholder deposit funds (253) (228) (223)
Net change in short-term debt, excluding term loan (927) (402) 1,198
Net proceeds on issuance of term loan 1,999 0 0
Repayment of term loan (2,000) 0 0
Repayment of long-term debt (4,197) (3,000) (2,967)
Net proceeds on issuance of long-term debt 4,458 4,462 1,491
Repurchase of common stock (3,621) (7,034) (2,284)
Issuance of common stock 203 305 187
Common stock dividend paid (1,611) (1,567) (1,450)
Other, net (624) (349) (413)
NET CASH USED IN FINANCING ACTIVITIES (6,421) (7,647) (4,294)
Effect of foreign currency rate changes on cash, cash equivalents and restricted cash 32 (20) 16
Net (decrease) increase in cash, cash equivalents and restricted cash (1,195) 594 2,361
Cash, cash equivalents and restricted cash January 1, including held for sale assets [1] 8,931 8,337 5,976
Cash, cash equivalents and restricted cash December 31, including held for sale assets [1] 7,736 8,931 8,337
Cash and cash equivalents reclassified to assets of businesses held for sale 0 (1,339) (467)
Cash, cash equivalents and restricted cash and cash equivalents December 31, [1] 7,736 7,592 7,870
Supplemental Disclosure of Cash Information:      
Interest paid $ 1,350 $ 1,342 $ 1,330
[1] Restricted cash and cash equivalents were reported in other long-term investments and Other assets.
v3.25.4
Description of Business
12 Months Ended
Dec. 31, 2025
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Description of Business
Note 1 – Description of Business
The Cigna Group®, together with its subsidiaries (either individually or collectively referred to as the "Company," "we," "us" or "our"), is a global health company committed to creating a better future for every individual and every community. Powered by our dedicated people and valued brands, we advance our mission to improve the health and vitality of those we serve.

Our subsidiaries offer a differentiated set of pharmacy, medical, behavioral, dental, and related products and services. The majority of these products and services are offered through employers and other entities, such as governmental and nongovernmental organizations, unions and associations. Certain subsidiaries also offer health and dental insurance products to individuals in the United States and select international markets. In addition to these operations, The Cigna Group also has certain run-off operations.

A full description of our segments follows:
The Evernorth Health Services® reportable segment includes the Pharmacy Benefit Services and the 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.

The Cigna Healthcare® reportable 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 for 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. U.S. Healthcare also included the Medicare Advantage and related businesses until the divestiture of such businesses to Health Care Services Corporation ("HCSC") on March 19, 2025 (see Note 5 to the Consolidated Financial Statements for further information).
Other Operations comprises the remainder of our business operations, which includes certain continuing business (corporate-owned life insurance ("COLI")), as well as run-off and other non-strategic businesses. Our run-off businesses include the (i) variable annuity reinsurance business that was effectively exited through reinsurance with Berkshire Hathaway Life Insurance Company of Nebraska ("Berkshire") in 2013; (ii) settlement annuity business; and (iii) individual life insurance and annuity and retirement benefits businesses, which were sold through reinsurance agreements.
Corporate reflects amounts not allocated to operating segments, including net interest expense (defined as interest on corporate financing less net investment income on investments not supporting segment and other operations), certain litigation matters, expense associated with our frozen pension plans, charitable contributions, operating severance, certain overhead and enterprise-wide project costs, and eliminations for products and services sold between segments.
v3.25.4
Summary of Significant Accounting Policies
12 Months Ended
Dec. 31, 2025
Accounting Policies [Abstract]  
Summary of Significant Accounting Policies
Note 2 – Summary of Significant Accounting Policies
Basis of Presentation
The Consolidated Financial Statements include the accounts of The Cigna Group and its consolidated subsidiaries. Intercompany transactions and accounts have been eliminated in consolidation. These Consolidated Financial Statements were prepared in conformity with accounting principles generally accepted in the United States of America ("GAAP").

Amounts recorded in the Consolidated Financial Statements necessarily reflect management's estimates and assumptions about medical costs, investment, tax and receivable valuations, interest rates, and other factors. Significant estimates are discussed throughout these Notes; however, actual results could differ from those estimates. The impact of a change in estimate is generally included in earnings in the period of adjustment.
Recent Accounting Pronouncements
There were no new accounting standards adopted during the year ended December 31, 2025 that had a material impact on our Consolidated Financial Statements.
Accounting Guidance Not Yet Adopted

Accounting Standards Update ("ASU") 2025-06, Targeted Improvements to the Accounting for Internal-Use Software (Subtopic 350-40). Required to be adopted January 1, 2028, with early adoption permitted and requires the following:
Seeks to improve the operability of the recognition guidance considering different methods of software development, mainly more iterative methods, by:
Aligning internal-use software capitalization requirements to probable completion and required funding and authorization.
Clarifying certain criteria for probable completion, including that the significant performance requirements of the software be identified and no longer subject to substantial revision.
Transition options include prospective from the date of adoption as well as retrospective and modified retrospective adoption.
The Company is currently evaluating the impact of this guidance on our results of operations and financial position, as well as potential impacts to information systems and controls.

ASU 2024-03, Disaggregation of Income Statement Expenses (Subtopic 220-40). Required to be adopted for the annual reporting period ending December 31, 2027 and for interim reporting periods beginning January 1, 2028 and requires:
Additional expense detail in the footnotes disaggregating income statement captions including any of the following: inventory purchases; employee compensation; depreciation; and intangible asset amortization, as well as a qualitative description of remaining expenses to reconcile to the total expense within those income statement captions;
Disclosure of the definition and total amount of selling expenses; and
Transition options include prospective from the date of adoption as well as retrospective adoption.
The only financial statement impact resulting from adoption will be increased disclosure. The Company continues to evaluate the effects the adoption requirements on information systems and controls.
Significant Accounting Policies
The Company's accounting policies are described either in this Note or in the applicable Notes to the Consolidated Financial Statements as listed in the table of contents on page 60.
A.Cash and Cash Equivalents
Cash and cash equivalents are carried at cost that approximates fair value. Cash equivalents consist of short-term investments with maturities of three months or less from the time of purchase. The Company reclassifies cash overdraft positions to liabilities when the legal right of offset does not exist.
B.Inventories
Inventories consist of prescription drugs and medical supplies and are stated at the lower of first-in-first-out cost or net realizable value.
C.Translation of Foreign Currencies
The Company generally conducts its international business through foreign operating entities that maintain assets and liabilities in local currencies that are their functional currencies. The Company uses exchange rates as of the balance sheet date to translate assets and liabilities into U.S. dollars. Translation gains or losses on functional currencies, net of applicable taxes, are recorded in Accumulated other comprehensive loss. The Company uses average monthly exchange rates during the year to translate revenues and expenses into U.S. dollars.
D.Pharmacy Revenues and Costs
Pharmacy Revenues. Pharmacy revenues are primarily derived from providing pharmacy benefit management services to clients and customers. Pharmacy revenues are recognized when control of the promised goods or services is transferred to clients and customers in an amount that reflects the consideration the Company expects to receive for those goods or services.
The Company provides or makes available various services supporting benefit management and claims administration and is generally obligated to provide prescription drugs to clients' members using multiple distribution methods, including retail networks, home delivery and specialty pharmacies. These goods and services are integrated into a single performance obligation to process claims, dispense prescription drugs and provide other services over the contract period (generally three years). This performance obligation is satisfied as the business stands ready to fulfill its obligation.
Revenues for dispensing prescription drugs through retail pharmacies are reported gross and consist of the prescription price (ingredient cost and dispensing fee) contracted with clients, including the customer copayment, and any associated fees for services, because the Company acts as the principal in these arrangements. When a prescription is presented to a retail network pharmacy, the Company is solely responsible for customer eligibility, drug utilization review, drug-to-drug interaction review, any required clinical intervention, plan provision information, payment to the pharmacy and client billing. These revenues are recognized based on the full prescription price when the pharmacy claim is processed and approved for payment. The Company also provides benefit design and formulary consultation services to clients and negotiates separate contractual relationships with clients and network pharmacies. These factors indicate that the Company has control over these transactions until the prescription is processed. Revenues are billed, due and recognized at contract rates either on a periodic basis or as services are provided (such as based on volume of claims processed). This recognition pattern aligns with the benefits from services provided.
Home delivery and specialty pharmacy revenues are due and recognized as each prescription is shipped, net of reserves for discounts and contractual allowances estimated based on historical experience. Any differences between estimates and actual collections are reflected in Pharmacy revenues when payments are received. Historically, adjustments to original estimates and returns have not been material. The Company has elected the practical expedient to account for shipping and handling as a fulfillment activity.
We may also provide certain financial and performance guarantees, including a minimum level of discounts a client may receive, generic utilization rates and various service levels. Clients may be entitled to receive compensation if we fail to meet the guarantees. Actual performance is compared to the contractual guarantee for each measure throughout the period and the Company defers revenue for any estimated payouts within Accrued expenses and other liabilities (current). These estimates are adjusted and paid at the end of the annual guarantee period. Historically, adjustments to original estimates have not been material. The liability for these financial and performance guarantees was $1.8 billion as of December 31, 2025 and $1.9 billion as of December 31, 2024.
The Company administers programs through which we may receive rebates and other vendor consideration from pharmaceutical manufacturers. The amounts of such rebates or other vendor consideration shared with pharmacy benefit management services clients vary based on the contractual arrangement with the client and in some cases the type of consideration received from the pharmaceutical manufacturer. Rebates and other vendor consideration payable to pharmacy benefit management services clients are recorded as a reduction of Pharmacy revenues. Estimated amounts payable to clients are based on contractual sharing arrangements between the Company and the client and these amounts are adjusted when amounts are collected from pharmaceutical manufacturers in accordance with the contractual arrangement between the Company and the client. Historically, these adjustments have not been material.
Other pharmacy service revenues are earned by distributing specialty pharmaceuticals and medical supplies to providers, clinics and hospitals. These revenues are billed, due and recognized at contracted rates as prescriptions and supplies are shipped and services are provided.
Pharmacy Costs. Pharmacy costs include the cost of prescriptions sold, network pharmacy claim costs and copayments. Also included are direct costs of dispensing prescriptions including supplies, shipping and handling, and direct costs associated with clinical programs, such as drug utilization management and medication adherence counseling. Home delivery and specialty pharmacy costs are recognized when the drug is shipped, and retail network costs are recognized when the drug is processed and approved for payment. Rebates and other vendor consideration received when providing pharmacy benefit management services are recorded as a reduction of pharmacy costs. Rebates are recognized as prescriptions are shipped or processed and approved for payment. Historically, the effect of adjustments resulting from the reconciliation of rebates recognized to the amounts billed and collected, net of contractual allowances, has not been material. The Company maintains reimbursement guarantees with certain retail network pharmacies. For each such guarantee, the Company records a pharmacy and other service costs payable or prepaid asset for applicable retail network claims based on our actual performance throughout the period against the contractual reimbursement rate. The Company's contracts with certain retail pharmacies give the Company the right to adjust reimbursement rates during the annual guarantee period.
E.Premiums and Related Expenses
Premiums for short-duration group health, accident and life insurance and managed care coverages are recognized as revenue on a pro rata basis over the contract period. Benefits and expenses are recognized when incurred and, for our Cigna Healthcare business, are presented net of pharmaceutical manufacturer rebates. For experience-rated contracts, premium revenue includes an adjustment for
experience-rated refunds based on contract terms and calculated using the customer's experience (including estimates of incurred but not reported claims).
The Patient Protection and Affordable Care Act ("ACA") established a risk adjustment program that transfers funds among insurers based on the relative risk of their covered populations of individuals who purchased insurance on a public exchange. We recognize receivables or payables from the Centers for Medicare and Medicaid Services ("CMS") for the Company's Individual and Family Plans as adjustments to premium revenue when amounts are reasonably estimable and collection is reasonably assured, using year-to-date experience and industry data. Final settlements are determined by the United States Department of Health and Human Services ("HHS") in the subsequent year.

Premium revenue may also include an adjustment to reflect the estimated effect of rebates due to customers under medical loss ratio provisions of the ACA. These rebate liabilities are settled in the subsequent year.
Liabilities related to experience-rated refunds, risk adjustment programs and the minimum medical loss ratio are included in Accrued expenses and other liabilities (current).
Premiums for supplemental health, accident and individual life insurance and annuity long-duration products are recognized as revenue when due. Cigna Healthcare long-duration premium revenues are associated with contracts that provide coverage greater than one year or are guaranteed to be renewed at the option of the policyholder beyond one year. Benefits and expenses are matched with premiums.
Revenue for universal life products is recognized as follows:
Investment income on assets supporting universal life products is recognized in Net investment income/losses as earned.
Charges for mortality, administration and policy surrender are recognized in Premiums as earned. Administrative fees are considered earned when services are provided.
Benefits and expenses for universal life products consist of benefit claims in excess of policyholder account balances and income earned by policyholders. Expenses are recognized when claims are incurred and income is credited to policyholders in accordance with contract provisions.
The unrecognized portion of premiums received is recorded as unearned premiums included in Insurance and contractholder liabilities (current and non-current). See Note 9 to the Consolidated Financial Statements for further information.
F.Fees and Related Expenses
The majority of the Company's service fee revenues are derived from the following programs:

Administrative Services Only ("ASO") arrangements allow plan sponsors to self-fund claims and assume the risk of medical or other benefit costs. In return for fees from these clients, the Company provides access to our participating provider networks and other services supporting benefit management.
Fee-for-service clinical solutions offered to clients, such as drug utilization management and medication adherence counseling help clients to drive better health outcomes at a lower cost by identifying and addressing potentially unsafe or wasteful prescribing, dispensing and utilization of prescription drugs, and communicating with, or supporting communications with, physicians, pharmacies and patients.
Wholesale Marketplace Drug Formulary Management services include either our drug formulary administrative service arrangements or our formulary processing arrangements. Drug formulary administrative services may include formulary consultation, administration of rebate contracts, rebate submission, collection from drug manufacturers and the distribution of rebates to clients. Services may also include facilitating audits of data submissions and reporting of rebates to clients.
Health benefit management solutions are offered primarily to sponsors of health benefit plans to drive cost reductions and improve quality outcomes for clients as well as provide behavioral health services to third-party health plans, employers and administrators. In certain arrangements, the Company assumes the financial obligation for third-party provider costs for medical services provided to the health plan's customers.

Arrangements are generally short-term (one year or less) except for certain three-year health benefit management solutions contracts, and each consists of a single performance obligation. Performance obligations are satisfied as services are provided to clients, either on a stand-ready or utilization basis. Fees are billed, due and recognized at contracted rates on a periodic basis, generally monthly or agreed-upon arrangements terms. Fee revenues for services are generally recorded on a gross basis with the associated direct and indirect costs presented in Pharmacy and other service costs, or Selling, general and administrative expenses.
Retained rebates reported in Fees and other revenues in our formulary processing arrangements are either recognized gross as services are provided to clients, consistent with the related service fee, or net as rebates are processed. The latter applies in arrangements in which the Company is permitted to retain a portion of rebates collected in exchange for services, but the Company does not obtain control of the retained rebate until rebates are transferred to the client.

Fees for services may include variable consideration as a component of the transaction price, which is estimated at contract inception, recognized and adjusted through the contract period through Accrued expenses and other liabilities. Variable consideration includes certain health benefit management contracts requiring the Company to share the results of medical cost experience that differ from specified targets and ASO performance guarantees that compensate clients if certain service standards, clinical outcomes or financial metrics are not met.
v3.25.4
Accounts Receivable, Net
12 Months Ended
Dec. 31, 2025
Receivables [Abstract]  
Accounts Receivable, Net
Note 3 – Accounts Receivable, Net
Accounting Policy. We bill pharmaceutical manufacturers based on management's interpretation of contractual terms and estimate a contractual allowance based on the best information available at the time a claim is processed. Contractual allowances for certain rebates receivable from pharmaceutical manufacturers are determined by reviewing payment experience and specific known items that could be adjusted under contract terms. The Company's estimation process for contractual allowances for pharmaceutical manufacturer receivables generally results in an allowance for balances outstanding greater than 90 days.
Contractual allowances for certain receivables from third-party payors are based on their contractual terms and are estimated based on the Company's best information available at the time revenue is recognized.
The allowance for expected credit losses for current accounts receivable is based primarily on past collections experience relative to the length of time receivables are past due; however, when available evidence reasonably supports an assumption that counterparty credit risk over the expected payment period will differ from current and historical payment collections, a forecasting adjustment is reflected in the allowance for expected credit losses.
Discounts and claims adjustments issued to customers in the form of client credits and other non-credit adjustments are based on the current status of each customer's receivable balance, current economic and market conditions and a variety of other factors, including the length of time the receivables are past due, the financial health of customers and our past experience.
Receivables and any associated allowance are written off only when all collection attempts have failed and such amounts are determined unrecoverable. We regularly review the adequacy of these allowances based on a variety of factors, including age of the outstanding receivable and collection history. When circumstances related to specific collection patterns change, estimates of the recoverability of receivables are adjusted.

The Company's accounts receivable include amounts due from clients, third-party payors, customers and pharmaceutical manufacturers, and are presented net of allowances. These balances include the following:

Noninsurance customer receivables - amounts due from customers for noninsurance services, primarily pharmacy benefit management and ASO contracts.
Pharmaceutical manufacturers receivables - amounts due from pharmaceutical manufacturers.
Insurance customer receivables - amounts due from customers under insurance and managed care contracts, primarily premiums receivable and amounts due from CMS.
Other receivables - all other accounts receivable not included in the categories above.
The following amounts were included within Accounts receivable, net:
(In millions)December 31, 2025December 31, 2024
Noninsurance customer receivables$14,707 $11,879 
Pharmaceutical manufacturers receivables12,437 10,914 
Insurance customer receivables1,385 3,199 
Other receivables239 162 
Total$26,154 
Accounts receivable, net classified as assets of businesses held for sale
(1,927)
Total$28,768 $24,227 
These receivables are reported net of our allowances of $6.8 billion and $5.0 billion as of December 31, 2025 and 2024, respectively. As of December 31, 2025 and 2024, these allowances were primarily comprised of $6.2 billion and $4.3 billion, respectively,
associated with contractual allowances for certain pharmaceutical manufacturers rebate receivables; $270 million and $388 million, respectively, associated with contractual allowances for third-party payor noninsurance customer receivables; and $199 million and $84 million, respectively, associated with allowances for current expected credit losses. The remaining allowances include discounts and claims adjustments issued to customers in the form of client credits and other non-credit adjustments.
Accounts Receivable Factoring Facility
The Company maintains an uncommitted factoring facility (the "Facility") with a total capacity of $1.5 billion under which certain accounts receivable may be sold on a non-recourse basis to a financial institution. The Facility automatically renewed in July 2025 and is subject to one-year renewal terms unless terminated by either party. The transactions under the Facility are accounted for as a sale and recorded as a reduction to accounts receivable in the Consolidated Balance Sheets because control of, and risk related to, the accounts receivable are transferred to the financial institution. Although the sale is made without recourse, we provide collection services related to the transferred assets. Amounts associated with this Facility are reflected within Net cash provided by operating activities in the Consolidated Statements of Cash Flows. Factoring fees paid under this Facility are reflected in Interest expense and other in the Consolidated Statements of Income.
We sold pharmaceutical manufacturers receivables under the Facility of $4.4 billion and $5.5 billion during the years ended December 31, 2025 and December 31, 2024, respectively. For the years ended December 31, 2025, 2024 and 2023, factoring fees paid were not material. As of December 31, 2025 and December 31, 2024, all sold accounts receivable had been collected from pharmaceutical manufacturers and had been removed from the Company's Consolidated Balance Sheets. As of December 31, 2025 and December 31, 2024, there were $0.4 billion and $1.0 billion, respectively, of collections from pharmaceutical manufacturers that had not been remitted to the financial institution. Such amounts are recorded within Accrued expenses and other liabilities in the Consolidated Balance Sheets.
v3.25.4
Supplier Finance Program
12 Months Ended
Dec. 31, 2025
Payables and Accruals [Abstract]  
Supplier Finance Program
Note 4 – Supplier Finance Program
The Company facilitates a voluntary supplier finance program (the "Program") that provides suppliers the opportunity to sell their accounts receivable due from us (i.e., our payment obligations to the suppliers) to a financial institution, on a non-recourse basis, in order to be paid earlier than our payment terms require. The Cigna Group is not a party to the Program and agrees to commercial terms with its suppliers independently of their participation in the Program. Amounts due to suppliers that participate in the Program are generally paid within one month following the invoice date. A supplier's participation in the Program has no impact on the Company's payment terms and the Company has no economic interest in a supplier's decision to participate in the Program. The suppliers, at their sole discretion, determine which invoices, if any, to sell to the financial institution. No guarantees or pledged assets are provided by the Company or any of our subsidiaries under the Program.
The obligations confirmed as valid within the Program by the financial institutions were as follows and are reflected in Accounts payable in the Consolidated Balance Sheets:

For the Years Ended December 31,
(in millions)
2025
2024
Confirmed obligations outstanding at the beginning of the year$1,637 $1,536 
Invoices confirmed during the year39,108 39,091 
Less: confirmed invoices paid during the year39,143 38,990 
Confirmed obligations outstanding at the end of the year$1,602 $1,637 
The amounts confirmed as valid for both periods are predominately associated with one supplier.
v3.25.4
Divestiture
12 Months Ended
Dec. 31, 2025
Discontinued Operations and Disposal Groups [Abstract]  
Divestiture
Note 5 – Divestiture
Accounting Policy. The Company classifies assets and liabilities as held for sale ("disposal group") when management commits to a plan to sell the disposal group, the sale is probable within one year and the disposal group is available for immediate sale in its present condition. The Company considers various factors, particularly whether actions required to complete the plan indicate it is unlikely that significant changes to the plan will be made or the plan will be withdrawn. Assets held for sale are measured at the lower of carrying value or fair value less costs to sell. Any loss resulting from the measurement is recognized in the period the held for sale criteria are met. Conversely, gains are not recognized until the date of the sale. When the disposal group is classified as held for sale, depreciation and amortization for most long-lived assets ceases, and the Company tests the assets for impairment. Deferred policy acquisition costs continue to be amortized.
The Company completed the sale of our Medicare Advantage, Medicare Individual Stand-Alone Prescription Drug Plans, Medicare and Other Supplemental Benefits, and CareAllies® businesses (the "Disposal Group") on March 19, 2025 (the "HCSC transaction"). The final purchase price and total cash proceeds collected in 2025 were $4.9 billion, representing an increase from the initial $3.3 billion purchase price, driven by higher statutory surplus for the legal entities when conveyed to HCSC and post-closing contractual adjustments.
The Company recognized within Net gain (loss) on sale of businesses in the Consolidated Statements of Income a gain of $9 million pre-tax ($401 million after-tax) for the year ended December 31, 2025, a loss of $472 million ($363 million after-tax) for the year ended December 31, 2024, and a loss of $1.5 billion ($1.4 billion after-tax) for the year ended December 31, 2023. See Note 21 to the Consolidated Financial Statements for discussion of tax matters for the year ended December 31, 2025 resulting in an after-tax gain on sale of businesses. The estimated loss on sale for both the years ended December 31, 2024 and December 31, 2023 primarily represented goodwill impairments of $302 million pre-tax in 2024 and $1.2 billion pre-tax in 2023.
The Company determined that the Disposal Group met the criteria to be classified as held for sale and aggregated and classified the assets and liabilities as held for sale in our Consolidated Balance Sheets as of December 31, 2024. The assets and liabilities held for sale as of December 31, 2024 were as follows:

(In millions)December 31, 2024
Cash and cash equivalents$1,339 
Investments1,444 
Accounts receivable, net1,927 
Other assets, including Goodwill (1)
2,294 
Total assets of businesses held for sale7,004 
Insurance and contractholder liabilities1,579 
All other liabilities831 
Total liabilities of businesses held for sale$2,410 
(1) Included Goodwill of $94 million
Integration and Transaction-Related Costs
In 2025, 2024 and 2023, the Company incurred transaction-related costs associated with the HCSC transaction. These costs incurred consisted primarily of certain projects to separate the Company's systems, products and services; fees for legal, advisory and other professional services; and certain employment-related costs. These costs were $327 million pre-tax ($247 million after-tax) for the year ended December 31, 2025, compared with $275 million pre-tax ($211 million after-tax) for the year ended December 31, 2024, and $45 million pre-tax ($35 million after-tax) for the year ended December 31, 2023.
v3.25.4
Earnings Per Share
12 Months Ended
Dec. 31, 2025
Earnings Per Share [Abstract]  
Earnings Per Share
Note 6 – Earnings Per Share
Accounting Policy. The Company computes basic earnings per share using the weighted-average number of unrestricted common and deferred shares outstanding. Diluted earnings per share also includes the dilutive effect of outstanding employee stock options and restricted stock using the treasury stock method and the effect of strategic performance shares.
Basic and diluted earnings per share were computed as follows:
For the Years Ended December 31,
202520242023
(Shares in thousands, dollars in millions, except per share amounts)BasicEffect of
Dilution
DilutedBasicEffect of
Dilution
DilutedBasicEffect of
Dilution
Diluted
Shareholders' net income
$5,957 $5,957 $3,434 $3,434 $5,164 $5,164 
Shares:
Weighted average266,744 266,744 280,294 280,294 293,892 293,892 
Common stock equivalents1,819 1,819 2,924 2,924 2,990 2,990 
Total shares266,744 1,819 268,563 280,294 2,924 283,218 293,892 2,990 296,882 
Earnings per share$22.33 $(0.15)$22.18 $12.25 $(0.13)$12.12 $17.57 $(0.18)$17.39 
The following outstanding employee stock options were not included in the computation of diluted earnings per share because their effect was anti-dilutive:
For the Years Ended December 31,
(In millions)202520242023
Anti-dilutive options2.0 1.1 0.9 
v3.25.4
Debt
12 Months Ended
Dec. 31, 2025
Debt Disclosure [Abstract]  
Debt
Note 7 – Debt
The outstanding amounts of debt (net of issuance costs, discounts or premiums) and finance leases were as follows:
(In millions)December 31, 2025December 31, 2024
Short-term debt
Commercial paper$ $880 
$900 million, 3.250% Notes due April 2025
 897 
$1,216 million, 4.125% Notes due November 2025
 1,215 
$550 million, 1.250% Notes due March 2026
549 — 
Other, including finance leases43 43 
Total short-term debt$592 $3,035 
Long-term debt
$1,284 million, 4.500% Notes due February 2026
$ $1,285 
$700 million, 5.685% Notes due March 2026
 699 
$550 million, 1.250% Notes due March 2026
 549 
$1,500 million, 3.400% Notes due March 2027
1,481 1,466 
$259 million, 7.875% Debentures due May 2027
260 259 
$600 million, 3.050% Notes due October 2027
599 598 
$3,800 million, 4.375% Notes due October 2028
3,792 3,790 
$1,000 million, 5.000% Notes due May 2029
996 995 
$1,400 million, 2.400% Notes due March 2030 (1)
1,406 1,386 
$1,000 million, 4.500% Notes due September 2030
993 — 
$1,500 million, 2.375% Notes due March 2031 (1)
1,420 1,384 
$750 million, 5.125% Notes due May 2031 (1)
750 745 
$1,250 million, 4.875% Notes due September 2032
1,243 — 
$45 million, 8.080% Step Down Notes due January 2033
45 45 
$800 million, 5.400% Notes due March 2033 (1)
796 795 
$1,250 million, 5.250% Notes due February 2034 (1)
1,250 1,226 
$1,500 million, 5.250% Notes due January 2036
1,488 — 
$190 million, 6.150% Notes due November 2036
190 190 
$2,200 million, 4.800% Notes due August 2038 (1)
2,194 2,193 
$750 million, 3.200% Notes due March 2040
748 744 
$121 million, 5.875% Notes due March 2041
119 119 
$448 million, 6.125% Notes due November 2041
484 485 
$317 million, 5.375% Notes due February 2042
315 315 
$1,500 million, 4.800% Notes due July 2046
1,469 1,469 
$1,000 million, 3.875% Notes due October 2047
990 990 
$3,000 million, 4.900% Notes due December 2048
2,972 2,971 
$1,184 million, 3.400% Notes due March 2050
1,172 1,237 
$1,429 million, 3.400% Notes due March 2051
1,410 1,479 
$1,500 million, 5.600% Notes due February 2054
1,486 1,482 
$750 million, 6.000% Notes due January 2056
735 — 
Other, including finance leases68 41 
Total long-term debt$30,871 $28,937 
(1)The Company has entered into interest rate swap contracts hedging a portion of these fixed-rate debt instruments as of December 31, 2025. See Note 11 to the Consolidated Financial Statements for further information about the Company's interest rate risk management and these derivative instruments.
Debt Issuance. In September 2025, we issued $4.5 billion of new senior notes, as detailed in the table below. The proceeds from this debt issuance were used to repay the $2.0 billion of loans outstanding under the Term Loan Facility as described below. We used the remaining net proceeds for general corporate purposes, including investments and repayment of indebtedness. Interest on this debt is paid semiannually.

PrincipalMaturity DateInterest RateNet Proceeds
Redeemable Date(1)
"Make Whole" Premium (2)
$1,000 million
September 15, 20304.500%$994 millionAugust 15, 203015
$1,250 million
September 15, 20324.875%$1,245 millionJuly 15, 203215
$1,500 million
January 15, 20365.250%$1,490 millionOctober 15, 203515
$750 million
January 15, 20566.000%$736 millionJuly 15, 205520
(1) Redeemable at any time prior to this date at a "make whole" premium, defined below. Redeemable at par on or after this date.
(2) "Make whole" premium calculated using a comparable U.S. Treasury rate plus the amount of basis points set forth in this column.
Term Loan. In August 2025, the Company entered into a new 364-day term loan facility (the "Term Loan Facility") and borrowed $2.0 billion to partially fund an investment in Shields Health Solutions ("Shields"), a leading specialty pharmacy management company. The full outstanding balance was repaid and the Term Loan Facility was terminated in September 2025, using proceeds from the debt issuance described above.
Revolving Credit Agreement. Our Credit Agreement (defined below) provides us with the ability to borrow amounts for general corporate purposes, including providing liquidity support if necessary under our commercial paper program discussed below. As of December 31, 2025, there was no outstanding balance under the Credit Agreement.

In April 2025, the Company replaced its previous revolving credit agreements and entered into a $6.5 billion, five-year revolving credit and letter of credit agreement that will mature in April 2030, with an option to extend the maturity date for an additional one-year period, subject to consent of the banks (the "Credit Agreement"). The Company can borrow up to $6.5 billion under the Credit Agreement for general corporate purposes, with up to $500 million available for issuance of letters of credit.

The Credit Agreement includes an option to increase commitments up to $1.5 billion for a maximum total commitment of $8.0 billion. The Credit Agreement allows for borrowings at either a base rate, term Secured Overnight Financing Rate ("SOFR") or daily simple SOFR, plus, in each case, an applicable margin based on the Company's senior unsecured credit ratings.

The Credit Agreement also contains customary covenants and restrictions, including a financial covenant that the Company's leverage ratio, as defined in the Credit Agreement, may not exceed 60%, subject to certain exceptions upon the consummation of an acquisition.
Commercial Paper. Under our commercial paper program, we may issue short-term, unsecured commercial paper notes privately placed on a discounted basis through certain broker-dealers at any time not to exceed an aggregate amount of $6.5 billion. Amounts available under the program may be borrowed, repaid and re-borrowed from time to time. The net proceeds of issuances have been and are expected to be used for general corporate purposes. There was no commercial paper balance as of December 31, 2025.
Debt Maturities. Maturities of outstanding long-term debt as of December 31, 2025 are as follows:
(In millions)
Scheduled Maturities (1)
2026$550 
2027$2,359 
2028$3,800 
2029$1,000 
2030$2,400 
Maturities after 2030$21,485 
(1) Long-term debt maturity amounts include current maturities of long-term debt. Finance leases are excluded from this table.
Interest Expense. Interest expense on long-term and short-term debt was $1.4 billion in 2025, $1.5 billion in 2024 and $1.4 billion in 2023.
Debt Covenants. The Company was in compliance with its debt covenants as of December 31, 2025.
v3.25.4
Common and Preferred Stock
12 Months Ended
Dec. 31, 2025
Equity [Abstract]  
Common and Preferred Stock
Note 8 – Common and Preferred Stock
The Cigna Group has a total of 25 million shares of $1 par value preferred stock authorized for issuance. No shares of preferred stock were outstanding at December 31, 2025, 2024 or 2023.
The following table presents the share activity of The Cigna Group:
For the Years Ended December 31,
(Shares in thousands)202520242023
Common: Par value $0.01; 600,000 shares authorized
Outstanding- January 1,273,789 292,504 298,676 
Net issued for stock option exercises and other benefit plans1,569 2,198 1,619 
Repurchased common stock(11,894)(20,913)(7,791)
Outstanding- December 31,263,464 273,789 292,504 
Treasury stock141,136 128,723 107,390 
Issued- December 31,404,600 402,512 399,894 
Dividends

The following table provides details of the Company's dividend payments:
Record DatePayment DateAmount per Share
Total Amount Paid (in millions)
2025
March 5, 2025March 20, 2025$1.51$412
June 3, 2025June 18, 2025$1.51$401
September 4, 2025September 18, 2025$1.51$402
December 4, 2025December 18, 2025$1.51$396
2024
March 6, 2024March 21, 2024$1.40$401
June 4, 2024June 20, 2024$1.40$392
September 4, 2024September 19, 2024$1.40$390
December 4, 2024December 19, 2024$1.40$384
2023
March 8, 2023March 23, 2023$1.23$368
June 7, 2023June 22, 2023$1.23$362
September 6, 2023September 21, 2023$1.23$362
December 6, 2023December 21, 2023$1.23$358
On February 5, 2026, the Board of Directors of The Cigna Group (the "Board") declared the first quarter cash dividend of $1.56 per share of The Cigna Group common stock to be paid on March 19, 2026 to shareholders of record on March 5, 2026. The Company currently intends to pay regular quarterly dividends, with future declarations subject to approval by the Board and the Board's determination that the declaration of dividends remains in the best interests of The Cigna Group and its shareholders. The decision of whether to pay future dividends and the amount of any such dividends will be based on the Company's financial position, results of operations, cash flows, capital requirements, the requirements of applicable law and any other factors the Board may deem relevant.
v3.25.4
Insurance and Contractholder Liabilities
12 Months Ended
Dec. 31, 2025
Insurance Loss Reserves [Abstract]  
Insurance and Contractholder Liabilities
Note 9 – Insurance and Contractholder Liabilities

A.Account Balances – Insurance and Contractholder Liabilities
The Company's insurance and contractholder liabilities were comprised of the following:
December 31, 2025December 31, 2024
(In millions)CurrentNon-currentTotalCurrentNon-currentTotal
Unpaid claims and claim expenses
Cigna Healthcare
$4,180 $61 $4,241 $4,932 $86 $5,018 
Other167 176 343 147 144 291 
Future policy benefits
Cigna Healthcare
38 153 191 91 507 598 
Other Operations142 3,081 3,223 157 3,140 3,297 
Contractholder deposit funds
Cigna Healthcare
   115 124 
Other Operations336 5,778 6,114 366 5,958 6,324 
Market risk benefits25 649 674 25 760 785 
Unearned premiums822 40 862 753 31 784 
Total6,480 10,741 17,221 
Insurance and contractholder liabilities classified as liabilities of businesses held for sale (1)
(1,092)(487)(1,579)
Total insurance and contractholder liabilities$5,710 $9,938 $15,648 $5,388 $10,254 $15,642 
(1) Amounts classified as liabilities of businesses held for sale include $983 million of Unpaid claims, $408 million of Future policy benefits, $85 million of Unearned premiums and $103 million of Contractholder deposit funds as of December 31, 2024.

Insurance and contractholder liabilities expected to be paid within one year are classified as current.
Accounting Policy - Unearned Premium. The unrecognized portion of premiums received is recorded as unearned premiums included in Insurance and contractholder liabilities (current and non-current).

The Company evaluates certain insurance contracts subject to premium deficiency testing and recognizes a premium deficiency loss and corresponding reserve when expected claims costs, claims adjustment expenses, maintenance costs, and unamortized acquisition costs exceed unearned premium. Anticipated investment income is considered in the calculation of premium deficiency.
Unpaid Claims and Claim Expenses – Cigna Healthcare
This liability reflects estimates of the ultimate cost of claims that have been incurred but not reported, expected development on reported claims, claims that have been reported but not yet paid (reported claims in process), and other medical care expenses and services payable that are primarily comprised of accruals for incentives and other amounts payable to health care professionals and facilities.
Accounting Policy. The Company uses actuarial principles and assumptions that are consistently applied each reporting period and recognizes the actuarial best estimate of the ultimate liability along with a margin for adverse deviation. This approach is consistent with actuarial standards of practice that the liabilities be adequate under moderately adverse conditions.
The Company compares key assumptions used to establish the medical costs payable to actual experience for each reporting period. The unpaid claims liability is adjusted through current period Shareholders' net income when actual experience differs from these assumptions. Additionally, the Company evaluates expected future developments and emerging trends that may impact key assumptions. The process used to determine this liability requires the Company to make critical accounting estimates that involve considerable judgment, reflecting the variability inherent in forecasting future claim payments. These estimates are highly sensitive to changes in the Company's key assumptions, specifically completion factors and medical cost trend.
The liability is primarily calculated using "completion factors" developed by comparing the claim incurral date to the date claims were paid. Completion factors are impacted by several key items including changes in: (i) electronic (auto-adjudication) versus manual claim processing; (ii) frequency and timeliness of provider claims submissions; (iii) number of customers; and (iv) the mix of products. The Company uses historical completion factors combined with an analysis of current trends and operational factors to
develop current estimates of completion factors. The Company estimates the liability for claims incurred in each month by applying the current estimates of completion factors to the current paid claims data. This approach implicitly assumes that historical completion rates will be a useful indicator for the current period.
The Company relies more heavily on medical cost trend analysis that reflects expected claim payment patterns and other relevant operational considerations for more recent months. Medical cost trend is primarily impacted by medical service utilization and unit costs that are affected by changes in the level and mix of health benefits offered, including inpatient, outpatient and pharmacy; the impact of copays and deductibles; changes in provider practices; and changes in consumer demographics and consumption behavior.
The total of incurred but not reported liabilities plus expected development on reported claims and reported claims in process was $4.0 billion as of December 31, 2025 and $4.6 billion as of December 31, 2024. The decrease was driven by the HCSC transaction.
Activity, net of intercompany transactions, in the unpaid claims liability for the Cigna Healthcare segment was as follows:
For the Years Ended December 31,
(In millions)
2025 (1)
2024 (1)
2023 (1)
Beginning balance$5,018 $5,092 $4,176 
Less: Reinsurance and other amounts recoverable159 236 221 
Beginning balance, net4,859 4,856 3,955 
Incurred costs related to:
Current year33,816 38,347 35,953 
Prior years(342)(456)(279)
Total incurred33,474 37,891 35,674 
Paid costs related to:
Current year28,769 33,718 31,322 
Prior years4,147 4,170 3,451 
Total paid32,916 37,888 34,773 
Less: Divestiture and other1,323 — — 
Ending balance, net4,094 4,859 4,856 
Add: Reinsurance and other amounts recoverable147 159 236 
Ending balance$4,241 $5,018 $5,092 
(1) Includes unpaid claims amounts classified as liabilities of businesses held for sale prior to the completion of the HCSC transaction. As of December 31, 2024 and December 31, 2023, includes $983 million and $823 million, respectively, classified as liabilities of businesses held for sale.
Reinsurance and other amounts recoverable reflect amounts due from reinsurers and policyholders to cover incurred but not reported and pending claims of certain business for which the Company administers the plan benefits without any right of offset. See Note 10 to the Consolidated Financial Statements for additional information on reinsurance.
Variances in incurred costs related to prior years' unpaid claims and claim expenses that resulted from the differences between actual experience and the Company's key assumptions were as follows:
For the Years Ended December 31,
20252024
(Dollars in millions)$
% (1)
$
% (2)
Actual completion factors and other
$200 0.5 %$223 0.6 %
Medical cost trend142 0.4 233 0.7 
Total favorable variance$342 0.9 %$456 1.3 %
(1)Percentage of current year incurred costs as reported for the year ended December 31, 2024.
(2)Percentage of current year incurred costs as reported for the year ended December 31, 2023.

Favorable prior year development in both years primarily reflects lower than expected utilization of medical services as compared to our assumptions.
The following table depicts the incurred and paid claims development and unpaid claims liability as of December 31, 2025 (net of reinsurance) reported in the Cigna Healthcare segment. The information about incurred and paid claims development for the year ended December 31, 2024 is presented as supplementary information and is unaudited.
 Incurred Costs 
Incurral Year
2024
(Unaudited)
2025Unpaid Claims and Claim Expenses
(In millions)  
2024$37,179 $36,853 88 
202533,530 4,006 
Cumulative incurred costs for the periods presented$70,383  
 Cumulative Costs Paid 
Incurral Year2024
(Unaudited)
2025 
(In millions)
2024$32,719 $36,544  
202528,635  
Cumulative paid costs for the periods presented$65,179 
Outstanding liabilities for the periods presented, net of reinsurance$5,204 
Divestiture and other(1,110)
Net unpaid claims and claims expenses - Cigna Healthcare
4,094 
Reinsurance and other amounts recoverable147  
Unpaid claims and claim expenses - Cigna Healthcare
$4,241  
Incurred claims do not typically remain outstanding for multiple years; more than 95% of health claims incurred in a year are paid by the end of the following year.
There is no single or common claim frequency metric used in the health care industry. The Company believes a relevant metric for its health insurance business is the number of customers for whom an insured medical claim was paid. Customers for whom no insured medical claim was paid are excluded from the calculation. Claims that did not result in a liability are not included in the frequency metric. The claim frequency for 2025 and 2024 was approximately 4.9 million and 5.3 million, respectively.
Future Policy Benefits
Accounting Policy. Future policy benefits represent the present value of estimated future obligations, estimated using actuarial methods, for long-duration insurance policies and annuity products currently in force, consisting primarily of reserves for annuity contracts, life insurance benefits and certain supplemental health products that are guaranteed renewable beyond one year.
Contracts are grouped at a level no higher than issue year, based on the original contract issue date, and at lower levels of disaggregation within each issue year for certain businesses to reflect factors including product type, plan type and currency. Management estimates these obligations based on assumptions for premiums, interest rates, mortality or morbidity, future claim adjudication expenses, and surrenders. Mortality, morbidity and surrender assumptions are based on the Company's own experience and published actuarial tables and are updated at least annually, to the extent changes in circumstances require. Interest rate assumptions are based on market-level yields for low credit risk fixed income instruments ("upper-medium grade fixed income instruments"). For interest accretion purposes, interest rates are fixed at the year of the cohort's inception; however, for purposes of liability measurement, they are updated to the current rate quarterly, with all changes in the interest rate from inception to current period reported through Accumulated other comprehensive loss. For contracts issued domestically, we use observable inputs from a published spot rate curve for terms up to 30 years and extrapolate for longer terms using a constant forward rate approach. For contracts issued by foreign operating entities with functional currencies other than the U.S. dollar, we use observable inputs to approximate a risk-free rate and add a credit spread adjustment to align with a low credit risk fixed income instrument. For terms beyond the last observable risk-free rates, which vary by international market, we extrapolate to the ultimate forward rate assuming a constant credit spread.
For the annuity business, the premium paying period is shorter than the benefit coverage period, and a deferred profit liability is reported in future policy benefits representing gross premium received in excess of net premiums. Deferred profit liability is amortized based on expected future benefit payments.
As of December 31, 2025, approximately 36% of the liability for future policy benefits was supported by assets in trust for the benefit of the ceding company under reinsurance agreements.
Cigna Healthcare

Future policy benefits for the Cigna Healthcare segment were primarily related to the businesses divested to HCSC on March 19, 2025. Excluding the divestiture, changes in the future policy benefits for the years ended December 31, 2025 and December 31, 2024 were not material.
Other Operations
The weighted average interest rates applied and duration for future policy benefits in Other Operations, consisting of annuity and life insurance products, were as follows:
As of
December 31, 2025December 31, 2024
Interest accretion rate 5.64 %5.64 %
Current discount rate 5.18 %5.42 %
Weighted average duration 10.6 years10.8 years

Obligations for annuities represent discounted periodic benefits to be paid to an individual or groups of individuals over their remaining lives. Other Operations' traditional insurance contracts, which are in run-off, have no premium remaining to be collected; therefore, future policy benefit reserves represent the present value of expected future policy benefits, discounted using the current discount rate, and the remaining amortizable deferred profit liability.
Future policy benefits for Other Operations include deferred profit liability of $347 million and $366 million as of December 31, 2025 and December 31, 2024, respectively. As of December 31, 2025, December 31, 2024 and December 31, 2023, future policy benefits excluding deferred profit liability were $2.9 billion, $2.9 billion and $3.2 billion, respectively. Undiscounted expected future policy benefits were $4.2 billion and $4.3 billion as of December 31, 2025 and December 31, 2024, respectively. As of December 31, 2025 and December 31, 2024, $0.8 billion and $0.9 billion, respectively, of the future policy benefit reserve was recoverable through treaties with external reinsurers.
Contractholder Deposit Funds
Accounting Policy. Liabilities for contractholder deposit funds primarily include deposits received from customers for investment-related and universal life products as well as investment earnings on their fund balances in Other Operations. These liabilities are adjusted to reflect administrative charges and, for universal life fund balances, mortality charges. Interest credited on these funds is accrued ratably over the contract period.
Contractholder deposit fund liabilities within Other Operations were $6.1 billion, $6.3 billion and $6.5 billion as of December 31, 2025, December 31, 2024 and December 31, 2023, respectively. Approximately 37% and 38% of the balance is reinsured externally as of December 31, 2025 and December 31, 2024, respectively. Activity in these liabilities is presented net of reinsurance in the Consolidated Statements of Cash Flows. The net year-to-date decrease in contractholder deposit fund liabilities generally relates to withdrawals and benefit payments from contractholder deposit funds, partially offset by deposits and interest credited to contractholder deposit funds.
As of December 31, 2025, the weighted average crediting rate, net amount at risk and cash surrender value for contractholder deposit fund liabilities not effectively exited through reinsurance were 3.29%, $2.5 billion and $2.8 billion, respectively. The comparative amounts as of December 31, 2024 were 3.33%, $2.8 billion and $2.8 billion, respectively. More than 99% of the $3.9 billion liability as of December 31, 2025 and the $4.0 billion liability as of December 31, 2024 not reinsured externally is for contracts with guaranteed interest rates of 3% - 4%, and approximately $1.2 billion represented contracts with policies at the guarantee for both period ends. At these same period ends, $1.1 billion and $1.2 billion was 50 - 150 basis points ("bps") above the guarantee, and the remaining $1.6 billion as of both December 31, 2025 and December 31, 2024 represented contracts above the guarantee that pay the policyholder based on the greater of a guaranteed minimum cash value or the actual cash value. As of both December 31, 2025 and December 31, 2024, more than 90% of these contracts have actual cash values of at least 110% of the guaranteed cash value.
Market Risk Benefits
Liabilities for market risk benefits ("MRBs") consist of variable annuity reinsurance contracts in Other Operations. These liabilities arise under annuities and riders to annuities written by ceding companies that guarantee the benefit received at death and, for a subset of policies, also provide contractholders the option, within 30 days of a policy anniversary after the appropriate waiting period, to elect minimum income payments. The Company's capital market risk exposure on variable annuity reinsurance contracts arises when the reinsured guaranteed minimum benefit exceeds the contractholder's account value in the related underlying mutual funds at the time the insurance benefit is payable under the respective contract. The Company receives and pays premium periodically based on the terms of the reinsurance agreements.
Accounting Policy. Variable annuity reinsurance liabilities are measured as MRBs at fair value, net of nonperformance risk, with fluctuations in value gross of reinsurer nonperformance risk reported in benefit expenses, while fluctuations in the Company's own nonperformance risk (own credit risk) are reported in Accumulated other comprehensive loss. Nonperformance risk reflects risk that a party might default and therefore not fulfill its obligations (i.e., nonpayment risk). The nonperformance risk adjustment reflects a market participant's view of nonpayment risk by adding an additional spread to the discount rate in the calculation of both (a) the variable annuity reinsurance liabilities to be paid by the Company and (b) the variable annuity reinsurance assets to be paid by the reinsurers, after considering collateral. The Company classifies variable annuity assets and liabilities in Level 3 of the fair value hierarchy described in Note 12 to the Consolidated Financial Statements because assumptions related to future annuitant behavior are largely unobservable. As discussed further in Note 10 to the Consolidated Financial Statements, due to the reinsurance agreements covering these liabilities, the liabilities do not generally impact net income except for the change in nonperformance risk on the reinsurance recoverable, which is reported in benefit expenses and does not offset the nonperformance risk valuation on the liability. Variable annuity liabilities are established using capital market assumptions and assumptions related to future annuitant behavior (including mortality, lapse and annuity election rates).
Market risk benefits activity was as follows:
For the Years Ended December 31,
(In millions)20252024
Balance, beginning of year$785 $1,003 
Balance, beginning of year, before the effect of nonperformance risk (own credit risk)838 1,085 
Changes due to expected run-off(20)(12)
Changes due to capital markets versus expected(63)(233)
Changes due to policyholder behavior versus expected(24)(39)
Assumption changes(17)37 
Balance, end of period, before the effect of changes in nonperformance risk (own credit risk)714 838 
Nonperformance risk (own credit risk), end of period(40)(53)
Balance, end of period$674 $785 
Reinsured market risk benefit, end of period$712 $836 
The following table presents the account value, net amount at risk, average attained age of contractholders (weighted by exposure) and the number of contractholders for guarantees assumed by the Company. The net amount at risk is the amount that the Company would have to pay to contractholders if all deaths or annuitizations occurred as of the earliest possible date in accordance with the insurance contract. As of December 31, 2025, the account value and net amount at risk decreased, reflecting a reduction in contractholders and favorable equity market performance. The Company should be reimbursed in full for these payments unless the Berkshire reinsurance limit is exceeded.
(Dollars in millions, excludes impact of reinsurance ceded)December 31, 2025December 31, 2024
Account value$7,281 $7,777 
Net amount at risk$1,115 $1,283 
Average attained age of contractholders (weighted by exposure)78.3 years77.7 years
Number of contractholders (estimated)110,000 130,000 
v3.25.4
Reinsurance
12 Months Ended
Dec. 31, 2025
Reinsurance Disclosures [Abstract]  
Reinsurance
Note 10 – Reinsurance
The Company's insurance subsidiaries enter into agreements with other insurance companies to limit losses from large exposures and to permit recovery of a portion of incurred losses. Reinsurance is ceded primarily in acquisition and disposition transactions when the underwriting company is not being acquired. Reinsurance does not relieve the originating insurer of liability. Therefore, reinsured
liabilities must continue to be reported along with the related reinsurance recoverables. The Company regularly evaluates the financial condition of its reinsurers and monitors concentrations of its credit risk.
Accounting Policy. Reinsurance recoverables represent amounts due from reinsurers for both paid and unpaid claims of the Company's insurance businesses. The Company bears the risk of loss if its reinsurers and retrocessionaires do not meet or are unable to meet their reinsurance obligations to the Company. Most reinsurance recoverables are classified as non-current assets. The current portion of reinsurance recoverables is reported in Other current assets and consists primarily of recoverables on paid claims expected to be settled within one year. Reinsurance recoverables are presented net of allowances, consisting primarily of an allowance for expected credit losses, which is recognized on reinsurance recoverable balances each period and adjusted through Medical costs and other benefit expenses. Estimates of the allowance for expected credit losses are based on internal and external data used to develop expected loss rates over the anticipated duration of the recoverable asset that vary by external credit rating and collateral level.

Collateral levels are defined internally based on the fair value of the collateral relative to the carrying amount of the reinsurance recoverable, the frequency at which collateral is required to be replenished and the potential for volatility in the collateral's fair value.
The Company's reinsurance recoverables as of December 31, 2025 are presented at amount due by range of external credit rating and collateral level in the following table, with reinsurance recoverables that are market risk benefits separately presented at fair value:
(In millions)
Fair Value of Collateral Contractually Required to Meet or Exceed Carrying Value of Recoverable
Collateral Provisions Exist That May Mitigate Risk of Credit Loss (1)
No CollateralTotal
Ongoing operations
A- equivalent and higher current ratings (2)
$ $5 $211 $216 
BBB- to BBB+ equivalent current credit ratings (2)
  64 64 
Not rated85 1 4 90 
Acquisition, disposition or run-off activities
BBB+ equivalent and higher current ratings (2)(3)
288 2,838 32 3,158 
Not rated 5 1 6 
Total reinsurance recoverables before market risk benefits$373 $2,849 $312 $3,534 
Allowance for uncollectible reinsurance(23)
Market risk benefits712 
Total reinsurance recoverables (4)
$4,223 
(1)Includes collateral provisions requiring the reinsurer to fully collateralize its obligation if its external credit rating is downgraded to a specified level.
(2)Certified by a nationally recognized statistical ratings organization ("NRSRO").
(3)Comprised of six reinsurers, of which 76% is held by two reinsurers, Lincoln National Life Insurance Company and Lincoln Life and Annuity Company of New York.
(4)Includes $120 million of current reinsurance recoverables that are reported in Other current assets.
The Company entered into an agreement with Berkshire to effectively exit the variable annuity reinsurance business via a reinsurance transaction in 2013. Variable annuity contracts are accounted for as assumed and ceded reinsurance and categorized as market risk benefits as discussed in Note 9 to the Consolidated Financial Statements. Berkshire reinsured 100% of the Company's future cash flows in this business, net of other reinsurance arrangements existing at that time. The reinsurance agreement is subject to an overall limit, with approximately $3.0 billion remaining as of December 31, 2025. As a result of the reinsurance transaction, amounts payable are offset by a corresponding reinsurance recoverable, provided the increased recoverable remains within the overall Berkshire limit. As of both December 31, 2025 and 2024, market risk benefits (shown in the table net of nonperformance risk as of December 31, 2025) were predominantly reinsured by Berkshire, which is rated AA+ by an NRSRO. As of December 31, 2025, approximately 100% of the Berkshire recoverable is secured by assets in a trust.
Effects of Reinsurance
Net short-duration contract premiums (direct, assumed and ceded) were $39.3 billion, $43.9 billion and $42.3 billion for the years ended December 31, 2025, 2024 and 2023, respectively. Net long-duration contract premiums (direct, assumed and ceded) were $1.0 billion, $2.0 billion and $1.9 billion for the years ended December 31, 2025, 2024 and 2023, respectively. Reinsurance recoveries of $671 million, $573 million and $456 million as of December 31, 2025, 2024 and 2023, respectively, have been netted against Medical costs and other benefit expenses in the Company’s Consolidated Statements of Income.

Both short- and long-duration premiums are primarily direct premiums; the amounts assumed and ceded were not material. Written premiums for short-duration contracts were not materially different from the recognized premium amounts.
v3.25.4
Investments
12 Months Ended
Dec. 31, 2025
Investments [Abstract]  
Investments
Note 11 – Investments
The following table summarizes the Company's investments by category and current or long-term classification:
December 31, 2025December 31, 2024
(In millions)CurrentLong-TermTotalCurrentLong-TermTotal
Debt securities$691 $7,671 $8,362 $463 $8,960 $9,423 
Equity securities22 3,534 3,556 554 561 
Commercial mortgage loans86 1,147 1,233 108 1,243 1,351 
Policy loans 1,082 1,082 — 1,156 1,156 
Other long-term investments 5,037 5,037 — 4,576 4,576 
Short-term investments257  257 170 — 170 
Total$748 $16,489 $17,237 
Investments classified as assets of businesses held for sale (1)
(83)(1,361)(1,444)
Investments per Consolidated Balance Sheets$1,056 $18,471 $19,527 $665 $15,128 $15,793 
(1) Investments related to the HCSC transaction that were held for sale as of December 31, 2024. These investments were primarily comprised of debt securities.
Accounting Policy. Debt securities, commercial mortgage loans, derivative financial instruments and short-term investments with contractual maturities during the next 12 months are classified on the balance sheet as current investments unless they are held as statutory deposits or restricted for other purposes, in which case they are classified as Long-term investments. All other investments are classified as Long-term investments, with the exception of equity security funds that are used in our cash management strategy and are classified as current investments. See Note 12 to the Consolidated Financial Statements for information about the valuation of the Company's investment portfolio.
Investment Portfolio
Debt Securities
Accounting Policy. Debt securities (including bonds, mortgage and other asset-backed securities, and preferred stocks redeemable by the investor) are classified as available for sale and are carried at fair value with changes in fair value recorded either in Accumulated other comprehensive loss within Shareholders' equity or in credit loss expense based on fluctuations in the allowance for credit losses, as further discussed below. When the Company intends to sell or determines that it is more likely than not to be required to sell an impaired debt security, the excess of amortized cost over fair value is directly written down with a charge to Net investment gains/losses. Certain asset-backed securities are considered variable interest entities. See Note 13 to the Consolidated Financial Statements for additional information.
The Company reviews declines in fair value from a debt security's amortized cost basis to determine whether a credit loss exists and, when appropriate, recognizes a credit loss allowance with a corresponding charge to credit loss expense, presented in Net investment gains/losses in the Company's Consolidated Statements of Income. The allowance for credit loss represents the excess of amortized cost over the greater of its fair value or the net present value of the debt security's projected future cash flows (based on qualitative and quantitative factors, including the probability of default and the estimated timing and amount of recovery). Each period, the allowance for credit loss is adjusted as needed through credit loss expense.
The Company does not measure an allowance for credit losses for accrued interest receivables. When interest payments are delinquent based on contractual terms or when certain terms (interest rate or maturity date) of the investment have been restructured, accrued interest, reported in Other current assets, is written off through a charge to Net investment income/losses and interest income is recognized on a cash basis.
The amortized cost and fair value by contractual maturity periods for debt securities were as follows as of December 31, 2025:
(In millions)Amortized
Cost
Fair
Value
Due in one year or less$695 $598 
Due after one year through five years3,700 3,703 
Due after five years through ten years2,030 1,995 
Due after ten years1,968 1,822 
Mortgage and other asset-backed securities267 244 
Total$8,660 $8,362 
Actual maturities of these securities could differ from their contractual maturities used in the table above because issuers may have the right to call or prepay obligations, with or without penalties.
Gross unrealized appreciation (depreciation) on debt securities by type of issuer is shown below:
(In millions)Amortized
Cost
Allowance for Credit LossUnrealized
Appreciation
Unrealized
Depreciation
Fair
Value
December 31, 2025
Federal government and agency$215 $ $15 $(3)$227 
State and local government24  1  25 
Foreign government450  12 (6)456 
Corporate7,704 (137)175 (332)7,410 
Mortgage and other asset-backed267  3 (26)244 
Total$8,660 $(137)$206 $(367)$8,362 
December 31, 2024
Federal government and agency$276 $— $14 $(9)$281 
State and local government37 — (1)37 
Foreign government350 — (11)344 
Corporate9,091 (111)102 (659)8,423 
Mortgage and other asset-backed371 — (34)338 
Total$10,125 $(111)$123 $(714)$9,423 
Review of Declines in Fair Value. Management reviews debt securities in an unrealized loss position to determine whether a credit loss allowance is needed based on criteria that include severity of decline; financial health and specific prospects of the issuer; and changes in the regulatory, economic or general market environment of the issuer's industry or geographic region.
The table below summarizes debt securities with a decline in fair value from amortized cost for which an allowance for credit losses has not been recorded (by investment grade and the length of time these securities have been in an unrealized loss position). Unrealized depreciation on these debt securities is primarily due to declines in fair value resulting from increasing interest rates since these securities were purchased.
December 31, 2025December 31, 2024
(Dollars in millions)Fair
Value
Amortized
Cost
Unrealized
Depreciation
Number
of Issues
Fair
Value
Amortized
Cost
Unrealized
Depreciation
Number
of Issues
One year or less
Investment grade$384 $386 $(2)149$1,203 $1,227 $(24)545 
Below investment grade120 125 (5)239245 250 (5)739 
More than one year
Investment grade3,044 3,382 (338)7994,687 5,319 (632)1,297 
Below investment grade185 207 (22)86416 469 (53)123 
Total$3,733 $4,100 $(367)1,273 $6,551 $7,265 $(714)2,704 
Equity Securities
Accounting Policy. Equity securities with a readily determinable fair value consist primarily of public equity investments in the health care sector and mutual funds that invest in fixed income debt securities while those without a readily determinable fair value consist of private equity investments. Changes in the fair values of equity securities that have a readily determinable fair value are reported in Net investment gains/losses. Equity securities without a readily determinable fair value are carried at cost minus impairment plus or minus changes resulting from observable price changes.
The following table provides the values of the Company's equity security investments:
December 31, 2025 December 31, 2024
(In millions) CostCarrying Value CostCarrying Value
Equity securities with readily determinable fair values$78 $92 $635 $37 
Equity securities with no readily determinable fair value6,792 3,464 3,215 524 
Total$6,870 $3,556 $3,850 $561 
In the third quarter of 2025, the Company invested $3.5 billion in preferred stock of Shields, and a compounding dividend is recorded in Fees and other revenues within the Consolidated Statements of Income. The investment is included in equity securities with no readily determinable fair value in the table above.
Commercial Mortgage Loans
Accounting Policy. Commercial mortgage loans are carried at unpaid principal balances, net of an allowance for expected credit losses, and classified as either current or long-term investments based on their contractual maturities. Changes in the allowance for expected credit losses are recognized as credit loss expense and presented in Net investment gains/losses in the Company's Consolidated Statements of Income.
Each period, the Company establishes (or adjusts) its allowance for expected credit losses for commercial mortgage loans. The allowance for expected credit losses is based on a credit risk category that is assigned to each loan at origination using key credit quality indicators, including debt service coverage and loan-to-value ratios. Credit risk categories are updated as key credit quality indicators change. An expected loss rate, assigned based on the credit risk category, is applied to each loan's unpaid principal balance to develop the aggregate allowance for expected credit losses. Commercial mortgage loans are considered impaired and written off against the allowance when it is probable that the Company will not collect all amounts due per the terms of the promissory note. In situations involving foreclosure or the use of real estate operations to recover value, the allowance for credit losses is determined by the extent to which the mortgage loan’s carrying value exceeds the fair value of its underlying collateral.
Mortgage loans held by the Company are made exclusively to commercial borrowers and are diversified by property type, location and borrower. Loans are generally issued at fixed rates of interest and are secured by high-quality, primarily completed and substantially leased operating properties.
Credit Quality. The Company regularly evaluates and monitors credit risk. Mortgage origination professionals employ an internal credit quality rating system designed to evaluate the relative risk of the transaction at origination that is then updated each year as part of the annual portfolio loan review. The Company evaluates and monitors credit quality on a consistent and ongoing basis. The annual portfolio review performed in the second quarter of 2025 confirmed ongoing strong overall credit quality in line with the previous year's results.
Quality ratings are based on our evaluation of a number of key inputs related to the loan. The two most significant contributors to the credit quality rating are the debt service coverage and loan-to-value ratios. The debt service coverage ratio measures the amount of property cash flow available to meet annual interest and principal payments on debt, with a ratio below 1.0 indicating that there is not enough cash flow to cover the required loan payments. The loan-to-value ratio, commonly expressed as a percentage, compares the amount of the loan to the fair value of the underlying property collateralizing the loan.
The following table summarizes the credit risk profile of the Company's commercial mortgage loan portfolio:

(Dollars in millions)December 31, 2025December 31, 2024
Loan-to-Value RatioCarrying ValueAverage Debt Service Coverage RatioAverage Loan-to-Value RatioCarrying ValueAverage Debt Service Coverage RatioAverage Loan-to-Value Ratio
Below 60%$355 2.13$547 2.07
60% to 79%694 1.81595 1.83
80% to 100%184 0.79209 0.51
Total$1,233 1.7271 %$1,351 1.7069 %
Policy Loans
Accounting Policy. Policy loans, primarily associated with our corporate-owned life insurance business, are carried at unpaid principal balances plus accumulated interest, the total of which approximates fair value. These loans are collateralized by life insurance policy cash values and therefore have minimal exposure to credit loss. Interest rates are reset annually based on a rolling average of benchmark interest rates.
Other Long-Term Investments
Accounting Policy. Other long-term investments include investments in unconsolidated entities, including certain limited partnerships and limited liability companies holding real estate, securities or loans, and health care-related investments. These investments are carried at cost plus the Company's ownership percentage of reporting income or loss, based on the financial statements of the
underlying investments that are generally reported at fair value. Income or loss from these investments is reported on a one-quarter lag due to the timing of when financial information is received from the general partner or manager of the investments.
Other long-term investments also include investment real estate carried at depreciated cost less any impairment write-downs to fair value when cash flows indicate that the carrying value may not be recoverable. Depreciation is generally recorded using the straight-line method based on the estimated useful life of each asset. Investment real estate as of December 31, 2025 and 2024 is expected to be held longer than one year and may include real estate acquired through the foreclosure of commercial mortgage loans.
Additionally, foreign currency swaps carried at fair value and certain restricted deposits are reported in the table below as "Other." See discussion below for information on the Company's accounting policies for derivative financial instruments.
Other long-term investments and related commitments are diversified by issuer, property type and geographic region. These investments are primarily unconsolidated variable interest entities (see Note 13 to the Consolidated Financial Statements for additional information). The following table provides unfunded commitment and carrying value information for these investments. The Company expects to disburse approximately 30% of the committed amounts in 2026.

Our limited partnership investments are reduced as the Company receives cash distributions for returns on its investment that were previously recognized in Net investment income/losses. The amount of these cash distributions was $314 million in 2025, $344 million in 2024 and $253 million in 2023.
Unfunded Commitments as of
Carrying Value as of December 31,
(In millions)20252024December 31, 2025
Real estate investments$1,895 $1,763 $1,106 
Securities partnerships2,948 2,587 2,058 
Other194 226  
Total$5,037 $4,576 $3,164 
Short-Term Investments
Accounting Policy. Security investments with maturities of greater than three months to one year from time of purchase are classified as short-term, available for sale and carried at fair value that approximates cost.
Concentration of Risk
The Company did not have a concentration of investments in a single issuer or borrower exceeding 10% of shareholders' equity as of December 31, 2025 or 2024.
Derivative Financial Instruments
The Company uses derivative financial instruments to manage the characteristics of investment assets (such as duration, yield, currency and liquidity) to meet the varying demands of the related insurance and contractholder liabilities. The Company also uses derivative financial instruments to hedge the risk of changes in the net assets of certain of its foreign subsidiaries due to changes in foreign currency exchange rates and to hedge the interest rate risk of certain long-term debt. The Company also has derivative instruments associated with certain equity securities; see Note 12 to the Consolidated Financial Statements for further discussion.
Accounting Policy. Derivatives are recorded in our Consolidated Balance Sheets at fair value and are classified as current or non-current according to their contractual maturities. Further information on our policies for determining fair value are discussed in Note 12. The Company applies hedge accounting when derivatives are designated, qualified and highly effective as hedges. Under hedge accounting, the changes in fair value of the derivative and the hedged risk are generally recognized together and offset each other when reported in Shareholders' net income. Various qualitative or quantitative methods appropriate for each hedge are used to formally assess and document hedge effectiveness at inception and each period throughout the life of a hedge.

Fair Value Hedges of the Foreign Exchange-Related Changes in Fair Values of Certain Foreign-Denominated Bonds:
This program hedges the foreign exchange-related changes in fair values of certain foreign-denominated bonds. The notional value of these derivatives matches the amortized cost of the hedged bonds. A majority of these instruments are denominated in Euros, with the remaining instruments denominated in British Pounds Sterling and Australian Dollars. Swap fair values are reported in Long-term investments or Other non-current liabilities. Offsetting changes in fair values attributable to the foreign exchange risk of the swap contracts and the hedged bonds are reported in Net investment gains/losses. The portion of the swap contracts' changes in fair value excluded from the assessment of hedge effectiveness is recorded in Other comprehensive loss and recognized in Net investment
income/losses as swap coupon payments are accrued, offsetting the foreign-denominated coupons received on the designated bonds. Net cash flows are reported in Operating activities, while exchanges of notional principal amounts are reported in Investing activities.

Fair Value Hedges of the Interest Rate Exposure on the Company's Long-Term Debt:
This program converts a portion of the interest rate exposure on the Company's long-term debt from fixed to variable rates. This more closely aligns the Company's interest expense with the interest income received on its cash equivalent and short-term investment balances. The variable rates are benchmarked to SOFR. Using fair value hedge accounting, the fair values of the swap contracts are reported in other assets or other liabilities. The critical terms of these swaps match those of the long-term debt being hedged. As a result, the carrying value of the hedged debt is adjusted to reflect changes in its fair value driven by SOFR. The effects of those adjustments on interest expense are offset by the effects of corresponding changes in the swaps' fair value. The net impact from the hedge reported in Interest expense and other reflects interest expense on the hedged debt at the variable interest rate. Cash flows relating to these contracts are reported in Operating activities.

Net Investment Hedges of Certain Foreign Subsidiaries Operating Principally in Currencies Other than the U.S. Dollar:
This program reduces the risk of changes in net assets due to changes in foreign currency spot exchange rates for certain foreign subsidiaries that conduct their business principally in currencies other than the U.S. Dollar. The notional value of hedging instruments matches the hedged amount of subsidiary net assets. Foreign currency swap contracts are denominated in Euros. The fair values of the foreign currency swap and forward contracts are reported in other assets or other liabilities. The changes in fair values of these instruments are reported in Other comprehensive loss, specifically in translation of foreign currencies. The portion of the change in fair values relating to foreign exchange spot rates will be recognized in earnings upon deconsolidation of the hedged foreign subsidiaries. Cash flows relating to these contracts are reported in Investing activities.
The effects of derivative financial instruments used in our individual hedging strategies were not material to the Consolidated Financial Statements as of December 31, 2025 and December 31, 2024. The gross fair values of our derivative financial instruments are presented in Note 12 to the Consolidated Financial Statements. The following table summarizes the types and notional quantity of derivative instruments held by the Company:
Notional Value as of
(In millions)December 31, 2025December 31, 2024
Type of Instrument
Fair value hedge - Foreign currency swap contracts
$908 $975 
Fair value hedge - Interest rate swap contracts$3,150 $2,700 
Net investment hedge - Foreign currency swap contracts
$415 $415 
Net Investment Income
Accounting Policy. When interest and principal payments on investments are current, the Company recognizes interest income when it is earned. The Company recognizes interest income on a cash basis when interest payments are delinquent based on contractual terms or when certain terms (interest rate or maturity date) of the investment have been restructured. For unconsolidated entities that are included in other long-term investments, investment income is generally recognized according to the Company's share of the reported income or loss on the underlying investments. Investment income attributed to the Company's separate accounts is excluded from our earnings because associated gains and losses generally accrue directly to separate account policyholders.
The components of Net investment income were as follows:
For the Years Ended December 31,
(In millions)202520242023
Debt securities$454 $492 $500 
Equity securities (1)
6 (114)123 
Commercial mortgage loans52 61 65 
Policy loans51 56 60 
Other long-term investments232 75 123 
Short-term investments and cash294 447 339 
Total investment income1,089 1,017 1,210 
Less investment expenses43 44 44 
Net investment income$1,046 $973 $1,166 
(1)Includes a $182 million impairment of dividend receivable for the year ended December 31, 2024.
Investment Gains and Losses
Accounting Policy. Investment gains and losses are based on specifically identified assets and result from sales, investment asset write-downs, changes in the fair value of certain derivatives and equity securities and changes in allowances for credit losses on debt securities and commercial mortgage loan investments.
Net investment losses before income taxes were $24 million, $2,737 million and $78 million for the years ended December 31, 2025, 2024 and 2023, respectively. Net investment losses in 2024 were primarily driven by the impairment of equity securities in 2024. These amounts exclude investment gains and losses attributed to the Company's separate accounts because those gains and losses generally accrue directly to separate account policyholders.
v3.25.4
Fair Value Measurements
12 Months Ended
Dec. 31, 2025
Fair Value Disclosures [Abstract]  
Fair Value Measurements
Note 12 – Fair Value Measurements
Accounting Policy. The Company carries certain financial instruments at fair value in the financial statements including debt securities, certain equity securities, short-term investments and derivatives. Other financial instruments are measured at fair value only under certain conditions, such as when impaired or when there are observable price changes for equity securities with no readily determinable fair value.
Fair value is defined as the price at which an asset could be exchanged in an orderly transaction between market participants at the balance sheet date. A liability's fair value is defined as the amount that would be paid to transfer the liability to a market participant, not the amount that would be paid to settle the liability with the creditor.
The Company's financial assets and liabilities carried at fair value have been classified based upon a hierarchy defined by GAAP. The hierarchy gives the highest ranking to fair values determined using unadjusted quoted prices in active markets for identical assets and liabilities (Level 1) and the lowest ranking to fair values determined using methodologies and models with unobservable inputs (Level 3). An asset's or a liability's classification is based on the lowest level of input that is significant to its measurement. For example, a financial asset or liability carried at fair value would be classified in Level 3 if unobservable inputs were significant to the instrument's fair value, even though the measurement may be derived using inputs that are both observable (Levels 1 and 2) and unobservable (Level 3).

The Company estimates fair values using prices from third parties or internal pricing methods. Fair value estimates received from third-party pricing services are based on reported trade activity and quoted market prices when available and other market information that a market participant would use to estimate fair value. The internal pricing methods are performed by the Company's investment professionals and generally involve using discounted cash flow analyses, incorporating current market inputs for similar financial instruments with comparable terms and credit quality as well as other qualitative factors. In instances where there is little or no market activity for the same or similar instruments, fair value is estimated using methods, models and assumptions that the Company believes a hypothetical market participant would use to determine a current transaction price. These valuation techniques involve some level of estimation and judgment that becomes significant with increasingly complex instruments or pricing models.
The Company is responsible for determining fair value and for assigning the appropriate level within the fair value hierarchy based on the significance of unobservable inputs. The Company reviews methodologies, processes and controls of third-party pricing services and compares prices on a test basis to those obtained from other external pricing sources or internal estimates. The Company performs ongoing analyses of both prices received from third-party pricing services and those developed internally to determine that they represent appropriate estimates of fair value. The controls executed by the Company include evaluating changes in prices and monitoring for potentially stale valuations. The Company also performs sample testing of sales values to confirm the accuracy of prior fair value estimates. The minimal exceptions identified during these processes indicate that adjustments to prices are infrequent and do not significantly impact valuations. An annual due diligence review of the most significant pricing service is conducted to review their processes, methodologies and controls. This review includes a walk-through of inputs for a sample of securities held across various asset types to validate the documented pricing process.
Financial Assets and Financial Liabilities Carried at Fair Value
The following table provides information about the Company's investment and derivative financial assets and liabilities carried at fair value on a recurring basis. Further information regarding insurance assets and liabilities carried at fair value is provided in Note 9E to the Consolidated Financial Statements. Separate account assets are also recorded at fair value on the Company's Consolidated Balance Sheets and are reported separately in the Separate Accounts section below as gains and losses related to these assets generally accrue directly to contractholders.
(In millions)Quoted Prices in Active Markets for Identical Assets
(Level 1)
Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total
December 31,
2025
December 31, 2024December 31,
2025
December 31, 2024December 31,
2025
December 31, 2024December 31,
2025
December 31, 2024
Financial assets at fair value
Debt securities
Federal government and agency$105 $165 $122 $116 $ $— $227 $281 
State and local government — 25 37  — 25 37 
Foreign government — 446 344 10 — 456 344 
Corporate
 — 7,133 8,049 277 374 7,410 8,423 
Mortgage and other asset-backed — 206 295 38 43 244 338 
Total debt securities105 165 7,932 8,841 325 417 8,362 9,423 
Equity securities (1)
54 36 36 2 — 92 37 
Short-term investments — 257 170  — 257 170 
Derivative assets — 68 168 923 — 991 168 
Financial liabilities at fair value
Derivative liabilities$ $— $22 $$354 $— $376 $
(1)Excludes certain equity securities that have no readily determinable fair value.
Level 1 Financial Assets
Inputs for instruments classified in Level 1 include unadjusted quoted prices for identical assets in active markets accessible at the measurement date. Active markets provide pricing data for trades occurring at least weekly and include exchanges and dealer markets. Assets in Level 1 include actively traded U.S. government bonds and exchange-listed equity securities.
Level 2 Financial Assets and Financial Liabilities
Inputs for instruments classified in Level 2 include quoted prices for similar assets or liabilities in active markets, quoted prices from those willing to trade in markets that are not active, or other inputs that are market-observable or can be corroborated by market data for the term of the instrument. Such other inputs include market interest rates and volatilities, spreads, and yield curves. An instrument is classified in Level 2 if the Company determines that unobservable inputs are insignificant.
Debt and Equity Securities. Third-party pricing services and internal methods often use recent trades of securities with similar features and characteristics because many debt securities do not trade daily. Pricing models are used to determine these prices when recent trades are not available. These models calculate fair values by discounting future cash flows at estimated market interest rates. Such market rates are derived by calculating the appropriate spreads over comparable U.S. Treasury securities based on the credit quality, industry and structure of the asset. Typical inputs and assumptions to pricing models include, but are not limited to, a combination of benchmark yields, reported trades, issuer spreads, liquidity, benchmark securities, bids, offers, reference data, and industry and economic events. For mortgage-backed securities, inputs and assumptions may also include characteristics of the issuer, collateral attributes, prepayment speeds and credit rating. Nearly all of these instruments are valued using recent trades or pricing models.
Short-term Investments are carried at fair value that approximates cost. The Company compares market prices for these securities to recorded amounts on a regular basis to validate that current carrying amounts approximate exit prices. The short-term nature of the investments and corroboration of the reported amounts over the holding period support their classification in Level 2.
Derivative Assets and Liabilities classified in Level 2 represent over-the-counter instruments, such as foreign currency forward and swap contracts. Fair values for these instruments are determined using market-observable inputs, including forward currency and
interest rate curves and widely published market-observable indices. Credit risk related to the counterparty and the Company is considered when estimating the fair values of these derivatives. The nature and use of these derivative financial instruments are described in Note 11.
Level 3 Financial Assets and Financial Liabilities
Certain inputs for instruments classified in Level 3 are unobservable (supported by little or no market activity) and significant to their resulting fair value measurement. Unobservable inputs reflect the Company's best estimate of what hypothetical market participants would use to determine a transaction price for the asset or liability at the reporting date. Additionally, as discussed in Note 9E, the Company classifies variable annuity assets and liabilities in Level 3 of the fair value hierarchy.
The Company classifies certain newly issued, privately placed, complex or illiquid securities in Level 3. Approximately 4% of debt securities are priced using significant unobservable inputs and classified in this category.
Fair values of mortgage and other asset-backed securities, as well as corporate and government debt securities, are primarily determined using pricing models that incorporate the specific characteristics of each asset and related assumptions, including the investment type and structure, credit quality, industry and maturity date in comparison to current market indices, spreads, and liquidity of assets with similar characteristics. Inputs and assumptions for pricing may also include characteristics of the issuer, collateral attributes, and prepayment speeds for mortgage and other asset-backed securities. Recent trades in the subject security or similar securities are assessed when available, and the Company may also review published research in its evaluation, as well as the issuer's financial statements.
Information about Debt Securities. The significant unobservable input used to value our corporate and government debt securities, and mortgage and other asset-backed securities, is an adjustment for liquidity. This adjustment is needed to reflect current market conditions and issuer circumstances when there is limited trading activity for the security.
The following table summarizes the fair value and significant unobservable inputs that were developed directly by the Company and used in pricing these debt securities. The range and weighted average basis point amounts for liquidity reflect the Company's best estimates of the unobservable adjustments a market participant would make to calculate these fair values. An increase in liquidity spread adjustments would result in a lower fair value measurement, while a decrease would result in a higher fair value measurement.

Fair Value as ofUnobservable Adjustment Range (Weighted Average by Quantity) as of
(Fair value in millions)December 31,
2025
December 31,
2024
Unobservable Input
December 31, 2025
December 31,
2025
December 31,
2024
Debt securities
Corporate$286 $373 Liquidity
60 - 920 (175)
bps
60 - 1520 (370)
bps
Mortgage and other asset-backed securities38 43 Liquidity
105 - 350 (160)
bps
100 - 550 (280)
bps
Other debt securities1 
Total Level 3 debt securities$325 $417 

Information about Derivative Instruments. Derivative instruments associated with certain equity securities are valued each reporting period using a Monte Carlo simulation of enterprise value and are recorded in Other assets and Other non-current liabilities in the Consolidated Balance Sheets. The estimation of enterprise value is derived from a discounted cash flow model utilizing management's forecasts and industry benchmarks. The significant unobservable Level 3 measurement inputs used as of December 31, 2025 are: volatility of adjusted earnings before interest, taxes, depreciation and amortization ("adjusted EBITDA") (55%), volatility of equity (85%), correlation (35%), purchaser credit spread (0.7%) and weighted average cost of capital (13.5%). Changes in these assumptions could increase or decrease the fair value measurements. See Note 11A to the Consolidated Financial Statements for further information.
Changes in Level 3 Financial Assets and Financial Liabilities Carried at Fair Value
The following table summarizes the changes in financial assets and financial liabilities classified in Level 3. Gains and losses reported in the table may include net changes in fair value that are attributable to both observable and unobservable inputs.
Years Ended
December 31,
(In millions)20252024
Beginning balance$417 $447 
Losses included in Shareholders' net income
(90)(69)
Gains (losses) included in Other comprehensive loss
33 (9)
Purchases, sales and settlements
Purchases655 17 
Sales(8)(2)
Settlements(105)(21)
Total purchases, sales and settlements542 (6)
Transfers into / (out of) Level 3
Transfers into Level 359 72 
Transfers out of Level 3(65)(18)
Total transfers into / (out of) Level 3(6)54 
Ending balance$896 $417 
Total losses included in Shareholders' net income attributable to instruments held at the reporting date
$(94)$(69)
Change in unrealized gain or (loss) included in Other comprehensive loss for assets held at the end of the reporting period
$19 $(9)

Total gains and losses included in Shareholders' net income in the table above are reflected in the Consolidated Statements of Income as Net investment gains/losses and as Net investment income/losses. Gains and losses included in Other comprehensive loss, net of tax, in the table above are reflected in Net unrealized (depreciation) appreciation on securities and derivatives in the Consolidated Statements of Comprehensive Income.
Transfers into or out of the Level 3 category occur when unobservable inputs, such as the Company's best estimate of what a market participant would use to determine a current transaction price, become more or less significant to the fair value measurement. Market activity typically decreases during periods of economic uncertainty, and this decrease in activity reduces the availability of market observable data. As a result, the level of unobservable judgment that must be applied to the pricing of certain instruments increases and is typically observed through the widening of liquidity spreads. Transfers between Level 2 and Level 3 during 2025 and 2024 primarily reflected changes in liquidity estimates for certain private placement issuers across several sectors. See discussion under Level 3 Financial Assets and Financial Liabilities above for more information.
Separate Accounts
Accounting Policy. Separate account assets and liabilities are contractholder funds maintained in accounts with specific investment objectives. Our subsidiaries or external advisors manage invested assets of separate accounts on behalf of contractholders, including The Cigna Group Pension Plan, variable universal life products sold through our corporate-owned life insurance products and the run-off businesses. The assets of these accounts are legally segregated and are not subject to claims that arise out of any of the Company's other businesses. These separate account assets are carried at fair value with equal amounts recorded for related separate account liabilities. The investment income and fair value gains and losses of separate account assets generally accrue directly to the contractholders and, together with their deposits and withdrawals, are excluded from the Company's Consolidated Statements of Income and Cash Flows. Fees and charges earned for mortality risks, asset management or administrative services are reported in either Premiums or Fees and other revenues. Investments that are measured using the practical expedient of net asset value are excluded from the fair value hierarchy. The separate account activity for the years ended December 31, 2025 and 2024 was primarily driven by changes in the market values of the underlying separate account investments.
Fair values of Separate account assets were as follows:
Quoted Prices in Active Markets for Identical Assets
(Level 1)
Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total
(In millions)December 31,
2025
December 31,
2024
December 31,
2025
December 31,
2024
December 31,
2025
December 31,
2024
December 31,
2025
December 31,
2024
Guaranteed separate accounts (see Note 22)
$247 $231 $330 $345 $ $— $577 $576 
Non-guaranteed separate accounts (1)
271 267 5,769 5,575 209 228 6,249 6,070 
Subtotal$518 $498 $6,099 $5,920 $209 $228 6,826 6,646 
Non-guaranteed separate accounts priced at net asset value as a practical expedient (1)
661 632 
Total$7,487 $7,278 
(1)Non-guaranteed separate accounts include $3.8 billion as of both December 31, 2025 and December 31, 2024 in assets supporting the Company's pension plans, including $0.2 billion classified in Level 3 as of both December 31, 2025 and December 31, 2024. Non-guaranteed separate accounts are primarily comprised of securities partnerships, real estate and real estate funds.
Separate account assets classified in Level 1 primarily include exchange-listed equity securities. Level 2 assets primarily include corporate and structured bonds valued using recent trades of similar securities or pricing models that discount future cash flows at estimated market interest rates, as described above, and actively traded institutional and retail mutual fund investments.
Separate account assets classified in Level 3 primarily support the Company's pension plans and include certain newly issued, privately placed, complex or illiquid securities that are priced using methods discussed above, as well as commercial mortgage loans. Activity, including transfers into and out of Level 3, was not material for the years ended December 31, 2025 or 2024.
Assets and Liabilities Measured at Fair Value under Certain Conditions
Some financial assets and liabilities are not carried at fair value, such as commercial mortgage loans that are carried at unpaid principal, investment real estate that is carried at depreciated cost and equity securities with no readily determinable fair value when there are no observable market transactions. However, these financial assets and liabilities may be measured using fair value under certain conditions, such as when investments become impaired and are written down to their fair value, or when there are observable price changes from orderly market transactions of equity securities that otherwise had no readily determinable fair value.

For the year ended December 31, 2025, impairments recognized requiring the assets and liabilities described above to be measured at fair value were not material. For the year ended December 31, 2024, we determined our investment in VillageMD was fully impaired and recorded a $2.7 billion loss in Net investment gains/losses in the Company's Consolidated Statements of Income. Observable price changes for equity securities with no readily determinable fair value were not material for the years ended December 31, 2025 or December 31, 2024.
Fair Value Disclosures for Financial Instruments Not Carried at Fair Value
The following table includes the Company's financial instruments not recorded at fair value but for which fair value disclosure is required. In addition to universal life products and finance leases, financial instruments that are carried in the Company's Consolidated Balance Sheets at amounts that approximate fair value are excluded from the following table.
Classification in Fair Value HierarchyDecember 31, 2025December 31, 2024
(In millions)Fair ValueCarrying ValueFair ValueCarrying Value
Commercial mortgage loansLevel 3$1,195 $1,233 $1,256 $1,351 
Long-term debt, including current maturities, excluding finance leasesLevel 2$29,907 $31,352 $28,392 $31,008 
v3.25.4
Variable Interest Entities
12 Months Ended
Dec. 31, 2025
Variable Interest Entities [Abstract]  
Variable Interest Entities
Note 13 – Variable Interest Entities
When the Company becomes involved with a variable interest entity and when there is a change in the Company's involvement with an entity, the Company must determine if it is the primary beneficiary and must consolidate the entity. The Company is considered the primary beneficiary if it has the power to direct the entity's most significant economic activities and has the right to receive benefits or obligation to absorb losses that could be significant to the entity.
The Company evaluates the following criteria: the structure and purpose of the entity; the risks and rewards created by and shared through the entity; and the Company's ability to direct its activities, receive its benefits and absorb its losses relative to the other parties involved with the entity, including its sponsors, equity holders, guarantors, creditors and servicers.
The Company determined it was not a primary beneficiary in any material variable interest entity as of December 31, 2025 or 2024. The Company's involvement in variable interest entities for which it is not the primary beneficiary is described below.
Securities Limited Partnerships and Real Estate Limited Partnerships. The Company owns interests in securities limited partnerships and real estate limited partnerships that are defined as unconsolidated variable interest entities. These partnerships invest in the equity or mezzanine debt of privately held companies and real estate properties. General partners unaffiliated with the Company control decisions that most significantly impact the partnership's operations, and the limited partners do not have substantive kick-out or participating rights. The Company has invested in approximately 215 limited partnerships that have a carrying value of $3.7 billion as of December 31, 2025 reported in other long-term investments. As of December 31, 2025, we have commitments to contribute an additional $2.8 billion to these entities, and the Company's maximum exposure to loss from these investments is $6.5 billion, calculated as the sum of our carrying value and the additional funding commitments. Our noncontrolling interest in each of these limited partnerships is generally less than 9% of the partnership ownership interests. See Note 11 to the Consolidated Financial Statements for further information on the Company's accounting policy for other long-term investments.

The Company has guaranteed debt payments to mortgage lenders for certain real estate limited partnerships should potential environmental obligations arise. No liability has been incurred related to these guarantees, and the Company's maximum exposure to these guarantees was approximately $380 million as of December 31, 2025.

Other Variable Interest Entities. The Company is involved in other types of variable interest entities, including certain asset-backed and corporate securities, real estate joint ventures that develop properties for residential and commercial use, and international health care joint ventures. As of December 31, 2025, the Company's maximum exposure to loss is $0.4 billion from certain asset-backed and corporate securities and $1.0 billion from real estate joint ventures, which represents the sum of our carrying value and the additional funding commitments for these entities. The carrying values and maximum exposures for the remaining unconsolidated variable interest entities were not material as of December 31, 2025.
The Company has not provided, and does not intend to provide, financial support to any of the variable interest entities in excess of its maximum exposure. We perform ongoing qualitative analyses of our involvement with these variable interest entities to determine if consolidation is required.
v3.25.4
Collectively Significant Operating Unconsolidated Subsidiaries
12 Months Ended
Dec. 31, 2025
Equity Method Investments and Joint Ventures [Abstract]  
Collectively Significant Operating Unconsolidated Subsidiaries
Note 14 – Collectively Significant Operating Unconsolidated Subsidiaries
In addition to equity method investments in certain limited partnerships and limited liability companies holding real estate, securities or loans (as disclosed in Note 11), we maintain a portfolio of operating joint ventures accounted for as equity method investments. Operating joint ventures had a carrying value of $(211) million as of December 31, 2025 and $656 million as of December 31, 2024, of which $(296) million as of December 31, 2025 and $43 million as of December 31, 2024 related to our joint venture in China. The carrying value of our joint venture in China includes the Company's share of Accumulated Other Comprehensive Income (Loss) ("AOCI") losses of $1,672 million as of December 31, 2025 and $979 million as of December 31, 2024, primarily related to the requirement to update discount rate assumptions for certain long-duration liabilities as well as the impact of unrealized investment gains and losses.
For the years ended December 31, 2025, 2024 and 2023, none of our equity method investments were individually significant.
In the fourth quarter of 2024, we sold a portion of an operating joint venture, reducing our ownership. As a result, we recognized $496 million within Net gain (loss) on sale of businesses in our Consolidated Statements of Income.
Accounting Policy. We record in our Consolidated Statements of Income our proportionate share of net income or loss generated by operating joint ventures within Fees and other revenues. In certain instances, income or loss is reported on a one-month lag due to the timing of when financial information is received.
The below summarized results of operations and financial position of the operating joint ventures reflects the latest available financial information and does not represent the Company's proportionate share of the assets, liabilities or earnings of such entities.
For the Years Ended December 31,
(In millions)202520242023
Revenues$7,747 $7,309 $5,962 
Net income
$755 $607 $98 
(In millions)December 31, 2025December 31, 2024
Total assets$39,547 $34,395 
Total liabilities$40,009 $33,892 
v3.25.4
Accumulated Other Comprehensive Income (Loss)
12 Months Ended
Dec. 31, 2025
Accumulated Other Comprehensive Income (Loss), Net of Tax [Abstract]  
Accumulated Other Comprehensive Income (Loss)
Note 15 – Accumulated Other Comprehensive Income (Loss)
AOCI includes net unrealized (depreciation) appreciation on securities and derivatives, change in discount rate and instrument-specific credit risk for certain long-duration insurance contractholder liabilities (see Note 9 to the Consolidated Financial Statements), foreign currency translation, and the net postretirement benefits liability adjustment. AOCI includes the Company's share from unconsolidated entities reported on the equity method. Generally, tax effects in AOCI are established at the currently enacted tax rate and reclassified to Shareholders' net income in the same period that the related pre-tax AOCI reclassifications are recognized.

Shareholders' other comprehensive loss, net of tax, for the years ended December 31, 2025, 2024 and 2023 is primarily attributable to the change in discount rates for certain long-duration liabilities and unrealized changes in the market values of securities and derivatives, including the impacts from unconsolidated entities reported on the equity method.

Changes in the components of AOCI were as follows:
For The Years Ended December 31,
(In millions)202520242023
Securities and derivatives
Beginning balance$832 $171 $(332)
Unrealized (depreciation) appreciation on securities and derivatives, before reclassification, net of tax benefit (expense) of $118, $(207) and $(146), respectively
(309)601 474 
Amounts reclassified to Shareholders' net income, net of tax (benefit) of $(20), $(16) and $(8), respectively
71 60 29 
Shareholders' other comprehensive (loss) income, net of tax
(238)661 503 
Ending balance$594 $832 $171 
Net long-duration insurance and contractholder liabilities measurement adjustments
Beginning balance$(2,038)$(971)$(256)
Net current period change in discount rate for certain long-duration liabilities, before reclassification, net of tax benefit of $71, $357 and $222, respectively
(225)(1,044)(691)
Amounts reclassified to Shareholders' net income, net of tax expense of $16, $— and $— respectively
(56)— — 
Net current period change in discount rate for certain long-duration liabilities, net of tax benefit of $87, $357 and $222, respectively
(281)(1,044)(691)
Net current period change in instrument-specific credit risk for market risk benefits, net of tax benefit of $3, $6 and $5, respectively
(10)(23)(24)
Shareholders' other comprehensive (loss), net of tax
(291)(1,067)(715)
Ending balance$(2,329)$(2,038)$(971)
Translation of foreign currencies
Beginning balance$(198)$(149)$(154)
Net translation of foreign currencies, before reclassification, net of tax (expense) benefit of $(9), $2 and $5, respectively
71 (60)
Amounts reclassified to Shareholders' net income, net of tax expense of $—, $— and $—, respectively
 11 — 
Shareholders' other comprehensive income (loss), net of tax
71 (49)
Ending balance$(127)$(198)$(149)
Postretirement benefits liability
Beginning balance$(937)$(915)$(916)
Amounts reclassified to Shareholders' net income, net of tax (benefit) of $(8), $(7) and $(11), respectively
25 22 35 
Net change due to valuation update, before reclassification, net of tax benefit of $9, $14 and $12, respectively
(32)(44)(34)
Shareholders' other comprehensive (loss) income, net of tax
(7)(22)
Ending balance$(944)$(937)$(915)
Total Accumulated other comprehensive loss
Beginning balance$(2,341)$(1,864)$(1,658)
Shareholders' other comprehensive (loss), net of tax benefit of $180, $149 and $79, respectively
(465)(477)(206)
Ending balance$(2,806)$(2,341)$(1,864)
v3.25.4
Strategic Optimization Program
12 Months Ended
Dec. 31, 2025
Restructuring and Related Activities [Abstract]  
Strategic Optimization Program
Note 16 – Strategic Optimization Program
In the first quarter of 2025, the Company commenced an enterprise-wide initiative to evolve our business and deliver a more efficient and improved experience for our patients, providers and customers. At commencement, this program was expected to continue through December 2026; however, the Company is continuing to evaluate additional opportunities and expects that the program will continue through 2028. The program includes severance and other employee costs, asset impairments and accelerated asset amortization, and the operating results of certain small non-strategic businesses that we plan to discontinue. As we continue to evaluate additional opportunities to improve the overall efficiency and effectiveness of our operations, we anticipate future charges.

During the year ended December 31, 2025, we reported total costs of $749 million pre-tax ($565 million after-tax) associated with this initiative. The total costs included $616 million, pre-tax in Selling, general and administrative expenses which were primarily associated with severance ($378 million) and asset impairments ($101 million). The remainder reflects the operating results of certain non-strategic businesses. We expect substantially all of the accrued liability to be paid by the end of 2026. See Note 23 to the Consolidated Financial Statements for further details of the strategic optimization program by segment.

The following table presents a roll forward of the accrued liability recorded in Accrued expenses and other liabilities during the year ended December 31, 2025:
(In millions)
Balance, December 31, 2024
$ 
2025 charges
378 
2025 payments
(238)
Balance, December 31, 2025
$140 
v3.25.4
Pension
12 Months Ended
Dec. 31, 2025
Retirement Benefits [Abstract]  
Pension
Note 17 – Pension
A.About Our Plans
The Company sponsors U.S. and non-U.S. defined benefit pension plans; future benefit accruals for the domestic plans are frozen.
Accounting Policy. The Company measures the assets and liabilities of its domestic pension plans as of December 31. Benefit obligations are measured at the present value of estimated future payments based on actuarial assumptions. The Company uses the corridor method to account for changes in the benefit obligation when actual results differ from those assumed or when assumptions change. These changes are called net unrecognized actuarial gains (losses). Under the corridor method, net unrecognized actuarial gains (losses) are initially recorded in Accumulated other comprehensive loss. When the unrecognized gain (loss) exceeds 10% of the benefit obligation, that excess is amortized to expense over the expected remaining lives of plan participants. The net plan expense is reported in Interest expense and other in the Consolidated Statements of Income.
We measure plan assets at fair value for balance sheet purposes and to measure pension benefit costs. When the actual return differs from the expected return, those differences are reflected in the net unrealized actuarial gain (loss) discussed above.
B.Funded Status and Amounts Included in Accumulated Other Comprehensive Loss
The following table summarizes the projected benefit obligations and assets related to our U.S. and non-U.S. pension plans:
For the Years Ended December 31,
(In millions)20252024
Change in benefit obligation
Benefit obligation, January 1$3,643 $3,934 
Service cost 
Interest cost196 194 
Actuarial losses (gains), net (1)
109 (146)
Benefits paid from plan assets(309)(328)
Other
(9)(12)
Benefit obligation, December 313,630 3,643 
Change in plan assets
Fair value of plan assets, January 13,854 4,138 
Actual return on plan assets302 40 
Benefits paid(309)(328)
Contributions1 
Fair value of plan assets, December 313,848 3,854 
Funded status$218 $211 
Amounts presented in Consolidated Balance Sheets
Other assets
$218 $211 
(1) 2025 losses reflect a decrease in the discount rate, while 2024 gains reflect an increase in the discount rate.

We fund our qualified pension plans at least at the minimum amount required by the Employee Retirement Income Security Act of 1974 and the Pension Protection Act of 2006. Contributions made by the Company to the qualified pension plan in 2025 and anticipated contributions for 2026 are immaterial. Future years' contributions will ultimately be based on a wide range of factors, including but not limited to asset returns, discount rates and funding targets. Nonqualified pension plans are generally funded on a pay-as-you-go basis as there are no plan assets for these plans.
Benefit Payments. The following benefit payments are expected to be paid in:
(In millions)
2026$316 
2027$312 
2028$310 
2029$307 
2030$304 
2031 - 2035$1,409 
Amounts reflected in the pension assets (liabilities) shown above that have not yet been reported in Net income and, therefore, have been included in Accumulated other comprehensive loss consisted of the following:
(In millions)December 31, 2025December 31, 2024
Unrecognized net losses
$(1,230)$(1,228)
Unrecognized prior service cost(4)(4)
Postretirement benefits liability adjustment$(1,234)$(1,232)
C.Cost of Our Plans
Net pension cost (benefit) was as follows:
For the Years Ended December 31,
(In millions)202520242023
Service cost$ $$
Interest cost196 194 204 
Expected long-term return on plan assets(232)(247)(204)
Amortization of:
Prior actuarial losses, net38 39 52 
Curtailment loss — 
Net cost (benefit)$2 $(12)$53 
D.Assumptions Used for Pension
For the Years Ended December 31,
 20252024
Discount rate:
Pension benefit obligation5.27%5.57%
Pension benefit cost5.57%5.10%
Expected long-term return on plan assets:
Pension benefit cost6.50%6.50%
Mortality table for pension obligationsWhite Collar mortality table with MP 2021 projection scaleWhite Collar mortality table with MP 2021 projection scale
The Company develops discount rates by applying actual annualized yields for high-quality bonds by duration to the expected pension plan liability cash flows. The bond yields represent a diverse mix of actively traded, high-quality fixed-income securities that have an above-average return at each duration, as management believes this approach is representative of the yield achieved through plan asset investment strategy. The expected long-term return on plan assets was developed considering historical long-term actual returns, expected long-term market conditions, plan asset mix and management's plan asset investment strategy.
E.Pension Plan Assets
As of December 31, 2025, pension assets included $3.8 billion invested in the separate accounts of Connecticut General Life Insurance Company, a subsidiary of the Company, and an additional $0.1 billion invested in funds of unaffiliated investment managers.

The fair values of pension assets by category are as follows:
(In millions)December 31, 2025December 31, 2024
Debt securities:
Federal government and agency$100 $99 
Corporate2,674 2,673 
Asset-backed138 138 
Fund investments66 76 
Total debt securities2,978 2,986 
Equity securities:
Domestic23 21 
International, including funds and pooled separate accounts (1)
 
Total equity securities23 27 
Securities partnerships, including pooled separate accounts (1)
447 402 
Real estate and real estate funds, including pooled separate accounts (1)
212 228 
Commercial mortgage loans21 27 
Guaranteed deposit account contract48 47 
Cash equivalents and other current assets, net119 137 
Total pension assets at fair value$3,848 $3,854 
(1) A pooled separate account has several participating benefit plans and each owns a share of the total pool of investments.
The Company's current target investment allocation percentages are 90% fixed income and 10% in other investments, including private equity (securities partnerships), public equity securities, and real estate, and are developed by management as guidelines, although the fair values of each asset category are expected to vary as a result of changes in market conditions. The Company will evaluate further allocation changes to equity securities, other investments and fixed-income securities as funding levels change.

See Note 12 to the Consolidated Financial Statements for further details regarding how fair value is determined, including the level within the fair value hierarchy and the procedures we use to validate fair value measurements. The Company classifies substantially all debt securities in Level 2 for pension plan assets. These assets are valued using recent trades of similar securities or are fund investments priced using their daily net asset value that is the exit price. All domestic equity securities and international equity funds within pension assets are classified in Level 3.
Securities partnerships, real estate and hedge funds are valued using net asset value as a practical expedient and are excluded from the fair value hierarchy. See Note 12 to the Consolidated Financial Statements for additional disclosures related to these assets invested in the separate accounts of the Company's subsidiary. Certain securities as described in Note 12 to the Consolidated Financial Statements, as well as commercial mortgage loans and guaranteed deposit account contracts, are classified in Level 3 because unobservable inputs used in their valuation are significant.
F.401(k) Plan
The Company sponsors a 401(k) plan. All employees are immediately eligible for the plan at hire. The Company matches a portion of employees' contributions to the plan and may increase its matching contributions if the Company's annual performance meets certain targets. Plan participants may invest in various funds that invest in the Company's common stock, several diversified stock funds, a bond fund or stable value funds. The Company common stock fund under the plan constitutes an "employee stock ownership plan" as defined in the Internal Revenue Code. Dividends from the Company common stock fund are reinvested in a participant's stock fund account unless the participant elects to receive the dividends in cash. The Company's annual expense for the plan was $280 million, $301 million and $296 million for the years ended December 31, 2025, 2024 and 2023, respectively.
v3.25.4
Employee Incentive Plans
12 Months Ended
Dec. 31, 2025
Share-Based Payment Arrangement [Abstract]  
Employee Incentive Plans
Note 18 – Employee Incentive Plans
A.About Our Plans
The People Resources Committee (the "Committee") of the Board of Directors awards stock options, restricted stock grants, restricted stock units, deferred stock and strategic performance shares to certain employees. The Company issues original issue shares for these awards.
The Company records compensation expense for stock and option awards over their vesting periods primarily based on the estimated fair value at the grant date. Fair value is determined differently for each type of award as discussed below.
Shares of common stock available for award were as follows:
(In millions)December 31, 2025December 31, 2024December 31, 2023
Common shares available for award10.4 12.4 14.4 
B.Stock Options
Accounting Policy. The Company awards options to purchase The Cigna Group common stock at the market price of the stock on the grant date. Options vest over periods ranging from one year to three years and expire no later than 10 years from grant date. Fair value is estimated using the Black-Scholes option pricing model by applying the assumptions presented below. That fair value is reduced by options expected to be forfeited during the vesting period. The Company estimates forfeitures at the grant date based on our experience and adjusts the expense to reflect actual forfeitures over the vesting period. The fair value of options, net of forfeitures, is recognized in Selling, general and administrative expenses on a straight-line basis over the vesting period.
Black-Scholes option pricing model assumptions and the resulting fair value of options are presented in the following table:
 202520242023
Dividend yield2.04 %1.74 %1.58 %
Expected volatility31.0 %30.0 %30.0 %
Risk-free interest rate4.4 %4.0 %3.6 %
Expected option life4.9 years4.8 years4.7 years
Weighted average fair value of options$86.13 $92.36 $79.66 
The dividend yield reflects expected future dividends. The Company intends to continue to pay dividends for the foreseeable future. The expected volatility reflects the past daily stock price volatility of The Cigna Group stock. The Company does not consider volatility implied in the market prices of traded options to be a good indicator of future volatility because remaining traded options will expire within one year. The risk-free interest rate is derived using the four-year U.S. Treasury bond yield rate as of the award date for the primary annual grant. Expected option life reflects the Company's historical experience.
The following table shows the status of, and changes in, common stock options:
For the Years Ended December 31,
202520242023
(Options in thousands)OptionsWeighted Average Exercise PriceOptionsWeighted Average Exercise PriceOptionsWeighted Average Exercise Price
Outstanding - January 15,655 $226.38 6,696 $202.02 6,992 $186.54 
Granted857 $305.86 781 $336.48 915 $294.37 
Exercised(1,088)$192.40 (1,727)$178.82 (1,080)$174.66 
Expired or canceled(222)$314.78 (95)$278.78 (131)$246.95 
Outstanding - December 315,202 $242.81 5,655 $226.38 6,696 $202.02 
Options exercisable at year-end3,806 $216.90 3,941 $196.01 4,616 $179.28 
Compensation expense of $62 million related to unvested stock options as of December 31, 2025 will be recognized over the next two years (weighted average period).
The table below summarizes information for stock options exercised:
For the Years Ended December 31,
(In millions)202520242023
Intrinsic value of options exercised$128 $275 $126 
Cash received for options exercised$203 $305 $187 
Tax benefit from options exercised$16 $34 $17 
The following table summarizes information for outstanding common stock options:
December 31, 2025
 Options
Outstanding
Options
Exercisable
Number (in thousands)5,202 3,806 
Total intrinsic value (in millions)$246 $246 
Weighted average exercise price$242.81 $216.90 
Weighted average remaining contractual life5.7 years4.6 years
C.Restricted Stock
The Company awards restricted stock (grants and units) to the Company's employees that vest over periods ranging from one year to three years. Recipients of restricted stock awards accumulate dividends during the vesting period but generally forfeit their awards and accumulated dividends if their employment terminates before the vesting date.
Accounting Policy. Fair value of restricted stock awards is equal to the market price of The Cigna Group common stock on the date of grant. This fair value is reduced by awards that are expected to be forfeited. At the grant date, the Company estimates forfeitures based on experience and adjusts the expense to reflect actual forfeitures over the vesting period. This fair value, net of forfeitures, is recognized in Selling, general and administrative expenses over the vesting period on a straight-line basis.
The following table shows the status of, and changes in, restricted stock awards:
For the Years Ended December 31,
202520242023
(Awards in thousands)Grants/UnitsWeighted Average Fair Value at Award DateGrants/UnitsWeighted Average Fair Value at Award DateGrants/UnitsWeighted Average Fair Value at Award Date
Outstanding - January 11,250 $302.42 1,404 $257.38 1,535 $219.25 
Awarded701 $305.67 624 $319.39 700 $294.60 
Vested(664)$284.20 (713)$245.35 (759)$214.70 
Forfeited(149)$316.12 (65)$283.62 (72)$256.24 
Outstanding - December 311,138 $313.25 1,250 $302.42 1,404 $257.38 
The fair value of vested restricted stock at the vesting date was as follows:
For the Years Ended December 31,
(In millions)202520242023
Fair value of vested restricted stock$203 $238 $220 
Approximately 8,400 employees held 1.1 million restricted stock awards at the end of 2025 with $187 million of related compensation expense to be recognized over the next two years (weighted average period).
D.Strategic Performance Shares ("SPSs")
The Company awards SPSs to executives and certain other key employees generally with a performance period of three years. Half of these shares are subject to a market condition (total shareholder return relative to industry peer companies), and half are subject to a performance condition (cumulative adjusted net income). These targets are set by the Committee at the beginning of the performance period. Holders of these awards receive shares of The Cigna Group common stock at the end of the performance period ranging anywhere from 0% to 200% of the original awards.
Accounting Policy. Compensation expense for SPSs is recorded over the performance period. Fair value is determined at the grant date for "market condition" SPSs using a Monte Carlo simulation model and not subsequently adjusted regardless of the final outcome. Expense is initially accrued for "performance condition" SPSs based on the most likely outcome but evaluated for adjustment each period for updates in the expected outcome. Expense is adjusted to the actual outcome (number of shares awarded multiplied by the share price at the grant date) at the end of the performance period.
The following table shows the status of, and changes in, SPSs:
For the Years Ended December 31,
 202520242023
(Awards in thousands)SharesWeighted Average Fair Value at Award DateSharesWeighted Average Fair Value at Award DateSharesWeighted Average Fair Value at Award Date
Outstanding - January 1601 $282.83 686 $243.90 780 $212.68 
Awarded217 $305.28 195 $336.81 219 $293.85 
Vested(233)$231.75 (242)$214.93 (250)$191.78 
Forfeited(80)$317.01 (38)$289.35 (63)$237.50 
Outstanding - December 31505 $310.78 601 $282.83 686 $243.90 
The weighted average fair value per share of SPSs for expense purposes, including the Monte Carlo factor, at the award date for the years ended December 31, 2025, 2024 and 2023 was $323.60, $377.23 and $329.11, respectively.
The fair value of vested SPSs at the vesting date was as follows:
For the Years Ended December 31,
 202520242023
(Shares in thousands; $ in millions)SharesFair ValueSharesFair ValueSharesFair Value
Shares of The Cigna Group common stock distributed upon SPS vesting
301 $92 257 $86 257 $76 
Approximately 600 employees held 505,000 SPSs at the end of 2025, and $43 million of related compensation expense is expected to be recognized over the next two years. The amount of expense for "performance condition" SPSs will vary based on actual performance in 2026 and 2027.
E.Compensation Cost and Tax Effects of Share-Based Compensation
The Company records tax benefits in Shareholders' net income during the vesting period based on the amount of expense being recognized. The difference between tax benefits based on the expense and the actual tax benefit realized are also recorded in income tax expense when stock options are exercised, or when restricted stock and SPSs vest.
For the Years Ended December 31,
(In millions)202520242023
Total compensation cost for shared-based awards$291 $308 $286 
Tax benefits recognized$69 $94 $92 
v3.25.4
Goodwill, Other Intangibles and Property and Equipment
12 Months Ended
Dec. 31, 2025
Goodwill Other Intangibles And Property And Equipment [Abstract]  
Goodwill, Other Intangibles, and Property and Equipment
Note 19 – Goodwill, Other Intangibles, and Property and Equipment
A.Goodwill
Accounting Policy. Goodwill represents the excess of the cost of businesses acquired over the fair value of their net assets. The resulting goodwill is assigned to those reporting units expected to realize cash flows from the acquisition, based on those reporting units' relative fair values. The Company's reporting units are aligned with its operating segments as described in Note 1.
The Company conducts its annual quantitative evaluation for goodwill impairment during the third quarter at the reporting unit level and writes it down through Shareholders' net income if impaired. On a quarterly basis, the Company performs a qualitative impairment assessment to determine if events or changes in circumstances indicate that it is more likely than not that the carrying value of a reporting unit exceeds its estimated fair value. The fair value of a reporting unit is generally estimated based on discounted cash flow analysis and market approach models using assumptions that the Company believes a hypothetical market participant would use to determine a current transaction price. Following a change in reporting units or held for sale determination, goodwill is allocated using relative fair value. The significant assumptions and estimates used in determining fair value primarily include the discount rate and future cash flows. A discount rate is selected to correspond with each reporting unit's weighted average cost of capital, consistent with that used for investment decisions considering the specific and detailed operating plans and strategies within each reporting unit. Projections of future cash flows differ by reporting unit and are consistent with our ongoing strategic projections. Future cash flows for Evernorth Health Services reporting units are primarily driven by the forecasted gross margins of the business, as well as operating expenses and long-term growth rates. Future cash flows for our other reporting units are primarily driven by forecasted revenues, benefit expenses, operating expenses and long-term growth rates.
Goodwill Activity. Goodwill activity was as follows:
(In millions)Evernorth Health ServicesCigna HealthcareTotal
Balance at January 1, 2024
$35,130 $9,129 $44,259 
Goodwill acquired114 — 114 
Impact of foreign currency translation and other adjustments190 (193)(3)
Goodwill at December 31, 2024
35,434 8,936 44,370 
Goodwill acquired548  548 
Impact of foreign currency translation and other adjustments 6 6 
Goodwill at December 31, 2025
$35,982 $8,942 $44,924 

B.Other Intangible Assets
Accounting Policy. The Company's Other intangible assets primarily include purchased customer and producer relationships, trademarks, and provider networks. The fair value of purchased customer relationships and the amortization method were determined as of the dates of purchase using an income approach that relies on projected future net cash flows, including key assumptions for customer attrition and discount rates. The Company's definite-lived intangible assets are amortized on an accelerated or straight-line basis, reflecting their pattern of economic benefits, over periods from 1 year to 30 years. Management revises amortization periods if it believes there has been a change in the length of time that an intangible asset will continue to have value. Costs incurred to renew or extend the terms of these intangible assets are generally expensed as incurred.
The Company's amortized intangible assets are tested for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. If the total of the expected future undiscounted cash flows generated by the underlying asset group is less than the carrying amount of the asset group, the Company recognizes an impairment charge equal to the difference between the carrying value of the asset group and its estimated fair value. The Company's indefinite-lived intangible assets are reviewed for impairment at least annually by comparing their fair value with their carrying value. If the carrying value exceeds fair value, that excess is recognized as an impairment loss.
Components of Other Assets, Including Other Intangibles. Other intangible assets were comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2025   
Customer relationships$30,624 $10,655 $19,969 
Trade name - Express Scripts8,400 8,400 
Other346 155 191 
Total39,370 10,810 28,560 
December 31, 2024
Customer relationships$29,971 $9,119 $20,852 
Trade name - Express Scripts8,400 8,400 
Other316 131 185 
Other intangible assets (1)
38,687 9,250 29,437 
Value of business acquired ("VOBA") (reported in Other assets) (2)
211 142 69 
Total$38,898 $9,392 $29,506 
(1) Includes $20 million of Other intangible assets classified as assets of businesses held for sale as of December 31, 2024.
(2) Includes $69 million of VOBA classified as assets of businesses held for sale as of December 31, 2024.
The Company has indefinite-lived intangible assets totaling $8.4 billion as of December 31, 2025 and $8.5 billion as of December 31, 2024, largely consisting of the Express Scripts trade name.
C.Property and Equipment
Accounting Policy. Property and equipment is carried at cost less accumulated depreciation. Cost includes interest, real estate taxes and other costs incurred during construction when applicable. Internal-use software that is acquired, developed or modified solely to meet the Company's internal needs, with no plan to market externally, is also included in this category. Costs directly related to acquiring, developing or modifying internal-use software are capitalized.
The Company calculates depreciation and amortization principally using the straight-line method generally based on the estimated useful life of each asset as follows: buildings and improvements, 10 to 40 years; purchased and internally developed software, 3 to 5 years; and furniture and equipment (including computer equipment), 3 to 10 years. Improvements to leased facilities are depreciated over the lesser of the remaining lease term or the estimated life of the improvement. The Company considers events and circumstances that would indicate the carrying value of property, equipment or capitalized software might not be recoverable. An impairment charge is recorded if the Company determines the carrying value of any of these assets is not recoverable. The Company also reviews and shortens the estimated useful lives of these assets, if necessary.
Components of Property and Equipment. Property and equipment were comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2025   
Internal-use software$11,678 $8,904 $2,774 
Other property and equipment2,075 1,198 877 
Total property and equipment13,753 10,102 3,651 
December 31, 2024
Internal-use software$11,295 $8,167 $3,128 
Other property and equipment2,115 1,287 828 
Total property and equipment (1)
13,410 9,454 3,956 
(1)Includes $302 million of Property and equipment net carrying value classified as assets of businesses held for sale as of December 31, 2024.
Components of Depreciation and Amortization. Depreciation and amortization expense was comprised of the following:
For the Years Ended December 31,
(In millions)202520242023
Internal-use software$987 $1,021 $1,216 
Other property and equipment239 248 260 
Value of business acquired (reported in Other assets)
 — 
Other intangibles1,549 1,506 1,552 
Total depreciation and amortization$2,775 $2,775 $3,035 
The Company estimates annual pre-tax amortization for intangible assets, including internal-use software, over the next five calendar years to be as follows:
(In millions)Pre-tax Amortization
2026$2,360 
2027$2,237 
2028$2,062 
2029$1,821 
2030$1,592 
v3.25.4
Shareholders Equity and Dividend Restrictions
12 Months Ended
Dec. 31, 2025
Equity [Abstract]  
Shareholders' Equity And Dividend Restrictions
Note 20 – Shareholders' Equity and Dividend Restrictions
State insurance departments and foreign jurisdictions that regulate certain of the Company's subsidiaries prescribe accounting practices (differing in some respects from GAAP) to determine statutory net income and surplus. The Company's life, accident, and health insurance and Health Maintenance Organization ("HMO") subsidiaries are regulated by such statutory requirements. The statutory net income of the Company's life, accident, and health insurance and HMO subsidiaries for the years ended, and their statutory surplus as of, December 31 were as follows:
(In billions)202520242023
Net income$3.7 $3.9 $5.3 
Surplus$13.0 $16.0 $14.9 
The Company's HMO and life, accident and health insurance subsidiaries are also subject to minimum statutory surplus requirements and may be required to maintain investments on deposit with state departments of insurance or other regulatory bodies. Additionally, these subsidiaries may be subject to regulatory restrictions on the amount of annual dividends or other distributions (such as loans or cash advances) that insurance companies may extend to their parent companies without prior approval. These amounts, including restricted GAAP net assets of the Company's subsidiaries, were as follows:
(In billions)December 31, 2025
Minimum statutory surplus required by regulators (1)
$4.5 
Investments on deposit with regulatory bodies$0.3 
Maximum dividend distributions permitted in 2026 without regulatory approval
$2.0 
Maximum loans to the parent company permitted without regulatory approval$1.2 
Restricted GAAP net assets of subsidiaries of The Cigna Group
$11.3 
(1) Excludes amounts associated with foreign operated equity method joint ventures.

Permitted practices used by the Company's insurance subsidiaries in 2025 that differed from prescribed regulatory accounting had an immaterial impact on statutory surplus.
Undistributed earnings for equity method investments are $1.6 billion as of December 31, 2025
v3.25.4
Income Taxes
12 Months Ended
Dec. 31, 2025
Income Tax Disclosure [Abstract]  
Income Taxes
Note 21 – Income Taxes
Accounting Policy. Deferred income taxes are reflected in the Consolidated Balance Sheets for differences between the financial and income tax reporting bases of the Company's underlying assets and liabilities and are established based upon enacted tax rates and laws. Deferred income tax assets are recognized when available evidence indicates that realization is more likely than not, and a valuation allowance is established to the extent this standard is not met. The deferred income tax provision generally represents the net change in deferred income tax assets and liabilities during the reporting period excluding adjustments to Accumulated other comprehensive income (loss) or amounts recorded in connection with a business combination. The current income tax provision generally represents estimated amounts due on income tax returns for the year reported to various jurisdictions plus the effect of any uncertain tax positions. The Company uses the deferral method of accounting on investments that generate tax credits. Under this method, the investment tax credits are recognized as a reduction to the related asset, which are generally reported in Other assets in the Consolidated Balance Sheets. The Company recognizes a liability for uncertain tax positions if management believes the probability that the positions will be sustained is 50% or less. For uncertain positions that management believes are more likely than not to be sustained, the Company recognizes a liability based upon management's estimate of the most likely settlement outcome with the taxing authority. The liabilities for uncertain tax positions are classified as current when the position is expected to be settled within 12 months or the statute of limitation expires within 12 months.
Income taxes attributable to the Company's foreign operations are provided using the foreign jurisdictions' applicable tax rate.

The Company prospectively adopted ASU 2023-09, Improvements to Income Tax Disclosures. As a result, disclosures for 2025 reflect the requirements of ASU 2023-09, including the reconciliation of the statutory federal income tax rate and disaggregated tax payment information. Prior years (2024 and 2023) are presented under the previous disclosure requirements.
Income Tax Expense
The components of income taxes were as follows:
For the Years Ended December 31,
(In millions)202520242023
Current taxes
U.S. income taxes$807 $1,167 $1,459 
Foreign income taxes191 248 161 
State income taxes169 171 180 
Total current taxes1,167 1,586 1,800 
Deferred taxes (tax benefits)
U.S. income tax benefits
(69)(142)(533)
Foreign income taxes (tax benefits)
447 64 (1,046)
State income tax benefits
(52)(17)(80)
Total deferred taxes (tax benefits)
326 (95)(1,659)
Total income taxes$1,493 $1,491 $141 
Total income taxes were different from the amount computed using the statutory federal income tax rate in 2025 for the following reasons:
For the Year Ended December 31,
2025
(in millions)$%
Tax expense at statutory rate$1,634 21.0 %
State income tax effect, net of federal income tax effect (1)
93 1.2 
Nontaxable or nondeductible items13 0.2 
Effects of cross-border tax laws:
Global intangible low-taxed income ("GILTI")127 1.6 
Other cross-border tax laws11 0.1 
Tax credits(83)(1.1)
Change in valuation allowance(74)(1.0)
Change in unrecognized tax benefits37 0.5 
Other
Impact of sale of business(173)(2.2)
Tax equity investments(102)(1.3)
Other reconciling items3 0.2 
Foreign tax effects:
 Switzerland
Effect of rates different than U.S. statutory(360)(4.6)
Cantonal income taxes206 2.6 
Change in valuation allowance384 4.9 
 Other countries(223)(2.9)
Total income taxes$1,493 19.2 %
(1) The jurisdictions that make up the majority (greater than 50 percent) of the state and local tax impact are Florida and California.
Total income taxes were different from the amount computed using the statutory federal income tax rate in 2024 and 2023 for the following reasons:
For the Years Ended December 31,
 20242023
(In millions)$%$%
Tax expense at statutory rate$1,107 21.0 %$1,158 21.0 %
Change in valuation allowance767 14.6 1,290 23.4 
State income tax effect, net of federal income tax effect62 1.2 (39)(0.7)
Investment tax credits(111)(2.1)(48)(0.8)
Impact of businesses held for sale(129)(2.4)(213)(3.9)
Effect of foreign earnings(252)(4.9)(173)(3.1)
Other foreign tax attributes— — (153)(2.8)
Swiss tax attributes— — (1,674)(30.4)
Other47 0.9 (7)(0.1)
Total income taxes$1,491 28.3 %$141 2.6 %
Tax Equity Investments. Company investments in renewable energy projects provided $968 million, $1,057 million and $453 million of investment tax credits for the years ended December 31, 2025, 2024 and 2023, respectively. The Company accounted for the tax credits using the deferral method and accordingly reduced the associated carrying value of the related assets by these amounts.

Pre-tax Income Disaggregation. Consolidated pre-tax income from the Company's foreign operations was approximately 53% of the Company's pre-tax income in 2025, 62% in 2024 and 48% in 2023. The change relative to 2024 is primarily attributable to lower 2024 domestic earnings driven by the impairment of equity securities in 2024 (see Note 11 to the Consolidated Financial Statements).
Deferred Income Taxes
Deferred income tax assets and liabilities were as follows:
(In millions)December 31, 2025December 31, 2024
Deferred tax assets
Foreign tax attributes$1,615 $1,752 
Deferred loss - sale of business 773 
Investments587 561 
Other insurance and contractholder liabilities241 300 
Loss carryforwards492 270 
Other accrued liabilities321 207 
Employee and retiree benefit plans190 177 
Unrealized depreciation on investments and foreign currency translation10 93 
Policy acquisition expenses53 — 
Other339 256 
Deferred tax assets before valuation allowance3,848 4,389 
Valuation allowance for deferred tax assets(2,374)(2,332)
Deferred tax assets, net of valuation allowance1,474 2,057 
Deferred tax liabilities
Acquisition-related basis differences7,558 7,822 
Depreciation and amortization602 243 
Policy acquisition expenses 74 
Total deferred tax liabilities8,160 8,139 
Net deferred income tax liabilities (1)
$(6,686)$(6,082)
(1)Deferred tax liabilities, net in the Consolidated Balance Sheets excludes $459 million and $954 million reported in Other assets as of December 31, 2025 and December 31, 2024, respectively, and $61 million reported in liabilities of businesses held for sale as of December 31, 2024.
Management believes that it is more likely than not that future results will be sufficient to realize the Company's gross deferred tax assets ("DTAs") that remain after valuation allowance. Valuation allowances have been established against certain federal, state and foreign tax attributes. There are multiple expiration dates associated with these tax attributes.
Foreign Jurisdiction Tax Attributes. As of December 31, 2025 and 2024, the Company had DTAs of approximately $1.6 billion and $1.8 billion, respectively, and had a related $1.2 billion and $0.8 billion valuation allowance, respectively, against these deferred tax assets based on projections of future earnings and requirements to utilize the assets within certain time periods. In 2025, the Company recorded an increase to the valuation allowance as a result of management's reassessment of the composition of future foreign and domestic earnings. It is possible that the Company may revalue these net deferred tax assets in future periods due to modifications in certain assumptions, such as forecasted future earnings.
Capital DTAs: Impairments, Unrealized Investment Losses and Sale of Medicare Advantage and Related Businesses. As of December 31, 2025 and 2024, the Company had approximately $819 million and $880 million, respectively, in DTAs associated with the impairment of equity securities and other unrealized investment losses (see Note 11 to the Consolidated Financial Statements), as well as $237 million and $773 million, respectively, of DTAs in connection with the HCSC transaction, reflecting total capital DTAs of approximately $1,056 million and $1,653 million, respectively. A valuation allowance of $1,025 million and $1,351 million, respectively, has been established against these DTAs as of December 31, 2025 and 2024 due to the uncertainty relative to the recovery of the deferred tax benefits as the Company does not anticipate having sufficient sources of capital income to support these capital losses. We have determined that a valuation allowance against the remaining capital DTAs is not currently required based on the Company's loss carryback capacity and ability and intent to hold certain investment securities until recovery. We continue to monitor and evaluate the need for any additional valuation allowance.
During 2025, the reallocation of the HCSC transaction purchase price by legal entity resulted in an equal write-off of the DTAs and valuation allowance associated with the tax-deductible capital loss on the sale, resulting in zero net impact to the Company's total tax provision. Additionally, a reallocation of available sources of capital income generated a substantial portion of the after-tax gain on sale presented in Note 5 to the Consolidated Financial Statements. There was no material change to the realizability assessment of the Company's consolidated DTAs and no material net impact to the Company's consolidated tax expense as a result of this reallocation.
Uncertain Tax Positions
Reconciliations of unrecognized tax benefits were as follows:
For the Years Ended December 31,
(In millions)202520242023
Balance at January 1,$1,477 $1,399 $1,343 
Decrease due to prior year positions
(50)(7)(26)
Increase due to current year positions
187 165 107 
Reduction related to settlements with taxing authorities
(62)(22)(13)
Reduction related to lapse of applicable statute of limitations
(14)(58)(12)
Balance at December 31,$1,538 $1,477 $1,399 
Substantially all unrecognized tax benefits would increase Shareholders' net income if recognized.
The Company classifies net interest expense on uncertain tax positions as a component of income tax expense and in Other non-current liabilities in the Consolidated Balance Sheets. In addition to the amounts in the table above, the liability for net interest expense on uncertain tax positions was approximately $223 million, $228 million and $220 million as of December 31, 2025, 2024 and 2023, respectively.
Other Tax Matters
The statutes of limitations for the Company's consolidated federal income tax returns through 2016 have closed. The statute of limitations for the Company's 2020 and 2021 tax returns have also closed. However, The Cigna Group filed amended returns for both the 2015 and 2016 tax years, which are under review by the Internal Revenue Service ("IRS"). Additionally, the IRS is examining the Company's returns for 2017, 2018, 2019, 2022 and 2023. The IRS has examined Express Scripts' tax returns for 2010 through 2017, for which there remain significant disputed matters. In addition, the Company has pending refund claims for various years. The Company has established adequate reserves for these matters.
The Company conducts business in a number of state and foreign jurisdictions and may be engaged in multiple audit proceedings at any given time. Generally, no further state or foreign audit activity is expected for tax years prior to 2013 for Express Scripts entities and 2014 for all other entities of The Cigna Group.
Pillar Two. The Organization for Economic Co-operation and Development ("OECD") Pillar Two Framework defines a minimum effective tax rate of 15%. The Company is within the scope of the OECD Pillar Two model rules, which did not have a significant impact on our 2025 results. We will continue to monitor the potential impact on future periods but do not currently expect Pillar Two to significantly impact future periods.
Income Taxes Paid
For the year ended December 31, 2025, the Company made tax payments, net of refunds, in the amount of $399 million to the following jurisdictions: U.S. federal refund ($4 million), U.S. state payment ($140 million), and foreign payments ($263 million), primarily Switzerland. The Company’s federal tax payments reflect the benefit of $968 million of renewable energy tax credits, which have been applied against the Company’s federal tax liability under existing tax rules.

For the years ended December 31, 2024 and 2023, the company made tax payments, net of refunds in the amount of $898 million and $1,471 million, respectively. For the years ended December 31, 2024 and 2023, the Company’s federal tax payments reflect the benefit of $1,057 million and $453 million, respectively, of renewable energy tax credits, which were applied against the Company’s federal tax liability under existing tax rules.
v3.25.4
Contingencies and Other Matters
12 Months Ended
Dec. 31, 2025
Commitments and Contingencies Disclosure [Abstract]  
Contingencies and Other Matters
Note 22 – Contingencies and Other Matters
The Company, through its subsidiaries, is contingently liable for various guarantees provided in the ordinary course of business.
A.Financial Guarantees: Retiree and Life Insurance Benefits
The Company guarantees that separate account assets will be sufficient to pay certain life insurance or retiree benefits. For the majority of these benefits, the sponsoring employers are primarily responsible for ensuring that assets are sufficient to pay these benefits and are required to maintain assets that exceed a certain percentage of benefit obligations. If employers fail to do so, the Company or an affiliate of the buyer of the retirement benefits business has the right to redirect the management of the related assets to provide for benefit payments. As of December 31, 2025, employers maintained assets that generally exceeded the benefit obligations under these arrangements of approximately $400 million. An additional liability is established if management believes that the Company will be required to make payments under the guarantees; there were no additional liabilities required for these guarantees, net of reinsurance, as of December 31, 2025. Separate account assets supporting these guarantees are classified in Levels 1 and 2 of the GAAP fair value hierarchy.
The Company does not expect that these financial guarantees will have a material effect on the Company's consolidated results of operations, liquidity or financial condition.
B.Certain Other Guarantees
The Company had indemnification obligations as of December 31, 2025 in connection with acquisition and disposition transactions. These indemnification obligations are triggered by the breach of representations or covenants provided by the Company, such as representations for the presentation of financial statements, filing of tax returns, compliance with laws or regulations, or identification of outstanding litigation. These obligations are typically subject to various time limitations, defined by the contract or by operation of law, such as statutes of limitation. In some cases, the maximum potential amount due is subject to contractual limitations based on a stated dollar amount or a percentage of the transaction purchase price, while in other cases limitations are not specified or applicable. The Company does not believe that it is possible to determine the maximum potential amount due under these obligations because not all amounts due under these indemnification obligations are subject to limitation. There were no recorded liabilities for these indemnification obligations as of December 31, 2025.
C.Guaranty Fund Assessments
The Company operates in a regulatory environment that may require its participation in assessments under state insurance guaranty association laws. The Company's exposure to assessments for certain obligations of insolvent insurance companies to policyholders and claimants is based on its share of business written in the relevant jurisdictions. There were no material charges or credits resulting from existing or new guaranty fund assessments for the year ended December 31, 2025.
Legal and Regulatory Matters
The Company is routinely involved in numerous claims, lawsuits, regulatory inquiries and audits, government investigations, including under the federal False Claims Act and state false claims acts initiated by a government investigating body or by a qui tam relator's filing of a complaint under court seal, and other legal matters arising, for the most part, in the ordinary course of managing a global health company. Additionally, the Company has received and is cooperating with subpoenas or similar processes from various governmental agencies requesting information, all arising in the normal course of its business. Disputed tax matters arising from audits by the IRS or other state and foreign jurisdictions, including those resulting in litigation, are accounted for under GAAP guidance for uncertain tax positions, as described in Note 21.
Accounting Policy. The Company accrues for legal and regulatory matters when a loss contingency is both probable and estimable. The estimated loss is generally recorded in Selling, general and administrative expenses and represents the Company's best estimate of the loss contingency. If the loss estimate is a range, the Company accrues the minimum amount in the range if no amount is better than any other estimated amount in the range. Legal costs to defend the Company's litigation and arbitration matters are expensed as incurred in cases that the Company cannot reasonably estimate the ultimate cost to defend. If the Company can reasonably estimate the cost to defend, a liability for these costs is accrued when the claim is reported.
v3.25.4
Segment Information
12 Months Ended
Dec. 31, 2025
Segment Reporting [Abstract]  
Segment Information
Note 23 – Segment Information
See Note 1 to the Consolidated Financial Statements for a description of our segments. A description of our basis for reporting segment operating results is outlined below. Intersegment revenues primarily reflect pharmacy and care services transactions between the Evernorth Health Services and Cigna Healthcare segments. The Chairman and Chief Executive Officer is the chief operating decision maker ("CODM") responsible for making decisions about resources to be allocated to each segment and assessing its performance.
The Company uses "pre-tax adjusted income (loss) from operations" and "adjusted revenues" as its principal financial measures of segment operating performance because management, including the CODM, believes these metrics reflect the underlying results of business operations and facilitate analysis of trends in underlying revenue, expenses and profitability to enable resource allocation decisions. We define pre-tax adjusted income (loss) from operations as income (loss) before income taxes excluding pre-tax income (loss) attributable to noncontrolling interests, 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, including the CODM, believes are not representative of the underlying results of 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.
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, including the CODM, believes are not representative of the underlying results of operations due to their nature or size. We exclude these items from this measure because management, including the CODM, believes they are not indicative of past or future underlying performance of the business.
The Company does not report total assets by segment because this is not a metric used by the CODM to allocate resources or evaluate segment performance.
The following table presents the special items charges (benefits) recorded by the Company, as well as the respective financial statement line items impacted:
For the Years Ended December 31,
202520242023
(In millions)Pre-taxAfter-taxPre-taxAfter-taxPre-taxAfter-tax
Strategic optimization program
  (primarily Selling, general and administrative expenses)
$749 $565 $— $— $— $— 
Deferred tax expenses (benefits), net
  (Income taxes, less amount attributable to noncontrolling interests)
 427 — 84 — (1,071)
Integration and transaction-related costs
  (Selling, general and administrative expenses)
327 247 275 211 45 35 
(Benefits) charges associated with litigation matters
  (Selling, general and administrative expenses)
(17)(13)— — 201 171 
Net (gain) loss on sale of businesses
(13)(404)(24)(2)1,499 1,429 
Impairment of dividend receivable
  (Net investment income)
  182 138 — — 
Charge for organizational efficiency plan
  (Selling, general and administrative expenses)
— — — — 252 193 
Total impact from special items$1,046 $822 $433 $431 $1,997 $757 
Summarized segment financial information was as follows:
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
2025
Revenues from external customers$232,098 $41,426 $325 $5 $273,854 
Intersegment revenues2,713 5,405 51 (8,169)
Net investment income
142 581 298 25 1,046 
Total revenues234,953 47,412 674 (8,139)274,900 
Net investment results from certain equity method investments
 (249)  (249)
Adjusted revenues$234,953 $47,163 $674 $(8,139)$274,651 
Pharmacy and other service costs223,086  
Medical costs 33,474 
Selling, general and administrative expenses4,170 9,545 
Other segment items (1)
Interest (expense) and other(1)9 
Less: Income attributable to noncontrolling interests475  
Pre-tax adjusted income (loss) from operations7,221 4,153 89 (1,593)9,870 
Income (loss) before income taxes
$5,826 $4,344 $(46)$(2,343)$7,781 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(475)   (475)
Net investment (gains) losses (2)
(20)(210)2 3 (225)
Amortization of acquired intangible assets1,720 23   1,743 
Special items
Strategic optimization program
174 22 133 420 749 
Integration and transaction-related costs
   327 327 
Net (gain) on sale of businesses
(4)(9)  (13)
(Benefits) associated with litigation matters
 (17)  (17)
Pre-tax adjusted income (loss) from operations$7,221 $4,153 $89 $(1,593)$9,870 
Other segment information
Depreciation and amortization$2,400 $339 $16 $20 $2,775 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(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.
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
2024
Revenues from external customers $198,177 $47,528 $440 $$246,148 
Intersegment revenues3,775 4,972 79 (8,826)
Net investment income
21 618 309 25 973 
Total revenues201,973 53,118 828 (8,798)247,121 
Net investment results from certain equity method investments— (204)— — (204)
Special item related to impairment of dividend receivable182 — — — 182 
Adjusted revenues$202,155 $52,914 $828 $(8,798)$247,099 
Pharmacy and other service costs190,968 — 
Medical costs— 37,887 
Selling, general and administrative expenses3,779 10,805 
Other segment items (1)
Interest (expense) and other(2)
Less: Income attributable to noncontrolling interests405 — 
Pre-tax adjusted income (loss) from operations7,001 4,229 (9)(1,688)9,533 
Income (loss) before income taxes
$3,929 $3,315 $(12)$(1,963)$5,269 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(405)— — — (405)
Net investment losses (2)
2,129 401 — 2,533 
Amortization of acquired intangible assets1,662 41 — — 1,703 
Special items
Integration and transaction-related costs
  — 275 275 
Impairment of dividend receivable
182 —  — 182 
Net (gain) loss on sale of businesses
(496)472 — — (24)
Pre-tax adjusted income (loss) from operations$7,001 $4,229 $(9)$(1,688)$9,533 
Other segment information
Depreciation and amortization$2,319 $417 $$30 $2,775 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(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.
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
2023
Revenues from external customers$147,588 $46,219 $291 $$194,099 
Intersegment revenues5,670 4,332 — (10,002)
Net investment income
241 597 305 23 1,166 
Total revenues153,499 51,148 596 (9,978)195,265 
Net investment results from certain equity method investments— 57 — — 57 
Adjusted revenues$153,499 $51,205 $596 $(9,978)$195,322 
Pharmacy and other service costs143,571 — 
Medical costs— 35,678 
Selling, general and administrative expenses3,340 11,055 
Other segment items (1)
Interest (expense) and other(2)
Less income attributable to noncontrolling interests144 
Pre-tax adjusted income (loss) from operations6,442 4,478 96 (1,698)9,318 
Income (loss) before income taxes
$4,768 $2,664 $76 $(1,995)$5,513 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(144)(2)— — (146)
Net investment losses (2)
— 133 — 135 
Amortization of acquired intangible assets1,774 45 — — 1,819 
Special items
Net loss on sale of businesses
— 1,481 18 — 1,499 
Charge for organizational efficiency plan
— — — 252 252 
Charges associated with litigation matters
44 157 — — 201 
Integration and transaction-related costs
— — — 45 45 
Pre-tax adjusted income (loss) from operations$6,442 $4,478 $96 $(1,698)$9,318 
Other segment information
Depreciation and amortization$2,438 $569 $$25 $3,035 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(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.
Revenue from external customers includes Pharmacy revenues, Premiums and Fees and other revenues. The following table presents these revenues by product, premium and service type:
For the Years Ended December 31,
(In millions)202520242023
Products (Pharmacy revenues) (ASC 606)
Network revenues$125,573 $105,340 $67,514 
Home delivery and specialty revenues80,492 72,476 65,732 
Other revenues13,329 11,545 9,047 
Total Evernorth Health Services
219,394 189,361 142,293 
Other Operations
54 60 — 
Corporate and eliminations(2,776)(4,059)(5,050)
Total Pharmacy revenues
216,672 185,362 137,243 
Insurance premiums (ASC 944)
Cigna Healthcare
U.S. Healthcare
Employer insured18,852 17,576 16,490 
Medicare Advantage2,363 8,679 8,771 
Stop loss7,599 6,744 6,143 
Individual and Family Plans3,371 3,951 5,088 
Other3,366 4,938 4,095 
U.S. Healthcare
35,551 41,888 40,587 
International Health4,126 3,624 3,295 
Total Cigna Healthcare39,677 45,512 43,882 
Other Operations288 380 281 
Corporate and eliminations296 104 74 
Total Premiums
40,261 45,996 44,237 
Services (Fees) (ASC 606) and Other revenues (1)
Evernorth Health Services
15,417 12,591 10,965 
Cigna Healthcare
7,154 6,988 6,669 
Other Operations
34 79 10 
Corporate and eliminations(5,684)(4,868)(5,025)
Total Fees and other revenues (1)
16,921 14,790 12,619 
Total revenues from external customers$273,854 $246,148 $194,099 
(1)Other revenues for the years ended December 31, 2025, 2024 and 2023 were $696 million, $584 million and $210 million, respectively.
Major Customers. Revenues from a single pharmacy benefit client were approximately 19% and 16% of total revenues from external customers for the years ended December 31, 2025 and 2024, respectively. These amounts were reported in the Evernorth Health Services segment.
Additionally, revenues from U.S. Federal Government agencies, under a number of contracts, were 11% and 15% of total revenues from external customers for the years ended December 31, 2024 and 2023, respectively. These amounts were reported in the Evernorth Health Services and Cigna Healthcare segments. For the year ended December 31, 2025, revenues from U.S. Federal Government agencies were less than 10%.
U.S. and Foreign Revenues. Revenues from U.S. external customers as a percentage of total revenues from external customers were 98% for the years ended December 31, 2025, 2024 and 2023
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group
12 Months Ended
Dec. 31, 2025
Condensed Financial Information Disclosure [Abstract]  
Schedule I - Condensed Financial Information of The Cigna Group
THE CIGNA GROUP AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF THE CIGNA GROUP
(REGISTRANT)
STATEMENTS OF INCOME


 For the Years Ended December 31,
(In millions)2025
2024
2023
Revenues
Net investment income and other revenue$21 $26 $22 
Intercompany interest income469 469 516 
Total revenues490 495 538 
Operating expenses
Selling, general and administrative expenses5 14 
Total operating expenses5 14 
lncome from operations
485 481 536 
Interest expense and other
(1,365)(1,388)(1,332)
Gain on sale of businesses
4,890 — — 
Intercompany interest expense
 (2)(118)
lncome (loss) before income taxes
4,010 (909)(914)
Income tax benefits
(201)(189)(192)
lncome (loss) of parent company
4,211 (720)(722)
Equity in income of subsidiaries1,746 4,154 5,886 
Shareholders' net income
5,957 3,434 5,164 
Shareholders' other comprehensive (loss) income, net of tax
Net unrealized (depreciation) appreciation on securities and derivatives
(238)661 503 
Net long-duration insurance and contractholder liabilities measurement adjustments(291)(1,067)(715)
Net translation gains (losses) of foreign currencies
71 (49)
Postretirement benefits liability adjustment(7)(22)
Shareholders' other comprehensive loss, net of tax
(465)(477)(206)
Shareholders' comprehensive income
$5,492 $2,957 $4,958 


See Notes to Financial Statements on the following pages.
THE CIGNA GROUP AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF THE CIGNA GROUP
(REGISTRANT)
BALANCE SHEETS
 As of December 31,
(In millions)2025
2024
Assets  
Cash and cash equivalents$118 $164 
Other current assets29 103 
Total current assets147 267 
Investments in subsidiaries61,382 62,887 
Intercompany receivable14,146 10,546 
Other non-current assets48 71 
TOTAL ASSETS$75,723 $73,771 
Liabilities
Short-term debt$550 $2,848 
Other current liabilities1,983 1,528 
Total current liabilities2,533 4,376 
Long-term debt30,268 28,134 
Intercompany payable1,134 195 
Other non-current liabilities75 33 
TOTAL LIABILITIES34,010 32,738 
Shareholders' equity
Common stock (shares issued, 405 and 403; authorized, 600)
4 
Additional paid-in capital31,790 31,288 
Accumulated other comprehensive loss(2,806)(2,341)
Retained earnings47,865 43,519 
Less treasury stock, at cost(35,140)(31,437)
TOTAL SHAREHOLDERS' EQUITY41,713 41,033 
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY$75,723 $73,771 


See Notes to Financial Statements on the following pages.
THE CIGNA GROUP AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF THE CIGNA GROUP
(REGISTRANT)
STATEMENTS OF CASH FLOWS
For the Years Ended December 31,
(In millions)2025
2024
2023
Cash Flows from Operating Activities   
Shareholders' net income
$5,957 $3,434 $5,164 
Adjustments to reconcile Shareholders' net income to net cash provided by operating activities
Equity in income from subsidiaries(1,746)(4,154)(5,886)
Dividends received from subsidiaries1,171 2,916 1,381 
Gain on sale of businesses
(4,890)— — 
Other liabilities496 (306)540 
Other, net592 243 640 
NET CASH PROVIDED BY OPERATING ACTIVITIES
1,580 2,133 1,839 
Cash Flows from Investing Activities
Net change in amounts due from affiliates — 622 
Proceeds from divestiture of businesses4,891 — — 
NET CASH PROVIDED BY INVESTING ACTIVITIES
4,891 — 622 
Cash Flows from Financing Activities
Net change in amounts due to/from affiliates(1,101)4,761 1,473 
Net change in commercial paper(880)(357)1,237 
Repayment of term loan(2,000)— — 
Net proceeds on issuance of term loan1,999 — — 
Repayment of long-term debt(3,861)(2,731)(2,822)
Net proceeds on issuance of long-term debt4,458 4,462 1,491 
Issuance of common stock203 305 187 
Common stock dividend paid(1,611)(1,567)(1,450)
Repurchase of common stock(3,621)(7,034)(2,284)
Other, net(108)(117)(110)
NET CASH USED IN FINANCING ACTIVITIES
(6,522)(2,278)(2,278)
Net (decrease) increase in cash, cash equivalents and restricted cash
(51)(145)183 
Cash, cash equivalents and restricted cash, beginning of year190 335 152 
Cash, cash equivalents and restricted cash, end of year (1)
$139 $190 $335 
Noncash Investing and Financing Activities:
Net amounts due from affiliates settled through capital transactions
$(1,617)$(7,565)$(5,221)
(1) Includes restricted cash reported in Other non-current assets.


See Notes to Financial Statements on the following pages.
THE CIGNA GROUP AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF THE CIGNA GROUP
(REGISTRANT)
NOTES TO CONDENSED FINANCIAL STATEMENTS
The accompanying condensed financial statements should be read in conjunction with the Consolidated Financial Statements and the accompanying notes thereto contained in this Annual Report on Form 10-K ("Form 10-K").
Note 1 - For purposes of these condensed financial statements, The Cigna Group (the "Company") accounts for investments in wholly owned and majority-owned subsidiaries using the equity method of accounting. The Cigna Group, through its predecessor companies, was incorporated in Delaware in 1981. Cigna Corporation was renamed The Cigna Group in February 2023.
Note 2 - See Note 7 – Debt included in Part II, Item 8 of this Form 10-K for a description of the short-term and long-term debt obligations of The Cigna Group and its subsidiaries.
Short-term and Credit Facilities Debt
Term Loan. In August 2025, the Company entered into a new 364-day term loan facility (the "Term Loan Facility") and borrowed $2.0 billion to partially fund an investment in Shields Health Solutions ("Shields"), a leading specialty pharmacy management company. The full outstanding balance was repaid and the Term Loan Facility was terminated in September 2025, using proceeds from the debt issuance described below.
Revolving Credit Agreement. Our Credit Agreement (defined below) provides us with the ability to borrow amounts for general corporate purposes, including providing liquidity support if necessary under our commercial paper program discussed below. As of December 31, 2025, there were no outstanding balances under the Credit Agreement.
In April 2025, The Cigna Group replaced its previous revolving credit agreements and entered into a $6.5 billion, five-year revolving credit and letter of credit agreement that will mature in April 2030, with an option to extend the maturity date for an additional one-year period, subject to consent of the banks (the "Credit Agreement"). The Company can borrow up to $6.5 billion under the Credit Agreement for general corporate purposes, with up to $500 million available for issuance of letters of credit.

The Credit Agreement includes an option to increase commitments up to $1.5 billion for a maximum total commitment of $8.0 billion. The Credit Agreement allows for borrowings at either a base rate, term Secured Overnight Financing Rate ("SOFR") or daily simple SOFR, plus, in each case, an applicable margin based on the Company's senior unsecured credit ratings.

The Credit Agreement also contains customary covenants and restrictions, including a financial covenant that the Company's leverage ratio, as defined in the Credit Agreement, may not exceed 60%, subject to certain exceptions upon the consummation of an acquisition.
Commercial Paper. Under our commercial paper program, we may issue short-term, unsecured commercial paper notes privately placed on a discounted basis through certain broker-dealers at any time not to exceed an aggregate amount of $6.5 billion. Amounts available under the program may be borrowed, repaid and re-borrowed from time to time. The net proceeds of issuances have been and are expected to be used for general corporate purposes. There was no commercial paper balance as of December 31, 2025.
Long-Term Debt
Debt Issuance. In September 2025, we issued $4.5 billion of new senior notes, as detailed in the table below. The proceeds from this debt issuance were used to repay the $2.0 billion of loans outstanding under the Term Loan Facility as described above. We used the remaining net proceeds for general corporate purposes, including investments and repayment of indebtedness. Interest on this debt is paid semiannually.
PrincipalMaturity DateInterest RateNet Proceeds
Redeemable Date(1)
"Make Whole" Premium (2)
$1,000 million
September 15, 20304.500%$994 millionAugust 15, 203015
$1,250 million
September 15, 20324.875%$1,245 millionJuly 15, 203215
$1,500 million
January 15, 20365.250%$1,490 millionOctober 15, 203515
$750 million
January 15, 20566.000%$736 millionJuly 15, 205520
(1) Redeemable at any time prior to this date at a "make whole" premium, defined below. Redeemable at par on or after this date.
(2) "Make whole" premium calculated using the most directly comparable U.S. Treasury rate plus the amount of basis points set forth in this column.
Debt Maturities. Maturities of the Company's long-term debt as of December 31, 2025 are as follows:
(In millions) 
2026$550 
2027$2,055 
2028$3,800 
2029$1,000 
2030$2,400 
Maturities after 2030$21,255 

Debt Covenants. The Company was in compliance with its debt covenants as of December 31, 2025.

Note 3 - The Company's intercompany receivables consist primarily of net intercompany loan amounts due from Evernorth Health, Inc. of $8.5 billion as of both December 31, 2025 and December 31, 2024. Interest income on the loan receivable was accrued at an average rate of 5.50% in 2025.
The Company's intercompany payables primarily reflect intercompany balances due to affiliates as of December 31, 2025. During the year ended December 31, 2025, the Company settled a portion of the outstanding intercompany payables via non-cash capital transactions.
Note 4 - The Company guaranteed approximately $8.5 billion primarily related to intercompany indebtedness and financial obligations of certain direct and indirect wholly-owned subsidiaries. There were immaterial liabilities required for these guarantees as of December 31, 2025.
Note 5 - The Company completed the sale of our Medicare Advantage, Medicare Individual Stand-Alone Prescription Drug Plans, Medicare and Other Supplemental Benefits, and CareAllies® businesses on March 19, 2025. The Company received cash proceeds of $4.9 billion and recorded the related gain on sale of businesses.
v3.25.4
Schedule II - Valuation and Qualifying Accounts and Reserves
12 Months Ended
Dec. 31, 2025
SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]  
Schedule II - Valuation and Qualifying Accounts and Reserves THE CIGNA GROUP AND SUBSIDIARIES
SCHEDULE II
VALUATION AND QUALIFYING ACCOUNTS AND RESERVES
(In millions)Balance at Beginning of YearCharged (Credited) to Costs and ExpensesCharged (Credited) to Other AccountsOther DeductionsBalance at End of Year
Description
2025     
Investment asset valuation reserves
Available-for-sale debt securities$111 $58 $ $(32)$137 
Commercial mortgage loans$30 $6 $ $ $36 
Accounts receivable, net$186 $245 $2 $(175)$258 
Deferred tax asset valuation allowance$2,332 $317 $(275)$ $2,374 
Reinsurance recoverables $30 $(7)$ $ $23 
2024
Investment asset valuation reserves
Available-for-sale debt securities$33 $87 $— $(9)$111 
Commercial mortgage loans$31 $(1)$— $— $30 
Accounts receivable, net$163 $176 $(1)$(152)$186 
Deferred tax asset valuation allowance $1,498 $866 $(32)$— $2,332 
Reinsurance recoverables$35 $(5)$— $— $30 
2023
Investment asset valuation reserves
Available-for-sale debt securities$44 $11 $— $(22)$33 
Commercial mortgage loans$21 $10 $— $— $31 
Accounts receivable, net$160 $90 $$(88)$163 
Deferred tax asset valuation allowance $208 $1,286 $$— $1,498 
Reinsurance recoverables$35 $— $— $— $35 
v3.25.4
Insider Trading Arrangements
3 Months Ended
Dec. 31, 2025
shares
Trading Arrangements, by Individual  
Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Adopted false
Non-Rule 10b5-1 Arrangement Terminated false
David Cordani [Member]  
Trading Arrangements, by Individual  
Material Terms of Trading Arrangement On November 5, 2025, David Cordani, Chairman and Chief Executive Officer of The Cigna Group, terminated a 10b5-1 plan that was adopted on May 6, 2025. Mr. Cordani's plan provided for (i) the sale of shares of The Cigna Group common stock issuable upon vesting of a performance award (the actual number of shares depends on actual performance achieved and may range from 0% to 200% of the 32,586 shares subject to the award at the target level of performance) and (ii) the combined exercise of 212,543 vested stock options and sale of up to 50% of the after-tax shares of The Cigna Group common stock acquired from the option exercise, in each case through May 5, 2026.
Name David Cordani
Title Chairman and Chief Executive Officer of The Cigna Group
Adoption Date May 6, 2025
Rule 10b5-1 Arrangement Terminated true
Termination Date November 5, 2025
Expiration Date May 5, 2026
Arrangement Duration 183 days
Trading Arrangement, Common Stock Issuable Upon Vesting Of Performance Award At Zero PercentTarget Level [Member] | David Cordani [Member]  
Trading Arrangements, by Individual  
Aggregate Available 0
Trading Arrangement, Common Stock Issuable Upon Vesting Of Performance Award At 200 Percent Target Level [Member] | David Cordani [Member]  
Trading Arrangements, by Individual  
Aggregate Available 65,172
Trading Arrangement, Common Stock Issuable Upon Vesting Of Performance Award At Target Level [Member] | David Cordani [Member]  
Trading Arrangements, by Individual  
Aggregate Available 32,586
Trading Arrangement, Stock Options [Member] | David Cordani [Member]  
Trading Arrangements, by Individual  
Aggregate Available 212,543
v3.25.4
Cybersecurity Risk Management and Strategy Disclosure
12 Months Ended
Dec. 31, 2025
Cybersecurity Risk Management, Strategy, and Governance [Line Items]  
Cybersecurity Risk Management Processes for Assessing, Identifying, and Managing Threats [Text Block]
Cybersecurity Strategy and Risk Management
Cybersecurity is a core element of our enterprise risk management strategy. Safeguarding business information, intellectual property, and the data of customers, patients, employees and business partners is vital for operational continuity, regulatory compliance and sustaining stakeholder trust.

Our comprehensive cybersecurity program is supported by policies and procedures designed to protect our systems and operations, as well as sensitive personal information and data, from foreseeable cybersecurity threats.

Core to our security model is our defense-in-depth framework, comprising multiple layers of processes and technologies that help prevent, detect and respond to threats. Our approach to safeguarding against external threats incorporates a suite of preventive technologies, including malicious email blocking, defenses against automated attacks and multifactor authentication. Event monitoring technologies run continuously, detecting suspected intrusion attempts and alerting our Cybersecurity Incident Response Team. We undertake a number of critical security processes to mitigate and protect against cybersecurity risks, which include but are not limited to (i) identity and access management; (ii) security awareness and training; (iii) security operations and monitoring; (iv) change management; (v) disaster recovery/business continuity; (vi) intelligence feeds; (vii) physical security; (viii) third-party vendor security reviews; (ix) vulnerability management/patching; and (x) cybersecurity incident reporting.
We routinely manage cybersecurity risks through a defined framework that includes activities aimed at the identification, assessment, treatment and monitoring of risks. Cybersecurity risk assessment results are used by senior management to make informed decisions about where to allocate resources to reduce cybersecurity risks and improve overall security posture. We examine our entire program annually with third parties and measure the program against generally accepted industry standards and frameworks, such as an internationally recognized security control framework established by the NIST and used by companies to assess and improve their ability to prevent, detect and respond to cyberattacks. Our cybersecurity policies and standards are reviewed annually and are mainly guided by the NIST 800-53 Cybersecurity Framework. In addition to the NIST framework, we leverage the International Organization for Standardization 27001 and 27002 standards.

To enhance our preparedness and practice our collective cybersecurity response capabilities, we conduct tabletop exercises with leaders, stakeholders, subject matter experts and certain executives. These events are developed in partnership with external security experts and designed to exercise and engage some of the most critical areas of cybersecurity incident response and preparedness through an interactive and evolving simulated scenario.

In addition to these internal measures, the effectiveness of components of our overall cybersecurity program is frequently evaluated by external third parties, which includes work performed over various levels of control assessments for specific business lines and core processes. These include Health Information Trust Alliance ("HITRUST") for health care data security, PCI DSS for payment security, and System Organization Controls 2 ("SOC 2") for information security and related controls for specific business lines and core processes. We also perform an annual maturity assessment and benchmark our security controls to identify opportunities to strengthen our cybersecurity program.

As part of our Global Threat Management Program, a dedicated Incident Handling Team, comprising both technical and management personnel, determines the severity of a validated cybersecurity event across the enterprise and is responsible for the development and ongoing maintenance of our comprehensive Global Incident Response Plan ("GIRP"). The GIRP is reviewed quarterly at a minimum but may be updated as needed based on lessons learned, changes in key teams or processes, or other circumstances as warranted, and the procedures therein are tested annually. The GIRP's incident handling procedures dictate our actions during each phase of an incident, including the assembly of a broad, cross-functional Computer Security Incident Response Team, the formulation of a response, and post-incident reviews and corrective actions.

Our information protection department maintains a risk register that is used to manage cybersecurity risks associated with its business activities, technology assets, and its interaction with internal and external business, information technology and security parties.
Cybersecurity risks are also periodically reviewed by Enterprise Risk Management to ensure appropriate oversight of cybersecurity risk management activities.

Suppliers that access, host or transmit our data are contractually required to comply with our Security Policies and Standards. Additionally, suppliers may be subject to periodic security audits or risk assessments, which include security questionnaires, security capabilities and maturity assessments, controls evidence reviews, application vulnerability assessments, public internet presence monitoring, and alignment reviews with service-specific industry standards. Follow-up activities are performed as needed. Contracts with suppliers also include critical security requirements, such as right to audit, technology requirements and hiring practices, including background checks for those who have access to our network. To further ensure supplier resilience and continuity, we regularly evaluate and assess our critical supplier relationships and business continuity plans, enabling us to quickly adapt and maintain operations in the event of prolonged disruption.

As of the date of this report, we do not believe that any risks from any cybersecurity threats, including as a result of any previous cybersecurity incidents, have materially affected or are reasonably likely to materially affect us, including our business strategy, results of operations or financial condition. However, future cybersecurity threats or incidents could materially affect us, including our business strategy, results of operations or financial condition. For more information on our cybersecurity-related risks, see Part I, Item 1A "Risk Factors – Operational Risks – As a large global health company, we and our vendors are subject to cyberattacks or other privacy or data security incidents. If we are unable to prevent or contain the effects of any such attacks, or fail to ensure vendors do the same, we may suffer exposure to substantial liability, reputational harm, loss of revenue or other damages."
Cybersecurity Risk Management Processes Integrated [Flag] true
Cybersecurity Risk Management Processes Integrated [Text Block] Our comprehensive cybersecurity program is supported by policies and procedures designed to protect our systems and operations, as well as sensitive personal information and data, from foreseeable cybersecurity threats.
Cybersecurity Risk Management Third Party Engaged [Flag] true
Cybersecurity Risk Third Party Oversight and Identification Processes [Flag] true
Cybersecurity Risk Materially Affected or Reasonably Likely to Materially Affect Registrant [Flag] false
Cybersecurity Risk Board of Directors Oversight [Text Block]
Cybersecurity Governance

Our Board of Directors (the "Board") has ultimate oversight over our privacy and cybersecurity programs and strategy and is responsible for ensuring that we have risk management policies and processes in place to meet and mitigate evolving risks and threats. Certain members of our Board have cybersecurity certifications. Throughout 2025, the Board executed this oversight directly and through both the Audit Committee, for cybersecurity purposes, and the Compliance Committee, for privacy purposes. In these capacities, these committees were regularly briefed by the Global Chief Information Security Officer ("GCISO") and Chief Privacy Officer on cybersecurity and privacy matters. These briefings were designed to provide visibility about the identification, assessment and management of critical risks, audit findings, and management's risk mitigation strategies. Additionally, these briefings included information about current trends in the environment, incident preparedness, AI, and various components of our cybersecurity and privacy programs. On an annual basis, the Board reviews our cybersecurity program, including the threat landscape and related controls, and periodically conducts cybersecurity tabletop exercises.

Our dedicated cybersecurity team is led by our GCISO. Our current GCISO joined the Company in October 2023 and works closely with senior management to develop and innovate the cybersecurity and risk management strategies. Prior to joining the team, our GCISO held senior information security roles at other global organizations, where this individual defined information security strategies; built global information security programs; implemented cybersecurity capabilities that protect consumers, wholesale partners and brands; and oversaw the security of a global payment network, a corporate network and digital assets.
Beginning in 2026, oversight of cybersecurity matters has transitioned to the Board's Finance & Technology Committee. The Finance & Technology Committee now receives similar updates on cybersecurity and information protection programs from the GCISO as described above. Throughout 2025, the Compliance Committee, now the Audit & Compliance Committee, oversaw privacy risks and related matters, including through regular updates from our Chief Compliance and Risk Officer.
Cybersecurity Risk Board Committee or Subcommittee Responsible for Oversight [Text Block] Our Board of Directors (the "Board") has ultimate oversight over our privacy and cybersecurity programs and strategy and is responsible for ensuring that we have risk management policies and processes in place to meet and mitigate evolving risks and threats. Certain members of our Board have cybersecurity certifications. Throughout 2025, the Board executed this oversight directly and through both the Audit Committee, for cybersecurity purposes, and the Compliance Committee, for privacy purposes.
Beginning in 2026, oversight of cybersecurity matters has transitioned to the Board's Finance & Technology Committee. The Finance & Technology Committee now receives similar updates on cybersecurity and information protection programs from the GCISO as described above. Throughout 2025, the Compliance Committee, now the Audit & Compliance Committee, oversaw privacy risks and related matters, including through regular updates from our Chief Compliance and Risk Officer.
Cybersecurity Risk Process for Informing Board Committee or Subcommittee Responsible for Oversight [Text Block] Throughout 2025, the Board executed this oversight directly and through both the Audit Committee, for cybersecurity purposes, and the Compliance Committee, for privacy purposes. In these capacities, these committees were regularly briefed by the Global Chief Information Security Officer ("GCISO") and Chief Privacy Officer on cybersecurity and privacy matters. These briefings were designed to provide visibility about the identification, assessment and management of critical risks, audit findings, and management's risk mitigation strategies. Additionally, these briefings included information about current trends in the environment, incident preparedness, AI, and various components of our cybersecurity and privacy programs. On an annual basis, the Board reviews our cybersecurity program, including the threat landscape and related controls, and periodically conducts cybersecurity tabletop exercises.
Beginning in 2026, oversight of cybersecurity matters has transitioned to the Board's Finance & Technology Committee. The Finance & Technology Committee now receives similar updates on cybersecurity and information protection programs from the GCISO as described above. Throughout 2025, the Compliance Committee, now the Audit & Compliance Committee, oversaw privacy risks and related matters, including through regular updates from our Chief Compliance and Risk Officer.
Cybersecurity Risk Role of Management [Text Block]
Our dedicated cybersecurity team is led by our GCISO. Our current GCISO joined the Company in October 2023 and works closely with senior management to develop and innovate the cybersecurity and risk management strategies. Prior to joining the team, our GCISO held senior information security roles at other global organizations, where this individual defined information security strategies; built global information security programs; implemented cybersecurity capabilities that protect consumers, wholesale partners and brands; and oversaw the security of a global payment network, a corporate network and digital assets.
Cybersecurity Risk Management Positions or Committees Responsible [Flag] true
Cybersecurity Risk Management Positions or Committees Responsible [Text Block] Our Board of Directors (the "Board") has ultimate oversight over our privacy and cybersecurity programs and strategy and is responsible for ensuring that we have risk management policies and processes in place to meet and mitigate evolving risks and threats. Certain members of our Board have cybersecurity certifications. Throughout 2025, the Board executed this oversight directly and through both the Audit Committee, for cybersecurity purposes, and the Compliance Committee, for privacy purposes. In these capacities, these committees were regularly briefed by the Global Chief Information Security Officer ("GCISO") and Chief Privacy Officer on cybersecurity and privacy matters
Cybersecurity Risk Management Expertise of Management Responsible [Text Block] Prior to joining the team, our GCISO held senior information security roles at other global organizations, where this individual defined information security strategies; built global information security programs; implemented cybersecurity capabilities that protect consumers, wholesale partners and brands; and oversaw the security of a global payment network, a corporate network and digital assets.
Cybersecurity Risk Process for Informing Management or Committees Responsible [Text Block] Throughout 2025, the Board executed this oversight directly and through both the Audit Committee, for cybersecurity purposes, and the Compliance Committee, for privacy purposes. In these capacities, these committees were regularly briefed by the Global Chief Information Security Officer ("GCISO") and Chief Privacy Officer on cybersecurity and privacy matters. These briefings were designed to provide visibility about the identification, assessment and management of critical risks, audit findings, and management's risk mitigation strategies. Additionally, these briefings included information about current trends in the environment, incident preparedness, AI, and various components of our cybersecurity and privacy programs. On an annual basis, the Board reviews our cybersecurity program, including the threat landscape and related controls, and periodically conducts cybersecurity tabletop exercises.
Our dedicated cybersecurity team is led by our GCISO. Our current GCISO joined the Company in October 2023 and works closely with senior management to develop and innovate the cybersecurity and risk management strategies. Prior to joining the team, our GCISO held senior information security roles at other global organizations, where this individual defined information security strategies; built global information security programs; implemented cybersecurity capabilities that protect consumers, wholesale partners and brands; and oversaw the security of a global payment network, a corporate network and digital assets.
Beginning in 2026, oversight of cybersecurity matters has transitioned to the Board's Finance & Technology Committee. The Finance & Technology Committee now receives similar updates on cybersecurity and information protection programs from the GCISO as described above. Throughout 2025, the Compliance Committee, now the Audit & Compliance Committee, oversaw privacy risks and related matters, including through regular updates from our Chief Compliance and Risk Officer.
Cybersecurity Risk Management Positions or Committees Responsible Report to Board [Flag] true
v3.25.4
Summary of Significant Accounting Policies (Policies)
12 Months Ended
Dec. 31, 2025
Accounting Policies [Abstract]  
Basis of Presentation
Basis of Presentation
The Consolidated Financial Statements include the accounts of The Cigna Group and its consolidated subsidiaries. Intercompany transactions and accounts have been eliminated in consolidation. These Consolidated Financial Statements were prepared in conformity with accounting principles generally accepted in the United States of America ("GAAP").

Amounts recorded in the Consolidated Financial Statements necessarily reflect management's estimates and assumptions about medical costs, investment, tax and receivable valuations, interest rates, and other factors. Significant estimates are discussed throughout these Notes; however, actual results could differ from those estimates. The impact of a change in estimate is generally included in earnings in the period of adjustment.
Recent Accounting Pronouncements, Recently Adopted Accounting Guidance and Accounting Guidance Not Yet Adopted
Recent Accounting Pronouncements
There were no new accounting standards adopted during the year ended December 31, 2025 that had a material impact on our Consolidated Financial Statements.
Accounting Guidance Not Yet Adopted

Accounting Standards Update ("ASU") 2025-06, Targeted Improvements to the Accounting for Internal-Use Software (Subtopic 350-40). Required to be adopted January 1, 2028, with early adoption permitted and requires the following:
Seeks to improve the operability of the recognition guidance considering different methods of software development, mainly more iterative methods, by:
Aligning internal-use software capitalization requirements to probable completion and required funding and authorization.
Clarifying certain criteria for probable completion, including that the significant performance requirements of the software be identified and no longer subject to substantial revision.
Transition options include prospective from the date of adoption as well as retrospective and modified retrospective adoption.
The Company is currently evaluating the impact of this guidance on our results of operations and financial position, as well as potential impacts to information systems and controls.

ASU 2024-03, Disaggregation of Income Statement Expenses (Subtopic 220-40). Required to be adopted for the annual reporting period ending December 31, 2027 and for interim reporting periods beginning January 1, 2028 and requires:
Additional expense detail in the footnotes disaggregating income statement captions including any of the following: inventory purchases; employee compensation; depreciation; and intangible asset amortization, as well as a qualitative description of remaining expenses to reconcile to the total expense within those income statement captions;
Disclosure of the definition and total amount of selling expenses; and
Transition options include prospective from the date of adoption as well as retrospective adoption.
The only financial statement impact resulting from adoption will be increased disclosure. The Company continues to evaluate the effects the adoption requirements on information systems and controls.
Cash and Cash Equivalents
Cash and cash equivalents are carried at cost that approximates fair value. Cash equivalents consist of short-term investments with maturities of three months or less from the time of purchase. The Company reclassifies cash overdraft positions to liabilities when the legal right of offset does not exist.
Inventories
Inventories consist of prescription drugs and medical supplies and are stated at the lower of first-in-first-out cost or net realizable value.
Translation of Foreign Currencies
The Company generally conducts its international business through foreign operating entities that maintain assets and liabilities in local currencies that are their functional currencies. The Company uses exchange rates as of the balance sheet date to translate assets and liabilities into U.S. dollars. Translation gains or losses on functional currencies, net of applicable taxes, are recorded in Accumulated other comprehensive loss. The Company uses average monthly exchange rates during the year to translate revenues and expenses into U.S. dollars.
Revenue Recognition . Pharmacy revenues are primarily derived from providing pharmacy benefit management services to clients and customers. Pharmacy revenues are recognized when control of the promised goods or services is transferred to clients and customers in an amount that reflects the consideration the Company expects to receive for those goods or services.
The Company provides or makes available various services supporting benefit management and claims administration and is generally obligated to provide prescription drugs to clients' members using multiple distribution methods, including retail networks, home delivery and specialty pharmacies. These goods and services are integrated into a single performance obligation to process claims, dispense prescription drugs and provide other services over the contract period (generally three years). This performance obligation is satisfied as the business stands ready to fulfill its obligation.
Revenues for dispensing prescription drugs through retail pharmacies are reported gross and consist of the prescription price (ingredient cost and dispensing fee) contracted with clients, including the customer copayment, and any associated fees for services, because the Company acts as the principal in these arrangements. When a prescription is presented to a retail network pharmacy, the Company is solely responsible for customer eligibility, drug utilization review, drug-to-drug interaction review, any required clinical intervention, plan provision information, payment to the pharmacy and client billing. These revenues are recognized based on the full prescription price when the pharmacy claim is processed and approved for payment. The Company also provides benefit design and formulary consultation services to clients and negotiates separate contractual relationships with clients and network pharmacies. These factors indicate that the Company has control over these transactions until the prescription is processed. Revenues are billed, due and recognized at contract rates either on a periodic basis or as services are provided (such as based on volume of claims processed). This recognition pattern aligns with the benefits from services provided.
Home delivery and specialty pharmacy revenues are due and recognized as each prescription is shipped, net of reserves for discounts and contractual allowances estimated based on historical experience. Any differences between estimates and actual collections are reflected in Pharmacy revenues when payments are received. Historically, adjustments to original estimates and returns have not been material. The Company has elected the practical expedient to account for shipping and handling as a fulfillment activity.
We may also provide certain financial and performance guarantees, including a minimum level of discounts a client may receive, generic utilization rates and various service levels. Clients may be entitled to receive compensation if we fail to meet the guarantees. Actual performance is compared to the contractual guarantee for each measure throughout the period and the Company defers revenue for any estimated payouts within Accrued expenses and other liabilities (current). These estimates are adjusted and paid at the end of the annual guarantee period. Historically, adjustments to original estimates have not been material. The liability for these financial and performance guarantees was $1.8 billion as of December 31, 2025 and $1.9 billion as of December 31, 2024.
The Company administers programs through which we may receive rebates and other vendor consideration from pharmaceutical manufacturers. The amounts of such rebates or other vendor consideration shared with pharmacy benefit management services clients vary based on the contractual arrangement with the client and in some cases the type of consideration received from the pharmaceutical manufacturer. Rebates and other vendor consideration payable to pharmacy benefit management services clients are recorded as a reduction of Pharmacy revenues. Estimated amounts payable to clients are based on contractual sharing arrangements between the Company and the client and these amounts are adjusted when amounts are collected from pharmaceutical manufacturers in accordance with the contractual arrangement between the Company and the client. Historically, these adjustments have not been material.
Other pharmacy service revenues are earned by distributing specialty pharmaceuticals and medical supplies to providers, clinics and hospitals. These revenues are billed, due and recognized at contracted rates as prescriptions and supplies are shipped and services are provided.
Pharmacy Costs. Pharmacy costs include the cost of prescriptions sold, network pharmacy claim costs and copayments. Also included are direct costs of dispensing prescriptions including supplies, shipping and handling, and direct costs associated with clinical programs, such as drug utilization management and medication adherence counseling. Home delivery and specialty pharmacy costs are recognized when the drug is shipped, and retail network costs are recognized when the drug is processed and approved for payment. Rebates and other vendor consideration received when providing pharmacy benefit management services are recorded as a reduction of pharmacy costs. Rebates are recognized as prescriptions are shipped or processed and approved for payment. Historically, the effect of adjustments resulting from the reconciliation of rebates recognized to the amounts billed and collected, net of contractual allowances, has not been material. The Company maintains reimbursement guarantees with certain retail network pharmacies. For each such guarantee, the Company records a pharmacy and other service costs payable or prepaid asset for applicable retail network claims based on our actual performance throughout the period against the contractual reimbursement rate. The Company's contracts with certain retail pharmacies give the Company the right to adjust reimbursement rates during the annual guarantee period.
E.Premiums and Related Expenses
Premiums for short-duration group health, accident and life insurance and managed care coverages are recognized as revenue on a pro rata basis over the contract period. Benefits and expenses are recognized when incurred and, for our Cigna Healthcare business, are presented net of pharmaceutical manufacturer rebates. For experience-rated contracts, premium revenue includes an adjustment for
experience-rated refunds based on contract terms and calculated using the customer's experience (including estimates of incurred but not reported claims).
The Patient Protection and Affordable Care Act ("ACA") established a risk adjustment program that transfers funds among insurers based on the relative risk of their covered populations of individuals who purchased insurance on a public exchange. We recognize receivables or payables from the Centers for Medicare and Medicaid Services ("CMS") for the Company's Individual and Family Plans as adjustments to premium revenue when amounts are reasonably estimable and collection is reasonably assured, using year-to-date experience and industry data. Final settlements are determined by the United States Department of Health and Human Services ("HHS") in the subsequent year.

Premium revenue may also include an adjustment to reflect the estimated effect of rebates due to customers under medical loss ratio provisions of the ACA. These rebate liabilities are settled in the subsequent year.
Liabilities related to experience-rated refunds, risk adjustment programs and the minimum medical loss ratio are included in Accrued expenses and other liabilities (current).
Premiums for supplemental health, accident and individual life insurance and annuity long-duration products are recognized as revenue when due. Cigna Healthcare long-duration premium revenues are associated with contracts that provide coverage greater than one year or are guaranteed to be renewed at the option of the policyholder beyond one year. Benefits and expenses are matched with premiums.
Revenue for universal life products is recognized as follows:
Investment income on assets supporting universal life products is recognized in Net investment income/losses as earned.
Charges for mortality, administration and policy surrender are recognized in Premiums as earned. Administrative fees are considered earned when services are provided.
Benefits and expenses for universal life products consist of benefit claims in excess of policyholder account balances and income earned by policyholders. Expenses are recognized when claims are incurred and income is credited to policyholders in accordance with contract provisions.
The unrecognized portion of premiums received is recorded as unearned premiums included in Insurance and contractholder liabilities (current and non-current). See Note 9 to the Consolidated Financial Statements for further information.
F.Fees and Related Expenses
The majority of the Company's service fee revenues are derived from the following programs:

Administrative Services Only ("ASO") arrangements allow plan sponsors to self-fund claims and assume the risk of medical or other benefit costs. In return for fees from these clients, the Company provides access to our participating provider networks and other services supporting benefit management.
Fee-for-service clinical solutions offered to clients, such as drug utilization management and medication adherence counseling help clients to drive better health outcomes at a lower cost by identifying and addressing potentially unsafe or wasteful prescribing, dispensing and utilization of prescription drugs, and communicating with, or supporting communications with, physicians, pharmacies and patients.
Wholesale Marketplace Drug Formulary Management services include either our drug formulary administrative service arrangements or our formulary processing arrangements. Drug formulary administrative services may include formulary consultation, administration of rebate contracts, rebate submission, collection from drug manufacturers and the distribution of rebates to clients. Services may also include facilitating audits of data submissions and reporting of rebates to clients.
Health benefit management solutions are offered primarily to sponsors of health benefit plans to drive cost reductions and improve quality outcomes for clients as well as provide behavioral health services to third-party health plans, employers and administrators. In certain arrangements, the Company assumes the financial obligation for third-party provider costs for medical services provided to the health plan's customers.

Arrangements are generally short-term (one year or less) except for certain three-year health benefit management solutions contracts, and each consists of a single performance obligation. Performance obligations are satisfied as services are provided to clients, either on a stand-ready or utilization basis. Fees are billed, due and recognized at contracted rates on a periodic basis, generally monthly or agreed-upon arrangements terms. Fee revenues for services are generally recorded on a gross basis with the associated direct and indirect costs presented in Pharmacy and other service costs, or Selling, general and administrative expenses.
Retained rebates reported in Fees and other revenues in our formulary processing arrangements are either recognized gross as services are provided to clients, consistent with the related service fee, or net as rebates are processed. The latter applies in arrangements in which the Company is permitted to retain a portion of rebates collected in exchange for services, but the Company does not obtain control of the retained rebate until rebates are transferred to the client.

Fees for services may include variable consideration as a component of the transaction price, which is estimated at contract inception, recognized and adjusted through the contract period through Accrued expenses and other liabilities. Variable consideration includes certain health benefit management contracts requiring the Company to share the results of medical cost experience that differ from specified targets and ASO performance guarantees that compensate clients if certain service standards, clinical outcomes or financial metrics are not met.
Cost of Goods and Service . Pharmacy revenues are primarily derived from providing pharmacy benefit management services to clients and customers. Pharmacy revenues are recognized when control of the promised goods or services is transferred to clients and customers in an amount that reflects the consideration the Company expects to receive for those goods or services.
The Company provides or makes available various services supporting benefit management and claims administration and is generally obligated to provide prescription drugs to clients' members using multiple distribution methods, including retail networks, home delivery and specialty pharmacies. These goods and services are integrated into a single performance obligation to process claims, dispense prescription drugs and provide other services over the contract period (generally three years). This performance obligation is satisfied as the business stands ready to fulfill its obligation.
Revenues for dispensing prescription drugs through retail pharmacies are reported gross and consist of the prescription price (ingredient cost and dispensing fee) contracted with clients, including the customer copayment, and any associated fees for services, because the Company acts as the principal in these arrangements. When a prescription is presented to a retail network pharmacy, the Company is solely responsible for customer eligibility, drug utilization review, drug-to-drug interaction review, any required clinical intervention, plan provision information, payment to the pharmacy and client billing. These revenues are recognized based on the full prescription price when the pharmacy claim is processed and approved for payment. The Company also provides benefit design and formulary consultation services to clients and negotiates separate contractual relationships with clients and network pharmacies. These factors indicate that the Company has control over these transactions until the prescription is processed. Revenues are billed, due and recognized at contract rates either on a periodic basis or as services are provided (such as based on volume of claims processed). This recognition pattern aligns with the benefits from services provided.
Home delivery and specialty pharmacy revenues are due and recognized as each prescription is shipped, net of reserves for discounts and contractual allowances estimated based on historical experience. Any differences between estimates and actual collections are reflected in Pharmacy revenues when payments are received. Historically, adjustments to original estimates and returns have not been material. The Company has elected the practical expedient to account for shipping and handling as a fulfillment activity.
We may also provide certain financial and performance guarantees, including a minimum level of discounts a client may receive, generic utilization rates and various service levels. Clients may be entitled to receive compensation if we fail to meet the guarantees. Actual performance is compared to the contractual guarantee for each measure throughout the period and the Company defers revenue for any estimated payouts within Accrued expenses and other liabilities (current). These estimates are adjusted and paid at the end of the annual guarantee period. Historically, adjustments to original estimates have not been material. The liability for these financial and performance guarantees was $1.8 billion as of December 31, 2025 and $1.9 billion as of December 31, 2024.
The Company administers programs through which we may receive rebates and other vendor consideration from pharmaceutical manufacturers. The amounts of such rebates or other vendor consideration shared with pharmacy benefit management services clients vary based on the contractual arrangement with the client and in some cases the type of consideration received from the pharmaceutical manufacturer. Rebates and other vendor consideration payable to pharmacy benefit management services clients are recorded as a reduction of Pharmacy revenues. Estimated amounts payable to clients are based on contractual sharing arrangements between the Company and the client and these amounts are adjusted when amounts are collected from pharmaceutical manufacturers in accordance with the contractual arrangement between the Company and the client. Historically, these adjustments have not been material.
Other pharmacy service revenues are earned by distributing specialty pharmaceuticals and medical supplies to providers, clinics and hospitals. These revenues are billed, due and recognized at contracted rates as prescriptions and supplies are shipped and services are provided.
Pharmacy Costs. Pharmacy costs include the cost of prescriptions sold, network pharmacy claim costs and copayments. Also included are direct costs of dispensing prescriptions including supplies, shipping and handling, and direct costs associated with clinical programs, such as drug utilization management and medication adherence counseling. Home delivery and specialty pharmacy costs are recognized when the drug is shipped, and retail network costs are recognized when the drug is processed and approved for payment. Rebates and other vendor consideration received when providing pharmacy benefit management services are recorded as a reduction of pharmacy costs. Rebates are recognized as prescriptions are shipped or processed and approved for payment. Historically, the effect of adjustments resulting from the reconciliation of rebates recognized to the amounts billed and collected, net of contractual allowances, has not been material. The Company maintains reimbursement guarantees with certain retail network pharmacies. For each such guarantee, the Company records a pharmacy and other service costs payable or prepaid asset for applicable retail network claims based on our actual performance throughout the period against the contractual reimbursement rate. The Company's contracts with certain retail pharmacies give the Company the right to adjust reimbursement rates during the annual guarantee period.
E.Premiums and Related Expenses
Premiums for short-duration group health, accident and life insurance and managed care coverages are recognized as revenue on a pro rata basis over the contract period. Benefits and expenses are recognized when incurred and, for our Cigna Healthcare business, are presented net of pharmaceutical manufacturer rebates. For experience-rated contracts, premium revenue includes an adjustment for
experience-rated refunds based on contract terms and calculated using the customer's experience (including estimates of incurred but not reported claims).
The Patient Protection and Affordable Care Act ("ACA") established a risk adjustment program that transfers funds among insurers based on the relative risk of their covered populations of individuals who purchased insurance on a public exchange. We recognize receivables or payables from the Centers for Medicare and Medicaid Services ("CMS") for the Company's Individual and Family Plans as adjustments to premium revenue when amounts are reasonably estimable and collection is reasonably assured, using year-to-date experience and industry data. Final settlements are determined by the United States Department of Health and Human Services ("HHS") in the subsequent year.

Premium revenue may also include an adjustment to reflect the estimated effect of rebates due to customers under medical loss ratio provisions of the ACA. These rebate liabilities are settled in the subsequent year.
Liabilities related to experience-rated refunds, risk adjustment programs and the minimum medical loss ratio are included in Accrued expenses and other liabilities (current).
Premiums for supplemental health, accident and individual life insurance and annuity long-duration products are recognized as revenue when due. Cigna Healthcare long-duration premium revenues are associated with contracts that provide coverage greater than one year or are guaranteed to be renewed at the option of the policyholder beyond one year. Benefits and expenses are matched with premiums.
Revenue for universal life products is recognized as follows:
Investment income on assets supporting universal life products is recognized in Net investment income/losses as earned.
Charges for mortality, administration and policy surrender are recognized in Premiums as earned. Administrative fees are considered earned when services are provided.
Benefits and expenses for universal life products consist of benefit claims in excess of policyholder account balances and income earned by policyholders. Expenses are recognized when claims are incurred and income is credited to policyholders in accordance with contract provisions.
The unrecognized portion of premiums received is recorded as unearned premiums included in Insurance and contractholder liabilities (current and non-current). See Note 9 to the Consolidated Financial Statements for further information.
F.Fees and Related Expenses
The majority of the Company's service fee revenues are derived from the following programs:

Administrative Services Only ("ASO") arrangements allow plan sponsors to self-fund claims and assume the risk of medical or other benefit costs. In return for fees from these clients, the Company provides access to our participating provider networks and other services supporting benefit management.
Fee-for-service clinical solutions offered to clients, such as drug utilization management and medication adherence counseling help clients to drive better health outcomes at a lower cost by identifying and addressing potentially unsafe or wasteful prescribing, dispensing and utilization of prescription drugs, and communicating with, or supporting communications with, physicians, pharmacies and patients.
Wholesale Marketplace Drug Formulary Management services include either our drug formulary administrative service arrangements or our formulary processing arrangements. Drug formulary administrative services may include formulary consultation, administration of rebate contracts, rebate submission, collection from drug manufacturers and the distribution of rebates to clients. Services may also include facilitating audits of data submissions and reporting of rebates to clients.
Health benefit management solutions are offered primarily to sponsors of health benefit plans to drive cost reductions and improve quality outcomes for clients as well as provide behavioral health services to third-party health plans, employers and administrators. In certain arrangements, the Company assumes the financial obligation for third-party provider costs for medical services provided to the health plan's customers.

Arrangements are generally short-term (one year or less) except for certain three-year health benefit management solutions contracts, and each consists of a single performance obligation. Performance obligations are satisfied as services are provided to clients, either on a stand-ready or utilization basis. Fees are billed, due and recognized at contracted rates on a periodic basis, generally monthly or agreed-upon arrangements terms. Fee revenues for services are generally recorded on a gross basis with the associated direct and indirect costs presented in Pharmacy and other service costs, or Selling, general and administrative expenses.
Retained rebates reported in Fees and other revenues in our formulary processing arrangements are either recognized gross as services are provided to clients, consistent with the related service fee, or net as rebates are processed. The latter applies in arrangements in which the Company is permitted to retain a portion of rebates collected in exchange for services, but the Company does not obtain control of the retained rebate until rebates are transferred to the client.

Fees for services may include variable consideration as a component of the transaction price, which is estimated at contract inception, recognized and adjusted through the contract period through Accrued expenses and other liabilities. Variable consideration includes certain health benefit management contracts requiring the Company to share the results of medical cost experience that differ from specified targets and ASO performance guarantees that compensate clients if certain service standards, clinical outcomes or financial metrics are not met.
v3.25.4
Accounts Receivable, Net (Policies)
12 Months Ended
Dec. 31, 2025
Receivables [Abstract]  
Accounts Receivable
Accounting Policy. We bill pharmaceutical manufacturers based on management's interpretation of contractual terms and estimate a contractual allowance based on the best information available at the time a claim is processed. Contractual allowances for certain rebates receivable from pharmaceutical manufacturers are determined by reviewing payment experience and specific known items that could be adjusted under contract terms. The Company's estimation process for contractual allowances for pharmaceutical manufacturer receivables generally results in an allowance for balances outstanding greater than 90 days.
Contractual allowances for certain receivables from third-party payors are based on their contractual terms and are estimated based on the Company's best information available at the time revenue is recognized.
The allowance for expected credit losses for current accounts receivable is based primarily on past collections experience relative to the length of time receivables are past due; however, when available evidence reasonably supports an assumption that counterparty credit risk over the expected payment period will differ from current and historical payment collections, a forecasting adjustment is reflected in the allowance for expected credit losses.
Discounts and claims adjustments issued to customers in the form of client credits and other non-credit adjustments are based on the current status of each customer's receivable balance, current economic and market conditions and a variety of other factors, including the length of time the receivables are past due, the financial health of customers and our past experience.
Receivables and any associated allowance are written off only when all collection attempts have failed and such amounts are determined unrecoverable. We regularly review the adequacy of these allowances based on a variety of factors, including age of the outstanding receivable and collection history. When circumstances related to specific collection patterns change, estimates of the recoverability of receivables are adjusted.

The Company's accounts receivable include amounts due from clients, third-party payors, customers and pharmaceutical manufacturers, and are presented net of allowances. These balances include the following:

Noninsurance customer receivables - amounts due from customers for noninsurance services, primarily pharmacy benefit management and ASO contracts.
Pharmaceutical manufacturers receivables - amounts due from pharmaceutical manufacturers.
Insurance customer receivables - amounts due from customers under insurance and managed care contracts, primarily premiums receivable and amounts due from CMS.
Other receivables - all other accounts receivable not included in the categories above.
The transactions under the Facility are accounted for as a sale and recorded as a reduction to accounts receivable in the Consolidated Balance Sheets because control of, and risk related to, the accounts receivable are transferred to the financial institution. Although the sale is made without recourse, we provide collection services related to the transferred assets. Amounts associated with this Facility are reflected within Net cash provided by operating activities in the Consolidated Statements of Cash Flows. Factoring fees paid under this Facility are reflected in Interest expense and other in the Consolidated Statements of Income.
v3.25.4
Divestiture (Policies)
12 Months Ended
Dec. 31, 2025
Discontinued Operations and Disposal Groups [Abstract]  
Divestiture
Accounting Policy. The Company classifies assets and liabilities as held for sale ("disposal group") when management commits to a plan to sell the disposal group, the sale is probable within one year and the disposal group is available for immediate sale in its present condition. The Company considers various factors, particularly whether actions required to complete the plan indicate it is unlikely that significant changes to the plan will be made or the plan will be withdrawn. Assets held for sale are measured at the lower of carrying value or fair value less costs to sell. Any loss resulting from the measurement is recognized in the period the held for sale criteria are met. Conversely, gains are not recognized until the date of the sale. When the disposal group is classified as held for sale, depreciation and amortization for most long-lived assets ceases, and the Company tests the assets for impairment. Deferred policy acquisition costs continue to be amortized.
v3.25.4
Earnings Per Share (Policies)
12 Months Ended
Dec. 31, 2025
Earnings Per Share [Abstract]  
Earnings Per Share
Accounting Policy. The Company computes basic earnings per share using the weighted-average number of unrestricted common and deferred shares outstanding. Diluted earnings per share also includes the dilutive effect of outstanding employee stock options and restricted stock using the treasury stock method and the effect of strategic performance shares.
v3.25.4
Insurance and Contractholder Liabilities (Policies)
12 Months Ended
Dec. 31, 2025
Insurance Loss Reserves [Abstract]  
Unearned Premium
Accounting Policy - Unearned Premium. The unrecognized portion of premiums received is recorded as unearned premiums included in Insurance and contractholder liabilities (current and non-current).
The Company evaluates certain insurance contracts subject to premium deficiency testing and recognizes a premium deficiency loss and corresponding reserve when expected claims costs, claims adjustment expenses, maintenance costs, and unamortized acquisition costs exceed unearned premium. Anticipated investment income is considered in the calculation of premium deficiency.
Unpaid Claims and Claims Expenses
This liability reflects estimates of the ultimate cost of claims that have been incurred but not reported, expected development on reported claims, claims that have been reported but not yet paid (reported claims in process), and other medical care expenses and services payable that are primarily comprised of accruals for incentives and other amounts payable to health care professionals and facilities.
Accounting Policy. The Company uses actuarial principles and assumptions that are consistently applied each reporting period and recognizes the actuarial best estimate of the ultimate liability along with a margin for adverse deviation. This approach is consistent with actuarial standards of practice that the liabilities be adequate under moderately adverse conditions.
The Company compares key assumptions used to establish the medical costs payable to actual experience for each reporting period. The unpaid claims liability is adjusted through current period Shareholders' net income when actual experience differs from these assumptions. Additionally, the Company evaluates expected future developments and emerging trends that may impact key assumptions. The process used to determine this liability requires the Company to make critical accounting estimates that involve considerable judgment, reflecting the variability inherent in forecasting future claim payments. These estimates are highly sensitive to changes in the Company's key assumptions, specifically completion factors and medical cost trend.
The liability is primarily calculated using "completion factors" developed by comparing the claim incurral date to the date claims were paid. Completion factors are impacted by several key items including changes in: (i) electronic (auto-adjudication) versus manual claim processing; (ii) frequency and timeliness of provider claims submissions; (iii) number of customers; and (iv) the mix of products. The Company uses historical completion factors combined with an analysis of current trends and operational factors to
develop current estimates of completion factors. The Company estimates the liability for claims incurred in each month by applying the current estimates of completion factors to the current paid claims data. This approach implicitly assumes that historical completion rates will be a useful indicator for the current period.
The Company relies more heavily on medical cost trend analysis that reflects expected claim payment patterns and other relevant operational considerations for more recent months. Medical cost trend is primarily impacted by medical service utilization and unit costs that are affected by changes in the level and mix of health benefits offered, including inpatient, outpatient and pharmacy; the impact of copays and deductibles; changes in provider practices; and changes in consumer demographics and consumption behavior.
There is no single or common claim frequency metric used in the health care industry. The Company believes a relevant metric for its health insurance business is the number of customers for whom an insured medical claim was paid. Customers for whom no insured medical claim was paid are excluded from the calculation. Claims that did not result in a liability are not included in the frequency metric.
Future Policy Benefits
Accounting Policy. Future policy benefits represent the present value of estimated future obligations, estimated using actuarial methods, for long-duration insurance policies and annuity products currently in force, consisting primarily of reserves for annuity contracts, life insurance benefits and certain supplemental health products that are guaranteed renewable beyond one year.
Contracts are grouped at a level no higher than issue year, based on the original contract issue date, and at lower levels of disaggregation within each issue year for certain businesses to reflect factors including product type, plan type and currency. Management estimates these obligations based on assumptions for premiums, interest rates, mortality or morbidity, future claim adjudication expenses, and surrenders. Mortality, morbidity and surrender assumptions are based on the Company's own experience and published actuarial tables and are updated at least annually, to the extent changes in circumstances require. Interest rate assumptions are based on market-level yields for low credit risk fixed income instruments ("upper-medium grade fixed income instruments"). For interest accretion purposes, interest rates are fixed at the year of the cohort's inception; however, for purposes of liability measurement, they are updated to the current rate quarterly, with all changes in the interest rate from inception to current period reported through Accumulated other comprehensive loss. For contracts issued domestically, we use observable inputs from a published spot rate curve for terms up to 30 years and extrapolate for longer terms using a constant forward rate approach. For contracts issued by foreign operating entities with functional currencies other than the U.S. dollar, we use observable inputs to approximate a risk-free rate and add a credit spread adjustment to align with a low credit risk fixed income instrument. For terms beyond the last observable risk-free rates, which vary by international market, we extrapolate to the ultimate forward rate assuming a constant credit spread.
For the annuity business, the premium paying period is shorter than the benefit coverage period, and a deferred profit liability is reported in future policy benefits representing gross premium received in excess of net premiums. Deferred profit liability is amortized based on expected future benefit payments.
Obligations for annuities represent discounted periodic benefits to be paid to an individual or groups of individuals over their remaining lives. Other Operations' traditional insurance contracts, which are in run-off, have no premium remaining to be collected; therefore, future policy benefit reserves represent the present value of expected future policy benefits, discounted using the current discount rate, and the remaining amortizable deferred profit liability.
Contractholder Deposit Funds Accounting Policy. Liabilities for contractholder deposit funds primarily include deposits received from customers for investment-related and universal life products as well as investment earnings on their fund balances in Other Operations. These liabilities are adjusted to reflect administrative charges and, for universal life fund balances, mortality charges. Interest credited on these funds is accrued ratably over the contract period.
Market Risk Benefits Accounting Policy. Variable annuity reinsurance liabilities are measured as MRBs at fair value, net of nonperformance risk, with fluctuations in value gross of reinsurer nonperformance risk reported in benefit expenses, while fluctuations in the Company's own nonperformance risk (own credit risk) are reported in Accumulated other comprehensive loss. Nonperformance risk reflects risk that a party might default and therefore not fulfill its obligations (i.e., nonpayment risk). The nonperformance risk adjustment reflects a market participant's view of nonpayment risk by adding an additional spread to the discount rate in the calculation of both (a) the variable annuity reinsurance liabilities to be paid by the Company and (b) the variable annuity reinsurance assets to be paid by the reinsurers, after considering collateral. The Company classifies variable annuity assets and liabilities in Level 3 of the fair value hierarchy described in Note 12 to the Consolidated Financial Statements because assumptions related to future annuitant behavior are largely unobservable. As discussed further in Note 10 to the Consolidated Financial Statements, due to the reinsurance agreements covering these liabilities, the liabilities do not generally impact net income except for the change in nonperformance risk on the reinsurance recoverable, which is reported in benefit expenses and does not offset the nonperformance risk valuation on the liability. Variable annuity liabilities are established using capital market assumptions and assumptions related to future annuitant behavior (including mortality, lapse and annuity election rates).
v3.25.4
Reinsurance (Policies)
12 Months Ended
Dec. 31, 2025
Reinsurance Disclosures [Abstract]  
Reinsurance
Reinsurance and other amounts recoverable reflect amounts due from reinsurers and policyholders to cover incurred but not reported and pending claims of certain business for which the Company administers the plan benefits without any right of offset. See Note 10 to the Consolidated Financial Statements for additional information on reinsurance.
Accounting Policy. Reinsurance recoverables represent amounts due from reinsurers for both paid and unpaid claims of the Company's insurance businesses. The Company bears the risk of loss if its reinsurers and retrocessionaires do not meet or are unable to meet their reinsurance obligations to the Company. Most reinsurance recoverables are classified as non-current assets. The current portion of reinsurance recoverables is reported in Other current assets and consists primarily of recoverables on paid claims expected to be settled within one year. Reinsurance recoverables are presented net of allowances, consisting primarily of an allowance for expected credit losses, which is recognized on reinsurance recoverable balances each period and adjusted through Medical costs and other benefit expenses. Estimates of the allowance for expected credit losses are based on internal and external data used to develop expected loss rates over the anticipated duration of the recoverable asset that vary by external credit rating and collateral level.

Collateral levels are defined internally based on the fair value of the collateral relative to the carrying amount of the reinsurance recoverable, the frequency at which collateral is required to be replenished and the potential for volatility in the collateral's fair value.
Variable annuity contracts are accounted for as assumed and ceded reinsurance and categorized as market risk benefits as discussed in Note 9 to the Consolidated Financial Statements.
v3.25.4
Investments (Policies)
12 Months Ended
Dec. 31, 2025
Investments [Abstract]  
Investments
Accounting Policy. Debt securities, commercial mortgage loans, derivative financial instruments and short-term investments with contractual maturities during the next 12 months are classified on the balance sheet as current investments unless they are held as statutory deposits or restricted for other purposes, in which case they are classified as Long-term investments. All other investments are classified as Long-term investments, with the exception of equity security funds that are used in our cash management strategy and are classified as current investments. See Note 12 to the Consolidated Financial Statements for information about the valuation of the Company's investment portfolio.
Accounting Policy. Debt securities (including bonds, mortgage and other asset-backed securities, and preferred stocks redeemable by the investor) are classified as available for sale and are carried at fair value with changes in fair value recorded either in Accumulated other comprehensive loss within Shareholders' equity or in credit loss expense based on fluctuations in the allowance for credit losses, as further discussed below. When the Company intends to sell or determines that it is more likely than not to be required to sell an impaired debt security, the excess of amortized cost over fair value is directly written down with a charge to Net investment gains/losses. Certain asset-backed securities are considered variable interest entities. See Note 13 to the Consolidated Financial Statements for additional information.
The Company reviews declines in fair value from a debt security's amortized cost basis to determine whether a credit loss exists and, when appropriate, recognizes a credit loss allowance with a corresponding charge to credit loss expense, presented in Net investment gains/losses in the Company's Consolidated Statements of Income. The allowance for credit loss represents the excess of amortized cost over the greater of its fair value or the net present value of the debt security's projected future cash flows (based on qualitative and quantitative factors, including the probability of default and the estimated timing and amount of recovery). Each period, the allowance for credit loss is adjusted as needed through credit loss expense.
The Company does not measure an allowance for credit losses for accrued interest receivables. When interest payments are delinquent based on contractual terms or when certain terms (interest rate or maturity date) of the investment have been restructured, accrued interest, reported in Other current assets, is written off through a charge to Net investment income/losses and interest income is recognized on a cash basis.
Review of Declines in Fair Value. Management reviews debt securities in an unrealized loss position to determine whether a credit loss allowance is needed based on criteria that include severity of decline; financial health and specific prospects of the issuer; and changes in the regulatory, economic or general market environment of the issuer's industry or geographic region.
Accounting Policy. Equity securities with a readily determinable fair value consist primarily of public equity investments in the health care sector and mutual funds that invest in fixed income debt securities while those without a readily determinable fair value consist of private equity investments. Changes in the fair values of equity securities that have a readily determinable fair value are reported in Net investment gains/losses. Equity securities without a readily determinable fair value are carried at cost minus impairment plus or minus changes resulting from observable price changes.
Accounting Policy. Commercial mortgage loans are carried at unpaid principal balances, net of an allowance for expected credit losses, and classified as either current or long-term investments based on their contractual maturities. Changes in the allowance for expected credit losses are recognized as credit loss expense and presented in Net investment gains/losses in the Company's Consolidated Statements of Income.
Each period, the Company establishes (or adjusts) its allowance for expected credit losses for commercial mortgage loans. The allowance for expected credit losses is based on a credit risk category that is assigned to each loan at origination using key credit quality indicators, including debt service coverage and loan-to-value ratios. Credit risk categories are updated as key credit quality indicators change. An expected loss rate, assigned based on the credit risk category, is applied to each loan's unpaid principal balance to develop the aggregate allowance for expected credit losses. Commercial mortgage loans are considered impaired and written off against the allowance when it is probable that the Company will not collect all amounts due per the terms of the promissory note. In situations involving foreclosure or the use of real estate operations to recover value, the allowance for credit losses is determined by the extent to which the mortgage loan’s carrying value exceeds the fair value of its underlying collateral.
Credit Quality. The Company regularly evaluates and monitors credit risk. Mortgage origination professionals employ an internal credit quality rating system designed to evaluate the relative risk of the transaction at origination that is then updated each year as part of the annual portfolio loan review. The Company evaluates and monitors credit quality on a consistent and ongoing basis. The annual portfolio review performed in the second quarter of 2025 confirmed ongoing strong overall credit quality in line with the previous year's results.
Quality ratings are based on our evaluation of a number of key inputs related to the loan. The two most significant contributors to the credit quality rating are the debt service coverage and loan-to-value ratios. The debt service coverage ratio measures the amount of property cash flow available to meet annual interest and principal payments on debt, with a ratio below 1.0 indicating that there is not enough cash flow to cover the required loan payments. The loan-to-value ratio, commonly expressed as a percentage, compares the amount of the loan to the fair value of the underlying property collateralizing the loan.
Accounting Policy. Policy loans, primarily associated with our corporate-owned life insurance business, are carried at unpaid principal balances plus accumulated interest, the total of which approximates fair value. These loans are collateralized by life insurance policy cash values and therefore have minimal exposure to credit loss. Interest rates are reset annually based on a rolling average of benchmark interest rates.
Accounting Policy. Other long-term investments include investments in unconsolidated entities, including certain limited partnerships and limited liability companies holding real estate, securities or loans, and health care-related investments. These investments are carried at cost plus the Company's ownership percentage of reporting income or loss, based on the financial statements of the
underlying investments that are generally reported at fair value. Income or loss from these investments is reported on a one-quarter lag due to the timing of when financial information is received from the general partner or manager of the investments.
Other long-term investments also include investment real estate carried at depreciated cost less any impairment write-downs to fair value when cash flows indicate that the carrying value may not be recoverable. Depreciation is generally recorded using the straight-line method based on the estimated useful life of each asset. Investment real estate as of December 31, 2025 and 2024 is expected to be held longer than one year and may include real estate acquired through the foreclosure of commercial mortgage loans.
Additionally, foreign currency swaps carried at fair value and certain restricted deposits are reported in the table below as "Other." See discussion below for information on the Company's accounting policies for derivative financial instruments.
Other long-term investments and related commitments are diversified by issuer, property type and geographic region. These investments are primarily unconsolidated variable interest entities (see Note 13 to the Consolidated Financial Statements for additional information).Our limited partnership investments are reduced as the Company receives cash distributions for returns on its investment that were previously recognized in Net investment income/losses.
Accounting Policy. Security investments with maturities of greater than three months to one year from time of purchase are classified as short-term, available for sale and carried at fair value that approximates cost.
Accounting Policy. When interest and principal payments on investments are current, the Company recognizes interest income when it is earned. The Company recognizes interest income on a cash basis when interest payments are delinquent based on contractual terms or when certain terms (interest rate or maturity date) of the investment have been restructured. For unconsolidated entities that are included in other long-term investments, investment income is generally recognized according to the Company's share of the reported income or loss on the underlying investments. Investment income attributed to the Company's separate accounts is excluded from our earnings because associated gains and losses generally accrue directly to separate account policyholders.
Accounting Policy. Investment gains and losses are based on specifically identified assets and result from sales, investment asset write-downs, changes in the fair value of certain derivatives and equity securities and changes in allowances for credit losses on debt securities and commercial mortgage loan investments.
Derivative Financial Instruments
Accounting Policy. Derivatives are recorded in our Consolidated Balance Sheets at fair value and are classified as current or non-current according to their contractual maturities. Further information on our policies for determining fair value are discussed in Note 12. The Company applies hedge accounting when derivatives are designated, qualified and highly effective as hedges. Under hedge accounting, the changes in fair value of the derivative and the hedged risk are generally recognized together and offset each other when reported in Shareholders' net income. Various qualitative or quantitative methods appropriate for each hedge are used to formally assess and document hedge effectiveness at inception and each period throughout the life of a hedge.

Fair Value Hedges of the Foreign Exchange-Related Changes in Fair Values of Certain Foreign-Denominated Bonds:
This program hedges the foreign exchange-related changes in fair values of certain foreign-denominated bonds. The notional value of these derivatives matches the amortized cost of the hedged bonds. A majority of these instruments are denominated in Euros, with the remaining instruments denominated in British Pounds Sterling and Australian Dollars. Swap fair values are reported in Long-term investments or Other non-current liabilities. Offsetting changes in fair values attributable to the foreign exchange risk of the swap contracts and the hedged bonds are reported in Net investment gains/losses. The portion of the swap contracts' changes in fair value excluded from the assessment of hedge effectiveness is recorded in Other comprehensive loss and recognized in Net investment
income/losses as swap coupon payments are accrued, offsetting the foreign-denominated coupons received on the designated bonds. Net cash flows are reported in Operating activities, while exchanges of notional principal amounts are reported in Investing activities.

Fair Value Hedges of the Interest Rate Exposure on the Company's Long-Term Debt:
This program converts a portion of the interest rate exposure on the Company's long-term debt from fixed to variable rates. This more closely aligns the Company's interest expense with the interest income received on its cash equivalent and short-term investment balances. The variable rates are benchmarked to SOFR. Using fair value hedge accounting, the fair values of the swap contracts are reported in other assets or other liabilities. The critical terms of these swaps match those of the long-term debt being hedged. As a result, the carrying value of the hedged debt is adjusted to reflect changes in its fair value driven by SOFR. The effects of those adjustments on interest expense are offset by the effects of corresponding changes in the swaps' fair value. The net impact from the hedge reported in Interest expense and other reflects interest expense on the hedged debt at the variable interest rate. Cash flows relating to these contracts are reported in Operating activities.

Net Investment Hedges of Certain Foreign Subsidiaries Operating Principally in Currencies Other than the U.S. Dollar:
This program reduces the risk of changes in net assets due to changes in foreign currency spot exchange rates for certain foreign subsidiaries that conduct their business principally in currencies other than the U.S. Dollar. The notional value of hedging instruments matches the hedged amount of subsidiary net assets. Foreign currency swap contracts are denominated in Euros. The fair values of the foreign currency swap and forward contracts are reported in other assets or other liabilities. The changes in fair values of these instruments are reported in Other comprehensive loss, specifically in translation of foreign currencies. The portion of the change in fair values relating to foreign exchange spot rates will be recognized in earnings upon deconsolidation of the hedged foreign subsidiaries. Cash flows relating to these contracts are reported in Investing activities.
v3.25.4
Fair Value Measures and Disclosures (Policies)
12 Months Ended
Dec. 31, 2025
Fair Value Disclosures [Abstract]  
Fair Value Measurements
Accounting Policy. The Company carries certain financial instruments at fair value in the financial statements including debt securities, certain equity securities, short-term investments and derivatives. Other financial instruments are measured at fair value only under certain conditions, such as when impaired or when there are observable price changes for equity securities with no readily determinable fair value.
Fair value is defined as the price at which an asset could be exchanged in an orderly transaction between market participants at the balance sheet date. A liability's fair value is defined as the amount that would be paid to transfer the liability to a market participant, not the amount that would be paid to settle the liability with the creditor.
The Company's financial assets and liabilities carried at fair value have been classified based upon a hierarchy defined by GAAP. The hierarchy gives the highest ranking to fair values determined using unadjusted quoted prices in active markets for identical assets and liabilities (Level 1) and the lowest ranking to fair values determined using methodologies and models with unobservable inputs (Level 3). An asset's or a liability's classification is based on the lowest level of input that is significant to its measurement. For example, a financial asset or liability carried at fair value would be classified in Level 3 if unobservable inputs were significant to the instrument's fair value, even though the measurement may be derived using inputs that are both observable (Levels 1 and 2) and unobservable (Level 3).

The Company estimates fair values using prices from third parties or internal pricing methods. Fair value estimates received from third-party pricing services are based on reported trade activity and quoted market prices when available and other market information that a market participant would use to estimate fair value. The internal pricing methods are performed by the Company's investment professionals and generally involve using discounted cash flow analyses, incorporating current market inputs for similar financial instruments with comparable terms and credit quality as well as other qualitative factors. In instances where there is little or no market activity for the same or similar instruments, fair value is estimated using methods, models and assumptions that the Company believes a hypothetical market participant would use to determine a current transaction price. These valuation techniques involve some level of estimation and judgment that becomes significant with increasingly complex instruments or pricing models.
The Company is responsible for determining fair value and for assigning the appropriate level within the fair value hierarchy based on the significance of unobservable inputs. The Company reviews methodologies, processes and controls of third-party pricing services and compares prices on a test basis to those obtained from other external pricing sources or internal estimates. The Company performs ongoing analyses of both prices received from third-party pricing services and those developed internally to determine that they represent appropriate estimates of fair value. The controls executed by the Company include evaluating changes in prices and monitoring for potentially stale valuations. The Company also performs sample testing of sales values to confirm the accuracy of prior fair value estimates. The minimal exceptions identified during these processes indicate that adjustments to prices are infrequent and do not significantly impact valuations. An annual due diligence review of the most significant pricing service is conducted to review their processes, methodologies and controls. This review includes a walk-through of inputs for a sample of securities held across various asset types to validate the documented pricing process.
Level 1 Financial Assets
Inputs for instruments classified in Level 1 include unadjusted quoted prices for identical assets in active markets accessible at the measurement date. Active markets provide pricing data for trades occurring at least weekly and include exchanges and dealer markets. Assets in Level 1 include actively traded U.S. government bonds and exchange-listed equity securities.
Level 2 Financial Assets and Financial Liabilities
Inputs for instruments classified in Level 2 include quoted prices for similar assets or liabilities in active markets, quoted prices from those willing to trade in markets that are not active, or other inputs that are market-observable or can be corroborated by market data for the term of the instrument. Such other inputs include market interest rates and volatilities, spreads, and yield curves. An instrument is classified in Level 2 if the Company determines that unobservable inputs are insignificant.
Debt and Equity Securities. Third-party pricing services and internal methods often use recent trades of securities with similar features and characteristics because many debt securities do not trade daily. Pricing models are used to determine these prices when recent trades are not available. These models calculate fair values by discounting future cash flows at estimated market interest rates. Such market rates are derived by calculating the appropriate spreads over comparable U.S. Treasury securities based on the credit quality, industry and structure of the asset. Typical inputs and assumptions to pricing models include, but are not limited to, a combination of benchmark yields, reported trades, issuer spreads, liquidity, benchmark securities, bids, offers, reference data, and industry and economic events. For mortgage-backed securities, inputs and assumptions may also include characteristics of the issuer, collateral attributes, prepayment speeds and credit rating. Nearly all of these instruments are valued using recent trades or pricing models.
Short-term Investments are carried at fair value that approximates cost. The Company compares market prices for these securities to recorded amounts on a regular basis to validate that current carrying amounts approximate exit prices. The short-term nature of the investments and corroboration of the reported amounts over the holding period support their classification in Level 2.
Derivative Assets and Liabilities classified in Level 2 represent over-the-counter instruments, such as foreign currency forward and swap contracts. Fair values for these instruments are determined using market-observable inputs, including forward currency and
interest rate curves and widely published market-observable indices. Credit risk related to the counterparty and the Company is considered when estimating the fair values of these derivatives. The nature and use of these derivative financial instruments are described in Note 11.
Level 3 Financial Assets and Financial Liabilities
Certain inputs for instruments classified in Level 3 are unobservable (supported by little or no market activity) and significant to their resulting fair value measurement. Unobservable inputs reflect the Company's best estimate of what hypothetical market participants would use to determine a transaction price for the asset or liability at the reporting date. Additionally, as discussed in Note 9E, the Company classifies variable annuity assets and liabilities in Level 3 of the fair value hierarchy.
The Company classifies certain newly issued, privately placed, complex or illiquid securities in Level 3. Approximately 4% of debt securities are priced using significant unobservable inputs and classified in this category.
Fair values of mortgage and other asset-backed securities, as well as corporate and government debt securities, are primarily determined using pricing models that incorporate the specific characteristics of each asset and related assumptions, including the investment type and structure, credit quality, industry and maturity date in comparison to current market indices, spreads, and liquidity of assets with similar characteristics. Inputs and assumptions for pricing may also include characteristics of the issuer, collateral attributes, and prepayment speeds for mortgage and other asset-backed securities. Recent trades in the subject security or similar securities are assessed when available, and the Company may also review published research in its evaluation, as well as the issuer's financial statements.
Information about Debt Securities. The significant unobservable input used to value our corporate and government debt securities, and mortgage and other asset-backed securities, is an adjustment for liquidity. This adjustment is needed to reflect current market conditions and issuer circumstances when there is limited trading activity for the security.
Total gains and losses included in Shareholders' net income in the table above are reflected in the Consolidated Statements of Income as Net investment gains/losses and as Net investment income/losses. Gains and losses included in Other comprehensive loss, net of tax, in the table above are reflected in Net unrealized (depreciation) appreciation on securities and derivatives in the Consolidated Statements of Comprehensive Income.
Transfers into or out of the Level 3 category occur when unobservable inputs, such as the Company's best estimate of what a market participant would use to determine a current transaction price, become more or less significant to the fair value measurement. Market activity typically decreases during periods of economic uncertainty, and this decrease in activity reduces the availability of market observable data. As a result, the level of unobservable judgment that must be applied to the pricing of certain instruments increases and is typically observed through the widening of liquidity spreads.Assets and Liabilities Measured at Fair Value under Certain Conditions
Some financial assets and liabilities are not carried at fair value, such as commercial mortgage loans that are carried at unpaid principal, investment real estate that is carried at depreciated cost and equity securities with no readily determinable fair value when there are no observable market transactions. However, these financial assets and liabilities may be measured using fair value under certain conditions, such as when investments become impaired and are written down to their fair value, or when there are observable price changes from orderly market transactions of equity securities that otherwise had no readily determinable fair value.
Separate Accounts
Accounting Policy. Separate account assets and liabilities are contractholder funds maintained in accounts with specific investment objectives. Our subsidiaries or external advisors manage invested assets of separate accounts on behalf of contractholders, including The Cigna Group Pension Plan, variable universal life products sold through our corporate-owned life insurance products and the run-off businesses. The assets of these accounts are legally segregated and are not subject to claims that arise out of any of the Company's other businesses. These separate account assets are carried at fair value with equal amounts recorded for related separate account liabilities. The investment income and fair value gains and losses of separate account assets generally accrue directly to the contractholders and, together with their deposits and withdrawals, are excluded from the Company's Consolidated Statements of Income and Cash Flows. Fees and charges earned for mortality risks, asset management or administrative services are reported in either Premiums or Fees and other revenues. Investments that are measured using the practical expedient of net asset value are excluded from the fair value hierarchy. The separate account activity for the years ended December 31, 2025 and 2024 was primarily driven by changes in the market values of the underlying separate account investments.
Separate account assets classified in Level 1 primarily include exchange-listed equity securities. Level 2 assets primarily include corporate and structured bonds valued using recent trades of similar securities or pricing models that discount future cash flows at estimated market interest rates, as described above, and actively traded institutional and retail mutual fund investments.
Separate account assets classified in Level 3 primarily support the Company's pension plans and include certain newly issued, privately placed, complex or illiquid securities that are priced using methods discussed above, as well as commercial mortgage loans.
v3.25.4
Variable Interest Entities (Policies)
12 Months Ended
Dec. 31, 2025
Variable Interest Entities [Abstract]  
Variable Interest Entities
When the Company becomes involved with a variable interest entity and when there is a change in the Company's involvement with an entity, the Company must determine if it is the primary beneficiary and must consolidate the entity. The Company is considered the primary beneficiary if it has the power to direct the entity's most significant economic activities and has the right to receive benefits or obligation to absorb losses that could be significant to the entity.
The Company evaluates the following criteria: the structure and purpose of the entity; the risks and rewards created by and shared through the entity; and the Company's ability to direct its activities, receive its benefits and absorb its losses relative to the other parties involved with the entity, including its sponsors, equity holders, guarantors, creditors and servicers.
Securities Limited Partnerships and Real Estate Limited Partnerships. The Company owns interests in securities limited partnerships and real estate limited partnerships that are defined as unconsolidated variable interest entities. These partnerships invest in the equity or mezzanine debt of privately held companies and real estate properties. General partners unaffiliated with the Company control decisions that most significantly impact the partnership's operations, and the limited partners do not have substantive kick-out or participating rights. We perform ongoing qualitative analyses of our involvement with these variable interest entities to determine if consolidation is required.
v3.25.4
Collectively Significant Operating Unconsolidated Subsidiaries (Policies)
12 Months Ended
Dec. 31, 2025
Equity Method Investments and Joint Ventures [Abstract]  
Equity Method Operating Joint Ventures
Accounting Policy. We record in our Consolidated Statements of Income our proportionate share of net income or loss generated by operating joint ventures within Fees and other revenues. In certain instances, income or loss is reported on a one-month lag due to the timing of when financial information is received.
v3.25.4
Accumulated Other Comprehensive Income (Loss) (Policies)
12 Months Ended
Dec. 31, 2025
Accumulated Other Comprehensive Income (Loss), Net of Tax [Abstract]  
AOCI Generally, tax effects in AOCI are established at the currently enacted tax rate and reclassified to Shareholders' net income in the same period that the related pre-tax AOCI reclassifications are recognized.
v3.25.4
Pension (Policies)
12 Months Ended
Dec. 31, 2025
Retirement Benefits [Abstract]  
Pension Plans
Accounting Policy. The Company measures the assets and liabilities of its domestic pension plans as of December 31. Benefit obligations are measured at the present value of estimated future payments based on actuarial assumptions. The Company uses the corridor method to account for changes in the benefit obligation when actual results differ from those assumed or when assumptions change. These changes are called net unrecognized actuarial gains (losses). Under the corridor method, net unrecognized actuarial gains (losses) are initially recorded in Accumulated other comprehensive loss. When the unrecognized gain (loss) exceeds 10% of the benefit obligation, that excess is amortized to expense over the expected remaining lives of plan participants. The net plan expense is reported in Interest expense and other in the Consolidated Statements of Income.
We measure plan assets at fair value for balance sheet purposes and to measure pension benefit costs. When the actual return differs from the expected return, those differences are reflected in the net unrealized actuarial gain (loss) discussed above.
The Company develops discount rates by applying actual annualized yields for high-quality bonds by duration to the expected pension plan liability cash flows. The bond yields represent a diverse mix of actively traded, high-quality fixed-income securities that have an above-average return at each duration, as management believes this approach is representative of the yield achieved through plan asset investment strategy. The expected long-term return on plan assets was developed considering historical long-term actual returns, expected long-term market conditions, plan asset mix and management's plan asset investment strategy.
See Note 12 to the Consolidated Financial Statements for further details regarding how fair value is determined, including the level within the fair value hierarchy and the procedures we use to validate fair value measurements. The Company classifies substantially all debt securities in Level 2 for pension plan assets. These assets are valued using recent trades of similar securities or are fund investments priced using their daily net asset value that is the exit price. All domestic equity securities and international equity funds within pension assets are classified in Level 3.
Securities partnerships, real estate and hedge funds are valued using net asset value as a practical expedient and are excluded from the fair value hierarchy. See Note 12 to the Consolidated Financial Statements for additional disclosures related to these assets invested in the separate accounts of the Company's subsidiary. Certain securities as described in Note 12 to the Consolidated Financial Statements, as well as commercial mortgage loans and guaranteed deposit account contracts, are classified in Level 3 because unobservable inputs used in their valuation are significant.
v3.25.4
Employee Incentive Plans (Policies)
12 Months Ended
Dec. 31, 2025
Share-Based Payment Arrangement [Abstract]  
Employee Incentive Plans
The Company records compensation expense for stock and option awards over their vesting periods primarily based on the estimated fair value at the grant date. Fair value is determined differently for each type of award as discussed below.
Accounting Policy. The Company awards options to purchase The Cigna Group common stock at the market price of the stock on the grant date. Options vest over periods ranging from one year to three years and expire no later than 10 years from grant date. Fair value is estimated using the Black-Scholes option pricing model by applying the assumptions presented below. That fair value is reduced by options expected to be forfeited during the vesting period. The Company estimates forfeitures at the grant date based on our experience and adjusts the expense to reflect actual forfeitures over the vesting period. The fair value of options, net of forfeitures, is recognized in Selling, general and administrative expenses on a straight-line basis over the vesting period.
Accounting Policy. Fair value of restricted stock awards is equal to the market price of The Cigna Group common stock on the date of grant. This fair value is reduced by awards that are expected to be forfeited. At the grant date, the Company estimates forfeitures based on experience and adjusts the expense to reflect actual forfeitures over the vesting period. This fair value, net of forfeitures, is recognized in Selling, general and administrative expenses over the vesting period on a straight-line basis.
Accounting Policy. Compensation expense for SPSs is recorded over the performance period. Fair value is determined at the grant date for "market condition" SPSs using a Monte Carlo simulation model and not subsequently adjusted regardless of the final outcome. Expense is initially accrued for "performance condition" SPSs based on the most likely outcome but evaluated for adjustment each period for updates in the expected outcome. Expense is adjusted to the actual outcome (number of shares awarded multiplied by the share price at the grant date) at the end of the performance period.
v3.25.4
Goodwill, Other Intangibles and Property and Equipment (Policies)
12 Months Ended
Dec. 31, 2025
Goodwill Other Intangibles And Property And Equipment [Abstract]  
Goodwill
Accounting Policy. Goodwill represents the excess of the cost of businesses acquired over the fair value of their net assets. The resulting goodwill is assigned to those reporting units expected to realize cash flows from the acquisition, based on those reporting units' relative fair values. The Company's reporting units are aligned with its operating segments as described in Note 1.
The Company conducts its annual quantitative evaluation for goodwill impairment during the third quarter at the reporting unit level and writes it down through Shareholders' net income if impaired. On a quarterly basis, the Company performs a qualitative impairment assessment to determine if events or changes in circumstances indicate that it is more likely than not that the carrying value of a reporting unit exceeds its estimated fair value. The fair value of a reporting unit is generally estimated based on discounted cash flow analysis and market approach models using assumptions that the Company believes a hypothetical market participant would use to determine a current transaction price. Following a change in reporting units or held for sale determination, goodwill is allocated using relative fair value. The significant assumptions and estimates used in determining fair value primarily include the discount rate and future cash flows. A discount rate is selected to correspond with each reporting unit's weighted average cost of capital, consistent with that used for investment decisions considering the specific and detailed operating plans and strategies within each reporting unit. Projections of future cash flows differ by reporting unit and are consistent with our ongoing strategic projections. Future cash flows for Evernorth Health Services reporting units are primarily driven by the forecasted gross margins of the business, as well as operating expenses and long-term growth rates. Future cash flows for our other reporting units are primarily driven by forecasted revenues, benefit expenses, operating expenses and long-term growth rates.
Other Intangible Assets
Accounting Policy. The Company's Other intangible assets primarily include purchased customer and producer relationships, trademarks, and provider networks. The fair value of purchased customer relationships and the amortization method were determined as of the dates of purchase using an income approach that relies on projected future net cash flows, including key assumptions for customer attrition and discount rates. The Company's definite-lived intangible assets are amortized on an accelerated or straight-line basis, reflecting their pattern of economic benefits, over periods from 1 year to 30 years. Management revises amortization periods if it believes there has been a change in the length of time that an intangible asset will continue to have value. Costs incurred to renew or extend the terms of these intangible assets are generally expensed as incurred.
The Company's amortized intangible assets are tested for impairment whenever events or changes in circumstances indicate that the carrying amount may not be recoverable. If the total of the expected future undiscounted cash flows generated by the underlying asset group is less than the carrying amount of the asset group, the Company recognizes an impairment charge equal to the difference between the carrying value of the asset group and its estimated fair value. The Company's indefinite-lived intangible assets are reviewed for impairment at least annually by comparing their fair value with their carrying value. If the carrying value exceeds fair value, that excess is recognized as an impairment loss.
Property and Equipment
Accounting Policy. Property and equipment is carried at cost less accumulated depreciation. Cost includes interest, real estate taxes and other costs incurred during construction when applicable. Internal-use software that is acquired, developed or modified solely to meet the Company's internal needs, with no plan to market externally, is also included in this category. Costs directly related to acquiring, developing or modifying internal-use software are capitalized.
The Company calculates depreciation and amortization principally using the straight-line method generally based on the estimated useful life of each asset as follows: buildings and improvements, 10 to 40 years; purchased and internally developed software, 3 to 5 years; and furniture and equipment (including computer equipment), 3 to 10 years. Improvements to leased facilities are depreciated over the lesser of the remaining lease term or the estimated life of the improvement. The Company considers events and circumstances that would indicate the carrying value of property, equipment or capitalized software might not be recoverable. An impairment charge is recorded if the Company determines the carrying value of any of these assets is not recoverable. The Company also reviews and shortens the estimated useful lives of these assets, if necessary.
v3.25.4
Income Taxes (Policies)
12 Months Ended
Dec. 31, 2025
Income Tax Disclosure [Abstract]  
Income Taxes
Accounting Policy. Deferred income taxes are reflected in the Consolidated Balance Sheets for differences between the financial and income tax reporting bases of the Company's underlying assets and liabilities and are established based upon enacted tax rates and laws. Deferred income tax assets are recognized when available evidence indicates that realization is more likely than not, and a valuation allowance is established to the extent this standard is not met. The deferred income tax provision generally represents the net change in deferred income tax assets and liabilities during the reporting period excluding adjustments to Accumulated other comprehensive income (loss) or amounts recorded in connection with a business combination. The current income tax provision generally represents estimated amounts due on income tax returns for the year reported to various jurisdictions plus the effect of any uncertain tax positions. The Company uses the deferral method of accounting on investments that generate tax credits. Under this method, the investment tax credits are recognized as a reduction to the related asset, which are generally reported in Other assets in the Consolidated Balance Sheets. The Company recognizes a liability for uncertain tax positions if management believes the probability that the positions will be sustained is 50% or less. For uncertain positions that management believes are more likely than not to be sustained, the Company recognizes a liability based upon management's estimate of the most likely settlement outcome with the taxing authority. The liabilities for uncertain tax positions are classified as current when the position is expected to be settled within 12 months or the statute of limitation expires within 12 months.
Income taxes attributable to the Company's foreign operations are provided using the foreign jurisdictions' applicable tax rate.

The Company prospectively adopted ASU 2023-09, Improvements to Income Tax Disclosures. As a result, disclosures for 2025 reflect the requirements of ASU 2023-09, including the reconciliation of the statutory federal income tax rate and disaggregated tax payment information. Prior years (2024 and 2023) are presented under the previous disclosure requirements.
The Company classifies net interest expense on uncertain tax positions as a component of income tax expense and in Other non-current liabilities in the Consolidated Balance Sheets.
v3.25.4
Commitment and Contingencies (Policies)
12 Months Ended
Dec. 31, 2025
Commitments and Contingencies Disclosure [Abstract]  
Guarantees Financial Guarantees: Retiree and Life Insurance BenefitsThe Company guarantees that separate account assets will be sufficient to pay certain life insurance or retiree benefits. For the majority of these benefits, the sponsoring employers are primarily responsible for ensuring that assets are sufficient to pay these benefits and are required to maintain assets that exceed a certain percentage of benefit obligations. If employers fail to do so, the Company or an affiliate of the buyer of the retirement benefits business has the right to redirect the management of the related assets to provide for benefit payments.An additional liability is established if management believes that the Company will be required to make payments under the guarantees;Separate account assets supporting these guarantees are classified in Levels 1 and 2 of the GAAP fair value hierarchy.Certain Other GuaranteesThe Company had indemnification obligations as of December 31, 2025 in connection with acquisition and disposition transactions. These indemnification obligations are triggered by the breach of representations or covenants provided by the Company, such as representations for the presentation of financial statements, filing of tax returns, compliance with laws or regulations, or identification of outstanding litigation. These obligations are typically subject to various time limitations, defined by the contract or by operation of law, such as statutes of limitation. In some cases, the maximum potential amount due is subject to contractual limitations based on a stated dollar amount or a percentage of the transaction purchase price, while in other cases limitations are not specified or applicable. The Company does not believe that it is possible to determine the maximum potential amount due under these obligations because not all amounts due under these indemnification obligations are subject to limitation.
Commitment and Contingencies Accounting Policy. The Company accrues for legal and regulatory matters when a loss contingency is both probable and estimable. The estimated loss is generally recorded in Selling, general and administrative expenses and represents the Company's best estimate of the loss contingency. If the loss estimate is a range, the Company accrues the minimum amount in the range if no amount is better than any other estimated amount in the range. Legal costs to defend the Company's litigation and arbitration matters are expensed as incurred in cases that the Company cannot reasonably estimate the ultimate cost to defend. If the Company can reasonably estimate the cost to defend, a liability for these costs is accrued when the claim is reported.
v3.25.4
Segment Reporting (Policies)
12 Months Ended
Dec. 31, 2025
Segment Reporting [Abstract]  
Segment Information Intersegment revenues primarily reflect pharmacy and care services transactions between the Evernorth Health Services and Cigna Healthcare segments. The Chairman and Chief Executive Officer is the chief operating decision maker ("CODM") responsible for making decisions about resources to be allocated to each segment and assessing its performance.
The Company uses "pre-tax adjusted income (loss) from operations" and "adjusted revenues" as its principal financial measures of segment operating performance because management, including the CODM, believes these metrics reflect the underlying results of business operations and facilitate analysis of trends in underlying revenue, expenses and profitability to enable resource allocation decisions. We define pre-tax adjusted income (loss) from operations as income (loss) before income taxes excluding pre-tax income (loss) attributable to noncontrolling interests, 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, including the CODM, believes are not representative of the underlying results of 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.
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, including the CODM, believes are not representative of the underlying results of operations due to their nature or size. We exclude these items from this measure because management, including the CODM, believes they are not indicative of past or future underlying performance of the business.
v3.25.4
Accounts Receivable, Net (Tables)
12 Months Ended
Dec. 31, 2025
Receivables [Abstract]  
Accounts Receivable, Net
The following amounts were included within Accounts receivable, net:
(In millions)December 31, 2025December 31, 2024
Noninsurance customer receivables$14,707 $11,879 
Pharmaceutical manufacturers receivables12,437 10,914 
Insurance customer receivables1,385 3,199 
Other receivables239 162 
Total$26,154 
Accounts receivable, net classified as assets of businesses held for sale
(1,927)
Total$28,768 $24,227 
v3.25.4
Supplier Finance Program (Tables)
12 Months Ended
Dec. 31, 2025
Payables and Accruals [Abstract]  
Supplier Finance Program
The obligations confirmed as valid within the Program by the financial institutions were as follows and are reflected in Accounts payable in the Consolidated Balance Sheets:

For the Years Ended December 31,
(in millions)
2025
2024
Confirmed obligations outstanding at the beginning of the year$1,637 $1,536 
Invoices confirmed during the year39,108 39,091 
Less: confirmed invoices paid during the year39,143 38,990 
Confirmed obligations outstanding at the end of the year$1,602 $1,637 
v3.25.4
Divestiture (Tables)
12 Months Ended
Dec. 31, 2025
Discontinued Operations and Disposal Groups [Abstract]  
Divestiture
(In millions)December 31, 2024
Cash and cash equivalents$1,339 
Investments1,444 
Accounts receivable, net1,927 
Other assets, including Goodwill (1)
2,294 
Total assets of businesses held for sale7,004 
Insurance and contractholder liabilities1,579 
All other liabilities831 
Total liabilities of businesses held for sale$2,410 
(1) Included Goodwill of $94 million.
v3.25.4
Earnings Per Share (Tables)
12 Months Ended
Dec. 31, 2025
Earnings Per Share [Abstract]  
Computation of Basic and Diluted Earnings Per Share
Basic and diluted earnings per share were computed as follows:
For the Years Ended December 31,
202520242023
(Shares in thousands, dollars in millions, except per share amounts)BasicEffect of
Dilution
DilutedBasicEffect of
Dilution
DilutedBasicEffect of
Dilution
Diluted
Shareholders' net income
$5,957 $5,957 $3,434 $3,434 $5,164 $5,164 
Shares:
Weighted average266,744 266,744 280,294 280,294 293,892 293,892 
Common stock equivalents1,819 1,819 2,924 2,924 2,990 2,990 
Total shares266,744 1,819 268,563 280,294 2,924 283,218 293,892 2,990 296,882 
Earnings per share$22.33 $(0.15)$22.18 $12.25 $(0.13)$12.12 $17.57 $(0.18)$17.39 
Outstanding Employee Stock Options Not Included in the Computation of Diluted Earnings Per Share
The following outstanding employee stock options were not included in the computation of diluted earnings per share because their effect was anti-dilutive:
For the Years Ended December 31,
(In millions)202520242023
Anti-dilutive options2.0 1.1 0.9 
v3.25.4
Debt (Tables)
12 Months Ended
Dec. 31, 2025
Debt Disclosure [Abstract]  
Outstanding amounts of debt and finance leases
The outstanding amounts of debt (net of issuance costs, discounts or premiums) and finance leases were as follows:
(In millions)December 31, 2025December 31, 2024
Short-term debt
Commercial paper$ $880 
$900 million, 3.250% Notes due April 2025
 897 
$1,216 million, 4.125% Notes due November 2025
 1,215 
$550 million, 1.250% Notes due March 2026
549 — 
Other, including finance leases43 43 
Total short-term debt$592 $3,035 
Long-term debt
$1,284 million, 4.500% Notes due February 2026
$ $1,285 
$700 million, 5.685% Notes due March 2026
 699 
$550 million, 1.250% Notes due March 2026
 549 
$1,500 million, 3.400% Notes due March 2027
1,481 1,466 
$259 million, 7.875% Debentures due May 2027
260 259 
$600 million, 3.050% Notes due October 2027
599 598 
$3,800 million, 4.375% Notes due October 2028
3,792 3,790 
$1,000 million, 5.000% Notes due May 2029
996 995 
$1,400 million, 2.400% Notes due March 2030 (1)
1,406 1,386 
$1,000 million, 4.500% Notes due September 2030
993 — 
$1,500 million, 2.375% Notes due March 2031 (1)
1,420 1,384 
$750 million, 5.125% Notes due May 2031 (1)
750 745 
$1,250 million, 4.875% Notes due September 2032
1,243 — 
$45 million, 8.080% Step Down Notes due January 2033
45 45 
$800 million, 5.400% Notes due March 2033 (1)
796 795 
$1,250 million, 5.250% Notes due February 2034 (1)
1,250 1,226 
$1,500 million, 5.250% Notes due January 2036
1,488 — 
$190 million, 6.150% Notes due November 2036
190 190 
$2,200 million, 4.800% Notes due August 2038 (1)
2,194 2,193 
$750 million, 3.200% Notes due March 2040
748 744 
$121 million, 5.875% Notes due March 2041
119 119 
$448 million, 6.125% Notes due November 2041
484 485 
$317 million, 5.375% Notes due February 2042
315 315 
$1,500 million, 4.800% Notes due July 2046
1,469 1,469 
$1,000 million, 3.875% Notes due October 2047
990 990 
$3,000 million, 4.900% Notes due December 2048
2,972 2,971 
$1,184 million, 3.400% Notes due March 2050
1,172 1,237 
$1,429 million, 3.400% Notes due March 2051
1,410 1,479 
$1,500 million, 5.600% Notes due February 2054
1,486 1,482 
$750 million, 6.000% Notes due January 2056
735 — 
Other, including finance leases68 41 
Total long-term debt$30,871 $28,937 
(1)The Company has entered into interest rate swap contracts hedging a portion of these fixed-rate debt instruments as of December 31, 2025. See Note 11 to the Consolidated Financial Statements for further information about the Company's interest rate risk management and these derivative instruments.
Debt Issuance. In September 2025, we issued $4.5 billion of new senior notes, as detailed in the table below. The proceeds from this debt issuance were used to repay the $2.0 billion of loans outstanding under the Term Loan Facility as described below. We used the remaining net proceeds for general corporate purposes, including investments and repayment of indebtedness. Interest on this debt is paid semiannually.

PrincipalMaturity DateInterest RateNet Proceeds
Redeemable Date(1)
"Make Whole" Premium (2)
$1,000 million
September 15, 20304.500%$994 millionAugust 15, 203015
$1,250 million
September 15, 20324.875%$1,245 millionJuly 15, 203215
$1,500 million
January 15, 20365.250%$1,490 millionOctober 15, 203515
$750 million
January 15, 20566.000%$736 millionJuly 15, 205520
(1) Redeemable at any time prior to this date at a "make whole" premium, defined below. Redeemable at par on or after this date.
(2) "Make whole" premium calculated using a comparable U.S. Treasury rate plus the amount of basis points set forth in this column.
Maturities of Outstanding Long-Term Debt Maturities of outstanding long-term debt as of December 31, 2025 are as follows:
(In millions)
Scheduled Maturities (1)
2026$550 
2027$2,359 
2028$3,800 
2029$1,000 
2030$2,400 
Maturities after 2030$21,485 
(1) Long-term debt maturity amounts include current maturities of long-term debt. Finance leases are excluded from this table.
v3.25.4
Common and Preferred Stock (Tables)
12 Months Ended
Dec. 31, 2025
Equity [Abstract]  
Share Activity
The following table presents the share activity of The Cigna Group:
For the Years Ended December 31,
(Shares in thousands)202520242023
Common: Par value $0.01; 600,000 shares authorized
Outstanding- January 1,273,789 292,504 298,676 
Net issued for stock option exercises and other benefit plans1,569 2,198 1,619 
Repurchased common stock(11,894)(20,913)(7,791)
Outstanding- December 31,263,464 273,789 292,504 
Treasury stock141,136 128,723 107,390 
Issued- December 31,404,600 402,512 399,894 
Dividend Payments
The following table provides details of the Company's dividend payments:
Record DatePayment DateAmount per Share
Total Amount Paid (in millions)
2025
March 5, 2025March 20, 2025$1.51$412
June 3, 2025June 18, 2025$1.51$401
September 4, 2025September 18, 2025$1.51$402
December 4, 2025December 18, 2025$1.51$396
2024
March 6, 2024March 21, 2024$1.40$401
June 4, 2024June 20, 2024$1.40$392
September 4, 2024September 19, 2024$1.40$390
December 4, 2024December 19, 2024$1.40$384
2023
March 8, 2023March 23, 2023$1.23$368
June 7, 2023June 22, 2023$1.23$362
September 6, 2023September 21, 2023$1.23$362
December 6, 2023December 21, 2023$1.23$358
v3.25.4
Insurance and Contractholder Liabilities (Tables)
12 Months Ended
Dec. 31, 2025
Insurance Loss Reserves [Abstract]  
Insurance and Contractholder Liabilities
The Company's insurance and contractholder liabilities were comprised of the following:
December 31, 2025December 31, 2024
(In millions)CurrentNon-currentTotalCurrentNon-currentTotal
Unpaid claims and claim expenses
Cigna Healthcare
$4,180 $61 $4,241 $4,932 $86 $5,018 
Other167 176 343 147 144 291 
Future policy benefits
Cigna Healthcare
38 153 191 91 507 598 
Other Operations142 3,081 3,223 157 3,140 3,297 
Contractholder deposit funds
Cigna Healthcare
   115 124 
Other Operations336 5,778 6,114 366 5,958 6,324 
Market risk benefits25 649 674 25 760 785 
Unearned premiums822 40 862 753 31 784 
Total6,480 10,741 17,221 
Insurance and contractholder liabilities classified as liabilities of businesses held for sale (1)
(1,092)(487)(1,579)
Total insurance and contractholder liabilities$5,710 $9,938 $15,648 $5,388 $10,254 $15,642 
(1) Amounts classified as liabilities of businesses held for sale include $983 million of Unpaid claims, $408 million of Future policy benefits, $85 million of Unearned premiums and $103 million of Contractholder deposit funds as of December 31, 2024.
Activity, net of intercompany transactions, in the unpaid claims liability for the Cigna Healthcare segment was as follows:
For the Years Ended December 31,
(In millions)
2025 (1)
2024 (1)
2023 (1)
Beginning balance$5,018 $5,092 $4,176 
Less: Reinsurance and other amounts recoverable159 236 221 
Beginning balance, net4,859 4,856 3,955 
Incurred costs related to:
Current year33,816 38,347 35,953 
Prior years(342)(456)(279)
Total incurred33,474 37,891 35,674 
Paid costs related to:
Current year28,769 33,718 31,322 
Prior years4,147 4,170 3,451 
Total paid32,916 37,888 34,773 
Less: Divestiture and other1,323 — — 
Ending balance, net4,094 4,859 4,856 
Add: Reinsurance and other amounts recoverable147 159 236 
Ending balance$4,241 $5,018 $5,092 
(1) Includes unpaid claims amounts classified as liabilities of businesses held for sale prior to the completion of the HCSC transaction. As of December 31, 2024 and December 31, 2023, includes $983 million and $823 million, respectively, classified as liabilities of businesses held for sale.
Variances in Incurred Costs Related to Prior Years' Unpaid Claims and Claims Expenses
Variances in incurred costs related to prior years' unpaid claims and claim expenses that resulted from the differences between actual experience and the Company's key assumptions were as follows:
For the Years Ended December 31,
20252024
(Dollars in millions)$
% (1)
$
% (2)
Actual completion factors and other
$200 0.5 %$223 0.6 %
Medical cost trend142 0.4 233 0.7 
Total favorable variance$342 0.9 %$456 1.3 %
(1)Percentage of current year incurred costs as reported for the year ended December 31, 2024.
(2)Percentage of current year incurred costs as reported for the year ended December 31, 2023.
Incurred and Paid Claims Development
The following table depicts the incurred and paid claims development and unpaid claims liability as of December 31, 2025 (net of reinsurance) reported in the Cigna Healthcare segment. The information about incurred and paid claims development for the year ended December 31, 2024 is presented as supplementary information and is unaudited.
 Incurred Costs 
Incurral Year
2024
(Unaudited)
2025Unpaid Claims and Claim Expenses
(In millions)  
2024$37,179 $36,853 88 
202533,530 4,006 
Cumulative incurred costs for the periods presented$70,383  
 Cumulative Costs Paid 
Incurral Year2024
(Unaudited)
2025 
(In millions)
2024$32,719 $36,544  
202528,635  
Cumulative paid costs for the periods presented$65,179 
Outstanding liabilities for the periods presented, net of reinsurance$5,204 
Divestiture and other(1,110)
Net unpaid claims and claims expenses - Cigna Healthcare
4,094 
Reinsurance and other amounts recoverable147  
Unpaid claims and claim expenses - Cigna Healthcare
$4,241  
Future Policy Benefit Activity
The weighted average interest rates applied and duration for future policy benefits in Other Operations, consisting of annuity and life insurance products, were as follows:
As of
December 31, 2025December 31, 2024
Interest accretion rate 5.64 %5.64 %
Current discount rate 5.18 %5.42 %
Weighted average duration 10.6 years10.8 years
Summary of Market Risk Benefit
Market risk benefits activity was as follows:
For the Years Ended December 31,
(In millions)20252024
Balance, beginning of year$785 $1,003 
Balance, beginning of year, before the effect of nonperformance risk (own credit risk)838 1,085 
Changes due to expected run-off(20)(12)
Changes due to capital markets versus expected(63)(233)
Changes due to policyholder behavior versus expected(24)(39)
Assumption changes(17)37 
Balance, end of period, before the effect of changes in nonperformance risk (own credit risk)714 838 
Nonperformance risk (own credit risk), end of period(40)(53)
Balance, end of period$674 $785 
Reinsured market risk benefit, end of period$712 $836 
Account Value, Net Amount at Risk and the Number of Contractholders for Guarantees Assumed in the Event of Death
The following table presents the account value, net amount at risk, average attained age of contractholders (weighted by exposure) and the number of contractholders for guarantees assumed by the Company. The net amount at risk is the amount that the Company would have to pay to contractholders if all deaths or annuitizations occurred as of the earliest possible date in accordance with the insurance contract. As of December 31, 2025, the account value and net amount at risk decreased, reflecting a reduction in contractholders and favorable equity market performance. The Company should be reimbursed in full for these payments unless the Berkshire reinsurance limit is exceeded.
(Dollars in millions, excludes impact of reinsurance ceded)December 31, 2025December 31, 2024
Account value$7,281 $7,777 
Net amount at risk$1,115 $1,283 
Average attained age of contractholders (weighted by exposure)78.3 years77.7 years
Number of contractholders (estimated)110,000 130,000 
v3.25.4
Reinsurance (Tables)
12 Months Ended
Dec. 31, 2025
Reinsurance Disclosures [Abstract]  
Reinsurance Recoverables
The Company's reinsurance recoverables as of December 31, 2025 are presented at amount due by range of external credit rating and collateral level in the following table, with reinsurance recoverables that are market risk benefits separately presented at fair value:
(In millions)
Fair Value of Collateral Contractually Required to Meet or Exceed Carrying Value of Recoverable
Collateral Provisions Exist That May Mitigate Risk of Credit Loss (1)
No CollateralTotal
Ongoing operations
A- equivalent and higher current ratings (2)
$ $5 $211 $216 
BBB- to BBB+ equivalent current credit ratings (2)
  64 64 
Not rated85 1 4 90 
Acquisition, disposition or run-off activities
BBB+ equivalent and higher current ratings (2)(3)
288 2,838 32 3,158 
Not rated 5 1 6 
Total reinsurance recoverables before market risk benefits$373 $2,849 $312 $3,534 
Allowance for uncollectible reinsurance(23)
Market risk benefits712 
Total reinsurance recoverables (4)
$4,223 
(1)Includes collateral provisions requiring the reinsurer to fully collateralize its obligation if its external credit rating is downgraded to a specified level.
(2)Certified by a nationally recognized statistical ratings organization ("NRSRO").
(3)Comprised of six reinsurers, of which 76% is held by two reinsurers, Lincoln National Life Insurance Company and Lincoln Life and Annuity Company of New York.
(4)Includes $120 million of current reinsurance recoverables that are reported in Other current assets.
v3.25.4
Investments (Tables)
12 Months Ended
Dec. 31, 2025
Investments [Abstract]  
Investments by category and current or long-term classification
The following table summarizes the Company's investments by category and current or long-term classification:
December 31, 2025December 31, 2024
(In millions)CurrentLong-TermTotalCurrentLong-TermTotal
Debt securities$691 $7,671 $8,362 $463 $8,960 $9,423 
Equity securities22 3,534 3,556 554 561 
Commercial mortgage loans86 1,147 1,233 108 1,243 1,351 
Policy loans 1,082 1,082 — 1,156 1,156 
Other long-term investments 5,037 5,037 — 4,576 4,576 
Short-term investments257  257 170 — 170 
Total$748 $16,489 $17,237 
Investments classified as assets of businesses held for sale (1)
(83)(1,361)(1,444)
Investments per Consolidated Balance Sheets$1,056 $18,471 $19,527 $665 $15,128 $15,793 
(1) Investments related to the HCSC transaction that were held for sale as of December 31, 2024. These investments were primarily comprised of debt securities.
Debt Securities by Contractual Maturity
The amortized cost and fair value by contractual maturity periods for debt securities were as follows as of December 31, 2025:
(In millions)Amortized
Cost
Fair
Value
Due in one year or less$695 $598 
Due after one year through five years3,700 3,703 
Due after five years through ten years2,030 1,995 
Due after ten years1,968 1,822 
Mortgage and other asset-backed securities267 244 
Total$8,660 $8,362 
Gross Unrealized Appreciation (Depreciation) on Debt Securities
Gross unrealized appreciation (depreciation) on debt securities by type of issuer is shown below:
(In millions)Amortized
Cost
Allowance for Credit LossUnrealized
Appreciation
Unrealized
Depreciation
Fair
Value
December 31, 2025
Federal government and agency$215 $ $15 $(3)$227 
State and local government24  1  25 
Foreign government450  12 (6)456 
Corporate7,704 (137)175 (332)7,410 
Mortgage and other asset-backed267  3 (26)244 
Total$8,660 $(137)$206 $(367)$8,362 
December 31, 2024
Federal government and agency$276 $— $14 $(9)$281 
State and local government37 — (1)37 
Foreign government350 — (11)344 
Corporate9,091 (111)102 (659)8,423 
Mortgage and other asset-backed371 — (34)338 
Total$10,125 $(111)$123 $(714)$9,423 
Summary of Debt Securities with a Decline in Fair Value
The table below summarizes debt securities with a decline in fair value from amortized cost for which an allowance for credit losses has not been recorded (by investment grade and the length of time these securities have been in an unrealized loss position). Unrealized depreciation on these debt securities is primarily due to declines in fair value resulting from increasing interest rates since these securities were purchased.
December 31, 2025December 31, 2024
(Dollars in millions)Fair
Value
Amortized
Cost
Unrealized
Depreciation
Number
of Issues
Fair
Value
Amortized
Cost
Unrealized
Depreciation
Number
of Issues
One year or less
Investment grade$384 $386 $(2)149$1,203 $1,227 $(24)545 
Below investment grade120 125 (5)239245 250 (5)739 
More than one year
Investment grade3,044 3,382 (338)7994,687 5,319 (632)1,297 
Below investment grade185 207 (22)86416 469 (53)123 
Total$3,733 $4,100 $(367)1,273 $6,551 $7,265 $(714)2,704 
Equity Security Investments
The following table provides the values of the Company's equity security investments:
December 31, 2025 December 31, 2024
(In millions) CostCarrying Value CostCarrying Value
Equity securities with readily determinable fair values$78 $92 $635 $37 
Equity securities with no readily determinable fair value6,792 3,464 3,215 524 
Total$6,870 $3,556 $3,850 $561 
Summary of the Credit Risk Profile of the Commercial Mortgage Loan Portfolio
The following table summarizes the credit risk profile of the Company's commercial mortgage loan portfolio:

(Dollars in millions)December 31, 2025December 31, 2024
Loan-to-Value RatioCarrying ValueAverage Debt Service Coverage RatioAverage Loan-to-Value RatioCarrying ValueAverage Debt Service Coverage RatioAverage Loan-to-Value Ratio
Below 60%$355 2.13$547 2.07
60% to 79%694 1.81595 1.83
80% to 100%184 0.79209 0.51
Total$1,233 1.7271 %$1,351 1.7069 %
Carrying Value Information for Other Long-Term Investments The following table provides unfunded commitment and carrying value information for these investments. The Company expects to disburse approximately 30% of the committed amounts in 2026.
Our limited partnership investments are reduced as the Company receives cash distributions for returns on its investment that were previously recognized in Net investment income/losses. The amount of these cash distributions was $314 million in 2025, $344 million in 2024 and $253 million in 2023.
Unfunded Commitments as of
Carrying Value as of December 31,
(In millions)20252024December 31, 2025
Real estate investments$1,895 $1,763 $1,106 
Securities partnerships2,948 2,587 2,058 
Other194 226  
Total$5,037 $4,576 $3,164 
Summary of Derivative Instruments Held The following table summarizes the types and notional quantity of derivative instruments held by the Company:
Notional Value as of
(In millions)December 31, 2025December 31, 2024
Type of Instrument
Fair value hedge - Foreign currency swap contracts
$908 $975 
Fair value hedge - Interest rate swap contracts$3,150 $2,700 
Net investment hedge - Foreign currency swap contracts
$415 $415 
Components of Net Investment Income
The components of Net investment income were as follows:
For the Years Ended December 31,
(In millions)202520242023
Debt securities$454 $492 $500 
Equity securities (1)
6 (114)123 
Commercial mortgage loans52 61 65 
Policy loans51 56 60 
Other long-term investments232 75 123 
Short-term investments and cash294 447 339 
Total investment income1,089 1,017 1,210 
Less investment expenses43 44 44 
Net investment income$1,046 $973 $1,166 
(1)Includes a $182 million impairment of dividend receivable for the year ended December 31, 2024.
v3.25.4
Fair Value Measurements (Tables)
12 Months Ended
Dec. 31, 2025
Fair Value Disclosures [Abstract]  
Financial Assets and Financial Liabilities Carried at Fair Value
The following table provides information about the Company's investment and derivative financial assets and liabilities carried at fair value on a recurring basis. Further information regarding insurance assets and liabilities carried at fair value is provided in Note 9E to the Consolidated Financial Statements. Separate account assets are also recorded at fair value on the Company's Consolidated Balance Sheets and are reported separately in the Separate Accounts section below as gains and losses related to these assets generally accrue directly to contractholders.
(In millions)Quoted Prices in Active Markets for Identical Assets
(Level 1)
Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total
December 31,
2025
December 31, 2024December 31,
2025
December 31, 2024December 31,
2025
December 31, 2024December 31,
2025
December 31, 2024
Financial assets at fair value
Debt securities
Federal government and agency$105 $165 $122 $116 $ $— $227 $281 
State and local government — 25 37  — 25 37 
Foreign government — 446 344 10 — 456 344 
Corporate
 — 7,133 8,049 277 374 7,410 8,423 
Mortgage and other asset-backed — 206 295 38 43 244 338 
Total debt securities105 165 7,932 8,841 325 417 8,362 9,423 
Equity securities (1)
54 36 36 2 — 92 37 
Short-term investments — 257 170  — 257 170 
Derivative assets — 68 168 923 — 991 168 
Financial liabilities at fair value
Derivative liabilities$ $— $22 $$354 $— $376 $
(1)Excludes certain equity securities that have no readily determinable fair value.
Fair Value and Significant Unobservable Inputs Used in Pricing Debt Securities
The following table summarizes the fair value and significant unobservable inputs that were developed directly by the Company and used in pricing these debt securities. The range and weighted average basis point amounts for liquidity reflect the Company's best estimates of the unobservable adjustments a market participant would make to calculate these fair values. An increase in liquidity spread adjustments would result in a lower fair value measurement, while a decrease would result in a higher fair value measurement.

Fair Value as ofUnobservable Adjustment Range (Weighted Average by Quantity) as of
(Fair value in millions)December 31,
2025
December 31,
2024
Unobservable Input
December 31, 2025
December 31,
2025
December 31,
2024
Debt securities
Corporate$286 $373 Liquidity
60 - 920 (175)
bps
60 - 1520 (370)
bps
Mortgage and other asset-backed securities38 43 Liquidity
105 - 350 (160)
bps
100 - 550 (280)
bps
Other debt securities1 
Total Level 3 debt securities$325 $417 
Changes in Level 3 Financial Assets and Financial Liabilities Carried at Fair Value
The following table summarizes the changes in financial assets and financial liabilities classified in Level 3. Gains and losses reported in the table may include net changes in fair value that are attributable to both observable and unobservable inputs.
Years Ended
December 31,
(In millions)20252024
Beginning balance$417 $447 
Losses included in Shareholders' net income
(90)(69)
Gains (losses) included in Other comprehensive loss
33 (9)
Purchases, sales and settlements
Purchases655 17 
Sales(8)(2)
Settlements(105)(21)
Total purchases, sales and settlements542 (6)
Transfers into / (out of) Level 3
Transfers into Level 359 72 
Transfers out of Level 3(65)(18)
Total transfers into / (out of) Level 3(6)54 
Ending balance$896 $417 
Total losses included in Shareholders' net income attributable to instruments held at the reporting date
$(94)$(69)
Change in unrealized gain or (loss) included in Other comprehensive loss for assets held at the end of the reporting period
$19 $(9)
Fair Values of Separate Account Assets
Fair values of Separate account assets were as follows:
Quoted Prices in Active Markets for Identical Assets
(Level 1)
Significant Other Observable Inputs
(Level 2)
Significant Unobservable Inputs
(Level 3)
Total
(In millions)December 31,
2025
December 31,
2024
December 31,
2025
December 31,
2024
December 31,
2025
December 31,
2024
December 31,
2025
December 31,
2024
Guaranteed separate accounts (see Note 22)
$247 $231 $330 $345 $ $— $577 $576 
Non-guaranteed separate accounts (1)
271 267 5,769 5,575 209 228 6,249 6,070 
Subtotal$518 $498 $6,099 $5,920 $209 $228 6,826 6,646 
Non-guaranteed separate accounts priced at net asset value as a practical expedient (1)
661 632 
Total$7,487 $7,278 
(1)Non-guaranteed separate accounts include $3.8 billion as of both December 31, 2025 and December 31, 2024 in assets supporting the Company's pension plans, including $0.2 billion classified in Level 3 as of both December 31, 2025 and December 31, 2024. Non-guaranteed separate accounts are primarily comprised of securities partnerships, real estate and real estate funds.
Fair Value Disclosures for Financial Instruments Not Carried at Fair Value
The following table includes the Company's financial instruments not recorded at fair value but for which fair value disclosure is required. In addition to universal life products and finance leases, financial instruments that are carried in the Company's Consolidated Balance Sheets at amounts that approximate fair value are excluded from the following table.
Classification in Fair Value HierarchyDecember 31, 2025December 31, 2024
(In millions)Fair ValueCarrying ValueFair ValueCarrying Value
Commercial mortgage loansLevel 3$1,195 $1,233 $1,256 $1,351 
Long-term debt, including current maturities, excluding finance leasesLevel 2$29,907 $31,352 $28,392 $31,008 
v3.25.4
Collectively Significant Operating Unconsolidated Subsidiaries (Tables)
12 Months Ended
Dec. 31, 2025
Equity Method Investments and Joint Ventures [Abstract]  
Operating Joint Venture Investments
The below summarized results of operations and financial position of the operating joint ventures reflects the latest available financial information and does not represent the Company's proportionate share of the assets, liabilities or earnings of such entities.
For the Years Ended December 31,
(In millions)202520242023
Revenues$7,747 $7,309 $5,962 
Net income
$755 $607 $98 
(In millions)December 31, 2025December 31, 2024
Total assets$39,547 $34,395 
Total liabilities$40,009 $33,892 
v3.25.4
Accumulated Other Comprehensive Income (Loss) (Tables)
12 Months Ended
Dec. 31, 2025
Accumulated Other Comprehensive Income (Loss), Net of Tax [Abstract]  
Changes in the Components of AOCI
Changes in the components of AOCI were as follows:
For The Years Ended December 31,
(In millions)202520242023
Securities and derivatives
Beginning balance$832 $171 $(332)
Unrealized (depreciation) appreciation on securities and derivatives, before reclassification, net of tax benefit (expense) of $118, $(207) and $(146), respectively
(309)601 474 
Amounts reclassified to Shareholders' net income, net of tax (benefit) of $(20), $(16) and $(8), respectively
71 60 29 
Shareholders' other comprehensive (loss) income, net of tax
(238)661 503 
Ending balance$594 $832 $171 
Net long-duration insurance and contractholder liabilities measurement adjustments
Beginning balance$(2,038)$(971)$(256)
Net current period change in discount rate for certain long-duration liabilities, before reclassification, net of tax benefit of $71, $357 and $222, respectively
(225)(1,044)(691)
Amounts reclassified to Shareholders' net income, net of tax expense of $16, $— and $— respectively
(56)— — 
Net current period change in discount rate for certain long-duration liabilities, net of tax benefit of $87, $357 and $222, respectively
(281)(1,044)(691)
Net current period change in instrument-specific credit risk for market risk benefits, net of tax benefit of $3, $6 and $5, respectively
(10)(23)(24)
Shareholders' other comprehensive (loss), net of tax
(291)(1,067)(715)
Ending balance$(2,329)$(2,038)$(971)
Translation of foreign currencies
Beginning balance$(198)$(149)$(154)
Net translation of foreign currencies, before reclassification, net of tax (expense) benefit of $(9), $2 and $5, respectively
71 (60)
Amounts reclassified to Shareholders' net income, net of tax expense of $—, $— and $—, respectively
 11 — 
Shareholders' other comprehensive income (loss), net of tax
71 (49)
Ending balance$(127)$(198)$(149)
Postretirement benefits liability
Beginning balance$(937)$(915)$(916)
Amounts reclassified to Shareholders' net income, net of tax (benefit) of $(8), $(7) and $(11), respectively
25 22 35 
Net change due to valuation update, before reclassification, net of tax benefit of $9, $14 and $12, respectively
(32)(44)(34)
Shareholders' other comprehensive (loss) income, net of tax
(7)(22)
Ending balance$(944)$(937)$(915)
Total Accumulated other comprehensive loss
Beginning balance$(2,341)$(1,864)$(1,658)
Shareholders' other comprehensive (loss), net of tax benefit of $180, $149 and $79, respectively
(465)(477)(206)
Ending balance$(2,806)$(2,341)$(1,864)
v3.25.4
Strategic Optimization Program (Tables)
12 Months Ended
Dec. 31, 2025
Restructuring and Related Activities [Abstract]  
Roll forward of Accrued Liability
The following table presents a roll forward of the accrued liability recorded in Accrued expenses and other liabilities during the year ended December 31, 2025:
(In millions)
Balance, December 31, 2024
$ 
2025 charges
378 
2025 payments
(238)
Balance, December 31, 2025
$140 
v3.25.4
Pension (Tables)
12 Months Ended
Dec. 31, 2025
Retirement Benefits [Abstract]  
Summary of the Projected Benefit Obligations and Assets Related to Pension Plans
The following table summarizes the projected benefit obligations and assets related to our U.S. and non-U.S. pension plans:
For the Years Ended December 31,
(In millions)20252024
Change in benefit obligation
Benefit obligation, January 1$3,643 $3,934 
Service cost 
Interest cost196 194 
Actuarial losses (gains), net (1)
109 (146)
Benefits paid from plan assets(309)(328)
Other
(9)(12)
Benefit obligation, December 313,630 3,643 
Change in plan assets
Fair value of plan assets, January 13,854 4,138 
Actual return on plan assets302 40 
Benefits paid(309)(328)
Contributions1 
Fair value of plan assets, December 313,848 3,854 
Funded status$218 $211 
Amounts presented in Consolidated Balance Sheets
Other assets
$218 $211 
(1) 2025 losses reflect a decrease in the discount rate, while 2024 gains reflect an increase in the discount rate.
Benefit Payments The following benefit payments are expected to be paid in:
(In millions)
2026$316 
2027$312 
2028$310 
2029$307 
2030$304 
2031 - 2035$1,409 
Postretirement Benefits Liability Adjustment Included in AOCI
Amounts reflected in the pension assets (liabilities) shown above that have not yet been reported in Net income and, therefore, have been included in Accumulated other comprehensive loss consisted of the following:
(In millions)December 31, 2025December 31, 2024
Unrecognized net losses
$(1,230)$(1,228)
Unrecognized prior service cost(4)(4)
Postretirement benefits liability adjustment$(1,234)$(1,232)
Components of Net Pension Cost
Net pension cost (benefit) was as follows:
For the Years Ended December 31,
(In millions)202520242023
Service cost$ $$
Interest cost196 194 204 
Expected long-term return on plan assets(232)(247)(204)
Amortization of:
Prior actuarial losses, net38 39 52 
Curtailment loss — 
Net cost (benefit)$2 $(12)$53 
Assumptions Used for Pension
For the Years Ended December 31,
 20252024
Discount rate:
Pension benefit obligation5.27%5.57%
Pension benefit cost5.57%5.10%
Expected long-term return on plan assets:
Pension benefit cost6.50%6.50%
Mortality table for pension obligationsWhite Collar mortality table with MP 2021 projection scaleWhite Collar mortality table with MP 2021 projection scale
Fair Value of Pension Assets by Category
The fair values of pension assets by category are as follows:
(In millions)December 31, 2025December 31, 2024
Debt securities:
Federal government and agency$100 $99 
Corporate2,674 2,673 
Asset-backed138 138 
Fund investments66 76 
Total debt securities2,978 2,986 
Equity securities:
Domestic23 21 
International, including funds and pooled separate accounts (1)
 
Total equity securities23 27 
Securities partnerships, including pooled separate accounts (1)
447 402 
Real estate and real estate funds, including pooled separate accounts (1)
212 228 
Commercial mortgage loans21 27 
Guaranteed deposit account contract48 47 
Cash equivalents and other current assets, net119 137 
Total pension assets at fair value$3,848 $3,854 
(1) A pooled separate account has several participating benefit plans and each owns a share of the total pool of investments.
v3.25.4
Employee Incentive Plans (Tables)
12 Months Ended
Dec. 31, 2025
Share-Based Payment Arrangement [Abstract]  
Shares of Common Stock Available for Award
Shares of common stock available for award were as follows:
(In millions)December 31, 2025December 31, 2024December 31, 2023
Common shares available for award10.4 12.4 14.4 
Black-Sholes Option-Pricing Model Assumptions
Black-Scholes option pricing model assumptions and the resulting fair value of options are presented in the following table:
 202520242023
Dividend yield2.04 %1.74 %1.58 %
Expected volatility31.0 %30.0 %30.0 %
Risk-free interest rate4.4 %4.0 %3.6 %
Expected option life4.9 years4.8 years4.7 years
Weighted average fair value of options$86.13 $92.36 $79.66 
Status of and Changes in Common Stock Options
The following table shows the status of, and changes in, common stock options:
For the Years Ended December 31,
202520242023
(Options in thousands)OptionsWeighted Average Exercise PriceOptionsWeighted Average Exercise PriceOptionsWeighted Average Exercise Price
Outstanding - January 15,655 $226.38 6,696 $202.02 6,992 $186.54 
Granted857 $305.86 781 $336.48 915 $294.37 
Exercised(1,088)$192.40 (1,727)$178.82 (1,080)$174.66 
Expired or canceled(222)$314.78 (95)$278.78 (131)$246.95 
Outstanding - December 315,202 $242.81 5,655 $226.38 6,696 $202.02 
Options exercisable at year-end3,806 $216.90 3,941 $196.01 4,616 $179.28 
Summary of Information for Stock Options Exercised and Outstanding
The table below summarizes information for stock options exercised:
For the Years Ended December 31,
(In millions)202520242023
Intrinsic value of options exercised$128 $275 $126 
Cash received for options exercised$203 $305 $187 
Tax benefit from options exercised$16 $34 $17 
The following table summarizes information for outstanding common stock options:
December 31, 2025
 Options
Outstanding
Options
Exercisable
Number (in thousands)5,202 3,806 
Total intrinsic value (in millions)$246 $246 
Weighted average exercise price$242.81 $216.90 
Weighted average remaining contractual life5.7 years4.6 years
Status of and Changes in Restricted Stock Awards and the Fair Value of Vested Restricted Stock
The following table shows the status of, and changes in, restricted stock awards:
For the Years Ended December 31,
202520242023
(Awards in thousands)Grants/UnitsWeighted Average Fair Value at Award DateGrants/UnitsWeighted Average Fair Value at Award DateGrants/UnitsWeighted Average Fair Value at Award Date
Outstanding - January 11,250 $302.42 1,404 $257.38 1,535 $219.25 
Awarded701 $305.67 624 $319.39 700 $294.60 
Vested(664)$284.20 (713)$245.35 (759)$214.70 
Forfeited(149)$316.12 (65)$283.62 (72)$256.24 
Outstanding - December 311,138 $313.25 1,250 $302.42 1,404 $257.38 
The fair value of vested restricted stock at the vesting date was as follows:
For the Years Ended December 31,
(In millions)202520242023
Fair value of vested restricted stock$203 $238 $220 
Status of and Changes in SPSs
The following table shows the status of, and changes in, SPSs:
For the Years Ended December 31,
 202520242023
(Awards in thousands)SharesWeighted Average Fair Value at Award DateSharesWeighted Average Fair Value at Award DateSharesWeighted Average Fair Value at Award Date
Outstanding - January 1601 $282.83 686 $243.90 780 $212.68 
Awarded217 $305.28 195 $336.81 219 $293.85 
Vested(233)$231.75 (242)$214.93 (250)$191.78 
Forfeited(80)$317.01 (38)$289.35 (63)$237.50 
Outstanding - December 31505 $310.78 601 $282.83 686 $243.90 
The fair value of vested SPSs at the vesting date was as follows:
For the Years Ended December 31,
 202520242023
(Shares in thousands; $ in millions)SharesFair ValueSharesFair ValueSharesFair Value
Shares of The Cigna Group common stock distributed upon SPS vesting
301 $92 257 $86 257 $76 
Compensation Cost and Tax Effects of Share-based Compensation Compensation Cost and Tax Effects of Share-Based Compensation
The Company records tax benefits in Shareholders' net income during the vesting period based on the amount of expense being recognized. The difference between tax benefits based on the expense and the actual tax benefit realized are also recorded in income tax expense when stock options are exercised, or when restricted stock and SPSs vest.
For the Years Ended December 31,
(In millions)202520242023
Total compensation cost for shared-based awards$291 $308 $286 
Tax benefits recognized$69 $94 $92 
v3.25.4
Goodwill, Other Intangibles and Property and Equipment (Tables)
12 Months Ended
Dec. 31, 2025
Goodwill Other Intangibles And Property And Equipment [Abstract]  
Goodwill Activity
Goodwill Activity. Goodwill activity was as follows:
(In millions)Evernorth Health ServicesCigna HealthcareTotal
Balance at January 1, 2024
$35,130 $9,129 $44,259 
Goodwill acquired114 — 114 
Impact of foreign currency translation and other adjustments190 (193)(3)
Goodwill at December 31, 2024
35,434 8,936 44,370 
Goodwill acquired548  548 
Impact of foreign currency translation and other adjustments 6 6 
Goodwill at December 31, 2025
$35,982 $8,942 $44,924 
Other Indefinite-Lived Intangible Assets
Components of Other Assets, Including Other Intangibles. Other intangible assets were comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2025   
Customer relationships$30,624 $10,655 $19,969 
Trade name - Express Scripts8,400 8,400 
Other346 155 191 
Total39,370 10,810 28,560 
December 31, 2024
Customer relationships$29,971 $9,119 $20,852 
Trade name - Express Scripts8,400 8,400 
Other316 131 185 
Other intangible assets (1)
38,687 9,250 29,437 
Value of business acquired ("VOBA") (reported in Other assets) (2)
211 142 69 
Total$38,898 $9,392 $29,506 
(1) Includes $20 million of Other intangible assets classified as assets of businesses held for sale as of December 31, 2024.
(2) Includes $69 million of VOBA classified as assets of businesses held for sale as of December 31, 2024.
Other Finite-Lived Intangible Assets
Components of Other Assets, Including Other Intangibles. Other intangible assets were comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2025   
Customer relationships$30,624 $10,655 $19,969 
Trade name - Express Scripts8,400 8,400 
Other346 155 191 
Total39,370 10,810 28,560 
December 31, 2024
Customer relationships$29,971 $9,119 $20,852 
Trade name - Express Scripts8,400 8,400 
Other316 131 185 
Other intangible assets (1)
38,687 9,250 29,437 
Value of business acquired ("VOBA") (reported in Other assets) (2)
211 142 69 
Total$38,898 $9,392 $29,506 
(1) Includes $20 million of Other intangible assets classified as assets of businesses held for sale as of December 31, 2024.
(2) Includes $69 million of VOBA classified as assets of businesses held for sale as of December 31, 2024.
Property and Equipment
Components of Property and Equipment. Property and equipment were comprised of the following:
(In millions)CostAccumulated AmortizationNet Carrying Value
December 31, 2025   
Internal-use software$11,678 $8,904 $2,774 
Other property and equipment2,075 1,198 877 
Total property and equipment13,753 10,102 3,651 
December 31, 2024
Internal-use software$11,295 $8,167 $3,128 
Other property and equipment2,115 1,287 828 
Total property and equipment (1)
13,410 9,454 3,956 
(1)Includes $302 million of Property and equipment net carrying value classified as assets of businesses held for sale as of December 31, 2024.
Components of Depreciation and Amortization Expense
Components of Depreciation and Amortization. Depreciation and amortization expense was comprised of the following:
For the Years Ended December 31,
(In millions)202520242023
Internal-use software$987 $1,021 $1,216 
Other property and equipment239 248 260 
Value of business acquired (reported in Other assets)
 — 
Other intangibles1,549 1,506 1,552 
Total depreciation and amortization$2,775 $2,775 $3,035 
Estimated Annual Pre-Tax Amortization for Intangible Assets
The Company estimates annual pre-tax amortization for intangible assets, including internal-use software, over the next five calendar years to be as follows:
(In millions)Pre-tax Amortization
2026$2,360 
2027$2,237 
2028$2,062 
2029$1,821 
2030$1,592 
v3.25.4
Shareholders Equity and Dividend Restrictions (Tables)
12 Months Ended
Dec. 31, 2025
Equity [Abstract]  
Statutory Net Income and Net Assets of the Company's Subsidiaries The statutory net income of the Company's life, accident, and health insurance and HMO subsidiaries for the years ended, and their statutory surplus as of, December 31 were as follows:
(In billions)202520242023
Net income$3.7 $3.9 $5.3 
Surplus$13.0 $16.0 $14.9 
The Company's HMO and life, accident and health insurance subsidiaries are also subject to minimum statutory surplus requirements and may be required to maintain investments on deposit with state departments of insurance or other regulatory bodies. Additionally, these subsidiaries may be subject to regulatory restrictions on the amount of annual dividends or other distributions (such as loans or cash advances) that insurance companies may extend to their parent companies without prior approval. These amounts, including restricted GAAP net assets of the Company's subsidiaries, were as follows:
(In billions)December 31, 2025
Minimum statutory surplus required by regulators (1)
$4.5 
Investments on deposit with regulatory bodies$0.3 
Maximum dividend distributions permitted in 2026 without regulatory approval
$2.0 
Maximum loans to the parent company permitted without regulatory approval$1.2 
Restricted GAAP net assets of subsidiaries of The Cigna Group
$11.3 
(1) Excludes amounts associated with foreign operated equity method joint ventures.
v3.25.4
Income Taxes (Tables)
12 Months Ended
Dec. 31, 2025
Income Tax Disclosure [Abstract]  
Components of Income Tax Expense
The components of income taxes were as follows:
For the Years Ended December 31,
(In millions)202520242023
Current taxes
U.S. income taxes$807 $1,167 $1,459 
Foreign income taxes191 248 161 
State income taxes169 171 180 
Total current taxes1,167 1,586 1,800 
Deferred taxes (tax benefits)
U.S. income tax benefits
(69)(142)(533)
Foreign income taxes (tax benefits)
447 64 (1,046)
State income tax benefits
(52)(17)(80)
Total deferred taxes (tax benefits)
326 (95)(1,659)
Total income taxes$1,493 $1,491 $141 
Reconciliation of Total Income Taxes to the Amount Computed Using the Nominal Federal Income Tax Rate
Total income taxes were different from the amount computed using the statutory federal income tax rate in 2025 for the following reasons:
For the Year Ended December 31,
2025
(in millions)$%
Tax expense at statutory rate$1,634 21.0 %
State income tax effect, net of federal income tax effect (1)
93 1.2 
Nontaxable or nondeductible items13 0.2 
Effects of cross-border tax laws:
Global intangible low-taxed income ("GILTI")127 1.6 
Other cross-border tax laws11 0.1 
Tax credits(83)(1.1)
Change in valuation allowance(74)(1.0)
Change in unrecognized tax benefits37 0.5 
Other
Impact of sale of business(173)(2.2)
Tax equity investments(102)(1.3)
Other reconciling items3 0.2 
Foreign tax effects:
 Switzerland
Effect of rates different than U.S. statutory(360)(4.6)
Cantonal income taxes206 2.6 
Change in valuation allowance384 4.9 
 Other countries(223)(2.9)
Total income taxes$1,493 19.2 %
(1) The jurisdictions that make up the majority (greater than 50 percent) of the state and local tax impact are Florida and California.
Total income taxes were different from the amount computed using the statutory federal income tax rate in 2024 and 2023 for the following reasons:
For the Years Ended December 31,
 20242023
(In millions)$%$%
Tax expense at statutory rate$1,107 21.0 %$1,158 21.0 %
Change in valuation allowance767 14.6 1,290 23.4 
State income tax effect, net of federal income tax effect62 1.2 (39)(0.7)
Investment tax credits(111)(2.1)(48)(0.8)
Impact of businesses held for sale(129)(2.4)(213)(3.9)
Effect of foreign earnings(252)(4.9)(173)(3.1)
Other foreign tax attributes— — (153)(2.8)
Swiss tax attributes— — (1,674)(30.4)
Other47 0.9 (7)(0.1)
Total income taxes$1,491 28.3 %$141 2.6 %
Deferred Income Tax Assets and Liabilities
Deferred income tax assets and liabilities were as follows:
(In millions)December 31, 2025December 31, 2024
Deferred tax assets
Foreign tax attributes$1,615 $1,752 
Deferred loss - sale of business 773 
Investments587 561 
Other insurance and contractholder liabilities241 300 
Loss carryforwards492 270 
Other accrued liabilities321 207 
Employee and retiree benefit plans190 177 
Unrealized depreciation on investments and foreign currency translation10 93 
Policy acquisition expenses53 — 
Other339 256 
Deferred tax assets before valuation allowance3,848 4,389 
Valuation allowance for deferred tax assets(2,374)(2,332)
Deferred tax assets, net of valuation allowance1,474 2,057 
Deferred tax liabilities
Acquisition-related basis differences7,558 7,822 
Depreciation and amortization602 243 
Policy acquisition expenses 74 
Total deferred tax liabilities8,160 8,139 
Net deferred income tax liabilities (1)
$(6,686)$(6,082)
(1)Deferred tax liabilities, net in the Consolidated Balance Sheets excludes $459 million and $954 million reported in Other assets as of December 31, 2025 and December 31, 2024, respectively, and $61 million reported in liabilities of businesses held for sale as of December 31, 2024.
Reconciliations of Unrecognized Tax Benefits
Reconciliations of unrecognized tax benefits were as follows:
For the Years Ended December 31,
(In millions)202520242023
Balance at January 1,$1,477 $1,399 $1,343 
Decrease due to prior year positions
(50)(7)(26)
Increase due to current year positions
187 165 107 
Reduction related to settlements with taxing authorities
(62)(22)(13)
Reduction related to lapse of applicable statute of limitations
(14)(58)(12)
Balance at December 31,$1,538 $1,477 $1,399 
v3.25.4
Segment Information (Tables)
12 Months Ended
Dec. 31, 2025
Segment Reporting [Abstract]  
Summary of Special Items
The following table presents the special items charges (benefits) recorded by the Company, as well as the respective financial statement line items impacted:
For the Years Ended December 31,
202520242023
(In millions)Pre-taxAfter-taxPre-taxAfter-taxPre-taxAfter-tax
Strategic optimization program
  (primarily Selling, general and administrative expenses)
$749 $565 $— $— $— $— 
Deferred tax expenses (benefits), net
  (Income taxes, less amount attributable to noncontrolling interests)
 427 — 84 — (1,071)
Integration and transaction-related costs
  (Selling, general and administrative expenses)
327 247 275 211 45 35 
(Benefits) charges associated with litigation matters
  (Selling, general and administrative expenses)
(17)(13)— — 201 171 
Net (gain) loss on sale of businesses
(13)(404)(24)(2)1,499 1,429 
Impairment of dividend receivable
  (Net investment income)
  182 138 — — 
Charge for organizational efficiency plan
  (Selling, general and administrative expenses)
— — — — 252 193 
Total impact from special items$1,046 $822 $433 $431 $1,997 $757 
Summarized Segment Financial Information Summarized segment financial information was as follows:
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
2025
Revenues from external customers$232,098 $41,426 $325 $5 $273,854 
Intersegment revenues2,713 5,405 51 (8,169)
Net investment income
142 581 298 25 1,046 
Total revenues234,953 47,412 674 (8,139)274,900 
Net investment results from certain equity method investments
 (249)  (249)
Adjusted revenues$234,953 $47,163 $674 $(8,139)$274,651 
Pharmacy and other service costs223,086  
Medical costs 33,474 
Selling, general and administrative expenses4,170 9,545 
Other segment items (1)
Interest (expense) and other(1)9 
Less: Income attributable to noncontrolling interests475  
Pre-tax adjusted income (loss) from operations7,221 4,153 89 (1,593)9,870 
Income (loss) before income taxes
$5,826 $4,344 $(46)$(2,343)$7,781 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(475)   (475)
Net investment (gains) losses (2)
(20)(210)2 3 (225)
Amortization of acquired intangible assets1,720 23   1,743 
Special items
Strategic optimization program
174 22 133 420 749 
Integration and transaction-related costs
   327 327 
Net (gain) on sale of businesses
(4)(9)  (13)
(Benefits) associated with litigation matters
 (17)  (17)
Pre-tax adjusted income (loss) from operations$7,221 $4,153 $89 $(1,593)$9,870 
Other segment information
Depreciation and amortization$2,400 $339 $16 $20 $2,775 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(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.
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
2024
Revenues from external customers $198,177 $47,528 $440 $$246,148 
Intersegment revenues3,775 4,972 79 (8,826)
Net investment income
21 618 309 25 973 
Total revenues201,973 53,118 828 (8,798)247,121 
Net investment results from certain equity method investments— (204)— — (204)
Special item related to impairment of dividend receivable182 — — — 182 
Adjusted revenues$202,155 $52,914 $828 $(8,798)$247,099 
Pharmacy and other service costs190,968 — 
Medical costs— 37,887 
Selling, general and administrative expenses3,779 10,805 
Other segment items (1)
Interest (expense) and other(2)
Less: Income attributable to noncontrolling interests405 — 
Pre-tax adjusted income (loss) from operations7,001 4,229 (9)(1,688)9,533 
Income (loss) before income taxes
$3,929 $3,315 $(12)$(1,963)$5,269 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(405)— — — (405)
Net investment losses (2)
2,129 401 — 2,533 
Amortization of acquired intangible assets1,662 41 — — 1,703 
Special items
Integration and transaction-related costs
  — 275 275 
Impairment of dividend receivable
182 —  — 182 
Net (gain) loss on sale of businesses
(496)472 — — (24)
Pre-tax adjusted income (loss) from operations$7,001 $4,229 $(9)$(1,688)$9,533 
Other segment information
Depreciation and amortization$2,319 $417 $$30 $2,775 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(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.
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
2023
Revenues from external customers$147,588 $46,219 $291 $$194,099 
Intersegment revenues5,670 4,332 — (10,002)
Net investment income
241 597 305 23 1,166 
Total revenues153,499 51,148 596 (9,978)195,265 
Net investment results from certain equity method investments— 57 — — 57 
Adjusted revenues$153,499 $51,205 $596 $(9,978)$195,322 
Pharmacy and other service costs143,571 — 
Medical costs— 35,678 
Selling, general and administrative expenses3,340 11,055 
Other segment items (1)
Interest (expense) and other(2)
Less income attributable to noncontrolling interests144 
Pre-tax adjusted income (loss) from operations6,442 4,478 96 (1,698)9,318 
Income (loss) before income taxes
$4,768 $2,664 $76 $(1,995)$5,513 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(144)(2)— — (146)
Net investment losses (2)
— 133 — 135 
Amortization of acquired intangible assets1,774 45 — — 1,819 
Special items
Net loss on sale of businesses
— 1,481 18 — 1,499 
Charge for organizational efficiency plan
— — — 252 252 
Charges associated with litigation matters
44 157 — — 201 
Integration and transaction-related costs
— — — 45 45 
Pre-tax adjusted income (loss) from operations$6,442 $4,478 $96 $(1,698)$9,318 
Other segment information
Depreciation and amortization$2,438 $569 $$25 $3,035 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(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.
Reconciliation of Operating Profit (Loss) from Segments to Consolidated
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
2025
Revenues from external customers$232,098 $41,426 $325 $5 $273,854 
Intersegment revenues2,713 5,405 51 (8,169)
Net investment income
142 581 298 25 1,046 
Total revenues234,953 47,412 674 (8,139)274,900 
Net investment results from certain equity method investments
 (249)  (249)
Adjusted revenues$234,953 $47,163 $674 $(8,139)$274,651 
Pharmacy and other service costs223,086  
Medical costs 33,474 
Selling, general and administrative expenses4,170 9,545 
Other segment items (1)
Interest (expense) and other(1)9 
Less: Income attributable to noncontrolling interests475  
Pre-tax adjusted income (loss) from operations7,221 4,153 89 (1,593)9,870 
Income (loss) before income taxes
$5,826 $4,344 $(46)$(2,343)$7,781 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(475)   (475)
Net investment (gains) losses (2)
(20)(210)2 3 (225)
Amortization of acquired intangible assets1,720 23   1,743 
Special items
Strategic optimization program
174 22 133 420 749 
Integration and transaction-related costs
   327 327 
Net (gain) on sale of businesses
(4)(9)  (13)
(Benefits) associated with litigation matters
 (17)  (17)
Pre-tax adjusted income (loss) from operations$7,221 $4,153 $89 $(1,593)$9,870 
Other segment information
Depreciation and amortization$2,400 $339 $16 $20 $2,775 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(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.
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
2024
Revenues from external customers $198,177 $47,528 $440 $$246,148 
Intersegment revenues3,775 4,972 79 (8,826)
Net investment income
21 618 309 25 973 
Total revenues201,973 53,118 828 (8,798)247,121 
Net investment results from certain equity method investments— (204)— — (204)
Special item related to impairment of dividend receivable182 — — — 182 
Adjusted revenues$202,155 $52,914 $828 $(8,798)$247,099 
Pharmacy and other service costs190,968 — 
Medical costs— 37,887 
Selling, general and administrative expenses3,779 10,805 
Other segment items (1)
Interest (expense) and other(2)
Less: Income attributable to noncontrolling interests405 — 
Pre-tax adjusted income (loss) from operations7,001 4,229 (9)(1,688)9,533 
Income (loss) before income taxes
$3,929 $3,315 $(12)$(1,963)$5,269 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(405)— — — (405)
Net investment losses (2)
2,129 401 — 2,533 
Amortization of acquired intangible assets1,662 41 — — 1,703 
Special items
Integration and transaction-related costs
  — 275 275 
Impairment of dividend receivable
182 —  — 182 
Net (gain) loss on sale of businesses
(496)472 — — (24)
Pre-tax adjusted income (loss) from operations$7,001 $4,229 $(9)$(1,688)$9,533 
Other segment information
Depreciation and amortization$2,319 $417 $$30 $2,775 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(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.
(In millions)
Evernorth Health Services
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
2023
Revenues from external customers$147,588 $46,219 $291 $$194,099 
Intersegment revenues5,670 4,332 — (10,002)
Net investment income
241 597 305 23 1,166 
Total revenues153,499 51,148 596 (9,978)195,265 
Net investment results from certain equity method investments— 57 — — 57 
Adjusted revenues$153,499 $51,205 $596 $(9,978)$195,322 
Pharmacy and other service costs143,571 — 
Medical costs— 35,678 
Selling, general and administrative expenses3,340 11,055 
Other segment items (1)
Interest (expense) and other(2)
Less income attributable to noncontrolling interests144 
Pre-tax adjusted income (loss) from operations6,442 4,478 96 (1,698)9,318 
Income (loss) before income taxes
$4,768 $2,664 $76 $(1,995)$5,513 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests
(144)(2)— — (146)
Net investment losses (2)
— 133 — 135 
Amortization of acquired intangible assets1,774 45 — — 1,819 
Special items
Net loss on sale of businesses
— 1,481 18 — 1,499 
Charge for organizational efficiency plan
— — — 252 252 
Charges associated with litigation matters
44 157 — — 201 
Integration and transaction-related costs
— — — 45 45 
Pre-tax adjusted income (loss) from operations$6,442 $4,478 $96 $(1,698)$9,318 
Other segment information
Depreciation and amortization$2,438 $569 $$25 $3,035 
(1)Other segment items represent the difference between segment adjusted revenues less significant segment expenses and pre-tax adjusted income (loss) from operations, and they do not represent significant segment items relative to the CODM's review and oversight.
(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.
Revenue from External Customers
Revenue from external customers includes Pharmacy revenues, Premiums and Fees and other revenues. The following table presents these revenues by product, premium and service type:
For the Years Ended December 31,
(In millions)202520242023
Products (Pharmacy revenues) (ASC 606)
Network revenues$125,573 $105,340 $67,514 
Home delivery and specialty revenues80,492 72,476 65,732 
Other revenues13,329 11,545 9,047 
Total Evernorth Health Services
219,394 189,361 142,293 
Other Operations
54 60 — 
Corporate and eliminations(2,776)(4,059)(5,050)
Total Pharmacy revenues
216,672 185,362 137,243 
Insurance premiums (ASC 944)
Cigna Healthcare
U.S. Healthcare
Employer insured18,852 17,576 16,490 
Medicare Advantage2,363 8,679 8,771 
Stop loss7,599 6,744 6,143 
Individual and Family Plans3,371 3,951 5,088 
Other3,366 4,938 4,095 
U.S. Healthcare
35,551 41,888 40,587 
International Health4,126 3,624 3,295 
Total Cigna Healthcare39,677 45,512 43,882 
Other Operations288 380 281 
Corporate and eliminations296 104 74 
Total Premiums
40,261 45,996 44,237 
Services (Fees) (ASC 606) and Other revenues (1)
Evernorth Health Services
15,417 12,591 10,965 
Cigna Healthcare
7,154 6,988 6,669 
Other Operations
34 79 10 
Corporate and eliminations(5,684)(4,868)(5,025)
Total Fees and other revenues (1)
16,921 14,790 12,619 
Total revenues from external customers$273,854 $246,148 $194,099 
(1)Other revenues for the years ended December 31, 2025, 2024 and 2023 were $696 million, $584 million and $210 million, respectively.
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group (Tables)
12 Months Ended
Dec. 31, 2025
Condensed Financial Statements, Captions [Line Items]  
Condensed Income Statement
THE CIGNA GROUP AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF THE CIGNA GROUP
(REGISTRANT)
STATEMENTS OF INCOME


 For the Years Ended December 31,
(In millions)2025
2024
2023
Revenues
Net investment income and other revenue$21 $26 $22 
Intercompany interest income469 469 516 
Total revenues490 495 538 
Operating expenses
Selling, general and administrative expenses5 14 
Total operating expenses5 14 
lncome from operations
485 481 536 
Interest expense and other
(1,365)(1,388)(1,332)
Gain on sale of businesses
4,890 — — 
Intercompany interest expense
 (2)(118)
lncome (loss) before income taxes
4,010 (909)(914)
Income tax benefits
(201)(189)(192)
lncome (loss) of parent company
4,211 (720)(722)
Equity in income of subsidiaries1,746 4,154 5,886 
Shareholders' net income
5,957 3,434 5,164 
Shareholders' other comprehensive (loss) income, net of tax
Net unrealized (depreciation) appreciation on securities and derivatives
(238)661 503 
Net long-duration insurance and contractholder liabilities measurement adjustments(291)(1,067)(715)
Net translation gains (losses) of foreign currencies
71 (49)
Postretirement benefits liability adjustment(7)(22)
Shareholders' other comprehensive loss, net of tax
(465)(477)(206)
Shareholders' comprehensive income
$5,492 $2,957 $4,958 


See Notes to Financial Statements on the following pages.
Condensed Statement of Comprehensive Income
THE CIGNA GROUP AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF THE CIGNA GROUP
(REGISTRANT)
STATEMENTS OF INCOME


 For the Years Ended December 31,
(In millions)2025
2024
2023
Revenues
Net investment income and other revenue$21 $26 $22 
Intercompany interest income469 469 516 
Total revenues490 495 538 
Operating expenses
Selling, general and administrative expenses5 14 
Total operating expenses5 14 
lncome from operations
485 481 536 
Interest expense and other
(1,365)(1,388)(1,332)
Gain on sale of businesses
4,890 — — 
Intercompany interest expense
 (2)(118)
lncome (loss) before income taxes
4,010 (909)(914)
Income tax benefits
(201)(189)(192)
lncome (loss) of parent company
4,211 (720)(722)
Equity in income of subsidiaries1,746 4,154 5,886 
Shareholders' net income
5,957 3,434 5,164 
Shareholders' other comprehensive (loss) income, net of tax
Net unrealized (depreciation) appreciation on securities and derivatives
(238)661 503 
Net long-duration insurance and contractholder liabilities measurement adjustments(291)(1,067)(715)
Net translation gains (losses) of foreign currencies
71 (49)
Postretirement benefits liability adjustment(7)(22)
Shareholders' other comprehensive loss, net of tax
(465)(477)(206)
Shareholders' comprehensive income
$5,492 $2,957 $4,958 


See Notes to Financial Statements on the following pages.
Condensed Balance Sheet
THE CIGNA GROUP AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF THE CIGNA GROUP
(REGISTRANT)
BALANCE SHEETS
 As of December 31,
(In millions)2025
2024
Assets  
Cash and cash equivalents$118 $164 
Other current assets29 103 
Total current assets147 267 
Investments in subsidiaries61,382 62,887 
Intercompany receivable14,146 10,546 
Other non-current assets48 71 
TOTAL ASSETS$75,723 $73,771 
Liabilities
Short-term debt$550 $2,848 
Other current liabilities1,983 1,528 
Total current liabilities2,533 4,376 
Long-term debt30,268 28,134 
Intercompany payable1,134 195 
Other non-current liabilities75 33 
TOTAL LIABILITIES34,010 32,738 
Shareholders' equity
Common stock (shares issued, 405 and 403; authorized, 600)
4 
Additional paid-in capital31,790 31,288 
Accumulated other comprehensive loss(2,806)(2,341)
Retained earnings47,865 43,519 
Less treasury stock, at cost(35,140)(31,437)
TOTAL SHAREHOLDERS' EQUITY41,713 41,033 
TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY$75,723 $73,771 


See Notes to Financial Statements on the following pages.
Condensed Cash Flow Statement
THE CIGNA GROUP AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF THE CIGNA GROUP
(REGISTRANT)
STATEMENTS OF CASH FLOWS
For the Years Ended December 31,
(In millions)2025
2024
2023
Cash Flows from Operating Activities   
Shareholders' net income
$5,957 $3,434 $5,164 
Adjustments to reconcile Shareholders' net income to net cash provided by operating activities
Equity in income from subsidiaries(1,746)(4,154)(5,886)
Dividends received from subsidiaries1,171 2,916 1,381 
Gain on sale of businesses
(4,890)— — 
Other liabilities496 (306)540 
Other, net592 243 640 
NET CASH PROVIDED BY OPERATING ACTIVITIES
1,580 2,133 1,839 
Cash Flows from Investing Activities
Net change in amounts due from affiliates — 622 
Proceeds from divestiture of businesses4,891 — — 
NET CASH PROVIDED BY INVESTING ACTIVITIES
4,891 — 622 
Cash Flows from Financing Activities
Net change in amounts due to/from affiliates(1,101)4,761 1,473 
Net change in commercial paper(880)(357)1,237 
Repayment of term loan(2,000)— — 
Net proceeds on issuance of term loan1,999 — — 
Repayment of long-term debt(3,861)(2,731)(2,822)
Net proceeds on issuance of long-term debt4,458 4,462 1,491 
Issuance of common stock203 305 187 
Common stock dividend paid(1,611)(1,567)(1,450)
Repurchase of common stock(3,621)(7,034)(2,284)
Other, net(108)(117)(110)
NET CASH USED IN FINANCING ACTIVITIES
(6,522)(2,278)(2,278)
Net (decrease) increase in cash, cash equivalents and restricted cash
(51)(145)183 
Cash, cash equivalents and restricted cash, beginning of year190 335 152 
Cash, cash equivalents and restricted cash, end of year (1)
$139 $190 $335 
Noncash Investing and Financing Activities:
Net amounts due from affiliates settled through capital transactions
$(1,617)$(7,565)$(5,221)
(1) Includes restricted cash reported in Other non-current assets.


See Notes to Financial Statements on the following pages.
Outstanding amounts of debt and finance leases
The outstanding amounts of debt (net of issuance costs, discounts or premiums) and finance leases were as follows:
(In millions)December 31, 2025December 31, 2024
Short-term debt
Commercial paper$ $880 
$900 million, 3.250% Notes due April 2025
 897 
$1,216 million, 4.125% Notes due November 2025
 1,215 
$550 million, 1.250% Notes due March 2026
549 — 
Other, including finance leases43 43 
Total short-term debt$592 $3,035 
Long-term debt
$1,284 million, 4.500% Notes due February 2026
$ $1,285 
$700 million, 5.685% Notes due March 2026
 699 
$550 million, 1.250% Notes due March 2026
 549 
$1,500 million, 3.400% Notes due March 2027
1,481 1,466 
$259 million, 7.875% Debentures due May 2027
260 259 
$600 million, 3.050% Notes due October 2027
599 598 
$3,800 million, 4.375% Notes due October 2028
3,792 3,790 
$1,000 million, 5.000% Notes due May 2029
996 995 
$1,400 million, 2.400% Notes due March 2030 (1)
1,406 1,386 
$1,000 million, 4.500% Notes due September 2030
993 — 
$1,500 million, 2.375% Notes due March 2031 (1)
1,420 1,384 
$750 million, 5.125% Notes due May 2031 (1)
750 745 
$1,250 million, 4.875% Notes due September 2032
1,243 — 
$45 million, 8.080% Step Down Notes due January 2033
45 45 
$800 million, 5.400% Notes due March 2033 (1)
796 795 
$1,250 million, 5.250% Notes due February 2034 (1)
1,250 1,226 
$1,500 million, 5.250% Notes due January 2036
1,488 — 
$190 million, 6.150% Notes due November 2036
190 190 
$2,200 million, 4.800% Notes due August 2038 (1)
2,194 2,193 
$750 million, 3.200% Notes due March 2040
748 744 
$121 million, 5.875% Notes due March 2041
119 119 
$448 million, 6.125% Notes due November 2041
484 485 
$317 million, 5.375% Notes due February 2042
315 315 
$1,500 million, 4.800% Notes due July 2046
1,469 1,469 
$1,000 million, 3.875% Notes due October 2047
990 990 
$3,000 million, 4.900% Notes due December 2048
2,972 2,971 
$1,184 million, 3.400% Notes due March 2050
1,172 1,237 
$1,429 million, 3.400% Notes due March 2051
1,410 1,479 
$1,500 million, 5.600% Notes due February 2054
1,486 1,482 
$750 million, 6.000% Notes due January 2056
735 — 
Other, including finance leases68 41 
Total long-term debt$30,871 $28,937 
(1)The Company has entered into interest rate swap contracts hedging a portion of these fixed-rate debt instruments as of December 31, 2025. See Note 11 to the Consolidated Financial Statements for further information about the Company's interest rate risk management and these derivative instruments.
Debt Issuance. In September 2025, we issued $4.5 billion of new senior notes, as detailed in the table below. The proceeds from this debt issuance were used to repay the $2.0 billion of loans outstanding under the Term Loan Facility as described below. We used the remaining net proceeds for general corporate purposes, including investments and repayment of indebtedness. Interest on this debt is paid semiannually.

PrincipalMaturity DateInterest RateNet Proceeds
Redeemable Date(1)
"Make Whole" Premium (2)
$1,000 million
September 15, 20304.500%$994 millionAugust 15, 203015
$1,250 million
September 15, 20324.875%$1,245 millionJuly 15, 203215
$1,500 million
January 15, 20365.250%$1,490 millionOctober 15, 203515
$750 million
January 15, 20566.000%$736 millionJuly 15, 205520
(1) Redeemable at any time prior to this date at a "make whole" premium, defined below. Redeemable at par on or after this date.
(2) "Make whole" premium calculated using a comparable U.S. Treasury rate plus the amount of basis points set forth in this column.
Maturities of Outstanding Long-Term Debt Maturities of outstanding long-term debt as of December 31, 2025 are as follows:
(In millions)
Scheduled Maturities (1)
2026$550 
2027$2,359 
2028$3,800 
2029$1,000 
2030$2,400 
Maturities after 2030$21,485 
(1) Long-term debt maturity amounts include current maturities of long-term debt. Finance leases are excluded from this table.
The Cigna Group  
Condensed Financial Statements, Captions [Line Items]  
Outstanding amounts of debt and finance leases
Debt Issuance. In September 2025, we issued $4.5 billion of new senior notes, as detailed in the table below. The proceeds from this debt issuance were used to repay the $2.0 billion of loans outstanding under the Term Loan Facility as described above. We used the remaining net proceeds for general corporate purposes, including investments and repayment of indebtedness. Interest on this debt is paid semiannually.
PrincipalMaturity DateInterest RateNet Proceeds
Redeemable Date(1)
"Make Whole" Premium (2)
$1,000 million
September 15, 20304.500%$994 millionAugust 15, 203015
$1,250 million
September 15, 20324.875%$1,245 millionJuly 15, 203215
$1,500 million
January 15, 20365.250%$1,490 millionOctober 15, 203515
$750 million
January 15, 20566.000%$736 millionJuly 15, 205520
(1) Redeemable at any time prior to this date at a "make whole" premium, defined below. Redeemable at par on or after this date.
(2) "Make whole" premium calculated using the most directly comparable U.S. Treasury rate plus the amount of basis points set forth in this column.
Maturities of Outstanding Long-Term Debt Maturities of the Company's long-term debt as of December 31, 2025 are as follows:
(In millions) 
2026$550 
2027$2,055 
2028$3,800 
2029$1,000 
2030$2,400 
Maturities after 2030$21,255 
v3.25.4
Description of Business - Segment Information (Details)
12 Months Ended
Dec. 31, 2025
segment
Organization, Consolidation and Presentation of Financial Statements [Abstract]  
Number of Reportable Segments 2
v3.25.4
Summary of Significant Accounting Policies (Details) - USD ($)
$ in Billions
Dec. 31, 2025
Dec. 31, 2024
Financial and performance guarantees | Evernorth Health Services    
New Accounting Pronouncements or Change in Accounting Principle [Line Items]    
Guarantee liability $ 1.8 $ 1.9
v3.25.4
Accounts Receivable, Net - Amounts (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Receivables [Abstract]    
Noninsurance customer receivables $ 14,707  
Pharmaceutical manufacturer receivables 12,437  
Insurance customer receivables 1,385  
Other receivables 239  
Accounts receivable, net $ 28,768 $ 24,227
v3.25.4
Accounts Receivable, Net - Amounts, Including Disposal Groups (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Noninsurance customer receivables, including held for sale assets   $ 11,879
Pharmaceutical manufacturers receivable, including held for sale assets   10,914
Insurance customer receivables, including held for sale assets   3,199
Other receivables, including held for sale assets   162
Total   26,154
Accounts receivable, net $ 28,768 24,227
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses    
Accounts, Notes, Loans and Financing Receivable [Line Items]    
Accounts receivable, net classified as assets of businesses held for sale   $ (1,927)
v3.25.4
Accounts Receivable, Net - Allowances (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Receivables [Abstract]    
allowances $ 6,800 $ 5,000
contractual allowances for certain pharmaceutical manufacturers rebate receivables 6,200 4,300
contractual allowances for third-party payor noninsurance customer receivables 270 388
allowances for current expected credit losses $ 199 $ 84
v3.25.4
Accounts Receivable, Net - Factoring Facility (Details) - USD ($)
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Receivables [Abstract]      
Total capacity, uncommitted factoring facility $ 1,500,000,000    
Automatic renewal term, uncommitted factoring facility (in years) 1 year    
Accounts receivable sold, uncommitted factoring facility $ 4,400,000,000 $ 5,500,000,000  
Factoring fees paid, uncommitted factoring facility
Accounts receivable sold that remain outstanding, uncommitted factoring facility 0 0  
Accounts receivable received but not remitted, uncommitted factoring facility $ 400,000,000 $ 1,000,000,000.0  
v3.25.4
Supplier Finance Program (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Payables and Accruals [Abstract]      
Payment term (in months) 1 month    
Supplier Finance Program, Obligation, Statement of Financial Position [Extensible Enumeration] Accounts payable Accounts payable  
Supplier Finance Program, Obligation, Current, Statement of Financial Position [Extensible Enumeration] Accounts payable Accounts payable  
Outstanding payment obligations, current $ 1,602 $ 1,637 $ 1,536
Supplier Finance Program, Obligation [Roll Forward]      
Confirmed obligations outstanding at the beginning of the year 1,637 1,536  
Invoices confirmed during the year 39,108 39,091  
Supplier Finance Program, Obligation, Settlement 39,143 38,990  
Confirmed obligations outstanding at the end of the year $ 1,602 $ 1,637  
v3.25.4
Divestiture (Details) - USD ($)
$ in Millions
9 Months Ended 12 Months Ended
Dec. 31, 2025
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Mar. 19, 2025
Jan. 31, 2024
Disposal Group, Including Discontinued Operation, Balance Sheet Disclosures [Abstract]            
Integration and transaction-related costs   $ 327 $ 275 $ 45    
Integration and transaction-related costs, after-tax   $ 247 211 35    
Disposed of by Sale | Medicare Advantage and related Cigna Healthcare businesses | Health Care Services Corporation (HCSC)            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Sale price         $ 4,900  
Proceeds from divestiture of businesses $ 4,900          
Discontinued Operation, Gain (Loss) on Disposal of Discontinued Operation, Net of Tax [Abstract]            
Loss on sale of businesses, Consolidated Statements of Income location   Net gain (loss) on sale of businesses        
Estimated loss on sale, pre-tax   $ 9 (472) (1,500)    
Estimated loss on sale, after-tax   $ 401 $ (363) (1,400)    
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses            
Discontinued Operation, Gain (Loss) on Disposal of Discontinued Operation, Net of Tax [Abstract]            
Goodwill impairment loss, Consolidated Statements of Income location     Net gain (loss) on sale of businesses      
Goodwill impairments     $ 302 $ 1,200    
Disposal Group, Including Discontinued Operation, Balance Sheet Disclosures [Abstract]            
Cash and cash equivalents     1,339      
Investments     1,444      
Accounts receivable, net     1,927      
Other assets, including Goodwill     2,294      
Goodwill classified as Assets of businesses held for sale     94      
Total assets of businesses held for sale     7,004      
Insurance and contractholder liabilities     1,579      
All other liabilities     831      
Total liabilities of businesses held for sale     $ 2,410      
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses | Health Care Services Corporation (HCSC)            
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]            
Sale price           $ 3,300
v3.25.4
Earnings Per Share - Basic and Diluted Earnings Per Share (Details) - USD ($)
$ / shares in Units, shares in Thousands, $ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Earnings Per Share [Abstract]      
SHAREHOLDERS' NET INCOME $ 5,957 $ 3,434 $ 5,164
Shares:      
Weighted average 266,744 280,294 293,892
Common stock equivalents 1,819 2,924 2,990
Total shares 268,563 283,218 296,882
Earnings per share, basic $ 22.33 $ 12.25 $ 17.57
Earnings per share, effect of dilution (0.15) (0.13) (0.18)
Earnings per share, diluted $ 22.18 $ 12.12 $ 17.39
v3.25.4
Earnings Per Share - Anti-dilutive Options (Details) - shares
shares in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Employee Stock Options      
Antidilutive Securities Excluded from Computation of Earnings Per Share [Line Items]      
Antidilutive options 2.0 1.1 0.9
v3.25.4
Debt - Outstanding Amounts of Debt and Finance Leases (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Short-term debt    
Commercial paper $ 0 $ 880
Other, including finance leases 43 43
Total short-term debt $ 592 $ 3,035
Balance sheet location of current finance lease liabilities Total short-term debt Total short-term debt
Long-term debt    
Other, including finance leases $ 68 $ 41
Total long-term debt $ 30,871 $ 28,937
Balance sheet location of non-current finance lease liabilities Total long-term debt Total long-term debt
3.250% Notes due April 2025    
Debt Instrument [Line Items]    
Gross value $ 900  
Interest Rate 3.25%  
Short-term debt    
Current maturities $ 0 $ 897
4.125% Notes due November 2025,    
Debt Instrument [Line Items]    
Gross value $ 1,216  
Interest Rate 4.125%  
Short-term debt    
Current maturities $ 0 1,215
4.500% Notes due February 2026    
Debt Instrument [Line Items]    
Gross value $ 1,284  
Interest Rate 4.50%  
Long-term debt    
Long-term debt $ 0 1,285
1.250% Notes due March 2026    
Debt Instrument [Line Items]    
Gross value $ 550  
Interest Rate 1.25%  
Short-term debt    
Current maturities $ 549 0
Long-term debt    
Long-term debt 0 549
5.685% Notes due March 2026    
Debt Instrument [Line Items]    
Gross value $ 700  
Interest Rate 5.685%  
Long-term debt    
Long-term debt $ 0 699
3.400% Notes due March 2027    
Debt Instrument [Line Items]    
Gross value $ 1,500  
Interest Rate 3.40%  
Long-term debt    
Long-term debt $ 1,481 1,466
7.875% Debentures due May 2027    
Debt Instrument [Line Items]    
Gross value $ 259  
Interest Rate 7.875%  
Long-term debt    
Long-term debt $ 260 259
3.050% Notes due October 2027    
Debt Instrument [Line Items]    
Gross value $ 600  
Interest Rate 3.05%  
Long-term debt    
Long-term debt $ 599 598
4.375% Notes due October 2028    
Debt Instrument [Line Items]    
Gross value $ 3,800  
Interest Rate 4.375%  
Long-term debt    
Long-term debt $ 3,792 3,790
5.000% Notes due May 2029    
Debt Instrument [Line Items]    
Gross value $ 1,000  
Interest Rate 5.00%  
Long-term debt    
Long-term debt $ 996 995
2.400% Notes due March 2030    
Debt Instrument [Line Items]    
Gross value $ 1,400  
Interest Rate 2.40%  
Long-term debt    
Long-term debt $ 1,406 1,386
4.500% Notes due September 2030    
Debt Instrument [Line Items]    
Gross value $ 1,000  
Interest Rate 4.50%  
Long-term debt    
Long-term debt $ 993 0
2.375% Notes due March 2031    
Debt Instrument [Line Items]    
Gross value $ 1,500  
Interest Rate 2.375%  
Long-term debt    
Long-term debt $ 1,420 1,384
5.125% Notes due May 2031    
Debt Instrument [Line Items]    
Gross value $ 750  
Interest Rate 5.125%  
Long-term debt    
Long-term debt $ 750 745
4.875% Notes due September 2032    
Debt Instrument [Line Items]    
Gross value $ 1,250  
Interest Rate 4.875%  
Long-term debt    
Long-term debt $ 1,243 0
Step Down Notes due January 2033    
Debt Instrument [Line Items]    
Gross value $ 45  
Interest Rate 8.08%  
Long-term debt    
Long-term debt $ 45 45
5.400% Notes due March 2033    
Debt Instrument [Line Items]    
Gross value $ 800  
Interest Rate 5.40%  
Long-term debt    
Long-term debt $ 796 795
5.250% Notes due February 2034    
Debt Instrument [Line Items]    
Gross value $ 1,250  
Interest Rate 5.25%  
Long-term debt    
Long-term debt $ 1,250 1,226
5.250% Notes due January 2036    
Debt Instrument [Line Items]    
Gross value $ 1,500  
Interest Rate 5.25%  
Long-term debt    
Long-term debt $ 1,488 0
6.150% Notes due November 2036    
Debt Instrument [Line Items]    
Gross value $ 190  
Interest Rate 6.15%  
Long-term debt    
Long-term debt $ 190 190
4.800% Notes due August 2038    
Debt Instrument [Line Items]    
Gross value $ 2,200  
Interest Rate 4.80%  
Long-term debt    
Long-term debt $ 2,194 2,193
3.200% Notes due March 2040    
Debt Instrument [Line Items]    
Gross value $ 750  
Interest Rate 3.20%  
Long-term debt    
Long-term debt $ 748 744
5.875% Notes due March 2041    
Debt Instrument [Line Items]    
Gross value $ 121  
Interest Rate 5.875%  
Long-term debt    
Long-term debt $ 119 119
6.125% Notes due November 2041    
Debt Instrument [Line Items]    
Gross value $ 448  
Interest Rate 6.125%  
Long-term debt    
Long-term debt $ 484 485
5.375% Notes due February 2042    
Debt Instrument [Line Items]    
Gross value $ 317  
Interest Rate 5.375%  
Long-term debt    
Long-term debt $ 315 315
4.800% Notes due July 2046    
Debt Instrument [Line Items]    
Gross value $ 1,500  
Interest Rate 4.80%  
Long-term debt    
Long-term debt $ 1,469 1,469
3.875% Notes due October 2047    
Debt Instrument [Line Items]    
Gross value $ 1,000  
Interest Rate 3.875%  
Long-term debt    
Long-term debt $ 990 990
4.900% Notes due December 2048    
Debt Instrument [Line Items]    
Gross value $ 3,000  
Interest Rate 4.90%  
Long-term debt    
Long-term debt $ 2,972 2,971
3.400% Notes due March 2050    
Debt Instrument [Line Items]    
Gross value $ 1,184  
Interest Rate 3.40%  
Long-term debt    
Long-term debt $ 1,172 1,237
3.400% Notes due March 2051    
Debt Instrument [Line Items]    
Gross value $ 1,429  
Interest Rate 3.40%  
Long-term debt    
Long-term debt $ 1,410 1,479
5.600% Notes due February 2054    
Debt Instrument [Line Items]    
Gross value $ 1,500  
Interest Rate 5.60%  
Long-term debt    
Long-term debt $ 1,486 1,482
6.000% Notes due January 2056    
Debt Instrument [Line Items]    
Gross value $ 750  
Interest Rate 6.00%  
Long-term debt    
Long-term debt $ 735 $ 0
v3.25.4
Debt - Debt Redemption and Issuance (Details)
1 Months Ended
Sep. 30, 2025
USD ($)
Dec. 31, 2025
Senior Notes Issued September 2025 | Senior Notes    
Debt Instrument [Line Items]    
Principal $ 4,500,000,000  
4.500% Notes due September 2030    
Debt Instrument [Line Items]    
Interest rate   4.50%
4.500% Notes due September 2030 | Senior Notes    
Debt Instrument [Line Items]    
Principal $ 1,000,000,000  
Interest rate 4.50%  
Net proceeds $ 994,000,000  
Redemption price discount, spread on variable rate 0.0015  
4.875% Notes due September 2032    
Debt Instrument [Line Items]    
Interest rate   4.875%
4.875% Notes due September 2032 | Senior Notes    
Debt Instrument [Line Items]    
Principal $ 1,250,000,000  
Interest rate 4.875%  
Net proceeds $ 1,245,000,000  
Redemption price discount, spread on variable rate 0.0015  
5.250% Notes due January 2036    
Debt Instrument [Line Items]    
Interest rate   5.25%
5.250% Notes due January 2036 | Senior Notes    
Debt Instrument [Line Items]    
Principal $ 1,500,000,000  
Interest rate 5.25%  
Net proceeds $ 1,490,000,000  
Redemption price discount, spread on variable rate 0.0015  
6.000% Notes due January 2056    
Debt Instrument [Line Items]    
Interest rate   6.00%
6.000% Notes due January 2056 | Senior Notes    
Debt Instrument [Line Items]    
Principal $ 750,000,000  
Interest rate 6.00%  
Net proceeds $ 736,000,000  
Redemption price discount, spread on variable rate 0.0020  
v3.25.4
Debt - Term Loan (Details) - Term Loan Facility - Line of Credit - USD ($)
$ in Billions
1 Months Ended
Sep. 30, 2025
Aug. 31, 2025
Short-Term Debt [Line Items]    
Credit agreement term   364 days
Principal   $ 2.0
Extinguishment of debt amount $ 2.0  
v3.25.4
Debt - Revolving Credit Agreement and Commercial Paper (Details) - USD ($)
1 Months Ended
Apr. 30, 2025
Dec. 31, 2025
Dec. 31, 2024
Debt Instrument [Line Items]      
Commercial paper   $ 0 $ 880,000,000
Commercial Paper      
Debt Instrument [Line Items]      
Maximum borrowing capacity   6,500,000,000  
Commercial paper   0  
Revolving Credit Agreements, April 2025      
Debt Instrument [Line Items]      
Outstanding balances   $ 0  
Maximum borrowing capacity $ 6,500,000,000    
Credit agreement term 5 years    
Credit agreement term extension 1 year    
Aggregate amount of options to increase commitments $ 1,500,000,000    
Maximum total commitment $ 8,000,000,000.0    
Leverage ratio covenant 60.00%    
Revolving Credit Agreements, April 2025 | Letter of Credit      
Debt Instrument [Line Items]      
Maximum borrowing capacity $ 500,000,000    
v3.25.4
Debt - Debt Maturities (Details)
$ in Millions
Dec. 31, 2025
USD ($)
Long-term Debt  
2026 $ 550
2027 2,359
2028 3,800
2029 1,000
2030 2,400
Maturities after 2030 $ 21,485
v3.25.4
Debt - Interest Expense (Details) - USD ($)
$ in Billions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Debt Disclosure [Abstract]      
Interest expense on long-term and short-term debt $ 1.4 $ 1.5 $ 1.4
v3.25.4
Common and Preferred Stock - Share Activity (Details) - $ / shares
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Equity [Abstract]      
Preferred stock, shares authorized 25,000,000    
Preferred stock, par value $ 1    
Preferred stock, shares outstanding 0 0 0
Common Stock, Number of Shares, Par Value and Other Disclosures [Abstract]      
Common stock, par value $ 0.01 $ 0.01 $ 0.01
Common stock, shares authorized 600,000,000 600,000,000 600,000,000
Changes in Total Equity      
Outstanding- January 1, 273,789,000 292,504,000 298,676,000
Net issued for stock option exercises and other benefit plans 1,569,000 2,198,000 1,619,000
Repurchased common stock (11,894,000) (20,913,000) (7,791,000)
December 31, 263,464,000 273,789,000 292,504,000
Treasury stock 141,136,000 128,723,000 107,390,000
December 31, 404,600,000 402,512,000 399,894,000
v3.25.4
Common and Preferred Stock - Dividends (Details) - USD ($)
$ / shares in Units, $ in Millions
12 Months Ended
Feb. 05, 2026
Dec. 18, 2025
Sep. 18, 2025
Jun. 18, 2025
Mar. 20, 2025
Dec. 19, 2024
Sep. 19, 2024
Jun. 20, 2024
Mar. 21, 2024
Dec. 21, 2023
Sep. 21, 2023
Jun. 22, 2023
Mar. 23, 2023
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Equity [Abstract]                                
Amount per share (in dollars per share)   $ 1.51 $ 1.51 $ 1.51 $ 1.51 $ 1.40 $ 1.40 $ 1.40 $ 1.40 $ 1.23 $ 1.23 $ 1.23 $ 1.23      
Total amount paid   $ 396 $ 402 $ 401 $ 412 $ 384 $ 390 $ 392 $ 401 $ 358 $ 362 $ 362 $ 368 $ 1,611 $ 1,567 $ 1,450
Dividends Payable [Line Items]                                
Common dividends declared (in dollars per share)                           $ 6.04 $ 5.60 $ 4.92
R2026Q1 Dividends [Member] | Subsequent Event                                
Dividends Payable [Line Items]                                
Dividends Payable, Date Declared Feb. 05, 2026                              
Common dividends declared (in dollars per share) $ 1.56                              
Dividends Payable, Date to be Paid Mar. 19, 2026                              
Dividends Payable, Date of Record Mar. 05, 2026                              
v3.25.4
Insurance and Contractholder Liabilities - Account Balances (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Current        
Market risk benefits, current $ 25 $ 25    
Unearned premiums, current 822      
Current insurance and contractholder liabilities 5,710 5,388    
Non-current        
Market risk benefits, non-current 649 760    
Unearned premiums, non-current 40      
Non-current insurance and contractholder liabilities 9,938 10,254    
Total        
Market risk benefits 674 785    
Unearned premiums 862      
Total insurance and contractholder liabilities 15,648 15,642    
Cigna Healthcare        
Current        
Unpaid claims and claim expenses, current 4,180      
Future policy benefits, current 38      
Contractholder deposit funds, current 0      
Non-current        
Unpaid claims and claim expenses, non-current 61      
Future policy benefits, non-current 153      
Contractholder deposit funds, non-current 0      
Total        
Unpaid claims and claim expenses 4,241     $ 4,176
Total liability for future policy benefits 191      
Contractholder deposit funds 0      
Other        
Current        
Unpaid claims and claim expenses, current 167 147    
Non-current        
Unpaid claims and claim expenses, non-current 176 144    
Total        
Unpaid claims and claim expenses 343 291    
Other Operations        
Current        
Future policy benefits, current 142 157    
Contractholder deposit funds, current 336 366    
Non-current        
Future policy benefits, non-current 3,081 3,140    
Contractholder deposit funds, non-current 5,778 5,958    
Total        
Total liability for future policy benefits 3,223 3,297    
Contractholder deposit funds $ 6,114 $ 6,324 $ 6,500  
v3.25.4
Insurance and Contractholder Liabilities - Account Balances including Disposal Groups (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Current      
Market risk benefits, current $ 25 $ 25  
Unearned premiums, current, including held for sale liabilities   753  
Total, including held for sale liabilities, current   6,480  
Current insurance and contractholder liabilities 5,710 5,388  
Non-current      
Market risk benefits, non-current 649 760  
Unearned premiums, non-current, including held for sale liabilities   31  
Total, including liabilities held for sale, non-current   10,741  
Non-current insurance and contractholder liabilities 9,938 10,254  
Total      
Market risk benefits 674 785  
Unearned premiums, including held for sale liabilities   784  
Total, including held for sale liabilities   17,221  
Total insurance and contractholder liabilities $ 15,648 15,642  
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses      
Current      
Insurance and contractholder liabilities current, classified as held for sale   (1,092)  
Non-current      
Insurance and contractholder liabilities, non-current, classified as held for sale   (487)  
Total      
Insurance and contractholder liabilities classified as held for sale   (1,579)  
Unpaid claims classified as liabilities of business held for sale     $ 823
Cigna Healthcare      
Current      
Unpaid claims and claim expenses, current, including held for sale liabilities   4,932  
Future policy benefits, current, including held for sale liabilities   91  
Contractholder deposit funds, current, including held for sale liabilities   9  
Non-current      
Unpaid claims and claim expenses, non-current, including held for sale liabilities   86  
Future policy benefits, non-current, including held for sale liabilities   507  
Contractholder deposit funds, non-current, including liabilities held for sale   115  
Total      
Unpaid claims and claim expenses, including held for sale liabilities   5,018 $ 5,092
Future policy benefits, including held for sale liabilities   598  
Contractholder deposit funds, including liabilities held for sale   124  
Cigna Healthcare | Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses      
Total      
Unpaid claims classified as liabilities of business held for sale   983  
Future policy benefits classified as liabilities of business held for sale   408  
Unearned premiums classified as liabilities of business held for sale   85  
Contractholder deposit funds classified as liabilities held for sale   $ 103  
v3.25.4
Insurance and Contractholder Liabilities - Unpaid Claims and Claim Expenses - Cigna Healthcare - Activity (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses      
Paid costs related to:      
Unpaid claims classified as liabilities of business held for sale     $ 823
Cigna Healthcare      
Liability for Claims and Claims Adjustment Expense [Line Items]      
Total of incurred but not reported liabilities plus expected claim development on reported claims and reported claims in process $ 4,000 $ 4,600  
Liability for Unpaid Claims and Claims Adjustment Expense [Roll Forward]      
Beginning balance     4,176
Less: Reinsurance and other amounts recoverable     221
Beginning balance, net     3,955
Beginning balance, including held for sale liabilities 5,018 5,092  
Less: Reinsurance, including held for sale liabilities 159 236  
Beginning balance, net, including held for sale liabilities 4,859 4,856  
Incurred costs related to:      
Current year 33,816 38,347 35,953
Prior years (342) (456) (279)
Total incurred 33,474 37,891 35,674
Paid costs related to:      
Current year 28,769 33,718 31,322
Prior years 4,147 4,170 3,451
Total paid 32,916 37,888 34,773
Less: Divestiture and other 1,323 0 0
Ending balance, net 4,094    
Add: Reinsurance and other amounts recoverable 147    
Ending balance $ 4,241    
Ending balance, net, including held for sale liabilities   4,859 4,856
Add: Reinsurance, including held for sale liabilities   159 236
Ending balance, including held for sale liabilities   5,018 $ 5,092
Cigna Healthcare | Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses      
Paid costs related to:      
Unpaid claims classified as liabilities of business held for sale   $ 983  
v3.25.4
Insurance and Contractholder Liabilities - Unpaid Claims and Claims Expenses - Cigna Healthcare - Variances in Incurred Costs Related to Prior Years' Unpaid Claims and Claims Expenses (Details) - Cigna Healthcare - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]      
Favorable (unfavorable) variance, amount $ 342 $ 456 $ 279
Favorable (unfavorable) variance, percentage 0.90% 1.30%  
Actual completion factors and other      
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]      
Favorable (unfavorable) variance, amount $ 200 $ 223  
Favorable (unfavorable) variance, percentage 0.50% 0.60%  
Medical cost trend      
Causes of Increase (Decrease) in Liability for Unpaid Claims and Claims Adjustment Expense [Abstract]      
Favorable (unfavorable) variance, amount $ 142 $ 233  
Favorable (unfavorable) variance, percentage 0.40% 0.70%  
v3.25.4
Insurance and Contractholder Liabilities - Unpaid Claims and Claims Expenses - Cigna Healthcare - Incurred and Paid Claims Development and Unpaid Claims Liability (Details) - Cigna Healthcare
claim in Millions, $ in Millions
12 Months Ended
Dec. 31, 2025
USD ($)
claim
Dec. 31, 2024
USD ($)
claim
Dec. 31, 2022
USD ($)
Claims Development [Line Items]      
Incurred Costs $ 70,383    
Cumulative Costs Paid 65,179    
Outstanding liabilities for the periods presented, net of reinsurance 5,204    
Net unpaid claims and claims expenses - Cigna Healthcare 4,094   $ 3,955
Reinsurance and other amounts recoverable 147   221
Unpaid claims and claim expenses $ 4,241   $ 4,176
Percent of health claims paid within one year 95.00%    
Claim frequency | claim 4.9 5.3  
Disposed of by Sale | Medicare Advantage and related Cigna Healthcare businesses      
Claims Development [Line Items]      
Divestiture and other $ (1,110)    
Incurral Year - 2024      
Claims Development [Line Items]      
Incurred Costs 36,853 $ 37,179  
Cumulative Costs Paid 36,544 $ 32,719  
Net unpaid claims and claims expenses - Cigna Healthcare 88    
Incurral Year 2025      
Claims Development [Line Items]      
Incurred Costs 33,530    
Cumulative Costs Paid 28,635    
Net unpaid claims and claims expenses - Cigna Healthcare $ 4,006    
v3.25.4
Insurance and Contractholder Liabilities - Future Policy Benefits - Accounting Policy (Details)
12 Months Ended
Dec. 31, 2025
Insurance [Abstract]  
Observable inputs from published spot rate curve term (in years) 30 years
Percent of the liability for future policy benefits supported by assets held in trust 36.00%
v3.25.4
Insurance and Contractholder Liabilities - Future Policy Benefits (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Cigna Healthcare      
Liability for Future Policy Benefit Activity [Line Items]      
Liability for Future Policy Benefit, Expected Net Premium, Period Increase (Decrease)  
Liability for Future Policy Benefit, Expected Future Policy Benefit, Period Increase (Decrease)  
Total liability for future policy benefits 191    
Other Operations      
Liability for Future Policy Benefit Activity [Line Items]      
Deferred profit liability included in future policy benefits 347 366  
Future policy benefit, excluding deferred profit liability 2,900 2,900 $ 3,200
Total liability for future policy benefits 3,223 3,297  
Undiscounted expected future policy benefits 4,200 4,300  
Future policy benefits reserve, reinsurance recoverables $ 800 $ 900  
Other Operations | Life and annuity insurance products      
Liability for Future Policy Benefit Activity [Line Items]      
Interest accretion rate 5.64% 5.64%  
Current discount rate 5.18% 5.42%  
Weighted average duration 10 years 7 months 6 days 10 years 9 months 18 days  
v3.25.4
Insurance and Contractholder Liabilities - Contractholder Deposit Funds (Details) - Other Operations - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Policyholder Account Balance [Line Items]      
Contractholder deposit funds $ 6,114 $ 6,324 $ 6,500
Contractholder deposit fund liabilities, approximate percent reinsured externally 37.00% 38.00%  
Weighted average crediting rate 3.29% 3.33%  
Net amount at risk $ 2,500 $ 2,800  
Cash surrender value $ 2,800 $ 2,800  
Policyholder Account Balance, Guaranteed Minimum Crediting Rate, Range from 0300 To 0400      
Policyholder Account Balance [Line Items]      
Contractholder deposit funds not reinsured externally, percent with guaranteed interest rates of 0300 to 0400 99.00% 99.00%  
Contractholder deposit funds not reinsured externally $ 3,900 $ 4,000  
Policyholder Account Balance, Guaranteed Minimum Crediting Rate, Range from 0300 To 0400 | Policyholder Account Balance, at Guaranteed Minimum Crediting Rate      
Policyholder Account Balance [Line Items]      
Contractholder deposit funds not reinsured externally 1,200 1,200  
Policyholder Account Balance, Guaranteed Minimum Crediting Rate, Range from 0300 To 0400 | Policyholder Account Balance, above Guaranteed Minimum Crediting Rate, Range from 0051 to 0150      
Policyholder Account Balance [Line Items]      
Contractholder deposit funds not reinsured externally 1,100 1,200  
Policyholder Account Balance, Guaranteed Minimum Crediting Rate, Range from 0300 To 0400 | Policyholder Account Balance, Above Guaranteed Minimum Crediting Rate, Based On Greater Of Guaranteed Minimum Cash Value Or Actual Cash Value      
Policyholder Account Balance [Line Items]      
Contractholder deposit funds not reinsured externally $ 1,600 $ 1,600  
Percentage with cash values at more than 110% of guaranteed cash value 90.00% 90.00%  
Minimum | Policyholder Account Balance, above Guaranteed Minimum Crediting Rate, Range from 0051 to 0150      
Policyholder Account Balance [Line Items]      
Basis points above guaranteed minimum crediting rate 0.0050 0.0050  
Minimum | Policyholder Account Balance, Guaranteed Minimum Crediting Rate, Range from 0300 To 0400      
Policyholder Account Balance [Line Items]      
Guaranteed minimum credit rating 3.00% 3.00%  
Maximum | Policyholder Account Balance, above Guaranteed Minimum Crediting Rate, Range from 0051 to 0150      
Policyholder Account Balance [Line Items]      
Basis points above guaranteed minimum crediting rate 0.0150 0.0150  
Maximum | Policyholder Account Balance, Guaranteed Minimum Crediting Rate, Range from 0300 To 0400      
Policyholder Account Balance [Line Items]      
Guaranteed minimum credit rating 4.00% 4.00%  
v3.25.4
Insurance and Contractholder Liabilities - Market Risk Benefits (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Insurance Loss Reserves [Abstract]    
Annuitization election period 30 days  
Market Risk Benefit [Roll Forward]    
Balance, beginning of year $ 785 $ 1,003
Balance, beginning of year, before the effect of nonperformance risk (own credit risk) 838 1,085
Changes due to expected run-off (20) (12)
Changes due to capital markets versus expected (63) (233)
Changes due to policyholder behavior versus expected (24) (39)
Assumption changes (17) 37
Balance, end of period, before the effect of changes in nonperformance risk (own credit risk) 714 838
Nonperformance risk (own credit risk), end of period (40) (53)
Balance, end of period 674 785
Reinsured market risk benefit, end of period $ 712 $ 836
v3.25.4
Insurance and Contractholder Liabilities - Net Amount of Risk and Average Age of Contractholders (Details) - Variable Annuity
contractholder in Thousands, $ in Millions
12 Months Ended
Dec. 31, 2025
USD ($)
contractholder
Dec. 31, 2024
USD ($)
contractholder
Net Amount at Risk by Product and Guarantee [Line Items]    
Account value $ 7,281 $ 7,777
Net amount at risk $ 1,115 $ 1,283
Average attained age of contractholders (weighted by exposure) 78 years 3 months 18 days 77 years 8 months 12 days
Guaranteed Minimum Death Benefits Total Contractholders | contractholder 110 130
v3.25.4
Reinsurance - Reinsurance Recoverables (Details)
$ in Millions
12 Months Ended
Dec. 31, 2025
USD ($)
reinsurer
Dec. 31, 2024
USD ($)
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits $ 3,534  
Allowance for uncollectible reinsurance (23)  
Market risk benefits 712 $ 836
Total reinsurance recoverables 4,223  
Other Current Assets    
Ceded Credit Risk [Line Items]    
Total reinsurance recoverables 120  
Fair Value of Collateral Contractually Required to Meet or Exceed Carrying Value of Recoverable    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 373  
Collateral provisions exist that may mitigate risk of credit loss    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 2,849  
No Collateral    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 312  
BBB+ equivalent and higher current ratings | Acquisition, disposition or run-off activities    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits $ 3,158  
Number of reinsurers | reinsurer 6  
BBB+ equivalent and higher current ratings | Acquisition, disposition or run-off activities | The Lincoln National Life Insurance Company And Lincoln Life And Annuity Of New York    
Ceded Credit Risk [Line Items]    
Number of reinsurers | reinsurer 2  
BBB+ equivalent and higher current ratings | Acquisition, disposition or run-off activities | The Lincoln National Life Insurance Company And Lincoln Life And Annuity Of New York | Reinsurer Concentration Risk | Reinsurance Recoverables, Gross, Acquisition Disposition Runoff Activities, Nationally Recognized Statistical Rating Organizations, BBB+ Or Higher    
Ceded Credit Risk [Line Items]    
Concentration percentage 76.00%  
BBB+ equivalent and higher current ratings | Acquisition, disposition or run-off activities | Fair Value of Collateral Contractually Required to Meet or Exceed Carrying Value of Recoverable    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits $ 288  
BBB+ equivalent and higher current ratings | Acquisition, disposition or run-off activities | Collateral provisions exist that may mitigate risk of credit loss    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 2,838  
BBB+ equivalent and higher current ratings | Acquisition, disposition or run-off activities | No Collateral    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 32  
A- equivalent and higher current ratings | Ongoing operations    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 216  
A- equivalent and higher current ratings | Ongoing operations | Fair Value of Collateral Contractually Required to Meet or Exceed Carrying Value of Recoverable    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 0  
A- equivalent and higher current ratings | Ongoing operations | Collateral provisions exist that may mitigate risk of credit loss    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 5  
A- equivalent and higher current ratings | Ongoing operations | No Collateral    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 211  
BBB- to BBB+ equivalent current credit ratings | Ongoing operations    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 64  
BBB- to BBB+ equivalent current credit ratings | Ongoing operations | Fair Value of Collateral Contractually Required to Meet or Exceed Carrying Value of Recoverable    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 0  
BBB- to BBB+ equivalent current credit ratings | Ongoing operations | Collateral provisions exist that may mitigate risk of credit loss    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 0  
BBB- to BBB+ equivalent current credit ratings | Ongoing operations | No Collateral    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 64  
Not rated | Ongoing operations    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 90  
Not rated | Ongoing operations | Fair Value of Collateral Contractually Required to Meet or Exceed Carrying Value of Recoverable    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 85  
Not rated | Ongoing operations | Collateral provisions exist that may mitigate risk of credit loss    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 1  
Not rated | Ongoing operations | No Collateral    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 4  
Not rated | Acquisition, disposition or run-off activities    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 6  
Not rated | Acquisition, disposition or run-off activities | Fair Value of Collateral Contractually Required to Meet or Exceed Carrying Value of Recoverable    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 0  
Not rated | Acquisition, disposition or run-off activities | Collateral provisions exist that may mitigate risk of credit loss    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits 5  
Not rated | Acquisition, disposition or run-off activities | No Collateral    
Ceded Credit Risk [Line Items]    
Reinsurance recoverables before market risk benefits $ 1  
v3.25.4
Reinsurance - Variable Annuity Reinsurance Agreement (Details) - Variable Annuity - Berkshire Hathway Life Insurance Company Of Nebraska - USD ($)
$ in Billions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2013
Ceded Credit Risk [Line Items]    
Reinsurance, Reinsured Risk, Percentage   100.00%
Remaining overall limit under reinsurance agreement $ 3.0  
Secured | Market risk benefits reinsurance recoverable, including IBNR and outstanding claims, less premiums due | Collateralization risk    
Ceded Credit Risk [Line Items]    
Concentration percentage 100.00%  
v3.25.4
Reinsurance - Effects of Reinsurance (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Effects of Reinsurance [Line Items]      
Premiums $ 40,261 $ 45,996 $ 44,237
Reinsurance recoveries 671 573 456
Short-duration      
Effects of Reinsurance [Line Items]      
Premiums 39,300 43,900 42,300
Assumed premiums earned
Ceded premiums earned
Long-duration      
Effects of Reinsurance [Line Items]      
Premiums 1,000 2,000 1,900
Assumed premiums earned
Ceded premiums earned
v3.25.4
Investments - Investments by Category (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Schedule of Investments [Line Items]    
Current investments $ 1,056 $ 665
Long-term investments 18,471 15,128
Total investments 19,527 $ 15,793
Debt securities    
Schedule of Investments [Line Items]    
Current investments 691  
Long-term investments 7,671  
Total investments 8,362  
Equity securities    
Schedule of Investments [Line Items]    
Current investments 22  
Long-term investments 3,534  
Total investments 3,556  
Commercial mortgage loans    
Schedule of Investments [Line Items]    
Current investments 86  
Long-term investments 1,147  
Total investments 1,233  
Policy loans    
Schedule of Investments [Line Items]    
Current investments 0  
Long-term investments 1,082  
Total investments 1,082  
Other long-term investments    
Schedule of Investments [Line Items]    
Current investments 0  
Long-term investments 5,037  
Total investments 5,037  
Short-term investments    
Schedule of Investments [Line Items]    
Current investments 257  
Long-term investments 0  
Total investments $ 257  
v3.25.4
Investments - Investments by Category, Including Disposal Groups (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Current    
Investments including held for sale assets   $ 748
Current investments $ 1,056 665
Long-term    
Investments including held for sale assets   16,489
Investments per Consolidated Balance Sheets 18,471 15,128
Total    
Investments including held for sale assets   17,237
Total investments 19,527 15,793
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses    
Current    
Investments classified as assets of business held for sale   (83)
Long-term    
Investments classified as assets of business held for sale   (1,361)
Total    
Investments classified as assets of business held for sale   (1,444)
Debt securities    
Current    
Investments including held for sale assets   463
Current investments 691  
Long-term    
Investments including held for sale assets   8,960
Investments per Consolidated Balance Sheets 7,671  
Total    
Investments including held for sale assets   9,423
Total investments 8,362  
Equity securities    
Current    
Investments including held for sale assets   7
Current investments 22  
Long-term    
Investments including held for sale assets   554
Investments per Consolidated Balance Sheets 3,534  
Total    
Investments including held for sale assets   561
Total investments 3,556  
Commercial mortgage loans    
Current    
Investments including held for sale assets   108
Current investments 86  
Long-term    
Investments including held for sale assets   1,243
Investments per Consolidated Balance Sheets 1,147  
Total    
Investments including held for sale assets   1,351
Total investments 1,233  
Policy loans    
Current    
Investments including held for sale assets   0
Current investments 0  
Long-term    
Investments including held for sale assets   1,156
Investments per Consolidated Balance Sheets 1,082  
Total    
Investments including held for sale assets   1,156
Total investments 1,082  
Other long-term investments    
Current    
Investments including held for sale assets   0
Current investments 0  
Long-term    
Investments including held for sale assets   4,576
Investments per Consolidated Balance Sheets 5,037  
Total    
Investments including held for sale assets   4,576
Total investments 5,037  
Short-term investments    
Current    
Investments including held for sale assets   170
Current investments 257  
Long-term    
Investments including held for sale assets   0
Investments per Consolidated Balance Sheets 0  
Total    
Investments including held for sale assets   $ 170
Total investments $ 257  
v3.25.4
Investments - Debt Securities by Contractual Maturity Periods (Details)
$ in Millions
Dec. 31, 2025
USD ($)
Amortized Cost  
Due in one year or less $ 695
Due after one year through five years 3,700
Due after five years through ten years 2,030
Due after ten years 1,968
Mortgage and other asset-backed securities 267
Total 8,660
Fair Value  
Due in one year or less 598
Due after one year through five years 3,703
Due after five years through ten years 1,995
Due after ten years 1,822
Mortgage and other asset-backed securities 244
Total $ 8,362
v3.25.4
Investments - Gross Unrealized Appreciation (Depreciation) on Debt Securities by Type of Issuer (Details)
$ in Millions
Dec. 31, 2025
USD ($)
Debt Securities, Available-for-sale [Line Items]  
Amortized Cost $ 8,660
Allowance for Credit Loss (137)
Unrealized Appreciation 206
Unrealized Depreciation (367)
Fair Value 8,362
Federal government and agency  
Debt Securities, Available-for-sale [Line Items]  
Amortized Cost 215
Allowance for Credit Loss 0
Unrealized Appreciation 15
Unrealized Depreciation (3)
Fair Value 227
State and local government  
Debt Securities, Available-for-sale [Line Items]  
Amortized Cost 24
Allowance for Credit Loss 0
Unrealized Appreciation 1
Unrealized Depreciation 0
Fair Value 25
Foreign government  
Debt Securities, Available-for-sale [Line Items]  
Amortized Cost 450
Allowance for Credit Loss 0
Unrealized Appreciation 12
Unrealized Depreciation (6)
Fair Value 456
Corporate  
Debt Securities, Available-for-sale [Line Items]  
Amortized Cost 7,704
Allowance for Credit Loss (137)
Unrealized Appreciation 175
Unrealized Depreciation (332)
Fair Value 7,410
Mortgage and other asset-backed  
Debt Securities, Available-for-sale [Line Items]  
Amortized Cost 267
Allowance for Credit Loss 0
Unrealized Appreciation 3
Unrealized Depreciation (26)
Fair Value $ 244
v3.25.4
Investments - Gross Unrealized Appreciation (Depreciation) on Debt Securities by Type of Issuer, Including Disposal Groups (Details)
$ in Millions
Dec. 31, 2024
USD ($)
Debt Securities, Available-for-sale [Line Items]  
Amortized cost, including held for sale assets $ 10,125
Allowance for Credit Loss, including held for sale assets (111)
Unrealized Appreciation, including held for sale assets 123
Unrealized Depreciation, including held for sale assets (714)
Fair Value, including held for sale assets 9,423
Federal government and agency  
Debt Securities, Available-for-sale [Line Items]  
Amortized cost, including held for sale assets 276
Allowance for Credit Loss, including held for sale assets 0
Unrealized Appreciation, including held for sale assets 14
Unrealized Depreciation, including held for sale assets (9)
Fair Value, including held for sale assets 281
State and local government  
Debt Securities, Available-for-sale [Line Items]  
Amortized cost, including held for sale assets 37
Allowance for Credit Loss, including held for sale assets 0
Unrealized Appreciation, including held for sale assets 1
Unrealized Depreciation, including held for sale assets (1)
Fair Value, including held for sale assets 37
Foreign government  
Debt Securities, Available-for-sale [Line Items]  
Amortized cost, including held for sale assets 350
Allowance for Credit Loss, including held for sale assets 0
Unrealized Appreciation, including held for sale assets 5
Unrealized Depreciation, including held for sale assets (11)
Fair Value, including held for sale assets 344
Corporate  
Debt Securities, Available-for-sale [Line Items]  
Amortized cost, including held for sale assets 9,091
Allowance for Credit Loss, including held for sale assets (111)
Unrealized Appreciation, including held for sale assets 102
Unrealized Depreciation, including held for sale assets (659)
Fair Value, including held for sale assets 8,423
Mortgage and other asset-backed  
Debt Securities, Available-for-sale [Line Items]  
Amortized cost, including held for sale assets 371
Allowance for Credit Loss, including held for sale assets 0
Unrealized Appreciation, including held for sale assets 1
Unrealized Depreciation, including held for sale assets (34)
Fair Value, including held for sale assets $ 338
v3.25.4
Investments - Summary of Debt Securities with a Decline in Fair Value (Details)
$ in Millions
Dec. 31, 2025
USD ($)
position
Total  
Fair Value $ 3,733
Total Amortized Cost 4,100
Unrealized Depreciation $ (367)
Number of Issues | position 1,273
Investment grade  
One year or less  
Fair Value $ 384
Amortized Cost 386
Unrealized Depreciation $ (2)
Number of Issues | position 149
More than one year  
Fair Value $ 3,044
Amortized Cost 3,382
Unrealized Depreciation $ (338)
Number of Issues | position 799
Below investment grade  
One year or less  
Fair Value $ 120
Amortized Cost 125
Unrealized Depreciation $ (5)
Number of Issues | position 239
More than one year  
Fair Value $ 185
Amortized Cost 207
Unrealized Depreciation $ (22)
Number of Issues | position 86
v3.25.4
Investments - Debt Securities with a Decline in Fair Value, Including Disposal Groups (Details)
$ in Millions
Dec. 31, 2024
USD ($)
position
Total  
Total Fair Value, including held for sale assets $ 6,551
Total Amortized Cost, including held for sale assets 7,265
Total Unrealized Depreciation, including held for sale assets $ (714)
Debt securities  
Total  
Total Number of Issues, including held for sale assets | position 2,704
Investment grade | Debt securities  
One year or less  
Fair Value, including held for sale assets $ 1,203
Amortized Cost, including held for sale assets 1,227
Unrealized Depreciation, including held for sale assets $ (24)
Number of Issues, including held for sale assets | position 545
More than one year  
Fair Value, including held for sale assets $ 4,687
Amortized Cost, including held for sale assets 5,319
Unrealized Depreciation, including held for sale assets $ (632)
Number of Issues, including held for sale assets | position 1,297
Below investment grade | Debt securities  
One year or less  
Fair Value, including held for sale assets $ 245
Amortized Cost, including held for sale assets 250
Unrealized Depreciation, including held for sale assets $ (5)
Number of Issues, including held for sale assets | position 739
More than one year  
Fair Value, including held for sale assets $ 416
Amortized Cost, including held for sale assets 469
Unrealized Depreciation, including held for sale assets $ (53)
Number of Issues, including held for sale assets | position 123
v3.25.4
Investments - Equity Securities (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Sep. 30, 2025
Dec. 31, 2024
Cost      
Equity securities with readily determinable fair values $ 78   $ 635
Equity securities with no readily determinable fair value 6,792   3,215
Total 6,870   3,850
Carrying Value      
Equity securities with readily determinable fair values 92   37
Equity securities with no readily determinable fair value 3,464   524
Total $ 3,556   $ 561
Shields Health Solutions | Preferred Stock      
Carrying Value      
Equity securities with no readily determinable fair value   $ 3,500  
v3.25.4
Investments - Commercial Mortgage Loans (Details) - Real Estate Loan - Commercial Portfolio Segment
$ in Millions
12 Months Ended
Dec. 31, 2025
USD ($)
Schedule of Investments [Line Items]  
Carrying value, after allowance for credit loss $ 1,233
Weighted Average  
Schedule of Investments [Line Items]  
Average Debt Service Coverage Ratio 1.72
Average Loan-to-Value Ratio 71.00%
Below 60%  
Schedule of Investments [Line Items]  
Carrying value, after allowance for credit loss $ 355
Below 60% | Weighted Average  
Schedule of Investments [Line Items]  
Average Debt Service Coverage Ratio 2.13
60% to 79%  
Schedule of Investments [Line Items]  
Carrying value, after allowance for credit loss $ 694
60% to 79% | Weighted Average  
Schedule of Investments [Line Items]  
Average Debt Service Coverage Ratio 1.81
80% to 100%  
Schedule of Investments [Line Items]  
Carrying value, after allowance for credit loss $ 184
80% to 100% | Weighted Average  
Schedule of Investments [Line Items]  
Average Debt Service Coverage Ratio 0.79
v3.25.4
Investments - Commercial Mortgage Loans, Including Disposal Groups (Details) - Real Estate Loan - Commercial Portfolio Segment
$ in Millions
12 Months Ended
Dec. 31, 2024
USD ($)
Schedule of Investments [Line Items]  
Carrying value, after allowance for credit loss, including assets held for sale $ 1,351
Weighted Average  
Schedule of Investments [Line Items]  
Average Debt Service Coverage Ratio, including assets held for sale 1.70
Average Loan-to-Value Ratio, including assets held for sale 0.69
Below 60%  
Schedule of Investments [Line Items]  
Carrying value, after allowance for credit loss, including assets held for sale $ 547
Below 60% | Weighted Average  
Schedule of Investments [Line Items]  
Average Debt Service Coverage Ratio, including assets held for sale 2.07
60% to 79%  
Schedule of Investments [Line Items]  
Carrying value, after allowance for credit loss, including assets held for sale $ 595
60% to 79% | Weighted Average  
Schedule of Investments [Line Items]  
Average Debt Service Coverage Ratio, including assets held for sale 1.83
80% to 100%  
Schedule of Investments [Line Items]  
Carrying value, after allowance for credit loss, including assets held for sale $ 209
80% to 100% | Weighted Average  
Schedule of Investments [Line Items]  
Average Debt Service Coverage Ratio, including assets held for sale 0.51
v3.25.4
Investments - Other Long-Term Investments (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Schedule of Investments [Line Items]      
Unfunded commitments, percentage expected to fund in next fiscal year 30.00%    
Income distributions $ 314 $ 344 $ 253
Other long-term investments 5,037    
Unfunded commitments 3,164    
Real estate investments      
Schedule of Investments [Line Items]      
Other long-term investments 1,895 1,763  
Unfunded commitments 1,106    
Securities partnerships      
Schedule of Investments [Line Items]      
Other long-term investments 2,948 $ 2,587  
Unfunded commitments 2,058    
Other      
Schedule of Investments [Line Items]      
Other long-term investments 194    
Unfunded commitments $ 0    
v3.25.4
Investments - Other Long-Term Investments, Including Disposal Groups (Details)
$ in Millions
Dec. 31, 2024
USD ($)
Schedule of Investments [Line Items]  
Other long term investments, including held for sale assets $ 4,576
Other  
Schedule of Investments [Line Items]  
Other long term investments, including held for sale assets $ 226
v3.25.4
Investments - Derivative Financial Instruments (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Derivative [Line Items]    
Derivative gain (loss) reclassified from other comprehensive income into shareholders' net income
Derivative gain (loss) recognized in other comprehensive income
Derivative gain (loss) recognized in the income statement
Designated as Hedging Instrument | Fair Value Hedging | Currency Swap    
Derivative [Line Items]    
Notional Value 908 975
Designated as Hedging Instrument | Fair Value Hedging | Interest Rate Swap    
Derivative [Line Items]    
Notional Value 3,150 2,700
Designated as Hedging Instrument | Net Investment Hedging | Currency Swap    
Derivative [Line Items]    
Notional Value $ 415 $ 415
v3.25.4
Investments - Components of Net Investment Income/Losses (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Net Investment Income [Line Items]      
Investment income $ 1,089 $ 1,017 $ 1,210
Less investment expenses 43 44 44
Net investment income 1,046 973 1,166
Impairment of dividend receivable   182  
Debt securities      
Net Investment Income [Line Items]      
Investment income 454 492 500
Equity securities      
Net Investment Income [Line Items]      
Investment income 6 (114) 123
Commercial mortgage loans      
Net Investment Income [Line Items]      
Investment income 52 61 65
Policy loans      
Net Investment Income [Line Items]      
Investment income 51 56 60
Other long-term investments      
Net Investment Income [Line Items]      
Investment income 232 75 123
Short-term investments and cash      
Net Investment Income [Line Items]      
Investment income $ 294 $ 447 $ 339
v3.25.4
Investments - Investment Gains and Losses (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Investments [Abstract]      
Net investment losses $ (24) $ (2,737) $ (78)
v3.25.4
Fair Value Measurements - Financial Assets and Liabilities Carried at Fair Value (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Financial assets at fair value:    
Equity securities $ 92 $ 37
Liabilities, Fair Value Disclosure [Abstract]    
Percent of debt securities classified in Level 3 4.00%  
Recurring    
Financial assets at fair value:    
Debt Securities $ 8,362  
Equity securities 92 37
Short-term investments 257 170
Quoted Prices in Active Markets for Identical Assets (Level 1) | Recurring    
Financial assets at fair value:    
Debt Securities 105  
Equity securities 54 1
Short-term investments 0 0
Significant Other Observable Inputs (Level 2) | Recurring    
Financial assets at fair value:    
Debt Securities 7,932  
Equity securities 36 36
Short-term investments 257 170
Significant Unobservable Inputs (Level 3) | Recurring    
Financial assets at fair value:    
Debt Securities 325  
Equity securities 2 0
Short-term investments 0 0
Federal government and agency | Recurring    
Financial assets at fair value:    
Debt Securities 227  
Federal government and agency | Quoted Prices in Active Markets for Identical Assets (Level 1) | Recurring    
Financial assets at fair value:    
Debt Securities 105  
Federal government and agency | Significant Other Observable Inputs (Level 2) | Recurring    
Financial assets at fair value:    
Debt Securities 122  
Federal government and agency | Significant Unobservable Inputs (Level 3) | Recurring    
Financial assets at fair value:    
Debt Securities 0  
State and local government | Recurring    
Financial assets at fair value:    
Debt Securities 25  
State and local government | Quoted Prices in Active Markets for Identical Assets (Level 1) | Recurring    
Financial assets at fair value:    
Debt Securities 0  
State and local government | Significant Other Observable Inputs (Level 2) | Recurring    
Financial assets at fair value:    
Debt Securities 25  
State and local government | Significant Unobservable Inputs (Level 3) | Recurring    
Financial assets at fair value:    
Debt Securities 0  
Foreign government | Recurring    
Financial assets at fair value:    
Debt Securities 456  
Foreign government | Quoted Prices in Active Markets for Identical Assets (Level 1) | Recurring    
Financial assets at fair value:    
Debt Securities 0  
Foreign government | Significant Other Observable Inputs (Level 2) | Recurring    
Financial assets at fair value:    
Debt Securities 446  
Foreign government | Significant Unobservable Inputs (Level 3) | Recurring    
Financial assets at fair value:    
Debt Securities 10  
Corporate | Recurring    
Financial assets at fair value:    
Debt Securities 7,410  
Corporate | Quoted Prices in Active Markets for Identical Assets (Level 1) | Recurring    
Financial assets at fair value:    
Debt Securities 0  
Corporate | Significant Other Observable Inputs (Level 2) | Recurring    
Financial assets at fair value:    
Debt Securities 7,133  
Corporate | Significant Unobservable Inputs (Level 3) | Recurring    
Financial assets at fair value:    
Debt Securities 277  
Mortgage and other asset-backed | Recurring    
Financial assets at fair value:    
Debt Securities 244  
Mortgage and other asset-backed | Quoted Prices in Active Markets for Identical Assets (Level 1) | Recurring    
Financial assets at fair value:    
Debt Securities 0  
Mortgage and other asset-backed | Significant Other Observable Inputs (Level 2) | Recurring    
Financial assets at fair value:    
Debt Securities 206  
Mortgage and other asset-backed | Significant Unobservable Inputs (Level 3) | Recurring    
Financial assets at fair value:    
Debt Securities 38  
Derivatives | Recurring    
Financial assets at fair value:    
Derivative assets 991 168
Liabilities, Fair Value Disclosure [Abstract]    
Derivative liabilities 376 1
Derivatives | Quoted Prices in Active Markets for Identical Assets (Level 1) | Recurring    
Financial assets at fair value:    
Derivative assets 0 0
Liabilities, Fair Value Disclosure [Abstract]    
Derivative liabilities 0 0
Derivatives | Significant Other Observable Inputs (Level 2) | Recurring    
Financial assets at fair value:    
Derivative assets 68 168
Liabilities, Fair Value Disclosure [Abstract]    
Derivative liabilities 22 1
Derivatives | Significant Unobservable Inputs (Level 3) | Recurring    
Financial assets at fair value:    
Derivative assets 923 0
Liabilities, Fair Value Disclosure [Abstract]    
Derivative liabilities $ 354 $ 0
v3.25.4
Fair Value Measurements - Financial Assets and Liabilities Carried at Fair Value, Including Disposal Groups (Details) - Recurring
$ in Millions
Dec. 31, 2024
USD ($)
Financial assets at fair value:  
Debt Securities, including held for sale assets $ 9,423
Quoted Prices in Active Markets for Identical Assets (Level 1)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 165
Significant Other Observable Inputs (Level 2)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 8,841
Significant Unobservable Inputs (Level 3)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 417
Federal government and agency  
Financial assets at fair value:  
Debt Securities, including held for sale assets 281
Federal government and agency | Quoted Prices in Active Markets for Identical Assets (Level 1)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 165
Federal government and agency | Significant Other Observable Inputs (Level 2)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 116
Federal government and agency | Significant Unobservable Inputs (Level 3)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 0
State and local government  
Financial assets at fair value:  
Debt Securities, including held for sale assets 37
State and local government | Quoted Prices in Active Markets for Identical Assets (Level 1)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 0
State and local government | Significant Other Observable Inputs (Level 2)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 37
State and local government | Significant Unobservable Inputs (Level 3)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 0
Foreign government  
Financial assets at fair value:  
Debt Securities, including held for sale assets 344
Foreign government | Quoted Prices in Active Markets for Identical Assets (Level 1)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 0
Foreign government | Significant Other Observable Inputs (Level 2)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 344
Foreign government | Significant Unobservable Inputs (Level 3)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 0
Corporate  
Financial assets at fair value:  
Debt Securities, including held for sale assets 8,423
Corporate | Quoted Prices in Active Markets for Identical Assets (Level 1)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 0
Corporate | Significant Other Observable Inputs (Level 2)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 8,049
Corporate | Significant Unobservable Inputs (Level 3)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 374
Mortgage and other asset-backed  
Financial assets at fair value:  
Debt Securities, including held for sale assets 338
Mortgage and other asset-backed | Quoted Prices in Active Markets for Identical Assets (Level 1)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 0
Mortgage and other asset-backed | Significant Other Observable Inputs (Level 2)  
Financial assets at fair value:  
Debt Securities, including held for sale assets 295
Mortgage and other asset-backed | Significant Unobservable Inputs (Level 3)  
Financial assets at fair value:  
Debt Securities, including held for sale assets $ 43
v3.25.4
Fair Value Measurements - Quantitative Information About Unobservable Inputs (Details) - Recurring - Significant Unobservable Inputs (Level 3)
$ in Millions
Dec. 31, 2025
USD ($)
Dec. 31, 2024
USD ($)
Debt securities    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Fair Value $ 325  
Corporate | Securities Priced by the Company    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Fair Value $ 286  
Corporate | Securities Priced by the Company | Minimum | Liquidity    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Unobservable Adjustment 0.0060  
Corporate | Securities Priced by the Company | Maximum | Liquidity    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Unobservable Adjustment 0.0920  
Corporate | Securities Priced by the Company | Weighted Average | Liquidity    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Unobservable Adjustment 0.0175  
Mortgage and other asset-backed securities | Securities Priced by the Company    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Fair Value $ 38  
Mortgage and other asset-backed securities | Securities Priced by the Company | Minimum | Liquidity    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Unobservable Adjustment 0.0105  
Mortgage and other asset-backed securities | Securities Priced by the Company | Maximum | Liquidity    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Unobservable Adjustment 0.0350  
Mortgage and other asset-backed securities | Securities Priced by the Company | Weighted Average | Liquidity    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Unobservable Adjustment 0.0160  
Other debt securities    
Fair Value Measurement Inputs and Valuation Techniques [Line Items]    
Fair Value $ 1 $ 1
v3.25.4
Fair Value Measurements - Quantitative Information About Unobservable Inputs, Including Disposal Groups (Details) - Recurring - Significant Unobservable Inputs (Level 3)
$ in Millions
Dec. 31, 2024
USD ($)
Debt securities  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Fair Value, including held for sale assets $ 417
Corporate | Securities Priced by the Company  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Fair Value, including held for sale assets $ 373
Corporate | Securities Priced by the Company | Minimum | Liquidity  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Unobservable Adjustment, including held for sale assets 0.0060
Corporate | Securities Priced by the Company | Maximum | Liquidity  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Unobservable Adjustment, including held for sale assets 0.1520
Corporate | Securities Priced by the Company | Weighted Average | Liquidity  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Unobservable Adjustment, including held for sale assets 0.0370
Mortgage and other asset-backed securities | Securities Priced by the Company  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Fair Value, including held for sale assets $ 43
Mortgage and other asset-backed securities | Securities Priced by the Company | Minimum | Liquidity  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Unobservable Adjustment, including held for sale assets 0.0100
Mortgage and other asset-backed securities | Securities Priced by the Company | Maximum | Liquidity  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Unobservable Adjustment, including held for sale assets 0.0550
Mortgage and other asset-backed securities | Securities Priced by the Company | Weighted Average | Liquidity  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Unobservable Adjustment, including held for sale assets 0.0280
v3.25.4
Fair Value Measurements - Information about Derivative Instruments (Details) - Discounted Cash Flow - Significant Unobservable Inputs (Level 3)
Dec. 31, 2025
Adjusted EBITDA Volatility  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Derivative Measurement Input 0.55
Equity Volatility  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Derivative Measurement Input 0.85
Correlation  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Derivative Measurement Input 0.35
Purchaser credit spread  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Derivative Measurement Input 0.007
Weighted Average Cost of Capital  
Fair Value Measurement Inputs and Valuation Techniques [Line Items]  
Derivative Measurement Input 0.135
v3.25.4
Fair Value Measurements - Changes in Level 3 Financial Assets and Financial Liabilities Carried at Fair Value (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Fair Value, Assets Measured on Recurring Basis, Unobservable Input Reconciliation, Calculation [Roll Forward]    
Beginning balance, including held for sale assets $ 417 $ 447
Losses included in Shareholders' net income (90) (69)
Gains (losses) included in Other comprehensive loss 33 (9)
Purchases, sales and settlements    
Purchases 655 17
Sales (8) (2)
Settlements (105) (21)
Total purchases, sales and settlements 542 (6)
Transfers into / (out of) Level 3    
Transfers into Level 3 59 72
Transfers out of Level 3 (65) (18)
Total transfers into / (out of) Level 3 (6) 54
Ending balance 896  
Ending balance, including held for sale assets   417
Total losses included in Shareholders' net income attributable to instruments held at the reporting date (94) (69)
Change in unrealized gain or (loss) included in Other comprehensive loss for assets held at the end of the reporting period $ 19 $ (9)
Fair Value, Asset, Recurring Basis, Unobservable Input Reconciliation, Gain (Loss), Statement of Income or Comprehensive Income [Extensible Enumeration] Net investment income, Net investment losses  
Fair Value, Asset, Recurring Basis, Unobservable Input Reconciliation, Asset, Gain (Loss), Statement of Other Comprehensive Income or Comprehensive Income [Extensible Enumeration] Other Comprehensive Income (Loss), Available-For-Sale Securities And Derivatives Adjustment, Net Of Tax  
v3.25.4
Fair Value Measurements - Separate Accounts (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets $ 7,487 $ 7,278
Separate Account Assets    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate accounts assets classified in Level 3, period increase (decrease), including transfers in and out of Level 3
Pension Plans | Separate Account, Non-Guaranteed Separate Accounts    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 3,800 3,800
Total    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 6,826 6,646
Total | Separate Account, Guaranteed Separate Accounts    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 577 576
Total | Separate Account, Non-Guaranteed Separate Accounts    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 6,249 6,070
Quoted Prices in Active Markets for Identical Assets (Level 1)    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 518 498
Quoted Prices in Active Markets for Identical Assets (Level 1) | Separate Account, Guaranteed Separate Accounts    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 247 231
Quoted Prices in Active Markets for Identical Assets (Level 1) | Separate Account, Non-Guaranteed Separate Accounts    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 271 267
Significant Other Observable Inputs (Level 2)    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 6,099 5,920
Significant Other Observable Inputs (Level 2) | Separate Account, Guaranteed Separate Accounts    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 330 345
Significant Other Observable Inputs (Level 2) | Separate Account, Non-Guaranteed Separate Accounts    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 5,769 5,575
Significant Unobservable Inputs (Level 3)    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 209 228
Significant Unobservable Inputs (Level 3) | Separate Account, Guaranteed Separate Accounts    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 0 0
Significant Unobservable Inputs (Level 3) | Separate Account, Non-Guaranteed Separate Accounts    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 209 228
Significant Unobservable Inputs (Level 3) | Pension Plans    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets 200 200
NAV    
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]    
Separate account assets $ 661 $ 632
v3.25.4
Fair Value Measurements - Assets and Liabilities Measured at Fair Value under Certain Conditions (Details) - USD ($)
$ in Billions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Impairments requiring certain assets and liabilities to be measured at fair value  
Equity Securities without Readily Determinable Fair Value, Upward Price Adjustment, Annual Amount
Equity Securities without Readily Determinable Fair Value, Downward Price Adjustment, Annual Amount
VillageMD    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Equity Securities without Readily Determinable Fair Value, Impairment Loss, Annual Amount   $ 2.7
v3.25.4
Fair Value Measurements - Fair Value Disclosures for Financial Instruments Not Carried at Fair Value (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Fair Value | Significant Other Observable Inputs (Level 2)    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Long-term debt, including current maturities, excluding finance leases $ 29,907 $ 28,392
Fair Value | Significant Unobservable Inputs (Level 3)    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Commercial mortgage loans 1,195 1,256
Carrying Value    
Fair Value, Balance Sheet Grouping, Financial Statement Captions [Line Items]    
Commercial mortgage loans 1,233 1,351
Long-term debt, including current maturities, excluding finance leases $ 31,352 $ 31,008
v3.25.4
Variable Interest Entities (Details)
Dec. 31, 2025
USD ($)
entity
limitedPartnership
Dec. 31, 2024
entity
Variable Interest Entity, Primary Beneficiary    
Variable Interest Entity [Line Items]    
Number of VIEs | entity 0 0
Variable Interest Entity, Not Primary Beneficiary | Securities limited partnerships and real estate limited partnerships    
Variable Interest Entity [Line Items]    
Number of VIEs | limitedPartnership 215  
VIEs, Carrying value $ 3,700,000,000  
Maximum exposure to loss, variable interest entities 6,500,000,000  
Variable Interest Entity, Not Primary Beneficiary | Real estate limited partnerships    
Variable Interest Entity [Line Items]    
Guaranty liability 0  
Maximum guarantee exposure 380,000,000  
Variable Interest Entity, Not Primary Beneficiary | Asset-backed and corporate securities    
Variable Interest Entity [Line Items]    
Maximum exposure to loss, variable interest entities 400,000,000  
Variable Interest Entity, Not Primary Beneficiary | Real estate joint ventures    
Variable Interest Entity [Line Items]    
Maximum exposure to loss, variable interest entities 1,000,000,000.0  
Variable Interest Entity, Not Primary Beneficiary | Other Variable Interest Entities    
Variable Interest Entity [Line Items]    
VIEs, Carrying value  
Maximum exposure to loss, variable interest entities  
Variable Interest Entity, Not Primary Beneficiary | Securities limited partnerships and real estate limited partnerships | Maximum    
Variable Interest Entity [Line Items]    
Ownership percentage, less than 9.00%  
Variable Interest Entity, Not Primary Beneficiary | Commitment to fund partnership | Securities limited partnerships and real estate limited partnerships    
Variable Interest Entity [Line Items]    
Additional commitments $ 2,800,000,000  
v3.25.4
Collectively Significant Operating Unconsolidated Subsidiaries (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2024
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Equity Method Investment, Summarized Financial Information [Abstract]        
Loss related to unconsolidated entities reported on the equity method $ (2,341) $ (2,806) $ (2,341)  
Income Statement [Abstract]        
Revenues   274,900 247,121 $ 195,265
Net income   6,288 3,778 5,372
Balance Sheet [Abstract]        
Total assets 155,881 157,919 155,881  
Total liabilities 114,638 116,045 114,638  
Portion Of Operating Joint Venture | Disposed of by Sale        
Balance Sheet [Abstract]        
Gain (loss) on sale of business, pre-tax $ 496      
Loss on sale of businesses, Consolidated Statements of Income location Net gain (loss) on sale of businesses      
Operating joint ventures        
Equity Method Investment, Summarized Financial Information [Abstract]        
Equity method investments, carrying value $ 656 (211) 656  
Joint venture in China        
Equity Method Investment, Summarized Financial Information [Abstract]        
Equity method investments, carrying value 43 (296) 43  
Loss related to unconsolidated entities reported on the equity method (979) (1,672) (979)  
Operating joint ventures        
Income Statement [Abstract]        
Revenues   7,747 7,309 5,962
Net income   755 607 $ 98
Balance Sheet [Abstract]        
Total assets 34,395 39,547 34,395  
Total liabilities $ 33,892 $ 40,009 $ 33,892  
v3.25.4
Accumulated Other Comprehensive Income (Loss) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Balance $ 41,243 $ 46,244 $ 44,688
Other comprehensive income (loss) (465) (477) (206)
Balance 41,874 41,243 46,244
AOCI Attributable to Parent      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Balance (2,341) (1,864) (1,658)
Other comprehensive income (loss) (465) (477) (206)
Balance (2,806) (2,341) (1,864)
Other Comprehensive Income (Loss), Tax [Abstract]      
Other Comprehensive Income (Loss), Tax 180 149 79
Securities and derivatives      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Balance 832 171 (332)
Other comprehensive income (loss) before reclassifications, after-tax (309) 601 474
Net amounts reclassified from AOCI to net income 71 60 29
Other comprehensive income (loss) (238) 661 503
Balance 594 832 171
Other Comprehensive Income (Loss), Tax [Abstract]      
Other comprehensive income (loss), before reclassifications, tax 118 (207) (146)
Reclassification adjustment, tax (20) (16) (8)
Net long-duration insurance and contractholder liabilities measurement adjustments      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Balance (2,038) (971) (256)
Other comprehensive income (loss) (291) (1,067) (715)
Balance (2,329) (2,038) (971)
Change in discount rate for certain long-duration liabilities      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Other comprehensive income (loss) before reclassifications, after-tax (225) (1,044) (691)
Net amounts reclassified from AOCI to net income (56) 0 0
Other comprehensive income (loss) (281) (1,044) (691)
Other Comprehensive Income (Loss), Tax [Abstract]      
Other comprehensive income (loss), before reclassifications, tax 71 357 222
Reclassification adjustment, tax 16 0 0
Other Comprehensive Income (Loss), Tax 87 357 222
Change in instrument-specific credit risk for market risk benefits      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Other comprehensive income (loss) before reclassifications, after-tax (10) (23) (24)
Other Comprehensive Income (Loss), Tax [Abstract]      
Other comprehensive income (loss), before reclassifications, tax 3 6 5
Translation of foreign currencies      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Balance (198) (149) (154)
Other comprehensive income (loss) before reclassifications, after-tax 71 (60) 5
Net amounts reclassified from AOCI to net income 0 11 0
Other comprehensive income (loss) 71 (49) 5
Balance (127) (198) (149)
Other Comprehensive Income (Loss), Tax [Abstract]      
Other comprehensive income (loss), before reclassifications, tax (9) 2 5
Reclassification adjustment, tax 0 0 0
Postretirement benefits liability      
AOCI Including Portion Attributable to Noncontrolling Interest, Net of Tax [Roll Forward]      
Balance (937) (915) (916)
Other comprehensive income (loss) before reclassifications, after-tax (32) (44) (34)
Net amounts reclassified from AOCI to net income 25 22 35
Other comprehensive income (loss) (7) (22) 1
Balance (944) (937) (915)
Other Comprehensive Income (Loss), Tax [Abstract]      
Other comprehensive income (loss), before reclassifications, tax 9 14 12
Reclassification adjustment, tax $ (8) $ (7) $ (11)
v3.25.4
Strategic Optimization Program (Details) - Strategic Optimization Program - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Restructuring Reserve [Roll Forward]      
Strategic optimization program costs $ 749 $ 0 $ 0
Strategic optimization program costs, after-tax 565 0 $ 0
Employee severance, asset impairments and other      
Restructuring Reserve [Roll Forward]      
Strategic optimization program costs 616    
Employee severance      
Restructuring Reserve [Roll Forward]      
Restructuring Reserve, Beginning Balance 0    
Strategic optimization program costs 378    
Payments (238)    
Restructuring Reserve, Ending Balance 140 $ 0  
Asset impairments      
Restructuring Reserve [Roll Forward]      
Strategic optimization program costs 101    
Operating results of certain non-strategic businesses      
Restructuring Reserve [Roll Forward]      
Strategic optimization program costs $ 133    
v3.25.4
Pension - Narrative (Details) - USD ($)
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Non-Qualified Plan      
Defined Benefit Plan Disclosure [Line Items]      
Plan assets $ 0    
Pension Plans      
Defined Benefit Plan Disclosure [Line Items]      
Plan assets 3,848,000,000 $ 3,854,000,000 $ 4,138,000,000
Contributions to qualifed pension plans 1,000,000 $ 4,000,000  
Plan assets invested in separate accounts of subsidiaries 3,800,000,000    
Plan assets invested in funds offered by an unaffiliated insurance company 100,000,000    
Pension Plans | Qualified Plan      
Defined Benefit Plan Disclosure [Line Items]      
Contributions to qualifed pension plans    
Expected contributions to qualified pension plans in next fiscal year    
v3.25.4
Pension - Projected Benefit Obligations and Assets (Details) - Pension Plans - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Change in benefit obligation      
Benefit obligation, January 1 $ 3,643 $ 3,934  
Service cost 0 1 $ 1
Interest cost 196 194 204
Actuarial (gains), net 109 (146)  
Benefits paid from plan assets (309) (328)  
Other (9) (12)  
Benefit obligation, December 31 3,630 3,643 3,934
Change in plan assets      
Fair value of plan assets, January 1 3,854 4,138  
Actual return on plan assets 302 40  
Benefits paid (309) (328)  
Contributions 1 4  
Fair value of plan assets, December 31 3,848 3,854 $ 4,138
Funded status 218 211  
Amounts presented in Consolidated Balance Sheets      
Other assets $ 218 $ 211  
v3.25.4
Pension - Benefit Payments (Details) - Pension Plans
$ in Millions
Dec. 31, 2025
USD ($)
Benefit payments including expected future services [Abstract]  
2026 $ 316
2027 312
2028 310
2029 307
2030 304
2031 - 2035 $ 1,409
v3.25.4
Pension - Amounts Included in Accumulated Other Comprehensive Income (Details) - Pension Plans - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Defined Benefit Plan Disclosure [Line Items]    
Unrecognized net losses $ (1,230) $ (1,228)
Unrecognized prior service cost (4) (4)
Postretirement benefits liability adjustment $ (1,234) $ (1,232)
v3.25.4
Pension - Net Pension Cost (Details) - Pension Plans - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Defined Benefit Plan, Net Periodic Benefit Cost (Credit) [Abstract]      
Service cost $ 0 $ 1 $ 1
Interest cost 196 194 204
Expected long-term return on plan assets (232) (247) (204)
Amortization of:      
Prior actuarial losses, net 38 39 52
Curtailment loss 0 1 0
Net cost (benefit) $ 2 $ (12) $ 53
v3.25.4
Pension - Assumptions Used for Pension (Details) - Pension Plans
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Discount rate:    
Pension benefit obligation 5.27% 5.57%
Pension benefit cost 5.57% 5.10%
Expected long-term return on plan assets:    
Pension benefit cost 6.50% 6.50%
v3.25.4
Pension - Pension Plan Assets (Details) - Pension Plans - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value $ 3,848 $ 3,854 $ 4,138
Debt securities      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value $ 2,978 2,986  
Target allocation percentages 90.00%    
Federal government and agency      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value $ 100 99  
Corporate      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value 2,674 2,673  
Mortgage and other asset-backed      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value 138 138  
Fund investments      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value $ 66 76  
Other investments      
Defined Benefit Plan Disclosure [Line Items]      
Target allocation percentages 10.00%    
Equity securities      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value $ 23 27  
Domestic      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value 23 21  
International, including funds and pooled separate accounts      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value 0 6  
Securities partnerships      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value 447 402  
Real estate funds, including pooled separate accounts      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value 212 228  
Commercial mortgage loans      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value 21 27  
Guaranteed deposit account contract      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value 48 47  
Cash equivalents and other current assets, net      
Defined Benefit Plan Disclosure [Line Items]      
Pension assets at fair value $ 119 $ 137  
v3.25.4
Pension - Annual Expense for 401(k) Plans (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Retirement Benefits [Abstract]      
401(k) plan expense $ 280 $ 301 $ 296
v3.25.4
Employee Incentive Plans - Shares of Common Stock Available for Award (Details) - shares
shares in Millions
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Share-Based Payment Arrangement [Abstract]      
Common shares available for award (in shares) 10.4 12.4 14.4
v3.25.4
Employee Incentive Plans - Narrative (Details)
$ / shares in Units, shares in Thousands, $ in Millions
12 Months Ended
Dec. 31, 2025
USD ($)
employee
$ / shares
shares
Dec. 31, 2024
$ / shares
shares
Dec. 31, 2023
$ / shares
shares
Dec. 31, 2022
shares
Employee Stock Options        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Remaining maturity of traded options 1 year      
Compensation expense to be recognized $ 62      
Period over which compensation expense will be recognized 2 years      
Restricted Stock Grants and Units        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Compensation expense to be recognized $ 187      
Period over which compensation expense will be recognized 2 years      
Number of employees holding share-based payment awards | employee 8,400      
Awards outstanding (in shares) | shares 1,138 1,250 1,404 1,535
SPSs        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Compensation expense to be recognized $ 43      
Period over which compensation expense will be recognized 2 years      
Weighted average fair value per share for expense purposes, including the Monte Carlo Factor | $ / shares $ 323.60 $ 377.23 $ 329.11  
Number of employees holding share-based payment awards | employee 600      
Awards outstanding (in shares) | shares 505 601 686 780
Performance period 3 years      
Minimum | Employee Stock Options        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting period 1 year      
Minimum | Restricted Stock Grants and Units        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting period 1 year      
Minimum | SPSs        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Percentage of original shares granted that may be awarded at end of performance period 0.00%      
Maximum | Employee Stock Options        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting period 3 years      
Award expiration period 10 years      
Maximum | Restricted Stock Grants and Units        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Award vesting period 3 years      
Maximum | SPSs        
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]        
Percentage of original shares granted that may be awarded at end of performance period 200.00%      
v3.25.4
Employee Incentive Plans - Black-Scholes Option-Pricing Model Assumptions (Details) - Employee Stock Options - $ / shares
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Dividend yield 2.04% 1.74% 1.58%
Expected volatility 31.00% 30.00% 30.00%
Risk-free interest rate 4.40% 4.00% 3.60%
Expected option life 4 years 10 months 24 days 4 years 9 months 18 days 4 years 8 months 12 days
Weighted average fair value of options (in dollars per share) $ 86.13 $ 92.36 $ 79.66
v3.25.4
Employee Incentive Plans - Status of and Changes in Common Stock Options (Details) - Employee Stock Options - $ / shares
shares in Thousands
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Options      
Outstanding - January 1 (in shares) 5,655 6,696 6,992
Granted (in shares) 857 781 915
Exercised (in shares) (1,088) (1,727) (1,080)
Expired or canceled (in shares) (222) (95) (131)
Options outstanding - December 31 (in shares) 5,202 5,655 6,696
Options exercisable at year-end (in shares) 3,806 3,941 4,616
Weighted Average Exercise Price      
Outstanding - January 1 (in dollars per share) $ 226.38 $ 202.02 $ 186.54
Granted (in dollars per share) 305.86 336.48 294.37
Exercised (in dollars per share) 192.40 178.82 174.66
Expired or canceled (in dollars per share) 314.78 278.78 246.95
Outstanding - December 31 (in dollars per share) 242.81 226.38 202.02
Options exercisable at year-end (in dollars per share) $ 216.90 $ 196.01 $ 179.28
v3.25.4
Employee Incentive Plans - Summary of Information for Stock Options Exercised (Details) - Employee Stock Options - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Intrinsic value of options exercised $ 128 $ 275 $ 126
Cash received for options exercised 203 305 187
Tax benefit from options exercised $ 16 $ 34 $ 17
v3.25.4
Employee Incentive Plans - Summary of Information for Stock Options Outstanding (Details) - Employee Stock Options - USD ($)
$ / shares in Units, shares in Thousands, $ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Dec. 31, 2022
Options Outstanding        
Number (in shares) 5,202 5,655 6,696 6,992
Total intrinsic value $ 246      
Weighted average exercise price (in dollars per share) $ 242.81 $ 226.38 $ 202.02 $ 186.54
Weighted average remaining contractual life 5 years 8 months 12 days      
Options Exercisable        
Number (in shares) 3,806 3,941 4,616  
Total intrinsic value $ 246      
Weighted average exercise price (in dollars per share) $ 216.90 $ 196.01 $ 179.28  
Weighted average remaining contractual life 4 years 7 months 6 days      
v3.25.4
Employee Incentive Plans - Status of and Changes in Restricted Stock Awards and SPSs (Details) - $ / shares
shares in Thousands
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Restricted Stock Grants and Units      
Grants/Units      
Outstanding - January 1 (in shares) 1,250 1,404 1,535
Awarded (in shares) 701 624 700
Vested (in shares) (664) (713) (759)
Forfeited (in shares) (149) (65) (72)
Outstanding - December 31 (in shares) 1,138 1,250 1,404
Weighted Average Fair Value at Award Date      
Outstanding - January 1 (in dollars per share) $ 302.42 $ 257.38 $ 219.25
Awarded (in dollars per share) 305.67 319.39 294.60
Vested (in dollars per share) 284.20 245.35 214.70
Forfeited (in dollars per share) 316.12 283.62 256.24
Outstanding - December 31 (in dollars per share) $ 313.25 $ 302.42 $ 257.38
SPSs      
Grants/Units      
Outstanding - January 1 (in shares) 601 686 780
Awarded (in shares) 217 195 219
Vested (in shares) (233) (242) (250)
Forfeited (in shares) (80) (38) (63)
Outstanding - December 31 (in shares) 505 601 686
Weighted Average Fair Value at Award Date      
Outstanding - January 1 (in dollars per share) $ 282.83 $ 243.90 $ 212.68
Awarded (in dollars per share) 305.28 336.81 293.85
Vested (in dollars per share) 231.75 214.93 191.78
Forfeited (in dollars per share) 317.01 289.35 237.50
Outstanding - December 31 (in dollars per share) $ 310.78 $ 282.83 $ 243.90
v3.25.4
Employee Incentive Plans - Fair Value of Vested Restricted Stock and SPSs (Details) - USD ($)
shares in Thousands, $ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Restricted Stock Grants and Units      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Fair value of vested shares $ 203 $ 238 $ 220
SPSs      
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]      
Shares of The Cigna Group common stock distributed upon SPS vesting (in shares) 301 257 257
Fair value of vested shares $ 92 $ 86 $ 76
v3.25.4
Employee Incentive Plans - Compensation Cost and Tax Effects of Share-based Compensation (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Share-Based Payment Arrangement [Abstract]      
Total compensation cost for shared-based awards $ 291 $ 308 $ 286
Tax benefits recognized $ 69 $ 94 $ 92
v3.25.4
Goodwill, Other Intangibles and Property and Equipment - Narrative (Details) - USD ($)
$ in Billions
Dec. 31, 2025
Dec. 31, 2024
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Indefinite-lived intangible assets $ 8.4 $ 8.5
Minimum    
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Amortization period, other intangible assets 1 year  
Maximum    
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Amortization period, other intangible assets 30 years  
Buildings and Improvements | Minimum    
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Estimated useful life, property, plant and equipment 10 years  
Buildings and Improvements | Maximum    
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Estimated useful life, property, plant and equipment 40 years  
Purchased and internally developed software | Minimum    
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Estimated useful life, property, plant and equipment 3 years  
Purchased and internally developed software | Maximum    
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Estimated useful life, property, plant and equipment 5 years  
Furniture and Equipment (including Computer Equipment) | Minimum    
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Estimated useful life, property, plant and equipment 3 years  
Furniture and Equipment (including Computer Equipment) | Maximum    
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Estimated useful life, property, plant and equipment 10 years  
Leasehold Improvements    
Schedule Of Goodwill, Other Intangible Assets And Property, Plant And Equipment [Line Items]    
Estimated useful life, leasehold improvements Useful Life, Shorter of Lease Term or Asset Utility [Member]  
v3.25.4
Goodwill, Other Intangibles, and Property and Equipment - Goodwill Activity (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Goodwill [Roll Forward]    
Balance at January 1 $ 44,370 $ 44,259
Goodwill acquired 548 114
Impact of foreign currency translation and other adjustments 6 (3)
Balance at December 31 44,924 44,370
Evernorth Health Services    
Goodwill [Roll Forward]    
Balance at January 1 35,434 35,130
Goodwill acquired 548 114
Impact of foreign currency translation and other adjustments 0 190
Balance at December 31 35,982 35,434
Cigna Healthcare    
Goodwill [Roll Forward]    
Balance at January 1 8,936 9,129
Goodwill acquired 0 0
Impact of foreign currency translation and other adjustments 6 (193)
Balance at December 31 $ 8,942 $ 8,936
v3.25.4
Goodwill, Other Intangibles, and Property and Equipment - Other Intangible Assets (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Customer relationships    
Accumulated Amortization $ 10,810  
Accumulated Amortization, including held for sale assets   $ 9,250
Trade name - Express Scripts    
Cost 8,400 8,500
Net Carrying Value 8,400 8,500
Total    
Cost 39,370  
Net Carrying Value 28,560 29,417
Cost, including held for sale assets   38,687
Net Carrying Value, including held for sale assets   29,437
Value of business acquired    
Cost, including held for sale assets   211
Accumulated Amortization, including held for sale assets   142
Net Carrying Value, including held for sale assets   69
Total    
Cost, including held for sale assets   38,898
Accumulated Amortization, including held for sale assets   9,392
Net Carrying Value, including held for sale assets   29,506
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses    
Total    
VOBA, held for sale   69
Other intangible assets, held for sale   20
Customer relationships    
Customer relationships    
Cost 30,624  
Accumulated Amortization 10,655  
Net Carrying Value 19,969  
Cost, including held for sale assets   29,971
Accumulated Amortization, including held for sale assets   9,119
Net Carrying Value, including held for sale assets   20,852
Trade name - Express Scripts    
Trade name - Express Scripts    
Cost 8,400  
Net Carrying Value 8,400  
Cost, including held for sale assets   8,400
Net Carrying Value, including held for sale assets   8,400
Other    
Customer relationships    
Accumulated Amortization 155  
Accumulated Amortization, including held for sale assets   131
Total    
Cost 346  
Net Carrying Value $ 191  
Cost, including held for sale assets   316
Net Carrying Value, including held for sale assets   $ 185
v3.25.4
Goodwill, Other Intangibles, and Property and Equipment - Property and Equipment (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Property and equipment, including held for sale assets    
Cost   $ 13,410
Accumulated Amortization   9,454
Net Carrying Value   3,956
Total property and equipment (1)    
Cost $ 13,753  
Accumulated amortization 10,102  
Net carrying value 3,651  
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses    
Property and equipment classified as Assets of businesses held for sale    
Property and equipment, net carrying value classified as assets of business held for sale   302
Internal-use software    
Property and equipment, including held for sale assets    
Cost   11,295
Accumulated Amortization   8,167
Net Carrying Value   3,128
Total property and equipment (1)    
Cost 11,678  
Accumulated amortization 8,904  
Net carrying value 2,774  
Other property and equipment    
Property and equipment, including held for sale assets    
Cost   2,115
Accumulated Amortization   1,287
Net Carrying Value   $ 828
Total property and equipment (1)    
Cost 2,075  
Accumulated amortization 1,198  
Net carrying value $ 877  
v3.25.4
Goodwill, Other Intangibles, and Property and Equipment - Components of Depreciation and Amortization Expense (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Depreciation And Amortization By Type [Line Items]      
Depreciation and amortization $ 2,775 $ 2,775 $ 3,035
Internal-use software      
Depreciation And Amortization By Type [Line Items]      
Depreciation and amortization 987 1,021 1,216
Other property and equipment      
Depreciation And Amortization By Type [Line Items]      
Depreciation and amortization 239 248 260
Value of business acquired (reported in Other assets)      
Depreciation And Amortization By Type [Line Items]      
Depreciation and amortization 0 0 7
Other intangibles      
Depreciation And Amortization By Type [Line Items]      
Depreciation and amortization $ 1,549 $ 1,506 $ 1,552
v3.25.4
Goodwill, Other Intangibles, and Property and Equipment - Estimated Annual Pre-Tax Amortization for Intangible Assets (Details)
$ in Millions
Dec. 31, 2025
USD ($)
Goodwill Other Intangibles And Property And Equipment [Abstract]  
2026 $ 2,360
2027 2,237
2028 2,062
2029 1,821
2030 $ 1,592
v3.25.4
Shareholders Equity and Dividend Restrictions (Details) - USD ($)
$ in Billions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Equity [Abstract]      
Net income $ 3.7 $ 3.9 $ 5.3
Surplus 13.0 $ 16.0 $ 14.9
Minimum statutory surplus required by regulators 4.5    
Investments on deposit with regulatory bodies 0.3    
Maximum dividend distributions permitted in 2026 without regulatory approval 2.0    
Maximum loans to the parent company permitted without regulatory approval 1.2    
Restricted GAAP net assets of subsidiaries of The Cigna Group 11.3    
Undistributed earnings from equity method subidiaries 1.6    
Statutory Accounting Practices, Statutory to NAIC, Permitted, Difference, Amount    
v3.25.4
Income Taxes - Components of Income Taxes (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Current taxes      
U.S. income taxes $ 807 $ 1,167 $ 1,459
Foreign income taxes 191 248 161
State income taxes 169 171 180
Total current taxes 1,167 1,586 1,800
Deferred taxes (tax benefits)      
U.S. income tax benefits (69) (142) (533)
Foreign income taxes (tax benefits) 447 64 (1,046)
State income tax benefits (52) (17) (80)
Total deferred taxes (tax benefits) 326 (95) (1,659)
Total income taxes $ 1,493 $ 1,491 $ 141
v3.25.4
Income Taxes - Nominal Tax Rate Reconciliation - 2025 Presentation (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
$      
Tax expense at statutory rate $ 1,634 $ 1,107 $ 1,158
State income tax effect, net of federal income tax effect   62 (39)
Nontaxable or nondeductible items 13    
Global intangible low-taxed income ("GILTI") 127    
Other cross-border tax laws 11    
Tax credits (83)    
Change in valuation allowance   767 1,290
Change in unrecognized tax benefits 37    
Impact of sale of businesses (173)    
Investment tax credits (102) (111) (48)
Other reconciling items 3 47 (7)
Total income taxes $ 1,493 $ 1,491 $ 141
%      
Tax expense at statutory rate 21.00% 21.00% 21.00%
State income tax effect, net of federal income tax effect   1.20% (0.70%)
Nontaxable or nondeductible items 0.20%    
Global intangible low-taxed income ("GILTI") 1.60%    
Other cross-border tax laws 0.10%    
Tax credits (1.10%)    
Change in valuation allowance   14.60% 23.40%
Change in unrecognized tax benefits 0.50%    
Impact of sale of businesses (2.20%)    
Investment tax credits (1.30%) (2.10%) (0.80%)
Other reconciling items 0.20% 0.90% (0.10%)
Total income taxes 19.20% 28.30% 2.60%
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses      
$      
Impact of sale of businesses   $ (129) $ (213)
%      
Impact of sale of businesses   (2.40%) (3.90%)
United States      
$      
State income tax effect, net of federal income tax effect $ 93    
Change in valuation allowance $ (74)    
%      
State income tax effect, net of federal income tax effect 1.20%    
Change in valuation allowance (1.00%)    
Switzerland      
$      
State income tax effect, net of federal income tax effect $ 206    
Change in valuation allowance 384    
Effect of rates different than U.S. statutory $ (360)    
%      
State income tax effect, net of federal income tax effect 2.60%    
Change in valuation allowance 4.90%    
Effect of rates different than U.S. statutory (4.60%)    
Other countries      
$      
Effect of rates different than U.S. statutory $ (223)    
%      
Effect of rates different than U.S. statutory (2.90%)    
v3.25.4
Income Taxes - Nominal Tax Rate Reconciliation (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
$      
Tax expense at statutory rate $ 1,634 $ 1,107 $ 1,158
Change in valuation allowance   767 1,290
State income tax effect, net of federal income tax effect   62 (39)
Investment tax credits (102) (111) (48)
Impact of sale of businesses (173)    
Effect of foreign earnings   (252) (173)
Other reconciling items 3 47 (7)
Total income taxes $ 1,493 $ 1,491 $ 141
%      
Tax expense at statutory rate 21.00% 21.00% 21.00%
Change in valuation allowance   14.60% 23.40%
State income tax effect, net of federal income tax effect   1.20% (0.70%)
Investment tax credits (1.30%) (2.10%) (0.80%)
Impact of sale of businesses (2.20%)    
Effect of foreign earnings   (4.90%) (3.10%)
Other reconciling items 0.20% 0.90% (0.10%)
Total income taxes 19.20% 28.30% 2.60%
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses      
$      
Impact of sale of businesses   $ (129) $ (213)
%      
Impact of sale of businesses   (2.40%) (3.90%)
United States      
$      
Change in valuation allowance $ (74)    
State income tax effect, net of federal income tax effect $ 93    
%      
Change in valuation allowance (1.00%)    
State income tax effect, net of federal income tax effect 1.20%    
Switzerland      
$      
Change in valuation allowance $ 384    
State income tax effect, net of federal income tax effect $ 206    
Foreign tax attributes   $ 0 $ (1,674)
%      
Change in valuation allowance 4.90%    
State income tax effect, net of federal income tax effect 2.60%    
Foreign tax attributes, percent   0.00% (30.40%)
Other countries      
$      
Foreign tax attributes   $ 0 $ (153)
%      
Foreign tax attributes, percent   0.00% (2.80%)
v3.25.4
Income Taxes - Investment Tax Credits (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Income Tax Disclosure [Abstract]      
Renewable energy tax credits $ 968 $ 1,057 $ 453
v3.25.4
Income Taxes - Foreign Operations (Details)
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Pre-Tax Income | Geographic Concentration Risk | Foreign      
Concentration Risk [Line Items]      
Concentration percentage 53.00% 62.00% 48.00%
v3.25.4
Income Taxes - Deferred Income Taxes (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Deferred tax assets    
Foreign tax attributes $ 1,615 $ 1,800
Deferred loss - sale of business 0 773
Investments 587 561
Other insurance and contractholder liabilities 241  
Loss carryforwards 492  
Other accrued liabilities 321  
Employee and retiree benefit plans 190  
Unrealized depreciation on investments and foreign currency translation 10  
Policy acquisition expenses 53  
Other 339  
Deferred tax assets before valuation allowance 3,848  
Valuation allowance for deferred tax assets (2,374)  
Deferred tax assets, net of valuation allowance 1,474  
Deferred tax liabilities    
Acquisition-related basis differences 7,558  
Depreciation and amortization 602  
Policy acquisition expenses 0  
Total deferred tax liabilities 8,160  
Deferred tax assets, including held for sale assets    
Foreign tax attributes   1,752
Deferred loss - sale of business 0 773
Investments 587 561
Other insurance and contractholder liabilities   300
Loss carryforwards   270
Other accrued liabilities   207
Employee and retiree benefit plans   177
Unrealized depreciation on investments and foreign currency translation   93
Policy acquisition expenses   0
Other   256
Deferred tax assets before valuation allowance   4,389
Valuation allowance for deferred tax assets   (2,332)
Deferred tax assets, net of valuation allowance   2,057
Deferred tax liabilities, including held for sale liabilities    
Acquisition-related basis differences   7,822
Depreciation and amortization   243
Policy acquisition expenses   74
Total deferred tax liabilities   8,139
Net deferred income tax liabilities(1) (6,686)  
Net deferred tax liabilities, including amounts reported in Liabilities of businesses held for sale   (6,082)
Deferred tax assets reported in Other Assets $ 459 954
Held-for-Sale | Medicare Advantage and related Cigna Healthcare businesses    
Deferred tax liabilities, including held for sale liabilities    
Net deferred income tax liabilities classified as liabilities of businesses held for sale   $ 61
v3.25.4
Income Taxes - Valuation Allowances (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Valuation Allowance [Line Items]    
Deferred tax assets, impairment of equity securities and other unrealized investment losses. $ 819 $ 880
Deferred tax assets associated with foreign tax attributes 1,615 1,800
Deferred tax assets in connection with HCSC transaction 237  
Deferred tax assets in connection with HCSC transaction, before sale completion 0 773
Deferred tax assets, valuation allowance 2,374  
Sale of Medicare Advantage and related businesses    
Valuation Allowance [Line Items]    
Deferred tax assets, valuation allowance 1,025 1,351
Foreign jurisdiction tax attributes    
Valuation Allowance [Line Items]    
Deferred tax assets, valuation allowance $ 1,200 $ 800
v3.25.4
Income Taxes - Uncertain Tax Positions (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Reconciliation of Unrecognized Tax Benefits, Excluding Amounts Pertaining to Examined Tax Returns [Roll Forward]      
Balance at January 1, $ 1,477 $ 1,399 $ 1,343
(Decrease) due to prior year tax positions (50) (7) (26)
Increase due to current year positions 187 165 107
Reduction related to settlements with taxing authorities (62) (22) (13)
Reduction related to lapse of applicable statute of limitations (14) (58) (12)
Balance at December 31, 1,538 1,477 1,399
Liability for net interest expense on uncertain tax positions $ 223 $ 228 $ 220
v3.25.4
Income Taxes - Income Taxes Paid (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Income Taxes Paid, Net [Abstract]      
Income taxes paid $ 399 $ 898 $ 1,471
Federal income taxes paid (4)    
State income taxes paid 140    
Foreign income taxes paid 263    
Renewable energy tax credits $ 968 $ 1,057 $ 453
v3.25.4
Contingencies and Other Matters (Details)
12 Months Ended
Dec. 31, 2025
USD ($)
Guaranty Fund Assessments  
Commitments And Contingencies [Line Items]  
Loss contingency accrual, period increase (decrease)
Indemnification obligations  
Commitments And Contingencies [Line Items]  
Liability for guarantees 0
Retiree and Life Insurance Benefits | Financial Guarantees  
Commitments And Contingencies [Line Items]  
Maximum guarantee exposure 400,000,000
Assets maintained by employers (minimum) 400,000,000
Liability for guarantees $ 0
v3.25.4
Segment Information - Special Item Charges (Benefits) (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Pre-tax      
Deferred tax expenses (benefits) $ 0 $ 0 $ 0
Integration and transaction-related costs 327 275 45
Charges (benefits) associated with litigation matters (17) 0 201
Net (gain) loss on sale of businesses (13) (24) 1,499
Impairment of dividend receivable 0 182 0
Total impact from special items, pre-tax 1,046 433 1,997
After-tax      
Deferred tax expenses (benefits), after-tax 427 84 (1,071)
Integration and transaction-related costs, after-tax 247 211 35
Charges (benefits) associated with litigation matters, after-tax (13) 0 171
Net (gain) loss on sale of businesses, after-tax (404) (2) 1,429
Impairment of dividend receivable, after-tax 0 138 0
Total impact from special items, after-tax 822 431 757
Strategic Optimization Program      
Pre-tax      
Strategic optimization program 749 0 0
After-tax      
Strategic optimization program, after-tax 565 0 0
Organizational Efficiency Plan      
Pre-tax      
Strategic optimization program 0 0 252
After-tax      
Strategic optimization program, after-tax $ 0 $ 0 $ 193
v3.25.4
Segment Information - Summarized Segment Financial Information (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Segment Reporting Information [Line Items]      
Revenues from customers $ 273,854 $ 246,148 $ 194,099
Net investment income (loss) 1,046 973 1,166
TOTAL REVENUES 274,900 247,121 195,265
Net investment results from certain equity method investments (249) (204) 57
Special item related to impairment of dividend receivable 0 182 0
Adjusted revenues 274,651 247,099 195,322
Pharmacy and other service costs 214,991 182,509 133,801
Medical costs and other benefit expenses 34,349 38,648 36,287
Interest expense and other (1,408) (1,435) (1,446)
Pre-tax adjusted income (loss) from operations 9,870 9,533 9,318
Income before income taxes 7,781 5,269 5,513
Pre-tax adjustments to reconcile to adjusted income from operations      
(Income) loss attributable to noncontrolling interests (475) (405) (146)
Net realized investment (gains) losses (225) 2,533 135
Amortization of acquired intangible assets 1,743 1,703 1,819
Special items      
Integration and transaction-related costs 327 275 45
Net (gain) loss on sale of businesses (13) (24) 1,499
(Benefits) charges associated with litigation matters (17) 0 201
Deferred tax expenses 0 0 0
Impairment of dividend receivable 0 182 0
Pre-tax adjusted income (loss) from operations 9,870 9,533 9,318
Depreciation and amortization 2,775 2,775 3,035
Strategic Optimization Program      
Special items      
Strategic optimization program costs 749 0 0
Organizational Efficiency Plan      
Special items      
Strategic optimization program costs 0 0 252
Evernorth Health Services      
Segment Reporting Information [Line Items]      
Revenues from customers 232,098 198,177 147,588
Cigna Healthcare      
Segment Reporting Information [Line Items]      
Revenues from customers 41,426 47,528 46,219
Other Operations      
Segment Reporting Information [Line Items]      
Revenues from customers 325 440 291
Operating Segments | Evernorth Health Services      
Segment Reporting Information [Line Items]      
Net investment income (loss) 142 21 241
TOTAL REVENUES 234,953 201,973 153,499
Net investment results from certain equity method investments 0 0 0
Special item related to impairment of dividend receivable   182  
Adjusted revenues 234,953 202,155 153,499
Pharmacy and other service costs 223,086 190,968 143,571
Medical costs and other benefit expenses 0 0 0
Selling, general and administrative expenses 4,170 3,779 3,340
Interest expense and other (1) (2) (2)
Less: Income attributable to noncontrolling interests 475 405 144
Pre-tax adjusted income (loss) from operations 7,221 7,001 6,442
Income before income taxes 5,826 3,929 4,768
Pre-tax adjustments to reconcile to adjusted income from operations      
(Income) loss attributable to noncontrolling interests (475) (405) (144)
Net realized investment (gains) losses (20) 2,129 0
Amortization of acquired intangible assets 1,720 1,662 1,774
Special items      
Integration and transaction-related costs 0 0 0
Net (gain) loss on sale of businesses (4) (496) 0
(Benefits) charges associated with litigation matters 0   44
Impairment of dividend receivable   182  
Pre-tax adjusted income (loss) from operations 7,221 7,001 6,442
Depreciation and amortization 2,400 2,319 2,438
Operating Segments | Evernorth Health Services | Strategic Optimization Program      
Special items      
Strategic optimization program costs 174    
Operating Segments | Evernorth Health Services | Organizational Efficiency Plan      
Special items      
Strategic optimization program costs     0
Operating Segments | Cigna Healthcare      
Segment Reporting Information [Line Items]      
Net investment income (loss) 581 618 597
TOTAL REVENUES 47,412 53,118 51,148
Net investment results from certain equity method investments (249) (204) 57
Special item related to impairment of dividend receivable   0  
Adjusted revenues 47,163 52,914 51,205
Pharmacy and other service costs 0 0 0
Medical costs and other benefit expenses 33,474 37,887 35,678
Selling, general and administrative expenses 9,545 10,805 11,055
Interest expense and other 9 7 8
Less: Income attributable to noncontrolling interests 0 0 2
Pre-tax adjusted income (loss) from operations 4,153 4,229 4,478
Income before income taxes 4,344 3,315 2,664
Pre-tax adjustments to reconcile to adjusted income from operations      
(Income) loss attributable to noncontrolling interests 0 0 (2)
Net realized investment (gains) losses (210) 401 133
Amortization of acquired intangible assets 23 41 45
Special items      
Integration and transaction-related costs 0 0 0
Net (gain) loss on sale of businesses (9) 472 1,481
(Benefits) charges associated with litigation matters (17)   157
Impairment of dividend receivable   0  
Pre-tax adjusted income (loss) from operations 4,153 4,229 4,478
Depreciation and amortization 339 417 569
Operating Segments | Cigna Healthcare | Strategic Optimization Program      
Special items      
Strategic optimization program costs 22    
Operating Segments | Cigna Healthcare | Organizational Efficiency Plan      
Special items      
Strategic optimization program costs     0
Operating Segments | Other Operations      
Segment Reporting Information [Line Items]      
Net investment income (loss) 298 309 305
TOTAL REVENUES 674 828 596
Net investment results from certain equity method investments 0 0 0
Special item related to impairment of dividend receivable   0  
Adjusted revenues 674 828 596
Pre-tax adjusted income (loss) from operations 89 (9) 96
Income before income taxes (46) (12) 76
Pre-tax adjustments to reconcile to adjusted income from operations      
(Income) loss attributable to noncontrolling interests 0 0 0
Net realized investment (gains) losses 2 3 2
Amortization of acquired intangible assets 0 0 0
Special items      
Integration and transaction-related costs 0 0 0
Net (gain) loss on sale of businesses 0 0 18
(Benefits) charges associated with litigation matters 0   0
Impairment of dividend receivable   0  
Pre-tax adjusted income (loss) from operations 89 (9) 96
Depreciation and amortization 16 9 3
Operating Segments | Other Operations | Strategic Optimization Program      
Special items      
Strategic optimization program costs 133    
Operating Segments | Other Operations | Organizational Efficiency Plan      
Special items      
Strategic optimization program costs     0
Corporate and Eliminations      
Segment Reporting Information [Line Items]      
TOTAL REVENUES (8,139) (8,798) (9,978)
Special item related to impairment of dividend receivable   0  
Adjusted revenues (8,139) (8,798) (9,978)
Special items      
Impairment of dividend receivable   0  
Depreciation and amortization 20 30 25
Corporate      
Segment Reporting Information [Line Items]      
Revenues from customers 5 3 1
Net investment income (loss) 25 25 23
Net investment results from certain equity method investments 0 0 0
Special item related to impairment of dividend receivable   0  
Pre-tax adjusted income (loss) from operations (1,593) (1,688) (1,698)
Income before income taxes (2,343) (1,963) (1,995)
Pre-tax adjustments to reconcile to adjusted income from operations      
(Income) loss attributable to noncontrolling interests 0 0 0
Net realized investment (gains) losses 3 0 0
Amortization of acquired intangible assets 0 0 0
Special items      
Integration and transaction-related costs 327 275 45
Net (gain) loss on sale of businesses 0 0 0
(Benefits) charges associated with litigation matters 0   0
Impairment of dividend receivable   0  
Pre-tax adjusted income (loss) from operations (1,593) (1,688) (1,698)
Corporate | Strategic Optimization Program      
Special items      
Strategic optimization program costs 420    
Corporate | Organizational Efficiency Plan      
Special items      
Strategic optimization program costs     252
Intersegment Eliminations      
Segment Reporting Information [Line Items]      
Revenues from customers (8,169) (8,826) (10,002)
Intersegment Eliminations | Evernorth Health Services      
Segment Reporting Information [Line Items]      
Revenues from customers (2,713) (3,775) (5,670)
Intersegment Eliminations | Cigna Healthcare      
Segment Reporting Information [Line Items]      
Revenues from customers (5,405) (4,972) (4,332)
Intersegment Eliminations | Other Operations      
Segment Reporting Information [Line Items]      
Revenues from customers $ (51) $ (79) $ 0
v3.25.4
Segment Information - Revenue from External Customers (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Revenue from External Customer [Line Items]      
Premiums $ 40,261 $ 45,996 $ 44,237
Total revenues from external customers 273,854 246,148 194,099
Pharmacy revenues      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 216,672 185,362 137,243
Service      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 16,921 14,790 12,619
Service, Fees And Other Revenues [Member]      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 16,921 14,790 12,619
Other revenue      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 696 584 210
Evernorth Health Services      
Revenue from External Customer [Line Items]      
Total revenues from external customers 232,098 198,177 147,588
Cigna Healthcare      
Revenue from External Customer [Line Items]      
Total revenues from external customers 41,426 47,528 46,219
Other Operations      
Revenue from External Customer [Line Items]      
Total revenues from external customers 325 440 291
Operating Segments | Evernorth Health Services | Pharmacy revenues      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 219,394 189,361 142,293
Operating Segments | Evernorth Health Services | Network revenues      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 125,573 105,340 67,514
Operating Segments | Evernorth Health Services | Home delivery and specialty revenues      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 80,492 72,476 65,732
Operating Segments | Evernorth Health Services | Other revenues      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 13,329 11,545 9,047
Operating Segments | Evernorth Health Services | Service, Fees And Other Revenues [Member]      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 15,417 12,591 10,965
Operating Segments | Cigna Healthcare      
Revenue from External Customer [Line Items]      
Premiums 39,677 45,512 43,882
Operating Segments | Cigna Healthcare | Service, Fees And Other Revenues [Member]      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 7,154 6,988 6,669
Operating Segments | Cigna Healthcare | U.S. Healthcare      
Revenue from External Customer [Line Items]      
Premiums 35,551 41,888 40,587
Operating Segments | Cigna Healthcare | U.S. Healthcare | Employer insured      
Revenue from External Customer [Line Items]      
Premiums 18,852 17,576 16,490
Operating Segments | Cigna Healthcare | U.S. Healthcare | Medicare Advantage      
Revenue from External Customer [Line Items]      
Premiums 2,363 8,679 8,771
Operating Segments | Cigna Healthcare | U.S. Healthcare | Stop loss      
Revenue from External Customer [Line Items]      
Premiums 7,599 6,744 6,143
Operating Segments | Cigna Healthcare | U.S. Healthcare | Individual and Family Plans      
Revenue from External Customer [Line Items]      
Premiums 3,371 3,951 5,088
Operating Segments | Cigna Healthcare | U.S. Healthcare | Other      
Revenue from External Customer [Line Items]      
Premiums 3,366 4,938 4,095
Operating Segments | Cigna Healthcare | International Health      
Revenue from External Customer [Line Items]      
Premiums 4,126 3,624 3,295
Operating Segments | Other Operations      
Revenue from External Customer [Line Items]      
Premiums 288 380 281
Operating Segments | Other Operations | Pharmacy revenues      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 54 60 0
Operating Segments | Other Operations | Service, Fees And Other Revenues [Member]      
Revenue from External Customer [Line Items]      
Revenue from contract with customer 34 79 10
Corporate and Eliminations      
Revenue from External Customer [Line Items]      
Premiums 296 104 74
Corporate and Eliminations | Pharmacy revenues      
Revenue from External Customer [Line Items]      
Revenue from contract with customer (2,776) (4,059) (5,050)
Corporate and Eliminations | Service, Fees And Other Revenues [Member]      
Revenue from External Customer [Line Items]      
Revenue from contract with customer (5,684) (4,868) (5,025)
Corporate      
Revenue from External Customer [Line Items]      
Total revenues from external customers 5 3 1
Intersegment Eliminations      
Revenue from External Customer [Line Items]      
Total revenues from external customers (8,169) (8,826) (10,002)
Intersegment Eliminations | Evernorth Health Services      
Revenue from External Customer [Line Items]      
Total revenues from external customers (2,713) (3,775) (5,670)
Intersegment Eliminations | Cigna Healthcare      
Revenue from External Customer [Line Items]      
Total revenues from external customers (5,405) (4,972) (4,332)
Intersegment Eliminations | Other Operations      
Revenue from External Customer [Line Items]      
Total revenues from external customers $ (51) $ (79) $ 0
v3.25.4
Segment Information - Major Customers (Details) - Revenue - Customer Concentration Risk
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Single Pharmacy Benefit Client      
Concentration Risk [Line Items]      
Concentration percentage 19.00% 16.00%  
U.S. Federal Government Agencies      
Concentration Risk [Line Items]      
Concentration percentage   11.00% 15.00%
v3.25.4
Segment Information - U.S. and Foreign Revenues (Details)
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Revenues from external customers | Geographic Concentration Risk | United States      
Loss Contingencies [Line Items]      
Concentration percentage 98.00% 98.00% 98.00%
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group - Statements of Income (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Revenues      
Net investment income (loss) $ 1,046 $ 973 $ 1,166
TOTAL REVENUES 274,900 247,121 195,265
Operating expenses      
Selling, general and administrative expenses 14,617 14,844 14,822
TOTAL BENEFITS AND EXPENSES 265,700 237,704 186,729
Income from operations 9,200 9,417 8,536
Interest expense and other (1,408) (1,435) (1,446)
Gain on sale of businesses 13 24 (1,499)
Net investment losses (24) (2,737) (78)
Income before income taxes 7,781 5,269 5,513
Income tax benefits 1,493 1,491 141
SHAREHOLDERS' NET INCOME 5,957 3,434 5,164
Other comprehensive income (loss), net of tax      
Net long-duration insurance and contractholder liabilities measurement adjustments (291) (1,067) (715)
SHAREHOLDERS' COMPREHENSIVE INCOME 5,492 2,957 4,958
The Cigna Group      
Revenues      
Net investment income (loss) 21 26 22
Intercompany interest income 469 469 516
TOTAL REVENUES 490 495 538
Operating expenses      
Selling, general and administrative expenses 5 14 2
TOTAL BENEFITS AND EXPENSES 5 14 2
Income from operations 485 481 536
Interest expense and other (1,365) (1,388) (1,332)
Gain on sale of businesses 4,890 0 0
Intercompany interest expense 0 (2) (118)
Income before income taxes 4,010 (909) (914)
Income tax benefits (201) (189) (192)
lncome (loss) of parent company 4,211 (720) (722)
Equity in income of subsidiaries 1,746 4,154 5,886
SHAREHOLDERS' NET INCOME 5,957 3,434 5,164
Other comprehensive income (loss), net of tax      
Net unrealized (depreciation) appreciation on securities and derivatives (238) 661 503
Net long-duration insurance and contractholder liabilities measurement adjustments (291) (1,067) (715)
Net translation gains (losses) of foreign currencies 71 (49) 5
Postretirement benefits liability adjustment (7) (22) 1
Shareholders' other comprehensive loss, net of tax (465) (477) (206)
SHAREHOLDERS' COMPREHENSIVE INCOME $ 5,492 $ 2,957 $ 4,958
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group - Balance Sheets (Details) - USD ($)
$ in Millions
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Assets      
Cash and cash equivalents $ 7,676 $ 7,550  
Other current assets 2,976 2,732  
Total current assets 47,814 48,870  
Other non-current assets 2,885 2,786  
TOTAL ASSETS 157,919 155,881  
Liabilities      
Short-term debt 592 3,035  
Total current liabilities 56,342 57,979  
Long-term debt 30,871 28,937  
Other non-current liabilities 4,238 3,215  
TOTAL LIABILITIES 116,045 114,638  
Shareholders' equity      
Common stock [1] 4 4  
Additional paid-in capital 31,790 31,288  
Accumulated other comprehensive loss (2,806) (2,341)  
Retained earnings 47,865 43,519  
Less: Treasury stock, at cost (35,140) (31,437)  
TOTAL SHAREHOLDERS' EQUITY 41,713 41,033  
Total liabilities and equity $ 157,919 $ 155,881  
Common stock, shares issued (in shares) 404,600,000 402,512,000 399,894,000
Common stock, shares authorized 600,000,000 600,000,000 600,000,000
The Cigna Group      
Assets      
Cash and cash equivalents $ 118 $ 164  
Other current assets 29 103  
Total current assets 147 267  
TOTAL ASSETS 75,723 73,771  
Liabilities      
Short-term debt 550 2,848  
Other current liabilities 1,983 1,528  
Total current liabilities 2,533 4,376  
Long-term debt 30,268 28,134  
TOTAL LIABILITIES 34,010 32,738  
Shareholders' equity      
Common stock 4 4  
Additional paid-in capital 31,790 31,288  
Accumulated other comprehensive loss (2,806) (2,341)  
Retained earnings 47,865 43,519  
Less: Treasury stock, at cost (35,140) (31,437)  
TOTAL SHAREHOLDERS' EQUITY 41,713 41,033  
Total liabilities and equity $ 75,723 $ 73,771  
Common stock, shares issued (in shares) 405,000,000 403,000,000  
Common stock, shares authorized 600,000,000 600,000,000  
The Cigna Group | Nonrelated Party      
Assets      
Other non-current assets $ 48 $ 71  
Liabilities      
Other non-current liabilities 75 33  
The Cigna Group | Subsidiaries      
Assets      
Investments in subsidiaries 61,382 62,887  
Other non-current assets 14,146 10,546  
Liabilities      
Other non-current liabilities $ 1,134 $ 195  
[1] Par value per share, $0.01; shares issued, 405 million as of December 31, 2025 and 403 million as of December 31, 2024; authorized shares, 600 million.
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group - Statements of Cash Flows (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 18, 2025
Sep. 18, 2025
Jun. 18, 2025
Mar. 20, 2025
Dec. 19, 2024
Sep. 19, 2024
Jun. 20, 2024
Mar. 21, 2024
Dec. 21, 2023
Sep. 21, 2023
Jun. 22, 2023
Mar. 23, 2023
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Cash Flows from Operating Activities                              
Shareholders' net income                         $ 5,957 $ 3,434 $ 5,164
Adjustments to reconcile shareholders' net income to net cash provided by (used in) operating activities:                              
Net (gain) loss on sale of businesses                         (13) (24) 1,499
Other liabilities                         2,797 1,138 3,481
Other, net                         462 774 463
NET CASH PROVIDED BY OPERATING ACTIVITIES                         9,601 10,363 11,813
Cash Flows from Investing Activities                              
Net proceeds from short-term investments (purchased) sold                         (1,416) (1,309) (1,205)
NET CASH USED IN INVESTING ACTIVITIES                         (4,407) (2,102) (5,174)
Cash Flows from Financing Activities                              
Repayment of term loan                         2,000 0 0
Net proceeds on issuance of term loan                         1,999 0 0
Repayment of long-term debt                         (4,197) (3,000) (2,967)
Net proceeds on issuance of long-term debt                         4,458 4,462 1,491
Issuance of common stock                         203 305 187
Common stock dividend paid $ (396) $ (402) $ (401) $ (412) $ (384) $ (390) $ (392) $ (401) $ (358) $ (362) $ (362) $ (368) (1,611) (1,567) (1,450)
Repurchase of common stock                         (3,621) (7,034) (2,284)
Other, net                         (624) (349) (413)
NET CASH USED IN FINANCING ACTIVITIES                         (6,421) (7,647) (4,294)
Net (decrease) increase in cash, cash equivalents and restricted cash                         (1,195) 594 2,361
Cash, cash equivalents and restricted cash and cash equivalents January 1, [1]                         7,592 7,870  
Cash, cash equivalents and restricted cash, end of year (1) [1]                         7,736 7,592 7,870
The Cigna Group                              
Cash Flows from Operating Activities                              
Shareholders' net income                         5,957 3,434 5,164
Adjustments to reconcile shareholders' net income to net cash provided by (used in) operating activities:                              
Equity in income from subsidiaries                         (1,746) (4,154) (5,886)
Dividends received from subsidiaries                         1,171 2,916 1,381
Net (gain) loss on sale of businesses                         (4,890) 0 0
Other liabilities                         496 (306) 540
Other, net                         592 243 640
NET CASH PROVIDED BY OPERATING ACTIVITIES                         1,580 2,133 1,839
Cash Flows from Investing Activities                              
Proceeds from divestiture of businesses                         4,891 0 0
NET CASH USED IN INVESTING ACTIVITIES                         4,891 0 622
Cash Flows from Financing Activities                              
Net change in commercial paper                         (880) (357) 1,237
Repayment of term loan                         (2,000) 0 0
Net proceeds on issuance of term loan                         1,999 0 0
Repayment of long-term debt                         (3,861) (2,731) (2,822)
Net proceeds on issuance of long-term debt                         4,458 4,462 1,491
Issuance of common stock                         203 305 187
Common stock dividend paid                         (1,611) (1,567) (1,450)
Repurchase of common stock                         (3,621) (7,034) (2,284)
Other, net                         (108) (117) (110)
NET CASH USED IN FINANCING ACTIVITIES                         (6,522) (2,278) (2,278)
Net (decrease) increase in cash, cash equivalents and restricted cash                         (51) (145) 183
Cash, cash equivalents and restricted cash and cash equivalents January 1,                         190 335 152
Cash, cash equivalents and restricted cash, end of year (1)                         139 190 335
The Cigna Group | Subsidiaries                              
Cash Flows from Investing Activities                              
Net change in amounts due from affiliates                         0 0 622
Cash Flows from Financing Activities                              
Net change in amounts due to/from affiliates                         (1,101) 4,761 1,473
Net amounts due from affiliates settled through capital transactions                         $ (1,617) $ (7,565) $ (5,221)
[1] Restricted cash and cash equivalents were reported in other long-term investments and Other assets.
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group - Short-term and Credit Facilities Debt (Details) - USD ($)
1 Months Ended
Sep. 30, 2025
Aug. 31, 2025
Apr. 30, 2025
Dec. 31, 2025
Dec. 31, 2024
Line of Credit Facility [Line Items]          
Commercial paper       $ 0 $ 880,000,000
Commercial Paper          
Line of Credit Facility [Line Items]          
Maximum borrowing capacity       6,500,000,000  
Commercial paper       0  
Term Loan Facility | Line of Credit          
Line of Credit Facility [Line Items]          
Principal   $ 2,000,000,000.0      
Extinguishment of debt amount $ 2,000,000,000.0        
Credit agreement term   364 days      
Revolving Credit Agreements, April 2025          
Line of Credit Facility [Line Items]          
Outstanding balances       0  
Maximum borrowing capacity     $ 6,500,000,000    
Credit agreement term     5 years    
Credit agreement term extension     1 year    
Aggregate amount of options to increase commitments     $ 1,500,000,000    
Maximum total commitment     $ 8,000,000,000.0    
Leverage ratio covenant     60.00%    
Revolving Credit Agreements, April 2025 | Letter of Credit          
Line of Credit Facility [Line Items]          
Maximum borrowing capacity     $ 500,000,000    
The Cigna Group | Commercial Paper          
Line of Credit Facility [Line Items]          
Maximum borrowing capacity       6,500,000,000  
Commercial paper       0  
The Cigna Group | Term Loan Facility | Line of Credit          
Line of Credit Facility [Line Items]          
Principal   $ 2,000,000,000.0      
Extinguishment of debt amount $ 2,000,000,000.0        
Credit agreement term   364 days      
The Cigna Group | Revolving Credit Agreements, April 2025          
Line of Credit Facility [Line Items]          
Outstanding balances       $ 0  
Maximum borrowing capacity     $ 6,500,000,000    
Credit agreement term     5 years    
Credit agreement term extension     1 year    
Aggregate amount of options to increase commitments     $ 1,500,000,000    
Maximum total commitment     $ 8,000,000,000.0    
Leverage ratio covenant     60.00%    
The Cigna Group | Revolving Credit Agreements, April 2025 | Letter of Credit          
Line of Credit Facility [Line Items]          
Maximum borrowing capacity     $ 500,000,000    
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group - Long-term Debt (Details)
1 Months Ended
Sep. 30, 2025
USD ($)
Dec. 31, 2025
Aug. 31, 2025
USD ($)
Line of Credit | Term Loan Facility      
Debt Instrument [Line Items]      
Principal     $ 2,000,000,000.0
Extinguishment of debt amount $ 2,000,000,000.0    
4.500% Notes due September 2030      
Debt Instrument [Line Items]      
Interest Rate   4.50%  
4.875% Notes due September 2032      
Debt Instrument [Line Items]      
Interest Rate   4.875%  
5.250% Notes due January 2036      
Debt Instrument [Line Items]      
Interest Rate   5.25%  
6.000% Notes due January 2056      
Debt Instrument [Line Items]      
Interest Rate   6.00%  
Senior Notes | Senior Notes Issued September 2025      
Debt Instrument [Line Items]      
Principal 4,500,000,000    
Senior Notes | 4.500% Notes due September 2030      
Debt Instrument [Line Items]      
Principal 1,000,000,000    
Net proceeds $ 994,000,000    
Interest Rate 4.50%    
Redemption price discount, spread on variable rate 0.0015    
Senior Notes | 4.875% Notes due September 2032      
Debt Instrument [Line Items]      
Principal $ 1,250,000,000    
Net proceeds $ 1,245,000,000    
Interest Rate 4.875%    
Redemption price discount, spread on variable rate 0.0015    
Senior Notes | 5.250% Notes due January 2036      
Debt Instrument [Line Items]      
Principal $ 1,500,000,000    
Net proceeds $ 1,490,000,000    
Interest Rate 5.25%    
Redemption price discount, spread on variable rate 0.0015    
Senior Notes | 6.000% Notes due January 2056      
Debt Instrument [Line Items]      
Principal $ 750,000,000    
Net proceeds $ 736,000,000    
Interest Rate 6.00%    
Redemption price discount, spread on variable rate 0.0020    
The Cigna Group | Line of Credit | Term Loan Facility      
Debt Instrument [Line Items]      
Principal     $ 2,000,000,000.0
Extinguishment of debt amount $ 2,000,000,000.0    
The Cigna Group | Senior Notes | Senior Notes Issued September 2025      
Debt Instrument [Line Items]      
Principal 4,500,000,000    
The Cigna Group | Senior Notes | 4.500% Notes due September 2030      
Debt Instrument [Line Items]      
Principal 1,000,000,000    
Net proceeds $ 994,000,000    
Interest Rate 4.50%    
Redemption price discount, spread on variable rate 0.0015    
The Cigna Group | Senior Notes | 4.875% Notes due September 2032      
Debt Instrument [Line Items]      
Principal $ 1,250,000,000    
Net proceeds $ 1,245,000,000    
Interest Rate 4.875%    
Redemption price discount, spread on variable rate 0.0015    
The Cigna Group | Senior Notes | 5.250% Notes due January 2036      
Debt Instrument [Line Items]      
Principal $ 1,500,000,000    
Net proceeds $ 1,490,000,000    
Interest Rate 5.25%    
Redemption price discount, spread on variable rate 0.0015    
The Cigna Group | Senior Notes | 6.000% Notes due January 2056      
Debt Instrument [Line Items]      
Principal $ 750,000,000    
Net proceeds $ 736,000,000    
Interest Rate 6.00%    
Redemption price discount, spread on variable rate 0.0020    
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group - Debt Maturities (Details)
$ in Millions
Dec. 31, 2025
USD ($)
Debt Instrument [Line Items]  
2026 $ 550
2027 2,359
2028 3,800
2029 1,000
2030 2,400
Maturities after 2030 21,485
The Cigna Group  
Debt Instrument [Line Items]  
2026 550
2027 2,055
2028 3,800
2029 1,000
2030 2,400
Maturities after 2030 $ 21,255
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group - Intercompany Balances (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Condensed Financial Statements, Captions [Line Items]    
Other current assets $ 2,976 $ 2,732
The Cigna Group    
Condensed Financial Statements, Captions [Line Items]    
Other current assets 29 103
The Cigna Group | Evernorth Health, Inc.    
Condensed Financial Statements, Captions [Line Items]    
Other current assets $ 8,500 $ 8,500
Interest rate, intercompany receivables 5.50%  
v3.25.4
Schedule I - Condensed Financial Information of The Cigna Group - Guarantees (Details) - The Cigna Group
$ in Billions
Dec. 31, 2025
USD ($)
Guarantor Obligations [Line Items]  
Maximum guarantee exposure $ 8.5
Liability for guarantees
v3.25.4
Schedule II - Valuation and Qualifying Accounts and Reserves (Details) - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2025
Dec. 31, 2024
Dec. 31, 2023
Available-for-sale debt securities      
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of Year $ 111 $ 33 $ 44
Charged (Credited) to Costs and Expenses 58 87 11
Charged (Credited) to Other Accounts 0 0 0
Other Deductions (32) (9) (22)
Balance at End of Year 137 111 33
Commercial mortgage loans      
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of Year 30 31 21
Charged (Credited) to Costs and Expenses 6 (1) 10
Charged (Credited) to Other Accounts 0 0 0
Other Deductions 0 0 0
Balance at End of Year 36 30 31
Accounts receivable, net      
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of Year 186 163 160
Charged (Credited) to Costs and Expenses 245 176 90
Charged (Credited) to Other Accounts 2 (1) 1
Other Deductions (175) (152) (88)
Balance at End of Year 258 186 163
Deferred tax asset valuation allowance      
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of Year 2,332 1,498 208
Charged (Credited) to Costs and Expenses 317 866 1,286
Charged (Credited) to Other Accounts (275) (32) 4
Other Deductions 0 0 0
Balance at End of Year 2,374 2,332 1,498
Reinsurance recoverables      
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]      
Balance at Beginning of Year 30 35 35
Charged (Credited) to Costs and Expenses (7) (5) 0
Charged (Credited) to Other Accounts 0 0 0
Other Deductions 0 0 0
Balance at End of Year $ 23 $ 30 $ 35