Upgrade to SI Premium - Free Trial

Form 8-K Cigna Corp For: Jan 22

January 23, 2019 6:03 AM


SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

FORM 8-K

CURRENT REPORT
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934

Date of Report (Date of earliest event reported) January 23, 2019

Cigna Corporation
 (Exact name of registrant as specified in its charter)


Delaware
(State or other jurisdiction of incorporation)
001-38769
(Commission File Number)
82-4991898
 (IRS Employer
Identification No.)

900 Cottage Grove Road
Bloomfield, Connecticut 06002
(Address of principal executive offices)  (Zip Code)

Registrant’s telephone number, including area code:

(860) 226-6000

Not Applicable
(Former name or former address, if changed since last report)

Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:

[ ]  Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425)
[ ]  Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12)
[ ]  Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b))
[ ]  Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c))

Indicate by check mark whether the registrant is an emerging growth company as defined in Rule 405 of the Securities Act of 1933 (17 CFR §230.405) or Rule 12b-2 of the Securities Exchange Act of 1934 (17 CFR §240.12b-2).

Emerging growth company

If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act.


1

Item 7.01 Regulation FD Disclosure.

As previously disclosed, on March 8, 2018, Cigna Corporation (“Cigna”) entered into a merger agreement with Express Scripts Holding Company (“Express Scripts”).  Following entry into the merger agreement and throughout the pendency of the transaction, Cigna and Express Scripts designed integration plans to ensure implementation of the management and business reporting structure of the combined company immediately upon closing.  On December 20, 2018, Cigna completed the acquisition of Express Scripts.  As a result, effective in the fourth quarter of 2018, our segments have changed as described more fully below.  Prior period results for the first three quarters and nine months ended September 30, 2018 and the four quarters and full year ended December 31, 2017 and full year December 31, 2016 are presented on the historic and new segment basis in the following tables.  Prior period results do not include results attributable to Express Scripts.

Cigna's segments effective in the fourth quarter 2018 are:

Integrated Medical offers a variety of medical solutions to employers and individuals.

 
The U.S. Commercial operating segment serves employers (also referred to as “clients”) and their employees (also referred to as “customers”) and other groups.  Products and services include medical, pharmacy, dental, behavioral health and vision, health advocacy programs and other products and services to insured and self-insured customers.  Products and services are generally integrated with a Cigna-administered health plan or can be provided on a standalone basis.
 
The Government operating segment offers Medicare Advantage, Medicare Supplement, Medicare Part D plans to seniors as well as Medicaid plans.  This operating segment also offers health insurance coverage to individual customers both on and off the public exchanges.  Beginning in fourth quarter 2018, results for this segment will include the acquired Express Scripts’ Medicare Part D business.

Health Services includes pharmacy benefits management, pharmacy home delivery, and certain medical management services.  This includes the acquired Express Scripts business with the exception of Express Scripts’ Medicare Part D business, which is reported in the Government operating segment.

International Markets includes supplemental health, life and accident insurance products and health care coverage in select international markets as well as health care benefits to globally mobile employees of multinational organizations.

The remainder of our operations are aggregated and reported in Group Disability and Other, consisting of the following businesses:

 
Group Disability and Life provides group long-term and short-term disability, and group life, accident, voluntary and specialty insurance products and related services.
 
Corporate-Owned Life Insurance (“COLI”) offers permanent insurance contracts sold to corporations to provide coverage on the lives of certain employees for the purpose of financing employer-paid future benefit obligations.
 
Run-off businesses:
 
o
Reinsurance
 
o
Settlement Annuity
 
o
Individual Life Insurance and Annuity and Retirement Benefits Businesses
 
o
Certain international run-off businesses

Corporate reflects amounts not allocated to the businesses and includes intersegment eliminations.
Cigna's Investor Relations Department will be hosting a conference call this morning, January 23, 2019, beginning at 9:00 a.m. ET to describe the segment reporting changes and answer questions on this topic.  The call-in numbers for the conference call are as follows:

Live Call:
Toll Free Dial-In Number:
1-888-324-7575
 
Toll Dial-In Number
1-210-234-0013
 
Participant Passcode:
1232019                   
   
 
Replay:
Toll Free Dial-In Number:
1-866-490-5935
 
Toll Dial-In Number
1-203-369-1711

It is strongly suggested you dial in to the conference call by 8:45 a.m. ET.  The operator will periodically provide instructions regarding the call.

2

This information shall not be deemed "filed" for purposes of Section 18 of the Securities Exchange Act of 1934, as amended (the "Exchange Act"), or incorporated by reference in any filing under the Securities Act of 1933, as amended, or the Exchange Act whether made before or after the date of this report, except as shall be expressly set forth by specific reference in such a filing.

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This Current Report on Form 8-K, and oral statements made with respect to information contained on this website, may contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based on Cigna's current expectations and projections about future trends, events and uncertainties. These statements are not historical facts. Forward-looking statements may include, among others, statements concerning future financial or operating performance, including our ability to deliver personalized and innovative solutions for our customers and clients; future growth, business strategy, strategic or operational initiatives; economic, regulatory or competitive environments, particularly with respect to the pace and extent of change in these areas; financing or capital deployment plans and amounts available for future deployment; our prospects for growth in the coming years; the merger (the “Merger”) with Express Scripts and other statements regarding Cigna's future beliefs, expectations, plans, intentions, financial condition or performance. You may identify forward-looking statements by the use of words such as “believe,” “expect,” “plan,” “intend,” “anticipate,” “estimate,” “predict,” “potential,” “may,” “should,” “will” or other words or expressions of similar meaning, although not all forward-looking statements contain such terms.
Forward-looking statements are subject to risks and uncertainties, both known and unknown, that could cause actual results to differ materially from those expressed or implied in forward-looking statements. Such risks and uncertainties include, but are not limited to: our ability to achieve our financial, strategic and operational plans or initiatives; our ability to predict and manage medical costs and price effectively and develop and maintain good relationships with physicians, hospitals and other health care providers; the impact of modifications to our operations and processes; our ability to identify potential strategic acquisitions or transactions and realize the expected benefits of such transactions, including with respect to the Merger; the substantial level of government regulation over our business and the potential effects of new laws or regulations or changes in existing laws or regulations; the outcome of litigation, regulatory audits, investigations, actions and/or guaranty fund assessments; uncertainties surrounding participation in government-sponsored programs such as Medicare; the effectiveness and security of our information technology and other business systems; unfavorable industry, economic or political conditions, including foreign currency movements; acts of war, terrorism, natural disasters or pandemics; the possibility that the anticipated benefits (including anticipated synergies) from the Merger cannot be realized in full, or at all or may take longer to realize than expected; problems regarding the successful integration of the businesses of Express Scripts and Cigna; unexpected costs regarding the Merger; the ability to retain key personnel; as well as more specific risks and uncertainties discussed in our most recent report on Form 10-K and subsequent reports on Forms 10-Q and 8-K available on the Investor Relations section of www.cigna.com as well as on Express Scripts’ most recent report on Form 10-K and subsequent reports on Forms 10-Q and 8-K available on the Investor Relations section of www.express-scripts.com. You should not place undue reliance on forward-looking statements, which speak only as of the date they are made, are not guarantees of future performance or results, and are subject to risks, uncertainties and assumptions that are difficult to predict or quantify. Cigna undertakes no obligation to update or revise any forward-looking statement, whether as a result of new information, future events or otherwise, except as may be required by law.

3

TABLE OF CONTENTS

Title
Page
Basis of Presentation
5
Financial Schedules – Consolidated results:
 
Years ended December 31, 2017 and 2016
6
Consolidating Statement of Income – Nine Months Ended September 30, 2018
7
Consolidating Statement of Income – Year Ended December 31, 2017
8
Financial Schedules – Segment results:
 
Years Ended December 31, 2017 and 2016
 
Integrated Medical
9
Health Services
10
International Markets
11
Group Disability and Other
12
Corporate
13
Integrated Medical
 
Third Quarter and Nine Months Ended September 30, 2018
14
First and Second Quarters of 2018
15
Third and Fourth Quarters of 2017
16
First and Second Quarters of 2017
17
Health Services
 
First Three Quarters and Nine Months Ended September 30, 2018
18
Four Quarters of 2017
18
International Markets
 
Third Quarter and Nine Months Ended September 30, 2018
19
First and Second Quarters of 2018
20
Third and Fourth Quarters of 2017
21
First and Second Quarters of 2017
22
Group Disability and Other
 
Third Quarter and Nine Months Ended September 30, 2018
23
First and Second Quarters of 2018
24
Third and Fourth Quarters of 2017
25
First and Second Quarters of 2017
26
Corporate
 
Third Quarter and Nine Months Ended September 30, 2018
27
First and Second Quarters of 2018
28
Third and Fourth Quarters of 2017
29
First and Second Quarters of 2017
30
4

Basis of presentation

All dollar amounts are in millions, unless otherwise noted.

Cigna measures its financial results on a consolidated basis using adjusted income from operations and adjusted revenues.  Adjusted income from operations and adjusted revenues on a consolidated basis are not determined in accordance with accounting principles generally accepted in the United States of America (“GAAP”) and should not be viewed as a substitute for the most directly comparable GAAP measures which are shareholders’ net income and total revenues.  Cigna also uses adjusted income from operations to measure the results of its segments, however the segment metric is determined before income taxes.

For the periods presented in this Form 8-K, adjusted income from operations is defined as shareholders’ net income (or income before income taxes for the segment metric) excluding: net realized investment results, amortization of acquired intangible assets and special items.  Beginning in 2018, the net realized investment result adjustment includes Cigna's share of certain realized investment results of its joint ventures reported using the equity method.  Beginning with the fourth quarter of 2018, earnings contributions from Anthem Inc. and Coventry Health Care, Inc. (“transitioning PBM clients”) will also be excluded from shareholders’ net income when determining adjusted income from operations.  Adjusted income from operations is used as our principle financial measure of operating performance because management believes it best presents the underlying results of operations of Cigna's businesses and permits analysis of trends in underlying revenue, expenses and profitability.

For the periods presented in this Form 8-K, adjusted revenues is defined as total revenues excluding: special items and, beginning in 2018, Cigna's share of certain realized investment results of its joint ventures reported using the equity method.  Beginning with the fourth quarter of 2018, revenue contributions from transitioning PBM clients will also be excluded from total revenues when determining adjusted revenues.  These items are excluded because they are not indicative of past or future underlying performance of our businesses.

Cigna adopted the new GAAP revenue recognition guidance (Accounting Standards Update (“ASU”) 2014-09 and related amendments) on a retrospective basis effective January 1, 2018.  In addition, Cigna adopted Article 5 of Regulation S-X issued by the Securities and Exchange Commission effective December 31, 2018 in conjunction with the acquisition of Express Scripts on December 20, 2018.  As a result, Cigna reclassified realized investment gains and (losses) previously reported in revenue and now reports this item below “Income from operations” along with interest expense and debt extinguishment charges in the Statements of Income, in conformity with Article 5.  Prior year information has been reclassified to conform to this new presentation.  Prior period results do not include results attributable to Express Scripts.



5





Cigna Corporation
     
Consolidated Results - Article 5
     
Years Ended December 31, 2017 and 2016
     
(unaudited)
     
               
Consolidated
     
     
Year ended
 
(in millions)
 
December 31, 2017
 
December 31, 2016
 
Revenues
           
 
Premiums
 
$
32,491
 
$
30,824
 
Fees and other revenues
   
5,110
   
4,901
 
Pharmacy revenues
   
2,979
   
2,966
 
Net investment income
   
1,226
   
1,147
 
Total revenues
   
41,806
   
39,838
 
Adjusted revenues (1)
   
41,806
   
39,838
               
 
Benefits and expenses
           
 
Medical costs and other benefit expenses
   
25,263
   
24,341
 
Pharmacy and other service costs
   
2,456
   
2,468
 
Selling, general and administrative expenses
   
9,831
   
9,460
 
Special items excluding debt extinguishment costs
   
199
   
330
 
Amortization of acquired intangible assets
   
115
   
151
 
Total operating expenses
   
37,864
   
36,750
               
 
Income from operations
   
3,942
   
3,088
 
Interest expense and other
   
(252)
   
(278)
 
Debt extinguishment costs
   
(321)
   
-
 
Net realized investment gains
   
237
   
169
 
Income before income taxes
   
3,606
   
2,979
 
Total income taxes
   
1,374
   
1,136
 
Net income
   
2,232
   
1,843
 
Less: income (loss) attributable to noncontrolling interests
   
(5)
   
(24)
 
Shareholders' net income
   
2,237
   
1,867
               
 
After-tax adjustments required to reconcile to adjusted income from operations
 
Net realized investment (gains)
   
(156)
   
(109)
 
Amortization of acquired intangible assets
   
66
   
94
 
Special items
           
 
   U.S. tax reform
   
196
   
-
 
   Debt extinguishment costs
   
209
   
-
 
   Long-term guaranty fund assessment
   
83
   
-
 
   Transaction-related costs
   
33
   
147
 
   Risk corridor allowance
   
-
   
80
 
   Charges associated with litigation matters
   
-
   
25
 
Adjusted income from operations
 
$
2,668
 
$
2,104
               
 
Effective January 1, 2018, Cigna adopted amended accounting guidance for revenue recognition. Prior year results have been restated on the new basis.
 
(1) There are no differences between total revenues and adjusted revenues in the period presented.
6


       
Cigna Corporation
                   
Consolidating Statement of Income - New Segment Basis
                   
Nine Months Ended September 30, 2018
                   
(unaudited)
                   
                           
                           
 
(in millions)
Integrated Medical
Health Services
International Markets
Group Disability and Other Operations
Corporate
Cigna Total
 
Revenues
                       
 
Premiums
$
20,054
$
-
$
3,767
$
3,194
$
(10)
$
27,005
 
Fees and other revenues
 
4,092
 
-
 
108
 
83
 
(196)
 
4,087
 
Pharmacy revenues
 
-
 
3,288
 
-
 
-
 
(1,066)
 
2,222
 
Net investment income including special items
 
348
 
5
 
113
 
538
 
32
 
1,036
 
Total revenues
 
24,494
 
3,293
 
3,988
 
3,815
 
(1,240)
 
34,350
 
Net realized investment (losses) from equity method subsidiaries (1)
 
-
 
-
 
23
 
-
 
-
 
23
 
Special item reported in transaction-related costs (2)
 
-
 
-
 
-
 
-
 
(13)
 
(13)
 
Adjusted revenues
 
24,494
 
3,293
 
4,011
 
3,815
 
(1,253)
 
34,360
                           
 
Benefits and expenses
                       
 
Medical costs and other benefit expenses
 
15,696
 
-
 
2,136
 
2,598
 
(10)
 
20,420
 
Pharmacy and other service costs
 
-
 
3,002
 
-
 
-
 
(1,226)
 
1,776
 
Selling general and administrative expenses
 
5,939
 
64
 
1,250
 
797
 
69
 
8,119
 
Special items excluding debt extinguishment costs
 
45
 
-
 
-
 
2
 
331
 
378
 
Amortization of acquired intangible assets
 
82
 
-
 
13
 
4
 
-
 
99
 
Total operating expenses
 
21,762
 
3,066
 
3,399
 
3,401
 
(836)
 
30,792
                           
 
Income from operations
 
2,732
 
227
 
589
 
414
 
(404)
 
3,558
 
Interest expense and other
 
-
 
-
 
-
 
-
 
(169)
 
(169)
 
Net realized investment gains (losses)
 
(12)
 
-
 
(9)
 
(14)
 
(1)
 
(36)
 
Income before income taxes
$
2,720
$
227
$
580
$
400
$
(574)
 
3,353
 
Total income taxes
                     
854
 
Net income
                     
2,499
 
Less: Income (loss) attributable to noncontrolling interests
                     
6
 
Shareholders' net income
                     
2,493
                           
 
After-tax adjustments required to reconcile to adjusted income from operations
 
Net realized investment (gains) losses (1)
                     
46
 
Amortization of acquired intangible assets
                     
74
 
Special items
                       
 
   Transaction-related costs
                     
267
 
   Charges associated with litigation matters
                     
35
 
   U.S. tax reform
                     
(5)
 
Adjusted income from operations
                   
$
2,910
                           
 
Effective January 1, 2018, Cigna adopted amended accounting guidance for revenue recognition. Prior year results have been restated on the new basis.
 
(1) Beginning in 2018, Cigna's share of certain realized investment results of its joint ventures reported using the equity method in fees and other revenues is excluded from adjusted revenues and pre-tax adjusted income from operations.
 
(2) For additional information related to net investment income included in transaction-related costs, please refer to Note 3 to the Consolidated Financial Statements in Cigna's Form 10-Q for the period ended September 30, 2018 filed on November 1, 2018.
7


Cigna Corporation
                   
Consolidating Statement of Income - New Segment Basis
                   
Twelve Months Ended December 31, 2017
                   
(unaudited)
                   
                           
                           
 
(in millions)
Integrated Medical
Health Services
International Markets
Group Disability and Other Operations
Corporate
Cigna Total
 
Revenues
                       
 
Premiums
$
23,631
$
-
$
4,619
$
4,253
$
(12)
$
32,491
 
Fees and other revenues
 
5,038
 
-
 
155
 
122
 
(205)
 
5,110
 
Pharmacy revenues
 
-
 
4,238
 
-
 
-
 
(1,259)
 
2,979
 
Net investment income
 
366
 
3
 
127
 
700
 
30
 
1,226
 
Total revenues
 
29,035
 
4,241
 
4,901
 
5,075
 
(1,446)
 
41,806
 
Adjusted revenues (1)
 
29,035
 
4,241
 
4,901
 
5,075
 
(1,446)
 
41,806
                           
 
Benefits and expenses
                       
 
Medical costs and other benefit expenses
 
19,131
 
-
 
2,658
 
3,486
 
(12)
 
25,263
 
Pharmacy and other service costs
 
-
 
3,870
 
-
 
-
 
(1,414)
 
2,456
 
Selling, general and administrative expenses
 
6,983
 
83
 
1,590
 
1,072
 
103
 
9,831
 
Special items excluding debt extinguishment costs
 
106
 
-
 
-
 
(33)
 
126
 
199
 
Amortization of acquired intangible assets
 
93
 
-
 
17
 
5
 
-
 
115
 
Total operating expenses
 
26,313
 
3,953
 
4,265
 
4,530
 
(1,197)
 
37,864
                           
 
Income from operations
 
2,722
 
288
 
636
 
545
 
(249)
 
3,942
 
Interest expense and other
 
-
 
-
 
-
 
-
 
(252)
 
(252)
 
Debt extinguishment costs
 
-
 
-
 
-
 
-
 
(321)
 
(321)
 
Net realized investment gains (losses)
 
137
 
-
 
31
 
69
 
-
 
237
 
Income before income taxes
$
2,859
$
288
$
667
$
614
$
(822)
 
3,606
 
Total income taxes
                     
1,374
 
Net income
                     
2,232
 
Income (loss) attributable to noncontrolling interests
                     
(5)
 
Shareholders' net income
                     
2,237
                           
 
After-tax adjustments required to reconcile to adjusted income from operations
 
Net realized investment (gains) losses
                     
(156)
 
Amortization of acquired intangible assets
                     
66
 
Special items
                       
 
   U.S. tax reform
                     
196
 
   Debt extinguishment costs
                     
209
 
   Long-term guaranty fund assessment
                     
83
 
   Transaction-related costs
                     
33
 
Adjusted income from operations
                   
$
2,668
                           
 
Effective January 1, 2018, Cigna adopted amended accounting guidance for revenue recognition. Prior year results have been restated on the new basis.
 
(1) There are no differences between total revenues and adjusted revenues in the period presented.
8


Cigna Corporation
                 
Segment Results – Integrated Medical
                 
Years Ended December 31, 2017 and 2016
                 
(unaudited)
                 
                           
Integrated Medical, compared with
                 
Amounts previously reported in Global Health Care ("GHC")
                 
     
Year ended
     
December 31, 2017
 
December 31, 2016
 
(in millions)
 
GHC as Previously Reported
 
Integrated Medical
 
GHC as Previously Reported
 
Integrated Medical
 
Revenues
                       
 
Premiums
 
$
24,722
 
$
23,631
 
$
23,493
 
$
22,262
 
Fees and other revenues
   
4,965
   
5,038
   
4,764
   
4,828
 
Pharmacy revenues
   
2,979
   
-
   
2,966
   
-
 
Net investment income
   
378
   
366
   
315
   
305
 
Total revenues
   
33,044
   
29,035
   
31,538
   
27,395
 
Adjusted revenues (1)
   
33,044
   
29,035
   
31,538
   
27,395
                           
 
Benefits and expenses
                       
 
Medical costs
   
19,824
   
19,131
   
18,864
   
18,005
 
Pharmacy and other service costs
   
2,456
   
-
   
2,468
   
-
 
Selling, general and administrative expenses
   
7,395
   
6,983
   
7,192
   
6,800
 
Special items
   
106
   
106
   
164
   
164
 
Amortization of acquired intangible assets
   
86
   
93
   
118
   
125
 
Total operating expenses
   
29,867
   
26,313
   
28,806
   
25,094
                           
 
Income from operations
   
3,177
   
2,722
   
2,732
   
2,301
 
Net realized investment gains (losses)
   
136
   
137
   
119
   
116
 
Income before income taxes
   
3,313
   
2,859
   
2,851
   
2,417
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Loss attributable to noncontrolling interests
   
2
   
1
   
3
   
2
 
Net realized investment (gains) losses
   
(136)
   
(137)
   
(119)
   
(116)
 
Amortization of acquired intangible assets
   
86
   
93
   
118
   
125
 
Special items
   
106
   
106
   
164
   
164
 
Pre-tax adjusted income from operations
 
$
3,371
 
$
2,922
 
$
3,017
 
$
2,592
                           
 
Effective January 1, 2018, Cigna adopted amended accounting guidance for revenue recognition. Prior year results have been restated on the new basis.
 
(1) There are no revenue adjustments in the Integrated Medical segment for the periods presented.
9


Cigna Corporation
     
Segment Results – Health Services
     
Years Ended December 31, 2017 and 2016
     
(unaudited)
     
               
Health Services
     
     
Year ended
 
(in millions)
 
December 31, 2017
 
December 31, 2016
 
Revenues
           
 
Pharmacy revenues
 
$
4,238
 
$
4,063
 
Net investment income
   
3
   
3
 
Total revenues
   
4,241
   
4,066
 
Adjusted revenues (1)
   
4,241
   
4,066
               
 
Benefits and expenses
           
 
Pharmacy and other service costs
   
3,870
   
3,722
 
Gross profit
   
371
   
344
 
Selling, general and administrative expenses
   
83
   
76
 
Income before income taxes
   
288
   
268
 
Pre-tax adjusted income from operations (1)
 
$
288
 
$
268
               
 
(1) There are no revenue or pre-tax adjusted income from operations adjustments in the Health Services segment for the periods presented.
10


Cigna Corporation
                 
Segment Results – International Markets
                 
Years Ended December 31, 2017 and 2016
                 
(unaudited)
                 
                           
International Markets, compared with
                 
Amounts previously reported in Global Supplemental Benefits ("GSB")
                 
     
Year Ended
     
2017
 
2016
 
(in millions)
 
GSB as Previously Reported
 
International Markets
 
GSB as Previously Reported
 
International Markets
 
Revenues
                       
 
Premiums
 
$
3,684
 
$
4,619
 
$
3,226
 
$
4,273
 
Fees and other revenues
   
66
   
155
   
49
   
151
 
Net investment income
   
122
   
127
   
110
   
113
 
Total revenues
   
3,872
   
4,901
   
3,385
   
4,537
 
Adjusted revenues (1)
   
3,872
   
4,901
   
3,385
   
4,537
                           
 
Benefits and expenses
                       
 
Medical costs and other benefit expenses
   
2,033
   
2,658
   
1,784
   
2,562
 
Selling, general and administrative expenses
   
1,345
   
1,590
   
1,235
   
1,455
 
Amortization of acquired intangible assets
   
29
   
17
   
33
   
21
 
Total operating expenses
   
3,407
   
4,265
   
3,052
   
4,038
                           
 
Income from operations
   
465
   
636
   
333
   
499
 
Net realized investment gains (losses)
   
32
   
31
   
(5)
   
(2)
 
Income before income taxes
   
497
   
667
   
328
   
497
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Loss attributable to noncontrolling interests
   
-
   
1
   
17
   
18
 
Net realized investment (gains) losses
   
(32)
   
(31)
   
5
   
2
 
Amortization of acquired intangible assets
   
29
   
17
   
33
   
21
 
Pre-tax adjusted income from operations
 
$
494
 
$
654
 
$
383
 
$
538
                           
 
(1) There are no revenue adjustments in the International Markets segment for the periods presented.
11


Cigna Corporation
                     
Segment Results – Group Disability and Other
                     
Years Ended December 31, 2017 and 2016
                     
(unaudited)
                     
                               
Group Disability and Other, compared with
                     
Amounts previously reported in Other Operations
                     
And Group Disability and Life
                     
     
Year Ended
     
2017
 
2016
 
(in millions)
 
Other Ops as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Other Ops as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Revenues
                           
 
Premiums
 
$
112
$
3,985
$
4,253
 
$
103
$
4,002
$
4,289
 
Fees and other revenues
   
10
 
106
 
122
   
11
 
98
 
114
 
Net investment income
   
346
 
350
 
700
   
358
 
343
 
705
 
Total revenues
   
468
 
4,441
 
5,075
   
472
 
4,443
 
5,108
 
Adjusted revenues (2)
   
468
 
4,441
 
5,075
   
472
 
4,443
 
5,108
                               
 
Benefits and expenses
                           
 
Benefit expenses
   
342
 
3,076
 
3,486
   
339
 
3,354
 
3,774
 
Selling, general and administrative expenses
   
30
 
945
 
1,072
   
30
 
919
 
1,059
 
Special items
   
(56)
 
23
 
(33)
   
-
 
-
 
-
 
Amortization of acquired intangible assets
   
-
 
-
 
5
   
-
 
-
 
5
 
Total operating expenses
   
316
 
4,044
 
4,530
   
369
 
4,273
 
4,838
                               
 
Income from operations
   
152
 
397
 
545
   
103
 
170
 
270
 
Net realized investment gains (losses)
   
(5)
 
74
 
69
   
(5)
 
59
 
54
 
Income before income taxes
   
147
 
471
 
614
   
98
 
229
 
324
                               
 
Pre-tax adjustments required to reconcile to adjusted income from operations
             
 
Net realized investment (gains) losses
   
5
 
(74)
 
(69)
   
5
 
(59)
 
(54)
 
Amortization of acquired intangible assets
   
-
 
-
 
5
   
-
 
-
 
5
 
Special items
   
(56)
 
23
 
(33)
   
-
 
-
 
-
 
Pre-tax adjusted income from operations
 
$
96
$
420
$
517
 
$
103
$
170
$
275
                               
 
(1) Includes the results of certain international run-off businesses.
 
(2) There are no revenue adjustments in the Group Disability and Other segment for the periods presented.
12


Cigna Corporation
                 
Segment Results – Corporate
                 
Years Ended December 31, 2017 and 2016
                 
(unaudited)
                 
                           
Corporate (restated), compared with
                 
Amounts previously reported in Corporate
                 
     
Year Ended
     
2017
 
2016
 
(in millions)
 
Corporate as Previously Reported
 
Corporate as Restated
 
Corporate as Previously Reported
 
Corporate as Restated
 
Revenues
                       
 
Premiums (1)
 
$
(12)
 
$
(12)
 
$
-
 
$
-
 
Fees and other revenues (1)
   
(37)
   
(205)
   
(21)
   
(192)
 
Pharmacy revenue eliminations (1)
   
-
   
(1,259)
   
-
   
(1,097)
 
Net investment income
   
30
   
30
   
21
   
21
 
Total revenues
   
(19)
   
(1,446)
   
-
   
(1,268)
 
Adjusted revenues (2)
   
(19)
   
(1,446)
   
-
   
(1,268)
                           
 
Benefits and expenses
                       
 
Benefit expenses (1)
   
(12)
   
(12)
   
-
   
-
 
Pharmacy and other service cost eliminations (1)
   
-
   
(1,414)
   
-
   
(1,254)
 
Selling, general and administrative expenses (1)
   
125
   
103
   
111
   
70
 
Special items excluding debt extinguishment costs
   
126
   
126
   
166
   
166
 
Total operating expenses
   
239
   
(1,197)
   
277
   
(1,018)
                           
 
Income from operations
   
(258)
   
(249)
   
(277)
   
(250)
 
Interest expense and other
   
(243)
   
(252)
   
(251)
   
(278)
 
Debt extinguishment costs
   
(321)
   
(321)
   
-
   
-
 
Net realized investment gains
   
-
   
-
   
1
   
1
 
Income before income taxes
   
(822)
   
(822)
   
(527)
   
(527)
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Net realized investment (gains)
   
-
   
-
   
(1)
   
(1)
 
Special items
   
447
   
447
   
166
   
166
 
Pre-tax adjusted income from operations
 
$
(375)
 
$
(375)
 
$
(362)
 
$
(362)
                           
 
(1) Includes amounts for elimination of intersegment revenues and expenses.
 
(2) There are no revenue adjustments in Corporate for the periods presented.
13


Cigna Corporation
                 
Segment Results – Integrated Medical
                 
Third Quarter and Nine Months Ended September 30, 2018
                 
(unaudited)
                 
                           
Integrated Medical, compared with
                 
Amounts previously reported in Global Health Care ("GHC")
                 
                       
     
3 Months Ended Sep 30, 2018
 
9 Months Ended Sep 30, 2018
 
(in millions)
 
GHC as Previously Reported
 
Integrated Medical
 
GHC as Previously Reported
 
Integrated Medical
 
Revenues
                       
 
Premiums
 
$
6,919
 
$
6,693
 
$
20,772
 
$
20,054
 
Fees and other revenues
   
1,329
   
1,364
   
4,000
   
4,092
 
Pharmacy revenues
   
747
   
-
   
2,222
   
-
 
Net investment income
   
122
   
117
   
362
   
348
 
Total revenues
   
9,117
   
8,174
   
27,356
   
24,494
 
Adjusted revenues (1)
   
9,117
   
8,174
   
27,356
   
24,494
                           
 
Benefits and expenses
                       
 
Medical costs
   
5,360
   
5,239
   
16,098
   
15,696
 
Pharmacy and other service costs
   
602
   
-
   
1,776
   
-
 
Selling, general and administrative expenses
   
2,098
   
2,003
   
6,239
   
5,939
 
Special items
   
45
   
45
   
45
   
45
 
Amortization of acquired intangible assets
   
42
   
42
   
78
   
82
 
Total operating expenses
   
8,147
   
7,329
   
24,236
   
21,762
                           
 
Income from operations
   
970
   
845
   
3,120
   
2,732
 
Net realized investment gains (losses)
   
4
   
3
   
(11)
   
(12)
 
Income before income taxes
   
974
   
848
   
3,109
   
2,720
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Net realized investment (gains) losses
   
(4)
   
(3)
   
11
   
12
 
Amortization of acquired intangible assets
   
42
   
42
   
78
   
82
 
Special items
   
45
   
45
   
45
   
45
 
Pre-tax adjusted income from operations
 
$
1,057
 
$
932
 
$
3,243
 
$
2,859
                           
 
(1) There are no revenue adjustments in the Integrated Medical segment for the periods presented.
14


Cigna Corporation
                 
Segment Results – Integrated Medical
                 
First and Second Quarters of 2018
                 
(unaudited)
                 
                           
Integrated Medical, compared with
                 
Amounts previously reported in Global Health Care ("GHC")
                 
                       
     
3 Months Ended March 31, 2018
 
3 Months Ended June 30, 2018
 
(in millions)
 
GHC as Previously Reported
 
Integrated Medical
 
GHC as Previously Reported
 
Integrated Medical
 
Revenues
                       
 
Premiums
 
$
6,929
 
$
6,676
 
$
6,924
 
$
6,685
 
Fees and other revenues
   
1,328
   
1,363
   
1,343
   
1,365
 
Pharmacy revenues
   
717
   
-
   
758
   
-
 
Net investment income
   
115
   
111
   
125
   
120
 
Total revenues
   
9,089
   
8,150
   
9,150
   
8,170
 
Adjusted revenues (1)
   
9,089
   
8,150
   
9,150
   
8,170
                           
 
Benefits and expenses
                       
 
Medical costs
   
5,317
   
5,174
   
5,421
   
5,283
 
Pharmacy and other service costs
   
561
   
-
   
613
   
-
 
Selling, general and administrative expenses
   
2,060
   
1,964
   
2,081
   
1,972
 
Amortization of acquired intangible assets
   
19
   
22
   
17
   
18
 
Total operating expenses
   
7,957
   
7,160
   
8,132
   
7,273
                           
 
Income from operations
   
1,132
   
990
   
1,018
   
897
 
Net realized investment gains (losses)
   
(20)
   
(18)
   
5
   
3
 
Income before income taxes
   
1,112
   
972
   
1,023
   
900
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Net realized investment (gains) losses
   
20
   
18
   
(5)
   
(3)
 
Amortization of acquired intangible assets
   
19
   
22
   
17
   
18
 
Pre-tax adjusted income from operations
 
$
1,151
 
$
1,012
 
$
1,035
 
$
915
                           
 
(1) There are no revenue adjustments in the Integrated Medical segment for the periods presented.
15


Cigna Corporation
                 
Segment Results – Integrated Medical
                 
Third and Fourth Quarters of 2017
                 
(unaudited)
                 
                           
Integrated Medical, compared with
                 
Amounts previously reported in Global Health Care ("GHC")
                 
                       
     
3 Months Ended Sep 30, 2017
 
3 Months Ended Dec 31, 2017
 
(in millions)
 
GHC as Previously Reported (1)
 
Integrated Medical
 
GHC as Previously Reported (1)
 
Integrated Medical
 
Revenues
                       
 
Premiums
 
$
6,131
 
$
5,864
 
$
6,204
 
$
5,941
 
Fees and other revenues
   
1,223
   
1,242
   
1,301
   
1,323
 
Pharmacy revenues
   
733
   
-
   
779
   
-
 
Net investment income
   
89
   
86
   
105
   
102
 
Total revenues
   
8,176
   
7,192
   
8,389
   
7,366
 
Adjusted revenues (2)
   
8,176
   
7,192
   
8,389
   
7,366
                           
 
Benefits and expenses
                       
 
Medical costs
   
4,845
   
4,674
   
5,140
   
4,962
 
Pharmacy and other service costs
   
612
   
-
   
637
   
-
 
Selling, general and administrative expenses
   
1,842
   
1,740
   
1,993
   
1,884
 
Amortization of acquired intangible assets
   
21
   
22
   
21
   
22
 
Total operating expenses
   
7,320
   
6,436
   
7,791
   
6,868
                           
 
Income from operations
   
856
   
756
   
598
   
498
 
Net realized investment gains
   
75
   
74
   
3
   
5
 
Income before income taxes
   
931
   
830
   
601
   
503
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Net realized investment (gains)
   
(75)
   
(74)
   
(3)
   
(5)
 
Amortization of acquired intangible assets
   
21
   
22
   
21
   
22
 
Pre-tax adjusted income from operations
 
$
877
 
$
778
 
$
619
 
$
520
                           
 
(1) Effective January 1, 2018, Cigna adopted amended accounting guidance for revenue recognition. Prior year results have been restated on the new basis.
 
(2) There are no revenue adjustments in the Integrated Medical segment for the periods presented.
16


Cigna Corporation
                 
Segment Results – Integrated Medical
                 
First and Second Quarters of 2017
                 
(unaudited)
                 
                           
Integrated Medical, compared with
                 
Amounts previously reported in Global Health Care ("GHC")
                 
                       
     
3 Months Ended March 31, 2017
 
3 Months Ended June 30, 2017
 
(in millions)
 
GHC as Previously Reported (1)
 
Integrated Medical
 
GHC as Previously Reported (1)
 
Integrated Medical
 
Revenues
                       
 
Premiums
 
$
6,259
 
$
5,974
 
$
6,128
 
$
5,852
 
Fees and other revenues
   
1,226
   
1,238
   
1,215
   
1,235
 
Pharmacy revenues
   
710
   
-
   
757
   
-
 
Net investment income
   
92
   
89
   
92
   
89
 
Total revenues
   
8,287
   
7,301
   
8,192
   
7,176
 
Adjusted revenues (2)
   
8,287
   
7,301
   
8,192
   
7,176
                           
 
Benefits and expenses
                       
 
Medical costs
   
4,949
   
4,789
   
4,890
   
4,706
 
Pharmacy and other service costs
   
581
   
-
   
626
   
-
 
Selling, general and administrative expenses
   
1,807
   
1,707
   
1,753
   
1,652
 
Special items
   
106
   
106
   
-
   
-
 
Amortization of acquired intangible assets
   
23
   
26
   
21
   
23
 
Total operating expenses
   
7,466
   
6,628
   
7,290
   
6,381
                           
 
Income from operations
   
821
   
673
   
902
   
795
 
Net realized investment gains
   
26
   
26
   
32
   
32
 
Income before income taxes
   
847
   
699
   
934
   
827
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
(Income) loss attributable to noncontrolling interests
   
1
   
1
   
1
   
-
 
Net realized investment (gains)
   
(26)
   
(26)
   
(32)
   
(32)
 
Amortization of acquired intangible assets
   
23
   
26
   
21
   
23
 
Special items
   
106
   
106
   
-
   
-
 
Pre-tax adjusted income from operations
 
$
951
 
$
806
 
$
924
 
$
818
                           
 
(1) Effective January 1, 2018, Cigna adopted amended accounting guidance for revenue recognition. Prior year results have been restated on the new basis.
 
(2) There are no revenue adjustments in the Integrated Medical segment for the periods presented.
17


Cigna Corporation
               
Segment Results – Health Services
               
First Three Quarters and Nine Months Ended September 30, 2018
               
(unaudited)
               
                         
Health Services
               
     
3 Months Ended
 
9 Months Ended
 
(in millions)
 
March 31, 2018
 
June 30, 2018
Sep 30, 2018
 
Sep 30, 2018
 
Revenues
                     
 
Pharmacy revenues
 
$
1,070
 
$
1,111
$
1,107
 
$
3,288
 
Net investment income
   
1
   
2
 
2
   
5
 
Total revenues
   
1,071
   
1,113
 
1,109
   
3,293
 
Adjusted revenues (1)
   
1,071
   
1,113
 
1,109
   
3,293
                         
 
Benefits and expenses
                     
 
Pharmacy and other service costs
   
968
   
1,015
 
1,019
   
3,002
 
Gross profit
   
103
   
98
 
90
   
291
 
Selling, general and administrative expenses
   
20
   
21
 
23
   
64
 
Income before income taxes
   
83
   
77
 
67
   
227
 
Pre-tax adjusted income from operations (1)
 
$
83
 
$
77
$
67
 
$
227
                         
   

Cigna Corporation
               
Segment Results – Health Services
               
Four Quarters of 2017
               
(unaudited)
               
                         
Health Services
               
     
3 Months Ended
 
(in millions)
 
March 31, 2017
 
June 30, 2017
Sep 30, 2017
 
Dec 31, 2017
 
Revenues
                     
 
Pharmacy revenues
 
$
997
 
$
1,077
$
1,045
 
$
1,119
 
Net investment income
   
1
   
-
 
1
   
1
 
Total revenues
   
998
   
1,077
 
1,046
   
1,120
 
Adjusted revenues (1)
   
998
   
1,077
 
1,046
   
1,120
                         
 
Benefits and expenses
                     
 
Pharmacy and other service costs
   
903
   
983
 
963
   
1,021
 
Gross profit
   
95
   
94
 
83
   
99
 
Selling, general and administrative expenses
   
21
   
19
 
20
   
23
 
Income before income taxes
   
74
   
75
 
63
   
76
 
Pre-tax adjusted income from operations (1)
 
$
74
 
$
75
$
63
 
$
76
                         
 
(1) There are no revenue or pre-tax adjusted income from operations adjustments in the Health Services segment for the periods presented.
18


Cigna Corporation
                 
Segment Results – International Markets
                 
Third Quarter and Nine Months Ended September 30, 2018
                 
(unaudited)
                 
                           
International Markets, compared with
                 
Amounts previously reported in Global Supplemental Benefits ("GSB")
                 
                       
     
3 Months Ended September 30, 2018
 
9 Months Ended September 30, 2018
 
(in millions)
 
GSB as Previously Reported
 
International Markets
 
GSB as Previously Reported
 
International Markets
 
Revenues
                       
 
Premiums
 
$
1,039
 
$
1,245
 
$
3,136
 
$
3,767
 
Fees and other revenues
   
16
   
40
   
35
   
108
 
Net investment income
   
37
   
40
   
107
   
113
 
Total revenues
   
1,092
   
1,325
   
3,278
   
3,988
 
Net realized investment losses from equity method subsidiaries (1)
   
1
   
1
   
23
   
23
 
Adjusted revenues
   
1,093
   
1,326
   
3,301
   
4,011
                           
 
Benefits and expenses
                       
 
Medical costs and other benefit expenses
   
598
   
711
   
1,770
   
2,136
 
Selling, general and administrative expenses
   
357
   
417
   
1,056
   
1,250
 
Amortization of acquired intangible assets
   
6
   
5
   
21
   
13
 
Total operating expenses
   
961
   
1,133
   
2,847
   
3,399
                           
 
Income from operations
   
131
   
192
   
431
   
589
 
Net realized investment gains (losses)
   
1
   
2
   
(10)
   
(9)
 
Income before income taxes
   
132
   
194
   
421
   
580
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
(Income) attributable to noncontrolling interests
   
(3)
   
(3)
   
(10)
   
(10)
 
Net realized investment (gains) losses (1)
   
-
   
(1)
   
33
   
32
 
Amortization of acquired intangible assets
   
6
   
5
   
21
   
13
 
Pre-tax adjusted income from operations
 
$
135
 
$
195
 
$
465
 
$
615
                           
 
(1) Beginning in 2018, Cigna's share of certain realized investment results of its joint ventures reported using the equity method in fees and other revenues is excluded from adjusted revenues and pre-tax adjusted income from operations.
19


Cigna Corporation
                 
Segment Results – International Markets
                 
First and Second Quarters of 2018
                 
(unaudited)
                 
                           
International Markets, compared with
                 
Amounts previously reported in Global Supplemental Benefits ("GSB")
                 
                       
     
3 Months Ended March 31, 2018
 
3 Months Ended June 30, 2018
 
(in millions)
 
GSB as Previously Reported
 
International Markets
 
GSB as Previously Reported
 
International Markets
 
Revenues
                       
 
Premiums
 
$
1,044
 
$
1,260
 
$
1,053
 
$
1,262
 
Fees and other revenues
   
22
   
42
   
(3)
   
26
 
Net investment income
   
34
   
37
   
36
   
36
 
Total revenues
   
1,100
   
1,339
   
1,086
   
1,324
 
Net realized investment losses from equity method subsidiaries (1)
   
2
   
2
   
20
   
20
 
Adjusted revenues
   
1,102
   
1,341
   
1,106
   
1,344
                           
 
Benefits and expenses
                       
 
Medical costs and other benefit expenses
   
587
   
710
   
585
   
715
 
Selling, general and administrative expenses
   
349
   
410
   
350
   
423
 
Amortization of acquired intangible assets
   
8
   
4
   
7
   
4
 
Total operating expenses
   
944
   
1,124
   
942
   
1,142
                           
 
Income from operations
   
156
   
215
   
144
   
182
 
Net realized investment (losses)
   
-
   
(2)
   
(11)
   
(9)
 
Income before income taxes
   
156
   
213
   
133
   
173
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
(Income) attributable to noncontrolling interests
   
(4)
   
(4)
   
(3)
   
(3)
 
Net realized investment losses (1)
   
2
   
4
   
31
   
29
 
Amortization of acquired intangible assets
   
8
   
4
   
7
   
4
 
Pre-tax adjusted income from operations
 
$
162
 
$
217
 
$
168
 
$
203
                           
 
(1) Beginning in 2018, Cigna's share of certain realized investment results of its joint ventures reported using the equity method in fees and other revenues is excluded from adjusted revenues and pre-tax adjusted income from operations.
20


Cigna Corporation
                 
Segment Results – International Markets
                 
Third and Fourth Quarters of 2017
                 
(unaudited)
                 
                           
International Markets, compared with
                 
Amounts previously reported in Global Supplemental Benefits ("GSB")
                 
                       
     
3 Months Ended September 30, 2017
 
3 Months Ended December 31, 2017
 
(in millions)
 
GSB as Previously Reported
 
International Markets
 
GSB as Previously Reported
 
International Markets
 
Revenues
                       
 
Premiums
 
$
931
 
$
1,158
 
$
982
 
$
1,205
 
Fees and other revenues
   
23
   
45
   
9
   
31
 
Net investment income
   
31
   
33
   
32
   
32
 
Total revenues
   
985
   
1,236
   
1,023
   
1,268
 
Adjusted revenues (1)
   
985
   
1,236
   
1,023
   
1,268
                           
 
Benefits and expenses
                       
 
Medical costs and other benefit expenses
   
506
   
660
   
530
   
693
 
Selling, general and administrative expenses
   
331
   
392
   
376
   
435
 
Amortization of acquired intangible assets
   
7
   
4
   
6
   
4
 
Total operating expenses
   
844
   
1,056
   
912
   
1,132
                           
 
Income from operations
   
141
   
180
   
111
   
136
 
Net realized investment gains
   
-
   
1
   
20
   
18
 
Income before income taxes
   
141
   
181
   
131
   
154
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
(Income) attributable to noncontrolling interests
   
(4)
   
(4)
   
(1)
   
(1)
 
Net realized investment (gains)
   
-
   
(1)
   
(20)
   
(18)
 
Amortization of acquired intangible assets
   
7
   
4
   
6
   
4
 
Pre-tax adjusted income from operations
 
$
144
 
$
180
 
$
116
 
$
139
                           
 
(1) There are no revenue adjustments in the International Markets segment for the periods presented.
21


Cigna Corporation
                 
Segment Results – International Markets
                 
First and Second Quarters of 2017
                 
(unaudited)
                 
                           
International Markets, compared with
                 
Amounts previously reported in Global Supplemental Benefits ("GSB")
                 
                       
     
3 Months Ended March 31, 2017
 
3 Months Ended June 30, 2017
 
(in millions)
 
GSB as Previously Reported
 
International Markets
 
GSB as Previously Reported
 
International Markets
 
Revenues
                       
 
Premiums
 
$
864
 
$
1,112
 
$
907
 
$
1,144
 
Fees and other revenues
   
17
   
42
   
17
   
37
 
Net investment income
   
28
   
30
   
31
   
32
 
Total revenues
   
909
   
1,184
   
955
   
1,213
 
Adjusted revenues (1)
   
909
   
1,184
   
955
   
1,213
                           
 
Benefits and expenses
                       
 
Medical expenses and other benefit costs
   
505
   
649
   
492
   
656
 
Selling, general and administrative expenses
   
312
   
374
   
326
   
389
 
Amortization of acquired intangible assets
   
9
   
5
   
7
   
4
 
Total operating expenses
   
826
   
1,028
   
825
   
1,049
                           
 
Income from operations
   
83
   
156
   
130
   
164
 
Net realized investment gains (losses)
   
13
   
13
   
(1)
   
(1)
 
Income before income taxes
   
96
   
169
   
129
   
163
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Loss attributable to noncontrolling interests
   
4
   
4
   
1
   
2
 
Net realized investment (gains) losses
   
(13)
   
(13)
   
1
   
1
 
Amortization of acquired intangible assets
   
9
   
5
   
7
   
4
 
Pre-tax adjusted income from operations
 
$
96
 
$
165
 
$
138
 
$
170
                           
 
(1) There are no revenue adjustments in the International Markets segment for the periods presented.
22


Cigna Corporation
                     
Segment Results – Group Disability and Other
                     
Third Quarter and Nine Months Ended September 30, 2018
                     
(unaudited)
                     
                               
Group Disability and Other, compared with
                     
Amounts previously reported in Other Operations
                     
And Group Disability and Life
                     
                           
     
3 Months Ended September 30, 2018
 
9 Months Ended September 30, 2018
 
(in millions)
 
Other Operations as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Other Operations as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Revenues
                           
 
Premiums
 
$
33
$
1,007
$
1,060
 
$
92
$
3,015
$
3,194
 
Fees and other revenues
   
-
 
25
 
26
   
5
 
74
 
83
 
Net investment income
   
87
 
89
 
176
   
260
 
275
 
538
 
Total revenues
   
120
 
1,121
 
1,262
   
357
 
3,364
 
3,815
 
Adjusted revenues (2)
   
120
 
1,121
 
1,262
   
357
 
3,364
 
3,815
                               
 
Benefits and expenses
                           
 
Benefit expenses
   
95
 
754
 
857
   
263
 
2,299
 
2,598
 
Selling, general and administrative expenses
   
6
 
241
 
262
   
19
 
727
 
797
 
Special items
   
2
 
-
 
2
   
2
 
-
 
2
 
Amortization of acquired intangible assets
   
-
 
-
 
1
   
-
 
-
 
4
 
Total operating expenses
   
103
 
995
 
1,122
   
284
 
3,026
 
3,401
                               
 
Income from operations
   
17
 
126
 
140
   
73
 
338
 
414
 
Net realized investment gains (losses)
   
(8)
 
3
 
(5)
   
(6)
 
(8)
 
(14)
 
Income before income taxes
   
9
 
129
 
135
   
67
 
330
 
400
                               
 
Pre-tax adjustments required to reconcile to adjusted income from operations
             
 
Net realized investment (gains) losses
   
8
 
(3)
 
5
   
6
 
8
 
14
 
Amortization of acquired intangible assets
   
-
 
-
 
1
   
-
 
-
 
4
 
Special items
   
2
 
-
 
2
   
2
 
-
 
2
 
Pre-tax adjusted income from operations
 
$
19
$
126
$
143
 
$
75
$
338
$
420
                               
 
(1) Includes the results of certain international run-off businesses.
 
(2) There are no revenue adjustments in the Group Disability and Other segment for the periods presented.
23


Cigna Corporation
                     
Segment Results – Group Disability and Other
                     
First and Second Quarters of 2018
                     
(unaudited)
                     
                               
Group Disability and Other, compared with
                     
Amounts previously reported in Other Operations
                     
And Group Disability and Life
                     
                           
     
3 Months Ended March 31, 2018
 
3 Months Ended June 30, 2018
 
(in millions)
 
Other Operations as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Other Operations as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Revenues
                           
 
Premiums
 
$
29
$
1,000
$
1,066
 
$
30
$
1,008
$
1,068
 
Fees and other revenues
   
2
 
26
 
30
   
3
 
23
 
27
 
Net investment income
   
85
 
90
 
175
   
88
 
96
 
187
 
Total revenues
   
116
 
1,116
 
1,271
   
121
 
1,127
 
1,282
 
Adjusted revenues (2)
   
116
 
1,116
 
1,271
   
121
 
1,127
 
1,282
                               
 
Benefits and expenses
                           
 
Benefit expenses
   
80
 
791
 
891
   
88
 
754
 
850
 
Selling, general and administrative expenses
   
5
 
241
 
264
   
8
 
245
 
271
 
Amortization of acquired intangible assets
   
-
 
-
 
1
   
-
 
-
 
2
 
Total operating expenses
   
85
 
1,032
 
1,156
   
96
 
999
 
1,123
                               
 
Income from operations
   
31
 
84
 
115
   
25
 
128
 
159
 
Net realized investment gains (losses)
   
4
 
(16)
 
(12)
   
(2)
 
5
 
3
 
Income before income taxes
   
35
 
68
 
103
   
23
 
133
 
162
                               
 
Pre-tax adjustments required to reconcile to adjusted income from operations
             
 
Net realized investment (gains) losses
   
(4)
 
16
 
12
   
2
 
(5)
 
(3)
 
Amortization of acquired intangible assets
   
-
 
-
 
1
   
-
 
-
 
2
 
Pre-tax adjusted income from operations
 
$
31
$
84
$
116
 
$
25
$
128
$
161
                               
 
(1) Includes the results of certain international run-off businesses.
 
(2) There are no revenue adjustments in the Group Disability and Other segment for the periods presented.
24


Cigna Corporation
                     
Segment Results – Group Disability and Other
                     
Third and Fourth Quarters of 2017
                     
(unaudited)
                     
                               
Group Disability and Other, compared with
                     
Amounts previously reported in Other Operations
                     
And Group Disability and Life
                   
                           
     
3 Months Ended September 30, 2017
 
3 Months Ended December 31, 2017
 
(in millions)
 
Other Operations as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Other Operations as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Revenues
                           
 
Premiums
 
$
26
$
990
$
1,056
 
$
31
$
994
$
1,065
 
Fees and other revenues
   
3
 
25
 
29
   
2
 
27
 
32
 
Net investment income
   
86
 
84
 
170
   
86
 
88
 
176
 
Total revenues
   
115
 
1,099
 
1,255
   
119
 
1,109
 
1,273
 
Adjusted revenues (2)
   
115
 
1,099
 
1,255
   
119
 
1,109
 
1,273
                               
 
Benefits and expenses
                           
 
Benefit expenses
   
84
 
755
 
856
   
93
 
775
 
883
 
Selling, general and administrative expenses
   
9
 
236
 
269
   
8
 
245
 
283
 
Special items
   
-
 
-
 
-
   
(56)
 
-
 
(56)
 
Amortization of acquired intangible assets
   
-
 
-
 
2
   
-
 
-
 
1
 
Total operating expenses
   
93
 
991
 
1,127
   
45
 
1,020
 
1,111
                               
 
Income from operations
   
22
 
108
 
128
   
74
 
89
 
162
 
Net realized investment gains (losses)
   
5
 
37
 
42
   
(7)
 
7
 
-
 
Income before income taxes
   
27
 
145
 
170
   
67
 
96
 
162
                               
 
Pre-tax adjustments required to reconcile to adjusted income from operations
             
 
Net realized investment (gains) losses
   
(5)
 
(37)
 
(42)
   
7
 
(7)
 
-
 
Amortization of acquired intangible assets
   
-
 
-
 
2
   
-
 
-
 
1
 
Special items
   
-
 
-
 
-
   
(56)
 
-
 
(56)
 
Pre-tax adjusted income from operations
 
$
22
$
108
$
130
 
$
18
$
89
$
107
                               
 
(1) Includes the results of certain international run-off businesses.
 
(2) There are no revenue adjustments in the Group Disability and Other segment for the periods presented.
25


Cigna Corporation
                     
Segment Results – Group Disability and Other
                     
First and Second Quarters of 2017
                     
(unaudited)
                     
                               
Group Disability and Other, compared with
                     
Amounts previously reported in Other Operations
                     
And Group Disability and Life
                     
                           
     
3 Months Ended March 31, 2017
 
3 Months Ended June 30, 2017
 
(in millions)
 
Other Operations as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Other Operations as Previously Reported
Group Disability and Life as Previously Reported
Group Disability and Other (1)
 
Revenues
                           
 
Premiums
 
$
27
$
1,004
$
1,068
 
$
28
$
997
$
1,064
 
Fees and other revenues
   
3
 
28
 
32
   
2
 
26
 
29
 
Net investment income
   
86
 
89
 
175
   
88
 
89
 
179
 
Total revenues
   
116
 
1,121
 
1,275
   
118
 
1,112
 
1,272
 
Adjusted revenues (2)
   
116
 
1,121
 
1,275
   
118
 
1,112
 
1,272
                               
 
Benefits and expenses
                           
 
Benefit expenses
   
80
 
785
 
881
   
85
 
761
 
866
 
Selling, general and administrative expenses
   
7
 
234
 
261
   
6
 
230
 
259
 
Special items
   
-
 
23
 
23
   
-
 
-
 
-
 
Amortization of acquired intangible assets
   
-
 
-
 
1
   
-
 
-
 
1
 
Total operating expenses
   
87
 
1,042
 
1,166
   
91
 
991
 
1,126
                               
 
Income from operations
   
29
 
79
 
109
   
27
 
121
 
146
 
Net realized investment gains (losses)
   
(1)
 
8
 
7
   
(2)
 
22
 
20
 
Income before income taxes
   
28
 
87
 
116
   
25
 
143
 
166
                               
 
Pre-tax adjustments required to reconcile to adjusted income from operations
             
 
Net realized investment (gains) losses
   
1
 
(8)
 
(7)
   
2
 
(22)
 
(20)
 
Amortization of acquired intangible assets
   
-
 
-
 
1
   
-
 
-
 
1
 
Special items
   
-
 
23
 
23
   
-
 
-
 
-
 
Pre-tax adjusted income from operations
 
$
29
$
102
$
133
 
$
27
$
121
$
147
                               
 
(1) Includes the results of certain international run-off businesses.
 
(2) There are no revenue adjustments in the Group Disability and Other segment for the periods presented.
26


Cigna Corporation
                 
Segment Results – Corporate
                 
Third Quarter and Nine Months Ended September 30, 2018
                 
(unaudited)
                 
                           
Corporate (restated), compared with
                 
Amounts previously reported in Corporate
                 
     
3 Months Ended Sep. 30, 2018
 
9 Months Ended Sep. 30, 2018
 
(in millions)
 
Corporate as Previously Reported
 
Corporate as Restated
 
Corporate as Previously Reported
 
Corporate as Restated
 
Revenues
                       
 
Premiums (1)
 
$
(4)
 
$
(4)
 
$
(10)
 
$
(10)
 
Fees and other revenues (1)
   
(9)
   
(69)
   
(27)
   
(196)
 
Pharmacy revenue eliminations (1)
   
-
   
(360)
   
-
   
(1,066)
 
Net investment income including special items (1)
   
20
   
20
   
32
   
32
 
Total revenues
   
7
   
(413)
   
(5)
   
(1,240)
 
Special items reported in transaction-related costs
   
(13)
   
(13)
   
(13)
   
(13)
 
Adjusted revenues
   
(6)
   
(426)
   
(18)
   
(1,253)
                           
 
Benefits and expenses
                       
 
Benefit expenses (1)
   
(4)
   
(4)
   
(10)
   
(10)
 
Pharmacy and other service cost eliminations (1)
   
-
   
(417)
   
-
   
(1,226)
 
Selling, general and administrative expenses (1)
   
24
   
22
   
72
   
69
 
Special items
   
141
   
141
   
331
   
331
 
Total operating expenses
   
161
   
(258)
   
393
   
(836)
                           
 
Income from operations
   
(154)
   
(155)
   
(398)
   
(404)
 
Interest expense and other
   
(57)
   
(56)
   
(175)
   
(169)
 
Net realized investment (losses)
   
-
   
-
   
(1)
   
(1)
 
Income before income taxes
   
(211)
   
(211)
   
(574)
   
(574)
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Net realized investment losses
   
-
   
-
   
1
   
1
 
Special items
   
128
   
128
   
318
   
318
 
Pre-tax adjusted income from operations
 
$
(83)
 
$
(83)
 
$
(255)
 
$
(255)
                           
 
(1) Includes amounts for elimination of intersegment revenues and expenses.
27


Cigna Corporation
                 
Segment Results – Corporate
                 
First and Second Quarters of 2018
                 
(unaudited)
                 
                           
Corporate (restated), compared with
                 
Amounts previously reported in Corporate
                 
     
3 Months Ended March 31, 2018
 
3 Months Ended June 30, 2018
 
(in millions)
 
Corporate as Previously Reported
 
Corporate as Restated
 
Corporate as Previously Reported
 
Corporate as Restated
 
Revenues
                       
 
Premiums (1)
 
$
(3)
 
$
(3)
 
$
(3)
 
$
(3)
 
Fees and other revenues (1)
   
(10)
   
(67)
   
(8)
   
(60)
 
Pharmacy revenue eliminations (1)
   
-
   
(353)
   
-
   
(353)
 
Net investment income (1)
   
5
   
5
   
7
   
7
 
Total revenues
   
(8)
   
(418)
   
(4)
   
(409)
 
Adjusted revenues (2)
   
(8)
   
(418)
   
(4)
   
(409)
                           
 
Benefits and expenses
                       
 
Benefit expenses (1)
   
(3)
   
(3)
   
(3)
   
(3)
 
Pharmacy and other service cost eliminations (1)
   
-
   
(407)
   
-
   
(402)
 
Selling, general and administrative expenses (1)
   
28
   
27
   
20
   
20
 
Special items
   
60
   
60
   
130
   
130
 
Total operating expenses
   
85
   
(323)
   
147
   
(255)
                           
 
Income from operations
   
(93)
   
(95)
   
(151)
   
(154)
 
Interest expense and other
   
(59)
   
(57)
   
(59)
   
(56)
 
Net realized investment (losses)
   
(1)
   
(1)
   
-
   
-
 
Income before income taxes
   
(153)
   
(153)
   
(210)
   
(210)
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Net realized investment losses
   
1
   
1
   
-
   
-
 
Special items
   
60
   
60
   
130
   
130
 
Pre-tax adjusted income from operations
 
$
(92)
 
$
(92)
 
$
(80)
 
$
(80)
                           
 
(1) Includes amounts for elimination of intersegment revenues and expenses.
 
(2) There are no revenue adjustments in Corporate for the periods presented.
28


Cigna Corporation
                 
Segment Results – Corporate
                 
Third Quarter and Fourth Quarters of 2017
                 
(unaudited)
                 
                           
Corporate (restated), compared with
                 
Amounts previously reported in Corporate
                 
     
3 Months Ended Sep. 30, 2017
 
3 Months Ended Dec. 31, 2017
 
(in millions)
 
Corporate as Previously Reported
 
Corporate as Restated
 
Corporate as Previously Reported
 
Corporate as Restated
 
Revenues
                       
 
Premiums (1)
 
$
(3)
 
$
(3)
 
$
(3)
 
$
(3)
 
Fees and other revenues (1)
   
(8)
   
(50)
   
(11)
   
(58)
 
Pharmacy revenue eliminations (1)
   
-
   
(312)
   
-
   
(340)
 
Net investment income (1)
   
8
   
8
   
6
   
6
 
Total revenues
   
(3)
   
(357)
   
(8)
   
(395)
 
Adjusted revenues (2)
   
(3)
   
(357)
   
(8)
   
(395)
                           
 
Benefits and expenses
                       
 
Benefit expenses (1)
   
(3)
   
(3)
   
(3)
   
(3)
 
Pharmacy and other service cost eliminations (1)
   
-
   
(351)
   
-
   
(384)
 
Selling, general and administrative expenses (1)
   
29
   
27
   
34
   
29
 
Special items excluding debt extinguishment costs
   
9
   
9
   
38
   
38
 
Total operating expenses
   
35
   
(318)
   
69
   
(320)
                           
 
Income from operations
   
(38)
   
(39)
   
(77)
   
(75)
 
Interest expense and other
   
(61)
   
(60)
   
(60)
   
(62)
 
Debt extinguishment costs
   
(321)
   
(321)
   
-
   
-
 
Income before income taxes
   
(420)
   
(420)
   
(137)
   
(137)
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Special items including debt extinguishment costs
   
330
   
330
   
38
   
38
 
Pre-tax adjusted income from operations
 
$
(90)
 
$
(90)
 
$
(99)
 
$
(99)
                           
 
(1) Includes amounts for elimination of intersegment revenues and expenses.
 
(2) There are no revenue adjustments in Corporate for the periods presented.
29


Cigna Corporation
                 
Segment Results – Corporate
                 
First and Second Quarters of 2017
                 
(unaudited)
                 
                           
Corporate (restated), compared with
                 
Amounts previously reported in Corporate
                 
     
3 Months Ended March 31, 2017
 
3 Months Ended June 30, 2017
 
(in millions)
 
Corporate as Previously Reported
 
Corporate as Restated
 
Corporate as Previously Reported
 
Corporate as Restated
 
Revenues
                       
 
Premiums (1)
 
$
(3)
 
$
(3)
 
$
(3)
 
$
(3)
 
Fees and other revenues (1)
   
(10)
   
(48)
   
(8)
   
(49)
 
Pharmacy revenue eliminations (1)
   
-
   
(287)
   
-
   
(320)
 
Net investment income (1)
   
8
   
8
   
8
   
8
 
Total revenues
   
(5)
   
(330)
   
(3)
   
(364)
 
Adjusted revenues (2)
   
(5)
   
(330)
   
(3)
   
(364)
                           
 
Benefits and expenses
                       
 
Benefit expenses (1)
   
(3)
   
(3)
   
(3)
   
(3)
 
Pharmacy and other service cost eliminations (1)
   
-
   
(322)
   
-
   
(357)
 
Selling, general and administrative expenses (1)
   
41
   
31
   
21
   
16
 
Special items
   
63
   
63
   
16
   
16
 
Total operating expenses
   
101
   
(231)
   
34
   
(328)
                           
 
Income from operations
   
(106)
   
(99)
   
(37)
   
(36)
 
Interest expense and other
   
(62)
   
(69)
   
(60)
   
(61)
 
Income before income taxes
   
(168)
   
(168)
   
(97)
   
(97)
                           
 
Pre-tax adjustments required to reconcile to adjusted income from operations
           
 
Special items
   
63
   
63
   
16
   
16
 
Pre-tax adjusted income from operations
 
$
(105)
 
$
(105)
 
$
(81)
 
$
(81)
                           
 
(1) Includes amounts for elimination of intersegment revenues and expenses.
 
(2) There are no revenue adjustments in Corporate for the periods presented.
30

SIGNATURE


Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.


   
Cigna Corporation
 
     
Date: January 23, 2019
By:
 /s/ Eric P. Palmer
   
Eric P. Palmer
   
Executive Vice President and
   
Chief Financial Officer




31

Categories

SEC Filings