10-Q 1 ci-20210930.htm 10-Q ci-20210930
Q3202112/31false0001739940http://fasb.org/us-gaap/2021-01-31#AccountingStandardsUpdate201613Memberhttp://www.cigna.com/20210930#AccruedExpensesAndOtherLiabilitieshttp://www.cigna.com/20210930#AccruedExpensesAndOtherLiabilitieshttp://fasb.org/us-gaap/2021-01-31#OtherLiabilitiesNoncurrenthttp://fasb.org/us-gaap/2021-01-31#OtherLiabilitiesNoncurrenthttp://fasb.org/us-gaap/2021-01-31#PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortizationhttp://fasb.org/us-gaap/2021-01-31#PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortizationhttp://fasb.org/us-gaap/2021-01-31#DebtCurrenthttp://fasb.org/us-gaap/2021-01-31#DebtCurrenthttp://fasb.org/us-gaap/2021-01-31#LongTermDebtAndCapitalLeaseObligationshttp://fasb.org/us-gaap/2021-01-31#LongTermDebtAndCapitalLeaseObligations00017399402021-01-012021-09-30xbrli:shares00017399402021-10-29iso4217:USD0001739940us-gaap:ProductMember2021-07-012021-09-300001739940us-gaap:ProductMember2020-07-012020-09-300001739940us-gaap:ProductMember2021-01-012021-09-300001739940us-gaap:ProductMember2020-01-012020-09-3000017399402021-07-012021-09-3000017399402020-07-012020-09-3000017399402020-01-012020-09-300001739940us-gaap:ServiceMember2021-07-012021-09-300001739940us-gaap:ServiceMember2020-07-012020-09-300001739940us-gaap:ServiceMember2021-01-012021-09-300001739940us-gaap:ServiceMember2020-01-012020-09-30iso4217:USDxbrli:shares00017399402021-09-3000017399402020-12-310001739940us-gaap:CommonStockMember2021-06-300001739940us-gaap:AdditionalPaidInCapitalMember2021-06-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2021-06-300001739940us-gaap:RetainedEarningsMember2021-06-300001739940us-gaap:TreasuryStockMember2021-06-300001739940us-gaap:ParentMember2021-06-300001739940us-gaap:NoncontrollingInterestMember2021-06-3000017399402021-06-300001739940us-gaap:AdditionalPaidInCapitalMember2021-07-012021-09-300001739940us-gaap:TreasuryStockMember2021-07-012021-09-300001739940us-gaap:ParentMember2021-07-012021-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2021-07-012021-09-300001739940us-gaap:RetainedEarningsMember2021-07-012021-09-300001739940us-gaap:NoncontrollingInterestMember2021-07-012021-09-300001739940us-gaap:CommonStockMember2021-09-300001739940us-gaap:AdditionalPaidInCapitalMember2021-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2021-09-300001739940us-gaap:RetainedEarningsMember2021-09-300001739940us-gaap:TreasuryStockMember2021-09-300001739940us-gaap:ParentMember2021-09-300001739940us-gaap:NoncontrollingInterestMember2021-09-300001739940us-gaap:CommonStockMember2020-06-300001739940us-gaap:AdditionalPaidInCapitalMember2020-06-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2020-06-300001739940us-gaap:RetainedEarningsMember2020-06-300001739940us-gaap:TreasuryStockMember2020-06-300001739940us-gaap:ParentMember2020-06-300001739940us-gaap:NoncontrollingInterestMember2020-06-3000017399402020-06-300001739940us-gaap:AdditionalPaidInCapitalMember2020-07-012020-09-300001739940us-gaap:TreasuryStockMember2020-07-012020-09-300001739940us-gaap:ParentMember2020-07-012020-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2020-07-012020-09-300001739940us-gaap:RetainedEarningsMember2020-07-012020-09-300001739940us-gaap:NoncontrollingInterestMember2020-07-012020-09-300001739940us-gaap:CommonStockMember2020-09-300001739940us-gaap:AdditionalPaidInCapitalMember2020-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2020-09-300001739940us-gaap:RetainedEarningsMember2020-09-300001739940us-gaap:TreasuryStockMember2020-09-300001739940us-gaap:ParentMember2020-09-300001739940us-gaap:NoncontrollingInterestMember2020-09-3000017399402020-09-300001739940us-gaap:CommonStockMember2020-12-310001739940us-gaap:AdditionalPaidInCapitalMember2020-12-310001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2020-12-310001739940us-gaap:RetainedEarningsMember2020-12-310001739940us-gaap:TreasuryStockMember2020-12-310001739940us-gaap:ParentMember2020-12-310001739940us-gaap:NoncontrollingInterestMember2020-12-310001739940us-gaap:AdditionalPaidInCapitalMember2021-01-012021-09-300001739940us-gaap:TreasuryStockMember2021-01-012021-09-300001739940us-gaap:ParentMember2021-01-012021-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2021-01-012021-09-300001739940us-gaap:RetainedEarningsMember2021-01-012021-09-300001739940us-gaap:NoncontrollingInterestMember2021-01-012021-09-300001739940us-gaap:CommonStockMember2019-12-310001739940us-gaap:AdditionalPaidInCapitalMember2019-12-310001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2019-12-310001739940us-gaap:RetainedEarningsMember2019-12-310001739940us-gaap:TreasuryStockMember2019-12-310001739940us-gaap:ParentMember2019-12-310001739940us-gaap:NoncontrollingInterestMember2019-12-3100017399402019-12-310001739940srt:CumulativeEffectPeriodOfAdoptionAdjustmentMemberus-gaap:RetainedEarningsMember2019-12-310001739940srt:CumulativeEffectPeriodOfAdoptionAdjustmentMemberus-gaap:ParentMember2019-12-310001739940srt:CumulativeEffectPeriodOfAdoptionAdjustmentMember2019-12-310001739940us-gaap:AdditionalPaidInCapitalMember2020-01-012020-09-300001739940us-gaap:TreasuryStockMember2020-01-012020-09-300001739940us-gaap:ParentMember2020-01-012020-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2020-01-012020-09-300001739940us-gaap:RetainedEarningsMember2020-01-012020-09-300001739940us-gaap:NoncontrollingInterestMember2020-01-012020-09-300001739940us-gaap:DisposalGroupHeldforsaleNotDiscontinuedOperationsMemberus-gaap:SubsequentEventMemberci:InternationalLifeAccidentSupplementalBenefitsBusinessesMember2021-10-31xbrli:pure0001739940ci:MDLIVEIncMember2021-04-190001739940ci:MDLIVEIncMember2021-04-192021-04-190001739940ci:EvernorthMemberci:MDLIVEIncMember2021-04-190001739940us-gaap:CustomerRelationshipsMemberci:MDLIVEIncMember2021-04-190001739940us-gaap:CustomerRelationshipsMemberci:MDLIVEIncMember2021-01-012021-09-300001739940ci:USGroupDisabilityAndLifeInsuranceBusinessMemberus-gaap:DisposalGroupDisposedOfBySaleNotDiscontinuedOperationsMember2020-12-312020-12-310001739940us-gaap:EmployeeStockOptionMember2021-07-012021-09-300001739940us-gaap:EmployeeStockOptionMember2020-07-012020-09-300001739940us-gaap:EmployeeStockOptionMember2021-01-012021-09-300001739940us-gaap:EmployeeStockOptionMember2020-01-012020-09-3000017399402021-08-2300017399402021-08-232021-08-230001739940us-gaap:TreasuryStockMember2021-08-232021-08-230001739940us-gaap:AdditionalPaidInCapitalMember2021-08-232021-08-230001739940ci:NotesDue2021637InterestMember2020-12-310001739940ci:NotesDue2021637InterestMember2021-09-300001739940ci:NotesDue2021FloatingRateInterestMember2020-12-310001739940ci:NotesDue2021FloatingRateInterestMember2021-09-300001739940ci:NotesDue202134InterestMember2020-12-310001739940ci:NotesDue202134InterestMember2021-09-300001739940ci:NotesDue20224InterestMember2020-12-310001739940ci:NotesDue20224InterestMember2021-09-300001739940ci:NotesDue202239InterestMember2020-12-310001739940ci:NotesDue202239InterestMember2021-09-300001739940ci:NotesDue2022305InterestMember2021-09-300001739940ci:NotesDue2022305InterestMember2020-12-310001739940ci:NotesDue202383InterestMember2021-09-300001739940ci:NotesDue202383InterestMember2020-12-310001739940ci:NotesDue2023765InterestMember2021-09-300001739940ci:NotesDue2023765InterestMember2020-12-310001739940ci:NotesDue2023FloatingRateInterestMember2021-09-300001739940ci:NotesDue2023FloatingRateInterestMember2020-12-310001739940ci:NotesDue20233InterestMember2021-09-300001739940ci:NotesDue20233InterestMember2020-12-310001739940ci:NotesDue2023375InterestMember2021-09-300001739940ci:NotesDue2023375InterestMember2020-12-310001739940ci:NotesDue2024613InterestMember2021-09-300001739940ci:NotesDue2024613InterestMember2020-12-310001739940ci:NotesDue202435InterestMember2021-09-300001739940ci:NotesDue202435InterestMember2020-12-310001739940ci:NotesDue2025325InterestMember2021-09-300001739940ci:NotesDue2025325InterestMember2020-12-310001739940ci:NotesDue20254125InterestMember2021-09-300001739940ci:NotesDue20254125InterestMember2020-12-310001739940ci:NotesDue202645InterestMember2021-09-300001739940ci:NotesDue202645InterestMember2020-12-310001739940ci:NotesDue2026125Member2021-09-300001739940ci:NotesDue2026125Member2020-12-310001739940ci:NotesDue202734InterestMember2021-09-300001739940ci:NotesDue202734InterestMember2020-12-310001739940ci:DebenturesDue20277875InterestMember2021-09-300001739940ci:DebenturesDue20277875InterestMember2020-12-310001739940ci:NotesDue2027305Member2021-09-300001739940ci:NotesDue2027305Member2020-12-310001739940ci:NotesDue20284375InterestMember2021-09-300001739940ci:NotesDue20284375InterestMember2020-12-310001739940ci:NotesDue203024InterestMember2021-09-300001739940ci:NotesDue203024InterestMember2020-12-310001739940ci:NotesDue20312375InterestMember2021-09-300001739940ci:NotesDue20312375InterestMember2020-12-310001739940ci:StepDownNotesDue203383InterestMember2021-09-300001739940ci:StepDownNotesDue203383InterestMember2020-12-310001739940ci:NotesDue2036615InterestMember2021-09-300001739940ci:NotesDue2036615InterestMember2020-12-310001739940ci:NotesDue203848InterestMember2021-09-300001739940ci:NotesDue203848InterestMember2020-12-310001739940ci:NotesDue204032InterestMember2021-09-300001739940ci:NotesDue204032InterestMember2020-12-310001739940ci:NotesDue20415875InterestMember2021-09-300001739940ci:NotesDue20415875InterestMember2020-12-310001739940ci:NotesDue20416125InterestMember2021-09-300001739940ci:NotesDue20416125InterestMember2020-12-310001739940ci:NotesDue20425375InterestMember2021-09-300001739940ci:NotesDue20425375InterestMember2020-12-310001739940ci:NotesDue204648InterestMember2021-09-300001739940ci:NotesDue204648InterestMember2020-12-310001739940ci:NotesDue20473875Member2021-09-300001739940ci:NotesDue20473875Member2020-12-310001739940ci:NotesDue204849InterestMember2021-09-300001739940ci:NotesDue204849InterestMember2020-12-310001739940ci:NotesDue205034InterestMember2021-09-300001739940ci:NotesDue205034InterestMember2020-12-310001739940ci:NotesDue205134InterestMember2021-09-300001739940ci:NotesDue205134InterestMember2020-12-310001739940us-gaap:SeniorNotesMember2021-03-030001739940us-gaap:SeniorNotesMemberci:NotesDue2024613InterestMember2021-03-030001739940us-gaap:SeniorNotesMemberci:NotesDue2024613InterestMember2021-03-032021-03-030001739940us-gaap:SeniorNotesMemberci:NotesDue2026125Member2021-03-030001739940us-gaap:SeniorNotesMemberci:NotesDue2026125Member2021-03-032021-03-030001739940us-gaap:SeniorNotesMemberci:NotesDue20312375InterestMember2021-03-030001739940us-gaap:SeniorNotesMemberci:NotesDue20312375InterestMember2021-03-032021-03-030001739940us-gaap:SeniorNotesMemberci:NotesDue205134InterestMember2021-03-030001739940us-gaap:SeniorNotesMemberci:NotesDue205134InterestMember2021-03-032021-03-030001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2026RevolvingCreditAndLetterOfCreditFacilityMaturingApril2024And364DayRevolvingCreditAgreementMaturingApril2022Member2021-09-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2026Member2021-04-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2026Member2021-04-012021-04-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2024Member2021-04-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2024Member2021-04-012021-04-30ci:bank0001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2023Member2021-01-012021-09-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2026Memberus-gaap:LetterOfCreditMember2021-04-300001739940ci:A364DayRevolvingCreditAgreementMaturingApril2022Member2021-04-300001739940ci:A364DayRevolvingCreditAgreementMaturingApril2022Member2021-04-012021-04-300001739940ci:A364DayRevolvingCreditAgreementMaturingOctober2021Member2021-04-300001739940ci:A364DayRevolvingCreditAgreementMaturingOctober2021Member2021-04-012021-04-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2026RevolvingCreditAndLetterOfCreditFacilityMaturingApril2024And364DayRevolvingCreditAgreementMaturingApril2022Member2021-04-300001739940us-gaap:CommercialPaperMember2021-09-300001739940ci:USMedicalMember2021-09-300001739940ci:USMedicalMember2020-12-310001739940ci:USMedicalMember2020-09-300001739940ci:InternationalMarketsAndGroupDisabilityAndOtherMember2021-09-300001739940ci:InternationalMarketsAndGroupDisabilityAndOtherMember2020-12-310001739940ci:InternationalMarketsAndGroupDisabilityAndOtherMember2020-09-300001739940ci:USMedicalMember2019-12-310001739940ci:USMedicalMember2021-01-012021-09-300001739940ci:USMedicalMember2020-01-012020-09-300001739940ci:USMedicalMemberci:CompletionFactorsMember2021-01-012021-09-300001739940ci:USMedicalMemberci:CompletionFactorsMember2020-01-012020-09-300001739940ci:USMedicalMemberci:MedicalCostTrendMember2021-01-012021-09-300001739940ci:USMedicalMemberci:MedicalCostTrendMember2020-01-012020-09-300001739940ci:GroupDisabilityAndLifeMember2021-09-300001739940ci:GroupDisabilityAndLifeMember2020-09-300001739940us-gaap:AllOtherSegmentsMember2021-09-300001739940us-gaap:AllOtherSegmentsMember2020-09-300001739940ci:GroupDisabilityAndOtherMember2021-09-300001739940ci:GroupDisabilityAndOtherMember2020-09-300001739940ci:InternationalMarketsMember2021-09-300001739940ci:InternationalMarketsMember2020-09-300001739940ci:GroupDisabilityAndOtherAndInternationalMarketsMember2021-09-300001739940ci:GroupDisabilityAndOtherAndInternationalMarketsMember2020-09-300001739940ci:InternationalMarketsMember2020-12-310001739940ci:InternationalMarketsGroupDisabilityAndLifeMember2019-12-310001739940ci:InternationalMarketsMember2021-01-012021-09-300001739940ci:InternationalMarketsGroupDisabilityAndLifeMember2020-01-012020-09-300001739940ci:InternationalMarketsGroupDisabilityAndLifeMember2020-09-300001739940us-gaap:OtherCurrentAssetsMember2021-09-300001739940us-gaap:OtherCurrentAssetsMember2020-12-310001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:OngoingOperationsMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:OngoingOperationsMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940us-gaap:CededCreditRiskUnsecuredMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:OngoingOperationsMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:OngoingOperationsMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROBBBToBBBRatingMemberci:OngoingOperationsMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROBBBToBBBRatingMemberci:OngoingOperationsMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940us-gaap:CededCreditRiskUnsecuredMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROBBBToBBBRatingMemberci:OngoingOperationsMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROBBBToBBBRatingMemberci:OngoingOperationsMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberci:OngoingOperationsMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberci:OngoingOperationsMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberus-gaap:CededCreditRiskUnsecuredMemberci:OngoingOperationsMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberci:OngoingOperationsMember2021-09-300001739940ci:OngoingOperationsMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:OngoingOperationsMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940us-gaap:CededCreditRiskUnsecuredMemberci:OngoingOperationsMember2021-09-300001739940ci:OngoingOperationsMember2021-09-300001739940ci:LincolnNationalLifeInsuranceCompanyAndLincolnLifeAndAnnuityOfNewYorkMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:LincolnNationalLifeInsuranceCompanyAndLincolnLifeAndAnnuityOfNewYorkMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940ci:LincolnNationalLifeInsuranceCompanyAndLincolnLifeAndAnnuityOfNewYorkMemberus-gaap:CededCreditRiskUnsecuredMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:LincolnNationalLifeInsuranceCompanyAndLincolnLifeAndAnnuityOfNewYorkMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMemberci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMemberci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMember2021-09-300001739940us-gaap:CededCreditRiskUnsecuredMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:PrudentialRetirementInsuranceAndAnnuityCompanyMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:PrudentialRetirementInsuranceAndAnnuityCompanyMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940us-gaap:CededCreditRiskUnsecuredMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:PrudentialRetirementInsuranceAndAnnuityCompanyMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:PrudentialRetirementInsuranceAndAnnuityCompanyMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:LifeInsuranceCompanyOfNorthAmericaMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:LifeInsuranceCompanyOfNorthAmericaMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940ci:LifeInsuranceCompanyOfNorthAmericaMemberus-gaap:CededCreditRiskUnsecuredMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:LifeInsuranceCompanyOfNorthAmericaMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:OtherReinsurersMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:OtherReinsurersMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940us-gaap:CededCreditRiskUnsecuredMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:OtherReinsurersMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:OtherReinsurersMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberus-gaap:CededCreditRiskUnsecuredMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940us-gaap:CededCreditRiskUnsecuredMemberci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMember2021-09-300001739940ci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2021-09-300001739940ci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2021-09-300001739940us-gaap:CededCreditRiskUnsecuredMember2021-09-300001739940ci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMemberus-gaap:VariableAnnuityMember2021-09-300001739940us-gaap:GuaranteedMinimumDeathBenefitMemberus-gaap:VariableAnnuityMember2021-09-300001739940us-gaap:GuaranteedMinimumDeathBenefitMemberus-gaap:VariableAnnuityMember2020-12-31ci:contractholder0001739940us-gaap:GuaranteedMinimumDeathBenefitMemberus-gaap:VariableAnnuityMember2021-01-012021-09-300001739940us-gaap:GuaranteedMinimumDeathBenefitMemberus-gaap:VariableAnnuityMember2019-01-012019-12-310001739940us-gaap:GuaranteedMinimumIncomeBenefitMember2021-01-012021-09-300001739940us-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2021-09-300001739940us-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2020-12-31ci:reinsurer0001739940us-gaap:GuaranteedMinimumIncomeBenefitMember2020-12-310001739940us-gaap:GuaranteedMinimumIncomeBenefitMember2021-09-300001739940us-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMemberci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMember2021-09-300001739940us-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMemberci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMember2020-12-310001739940us-gaap:CededCreditRiskSecuredMemberci:GuaranteedMinimumIncomeBenefitsAssetsMemberci:CededCreditCollateralizationRiskMemberus-gaap:GuaranteedMinimumIncomeBenefitMemberci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMember2021-01-012021-09-300001739940ci:SunLifeAssuranceCompanyOfCanadaMemberus-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2021-09-300001739940ci:SunLifeAssuranceCompanyOfCanadaMemberus-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2020-12-310001739940us-gaap:OtherContractMemberci:LibertyMutualInsuranceMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2021-09-300001739940us-gaap:OtherContractMemberci:LibertyMutualInsuranceMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2020-12-310001739940us-gaap:CededCreditRiskSecuredMemberci:GuaranteedMinimumIncomeBenefitsAssetsMemberci:CededCreditCollateralizationRiskMemberci:LibertyMutualInsuranceMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2021-01-012021-09-300001739940us-gaap:DebtSecuritiesMember2021-09-300001739940us-gaap:DebtSecuritiesMember2020-12-310001739940us-gaap:EquitySecuritiesMember2021-09-300001739940us-gaap:EquitySecuritiesMember2020-12-310001739940us-gaap:MortgagesMember2021-09-300001739940us-gaap:MortgagesMember2020-12-310001739940us-gaap:PolicyLoansMember2021-09-300001739940us-gaap:PolicyLoansMember2020-12-310001739940us-gaap:OtherLongTermInvestmentsMember2021-09-300001739940us-gaap:OtherLongTermInvestmentsMember2020-12-310001739940us-gaap:ShortTermInvestmentsMember2021-09-300001739940us-gaap:ShortTermInvestmentsMember2020-12-310001739940us-gaap:USTreasuryAndGovernmentMember2021-09-300001739940us-gaap:USStatesAndPoliticalSubdivisionsMember2021-09-300001739940us-gaap:ForeignGovernmentDebtSecuritiesMember2021-09-300001739940us-gaap:CorporateDebtSecuritiesMember2021-09-300001739940us-gaap:AssetBackedSecuritiesMember2021-09-300001739940ci:RunoffSettlementAnnuityBusinessMember2021-09-300001739940us-gaap:USTreasuryAndGovernmentMember2020-12-310001739940us-gaap:USStatesAndPoliticalSubdivisionsMember2020-12-310001739940us-gaap:ForeignGovernmentDebtSecuritiesMember2020-12-310001739940us-gaap:CorporateDebtSecuritiesMember2020-12-310001739940us-gaap:AssetBackedSecuritiesMember2020-12-310001739940ci:RunoffSettlementAnnuityBusinessMember2020-12-310001739940ci:InvestmentGradeMember2021-09-30ci:position0001739940ci:InvestmentGradeMember2020-12-310001739940ci:BelowInvestmentGradeMember2021-09-300001739940ci:BelowInvestmentGradeMember2020-12-310001739940us-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMemberci:LtvLessThan60PercentMember2021-09-300001739940srt:WeightedAverageMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMemberci:LtvLessThan60PercentMember2021-01-012021-09-300001739940us-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMemberci:LtvLessThan60PercentMember2020-12-310001739940srt:WeightedAverageMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMemberci:LtvLessThan60PercentMember2020-01-012020-12-310001739940ci:Ltv60To79PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-09-300001739940srt:WeightedAverageMemberci:Ltv60To79PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-01-012021-09-300001739940ci:Ltv60To79PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2020-12-310001739940srt:WeightedAverageMemberci:Ltv60To79PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2020-01-012020-12-310001739940us-gaap:Ltv80To100PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-09-300001739940srt:WeightedAverageMemberus-gaap:Ltv80To100PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-01-012021-09-300001739940us-gaap:Ltv80To100PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2020-12-310001739940srt:WeightedAverageMemberus-gaap:Ltv80To100PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2020-01-012020-12-310001739940us-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-09-300001739940us-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2020-12-310001739940srt:WeightedAverageMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-01-012021-09-300001739940srt:WeightedAverageMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2020-01-012020-12-310001739940us-gaap:RealEstateInvestmentMember2021-09-300001739940us-gaap:RealEstateInvestmentMember2020-12-310001739940srt:PartnershipInterestMember2021-09-300001739940srt:PartnershipInterestMember2020-12-310001739940us-gaap:OtherInvestmentsMember2021-09-300001739940us-gaap:OtherInvestmentsMember2020-12-310001739940us-gaap:CurrencySwapMemberus-gaap:FairValueHedgingMemberus-gaap:DesignatedAsHedgingInstrumentMember2021-09-300001739940us-gaap:CurrencySwapMemberus-gaap:FairValueHedgingMemberus-gaap:DesignatedAsHedgingInstrumentMember2020-12-310001739940us-gaap:FairValueHedgingMemberus-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:InterestRateSwapMember2021-09-300001739940us-gaap:FairValueHedgingMemberus-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:InterestRateSwapMember2020-12-310001739940us-gaap:CurrencySwapMemberus-gaap:NetInvestmentHedgingMemberus-gaap:DesignatedAsHedgingInstrumentMember2021-09-300001739940us-gaap:CurrencySwapMemberus-gaap:NetInvestmentHedgingMemberus-gaap:DesignatedAsHedgingInstrumentMember2020-12-310001739940us-gaap:ForeignExchangeForwardMemberus-gaap:NetInvestmentHedgingMemberus-gaap:DesignatedAsHedgingInstrumentMember2021-09-300001739940us-gaap:ForeignExchangeForwardMemberus-gaap:NetInvestmentHedgingMemberus-gaap:DesignatedAsHedgingInstrumentMember2020-12-310001739940us-gaap:ForeignExchangeForwardMemberus-gaap:NotDesignatedAsHedgingInstrumentEconomicHedgeMember2021-09-300001739940us-gaap:ForeignExchangeForwardMemberus-gaap:NotDesignatedAsHedgingInstrumentEconomicHedgeMember2020-12-310001739940us-gaap:ForeignExchangeOptionMemberus-gaap:NotDesignatedAsHedgingInstrumentEconomicHedgeMember2021-09-300001739940us-gaap:ForeignExchangeOptionMemberus-gaap:NotDesignatedAsHedgingInstrumentEconomicHedgeMember2020-12-3100017399402021-01-012021-06-300001739940us-gaap:USTreasuryAndGovernmentMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:USTreasuryAndGovernmentMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:USTreasuryAndGovernmentMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:USTreasuryAndGovernmentMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:USTreasuryAndGovernmentMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:USTreasuryAndGovernmentMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:USTreasuryAndGovernmentMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:USTreasuryAndGovernmentMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:CorporateDebtSecuritiesMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:CorporateDebtSecuritiesMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:CorporateDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:CorporateDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:CorporateDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:CorporateDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:CorporateDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:CorporateDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940ci:ForwardContractsSwapsOptionsMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940ci:ForwardContractsSwapsOptionsMemberus-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel2Memberci:ForwardContractsSwapsOptionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel2Memberci:ForwardContractsSwapsOptionsMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:FairValueInputsLevel3Memberci:ForwardContractsSwapsOptionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:FairValueInputsLevel3Memberci:ForwardContractsSwapsOptionsMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940ci:ForwardContractsSwapsOptionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940ci:ForwardContractsSwapsOptionsMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940ci:ForwardContractsSwapsOptionsMemberus-gaap:ShortTermInvestmentsMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940ci:CorporateAndGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2021-09-300001739940ci:CorporateAndGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2020-12-310001739940ci:CorporateAndGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMembersrt:MinimumMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2021-09-300001739940ci:CorporateAndGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMembersrt:MaximumMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2021-09-300001739940srt:WeightedAverageMemberci:CorporateAndGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2021-09-300001739940ci:CorporateAndGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMembersrt:MinimumMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2020-12-310001739940ci:CorporateAndGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMembersrt:MaximumMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2020-12-310001739940srt:WeightedAverageMemberci:CorporateAndGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2020-12-310001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2021-09-300001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2020-12-310001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMembersrt:MinimumMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2021-09-300001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMembersrt:MaximumMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2021-09-300001739940srt:WeightedAverageMemberus-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2021-09-300001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMembersrt:MinimumMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2020-12-310001739940us-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMembersrt:MaximumMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2020-12-310001739940srt:WeightedAverageMemberus-gaap:AssetBackedSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMemberci:UnobservableInputsDevelopedByCompanyMember2020-12-310001739940us-gaap:DebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:UnobservableInputsNotDevelopedByCompanyMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:DebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberci:UnobservableInputsNotDevelopedByCompanyMemberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940us-gaap:DebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940us-gaap:DebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2020-12-310001739940ci:DebtAndEquitySecuritiesMember2021-06-300001739940ci:DebtAndEquitySecuritiesMember2020-06-300001739940ci:DebtAndEquitySecuritiesMember2020-12-310001739940ci:DebtAndEquitySecuritiesMember2019-12-310001739940ci:DebtAndEquitySecuritiesMember2021-07-012021-09-300001739940ci:DebtAndEquitySecuritiesMember2020-07-012020-09-300001739940ci:DebtAndEquitySecuritiesMember2021-01-012021-09-300001739940ci:DebtAndEquitySecuritiesMember2020-01-012020-09-300001739940ci:DebtAndEquitySecuritiesMember2021-09-300001739940ci:DebtAndEquitySecuritiesMember2020-09-300001739940us-gaap:FairValueInputsLevel1Member2021-09-300001739940us-gaap:FairValueInputsLevel1Member2020-12-310001739940us-gaap:FairValueInputsLevel2Member2021-09-300001739940us-gaap:FairValueInputsLevel2Member2020-12-310001739940us-gaap:FairValueInputsLevel3Member2021-09-300001739940us-gaap:FairValueInputsLevel3Member2020-12-310001739940us-gaap:PensionPlansDefinedBenefitMember2021-09-300001739940us-gaap:PensionPlansDefinedBenefitMember2020-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:PensionPlansDefinedBenefitMember2020-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:PensionPlansDefinedBenefitMember2021-09-300001739940srt:PartnershipInterestMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2021-09-300001739940srt:PartnershipInterestMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2020-12-310001739940srt:PartnershipInterestMemberci:SeparateAccountAssetsMember2021-09-300001739940us-gaap:RealEstateFundsMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2021-09-300001739940us-gaap:RealEstateFundsMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2020-12-310001739940us-gaap:RealEstateFundsMemberci:SeparateAccountAssetsMember2021-09-300001739940us-gaap:RealEstateFundsMembersrt:MinimumMemberci:SeparateAccountAssetsMember2021-01-012021-09-300001739940us-gaap:RealEstateFundsMemberci:SeparateAccountAssetsMembersrt:MaximumMember2021-01-012021-09-300001739940ci:SeparateAccountAssetsMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:HedgeFundsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2021-09-300001739940ci:SeparateAccountAssetsMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:HedgeFundsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2020-12-310001739940ci:SeparateAccountAssetsMemberus-gaap:HedgeFundsMember2021-09-300001739940srt:MinimumMemberci:SeparateAccountAssetsMemberus-gaap:HedgeFundsMember2021-01-012021-09-300001739940ci:SeparateAccountAssetsMembersrt:MaximumMemberus-gaap:HedgeFundsMember2021-01-012021-09-300001739940ci:SeparateAccountAssetsMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2021-09-300001739940ci:SeparateAccountAssetsMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2020-12-310001739940ci:SeparateAccountAssetsMember2021-09-300001739940srt:PartnershipInterestMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasurementsRecurringMember2021-01-012021-09-300001739940us-gaap:EstimateOfFairValueFairValueDisclosureMemberus-gaap:FairValueInputsLevel3Member2021-09-300001739940us-gaap:CarryingReportedAmountFairValueDisclosureMember2021-09-300001739940us-gaap:EstimateOfFairValueFairValueDisclosureMemberus-gaap:FairValueInputsLevel3Member2020-12-310001739940us-gaap:CarryingReportedAmountFairValueDisclosureMember2020-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2021-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2020-12-310001739940ci:ForwardContractsSwapsOptionsMemberus-gaap:ShortTermInvestmentsMemberus-gaap:FairValueMeasurementsRecurringMember2021-09-300001739940ci:SeparateAccountAssetsMember2021-07-012021-09-300001739940ci:SeparateAccountAssetsMember2020-07-012020-09-300001739940ci:SeparateAccountAssetsMember2021-01-012021-09-300001739940ci:SeparateAccountAssetsMember2020-01-012020-09-30ci:entity0001739940us-gaap:VariableInterestEntityPrimaryBeneficiaryMember2021-09-300001739940us-gaap:VariableInterestEntityPrimaryBeneficiaryMember2020-12-310001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2021-06-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2020-06-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2020-12-310001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2019-12-310001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2021-07-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2020-07-012020-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2021-01-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2020-01-012020-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesRealizedInvestmentGainsLossesParentMember2021-07-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesRealizedInvestmentGainsLossesParentMember2020-07-012020-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesRealizedInvestmentGainsLossesParentMember2021-01-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesRealizedInvestmentGainsLossesParentMember2020-01-012020-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2020-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2021-06-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2020-06-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2020-12-310001739940us-gaap:AccumulatedTranslationAdjustmentMember2019-12-310001739940us-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2021-07-012021-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2020-07-012020-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2021-01-012021-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2020-01-012020-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentAttributableToNoncontrollingInterestMember2021-07-012021-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentAttributableToNoncontrollingInterestMember2020-07-012020-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentAttributableToNoncontrollingInterestMember2021-01-012021-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentAttributableToNoncontrollingInterestMember2020-01-012020-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2021-07-012021-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2020-07-012020-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2021-01-012021-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2020-01-012020-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2021-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2020-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2021-06-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2020-06-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2020-12-310001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2019-12-310001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentNetUnamortizedGainLossMember2021-07-012021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentNetUnamortizedGainLossMember2020-07-012020-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentNetUnamortizedGainLossMember2021-01-012021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentNetUnamortizedGainLossMember2020-01-012020-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentSettlementMember2021-07-012021-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentSettlementMember2020-07-012020-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentSettlementMember2021-01-012021-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentSettlementMember2020-01-012020-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2021-07-012021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2020-07-012020-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2021-01-012021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2020-01-012020-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2020-09-300001739940ci:RetirementAndLifeInsuranceContractsMemberus-gaap:FinancialGuaranteeMember2021-01-012021-09-300001739940ci:RetirementAndLifeInsuranceContractsMemberus-gaap:FinancialGuaranteeMember2021-09-300001739940us-gaap:IndemnificationGuaranteeMember2021-09-300001739940ci:CSRLitigationWithTheFederalGovernmentMember2020-05-310001739940us-gaap:SettledLitigationMemberci:CollectibilityOfRiskCorridorPaymentsReceivableMemberci:CSRLitigationWithTheFederalGovernmentMember2020-05-310001739940ci:CollectibilityOfCostSharingReductionCSRReceivableMemberus-gaap:PendingLitigationMemberci:CSRLitigationWithTheFederalGovernmentMember2020-05-310001739940us-gaap:SettledLitigationMemberci:CollectibilityOfRiskCorridorPaymentsReceivableMemberci:CSRLitigationWithTheFederalGovernmentMember2020-09-012020-09-300001739940ci:PricingConcessionsThroughRemainingContractTermMemberus-gaap:PendingLitigationMemberci:ExpressScriptsLitigationWithAnthemMember2016-03-012016-03-310001739940us-gaap:PendingLitigationMemberci:PricingConcessionsAfterRemainingTermOfAgreementMemberci:ExpressScriptsLitigationWithAnthemMember2016-03-012016-03-310001739940us-gaap:PendingLitigationMemberci:ExpressScriptsLitigationWithAnthemMemberci:DamagesForServiceIssuesMember2016-03-012016-03-31ci:claim0001739940us-gaap:PendingLitigationMemberci:ExpressScriptsLitigationWithAnthemMember2016-04-192016-04-190001739940us-gaap:PendingLitigationMemberci:ExpressScriptsLitigationWithAnthemMember2016-04-190001739940us-gaap:InsuranceRelatedAssessmentsMember2021-01-012021-09-300001739940ci:LitigationMattersAndRegulatoryMattersMember2021-09-300001739940ci:EvernorthMember2021-07-012021-09-300001739940ci:USMedicalMember2021-07-012021-09-300001739940ci:InternationalMarketsMember2021-07-012021-09-300001739940ci:GroupDisabilityAndOtherMember2021-07-012021-09-300001739940us-gaap:CorporateNonSegmentMember2021-07-012021-09-300001739940ci:EvernorthMemberus-gaap:IntersegmentEliminationMember2021-07-012021-09-300001739940ci:USMedicalMemberus-gaap:IntersegmentEliminationMember2021-07-012021-09-300001739940ci:InternationalMarketsMemberus-gaap:IntersegmentEliminationMember2021-07-012021-09-300001739940us-gaap:IntersegmentEliminationMemberci:GroupDisabilityAndOtherMember2021-07-012021-09-300001739940us-gaap:IntersegmentEliminationMember2021-07-012021-09-300001739940ci:EvernorthMemberus-gaap:OperatingSegmentsMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:USMedicalMember2021-07-012021-09-300001739940ci:InternationalMarketsMemberus-gaap:OperatingSegmentsMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:GroupDisabilityAndOtherMember2021-07-012021-09-300001739940ci:CorporateAndEliminationsMember2021-07-012021-09-300001739940ci:EvernorthMember2020-07-012020-09-300001739940ci:USMedicalMember2020-07-012020-09-300001739940ci:InternationalMarketsMember2020-07-012020-09-300001739940ci:GroupDisabilityAndOtherMember2020-07-012020-09-300001739940us-gaap:CorporateNonSegmentMember2020-07-012020-09-300001739940ci:EvernorthMemberus-gaap:IntersegmentEliminationMember2020-07-012020-09-300001739940ci:USMedicalMemberus-gaap:IntersegmentEliminationMember2020-07-012020-09-300001739940ci:InternationalMarketsMemberus-gaap:IntersegmentEliminationMember2020-07-012020-09-300001739940us-gaap:IntersegmentEliminationMemberci:GroupDisabilityAndOtherMember2020-07-012020-09-300001739940us-gaap:IntersegmentEliminationMember2020-07-012020-09-300001739940ci:EvernorthMemberus-gaap:OperatingSegmentsMember2020-07-012020-09-300001739940us-gaap:OperatingSegmentsMemberci:USMedicalMember2020-07-012020-09-300001739940ci:InternationalMarketsMemberus-gaap:OperatingSegmentsMember2020-07-012020-09-300001739940us-gaap:OperatingSegmentsMemberci:GroupDisabilityAndOtherMember2020-07-012020-09-300001739940ci:CorporateAndEliminationsMember2020-07-012020-09-300001739940ci:EvernorthMember2021-01-012021-09-300001739940ci:GroupDisabilityAndOtherMember2021-01-012021-09-300001739940us-gaap:CorporateNonSegmentMember2021-01-012021-09-300001739940ci:EvernorthMemberus-gaap:IntersegmentEliminationMember2021-01-012021-09-300001739940ci:USMedicalMemberus-gaap:IntersegmentEliminationMember2021-01-012021-09-300001739940ci:InternationalMarketsMemberus-gaap:IntersegmentEliminationMember2021-01-012021-09-300001739940us-gaap:IntersegmentEliminationMemberci:GroupDisabilityAndOtherMember2021-01-012021-09-300001739940us-gaap:IntersegmentEliminationMember2021-01-012021-09-300001739940ci:EvernorthMemberus-gaap:OperatingSegmentsMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:USMedicalMember2021-01-012021-09-300001739940ci:InternationalMarketsMemberus-gaap:OperatingSegmentsMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:GroupDisabilityAndOtherMember2021-01-012021-09-300001739940ci:CorporateAndEliminationsMember2021-01-012021-09-300001739940ci:EvernorthMember2020-01-012020-09-300001739940ci:InternationalMarketsMember2020-01-012020-09-300001739940ci:GroupDisabilityAndOtherMember2020-01-012020-09-300001739940us-gaap:CorporateNonSegmentMember2020-01-012020-09-300001739940ci:EvernorthMemberus-gaap:IntersegmentEliminationMember2020-01-012020-09-300001739940ci:USMedicalMemberus-gaap:IntersegmentEliminationMember2020-01-012020-09-300001739940ci:InternationalMarketsMemberus-gaap:IntersegmentEliminationMember2020-01-012020-09-300001739940us-gaap:IntersegmentEliminationMemberci:GroupDisabilityAndOtherMember2020-01-012020-09-300001739940us-gaap:IntersegmentEliminationMember2020-01-012020-09-300001739940ci:EvernorthMemberus-gaap:OperatingSegmentsMember2020-01-012020-09-300001739940us-gaap:OperatingSegmentsMemberci:USMedicalMember2020-01-012020-09-300001739940ci:InternationalMarketsMemberus-gaap:OperatingSegmentsMember2020-01-012020-09-300001739940us-gaap:OperatingSegmentsMemberci:GroupDisabilityAndOtherMember2020-01-012020-09-300001739940ci:CorporateAndEliminationsMember2020-01-012020-09-300001739940ci:NetworkPharmacyMember2021-07-012021-09-300001739940ci:NetworkPharmacyMember2020-07-012020-09-300001739940ci:NetworkPharmacyMember2021-01-012021-09-300001739940ci:NetworkPharmacyMember2020-01-012020-09-300001739940ci:HomeDeliveryAndSpecialtyMember2021-07-012021-09-300001739940ci:HomeDeliveryAndSpecialtyMember2020-07-012020-09-300001739940ci:HomeDeliveryAndSpecialtyMember2021-01-012021-09-300001739940ci:HomeDeliveryAndSpecialtyMember2020-01-012020-09-300001739940ci:OtherPharmacyMember2021-07-012021-09-300001739940ci:OtherPharmacyMember2020-07-012020-09-300001739940ci:OtherPharmacyMember2021-01-012021-09-300001739940ci:OtherPharmacyMember2020-01-012020-09-300001739940ci:USMedicalMemberci:MedicalRiskProductsMember2021-07-012021-09-300001739940ci:USMedicalMemberci:MedicalRiskProductsMember2020-07-012020-09-300001739940ci:USMedicalMemberci:MedicalRiskProductsMember2021-01-012021-09-300001739940ci:USMedicalMemberci:MedicalRiskProductsMember2020-01-012020-09-300001739940ci:StopLossMemberci:USMedicalMember2021-07-012021-09-300001739940ci:StopLossMemberci:USMedicalMember2020-07-012020-09-300001739940ci:StopLossMemberci:USMedicalMember2021-01-012021-09-300001739940ci:StopLossMemberci:USMedicalMember2020-01-012020-09-300001739940ci:USMedicalMemberci:OtherCommercialMedicalProductsMember2021-07-012021-09-300001739940ci:USMedicalMemberci:OtherCommercialMedicalProductsMember2020-07-012020-09-300001739940ci:USMedicalMemberci:OtherCommercialMedicalProductsMember2021-01-012021-09-300001739940ci:USMedicalMemberci:OtherCommercialMedicalProductsMember2020-01-012020-09-300001739940ci:MedicareAdvantageMemberci:USMedicalMember2021-07-012021-09-300001739940ci:MedicareAdvantageMemberci:USMedicalMember2020-07-012020-09-300001739940ci:MedicareAdvantageMemberci:USMedicalMember2021-01-012021-09-300001739940ci:MedicareAdvantageMemberci:USMedicalMember2020-01-012020-09-300001739940ci:USMedicalMemberci:MedicarePartDMember2021-07-012021-09-300001739940ci:USMedicalMemberci:MedicarePartDMember2020-07-012020-09-300001739940ci:USMedicalMemberci:MedicarePartDMember2021-01-012021-09-300001739940ci:USMedicalMemberci:MedicarePartDMember2020-01-012020-09-300001739940ci:OtherGovernmentProductsMemberci:USMedicalMember2021-07-012021-09-300001739940ci:OtherGovernmentProductsMemberci:USMedicalMember2020-07-012020-09-300001739940ci:OtherGovernmentProductsMemberci:USMedicalMember2021-01-012021-09-300001739940ci:OtherGovernmentProductsMemberci:USMedicalMember2020-01-012020-09-300001739940ci:USMedicalProductsMemberci:USMedicalMember2021-07-012021-09-300001739940ci:USMedicalProductsMemberci:USMedicalMember2020-07-012020-09-300001739940ci:USMedicalProductsMemberci:USMedicalMember2021-01-012021-09-300001739940ci:USMedicalProductsMemberci:USMedicalMember2020-01-012020-09-300001739940ci:DisabilityLifeAccidentMember2021-07-012021-09-300001739940ci:DisabilityLifeAccidentMember2020-07-012020-09-300001739940ci:DisabilityLifeAccidentMember2021-01-012021-09-300001739940ci:DisabilityLifeAccidentMember2020-01-012020-09-300001739940ci:OtherPremiumsMember2021-07-012021-09-300001739940ci:OtherPremiumsMember2020-07-012020-09-300001739940ci:OtherPremiumsMember2021-01-012021-09-300001739940ci:OtherPremiumsMember2020-01-012020-09-300001739940ci:ServiceFeesMember2021-07-012021-09-300001739940ci:ServiceFeesMember2020-07-012020-09-300001739940ci:ServiceFeesMember2021-01-012021-09-300001739940ci:ServiceFeesMember2020-01-012020-09-300001739940us-gaap:ServiceOtherMember2021-07-012021-09-300001739940us-gaap:ServiceOtherMember2020-07-012020-09-300001739940us-gaap:ServiceOtherMember2021-01-012021-09-300001739940us-gaap:ServiceOtherMember2020-01-012020-09-300001739940ci:PharmacyBenefitsManagementServicesMemberus-gaap:PerformanceGuaranteeMember2021-09-300001739940ci:PharmacyBenefitsManagementServicesMemberus-gaap:PerformanceGuaranteeMember2020-12-31

UNITED STATES
SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549
FORM 10-Q
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2021
OR
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from _____ to _____
Commission file number 1-38769
Cigna Corporation
(Exact name of registrant as specified in its charter)
Delaware82-4991898
(State or other jurisdiction(I.R.S. Employer
of incorporation or organization)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, former address and former fiscal year, if changed since last report)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, Par Value $0.01CI
New York Stock Exchange, Inc.
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. Yes x No _
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). Yes x No _
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company or an emerging growth company. See definitions of “large accelerated filer,” “accelerated filer,” “smaller reporting company,” and “emerging growth company” in Rule 12b-2 of the Exchange Act.
Large accelerated filerAccelerated filer
Non-accelerated filerSmaller reporting company
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.
Yes _
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).
Yes No
As of October 29, 2021, 331,427,775 shares of the issuer’s common stock were outstanding.



Cigna Corporation
As used herein, “Cigna” or the “Company” refers to one or more of Cigna Corporation and its consolidated
subsidiaries.



Part I. FINANCIAL INFORMATION
Item 1. FINANCIAL STATEMENTS
a
Cigna Corporation
Consolidated Statements of Income
UnauditedUnaudited
Three Months Ended September 30,Nine Months Ended September 30,
(In millions, except per share amounts)2021202020212020
Revenues
Pharmacy revenues$31,013 $27,802 $89,085 $79,464 
Premiums10,275 10,682 30,812 31,928 
Fees and other revenues2,532 2,174 7,324 6,424 
Net investment income468 297 1,169 873 
TOTAL REVENUES44,288 40,955 128,390 118,689 
Benefits and expenses
Pharmacy and other service costs30,070 26,624 86,306 76,425 
Medical costs and other benefit expenses8,330 8,429 24,819 23,863 
Selling, general and administrative expenses3,093 3,301 9,368 10,106 
Amortization of acquired intangible assets501 493 1,499 1,487 
TOTAL BENEFITS AND EXPENSES41,994 38,847 121,992 111,881 
Income from operations2,294 2,108 6,398 6,808 
Interest expense and other(303)(336)(915)(1,101)
Debt extinguishment costs  (141)(199)
Net realized investment gains (losses)68 32 128 (18)
Income before income taxes2,059 1,804 5,470 5,490 
TOTAL INCOME TAXES424 406 1,188 1,143 
Net income1,635 1,398 4,282 4,347 
Less: Net income attributable to noncontrolling interests14 10 33 24 
SHAREHOLDERS' NET INCOME$1,621 $1,388 $4,249 $4,323 
Shareholders’ net income per share
Basic$4.84 $3.81 $12.44 $11.77 
Diluted$4.80 $3.78 $12.32 $11.66 
The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
3


Cigna Corporation
Consolidated Statements of Comprehensive Income
UnauditedUnaudited
Three Months Ended September 30,Nine Months Ended September 30,
(In millions)2021202020212020
Net income$1,635 $1,398 $4,282 $4,347 
Other comprehensive income (loss), net of tax
Net unrealized appreciation (depreciation) on securities and derivatives32 120 (119)401 
Net translation gains (losses) on foreign currencies(125)109 (228)4 
Postretirement benefits liability adjustment16 14 49 (15)
Other comprehensive income (loss), net of tax(77)243 (298)390 
Total comprehensive income1,558 1,641 3,984 4,737 
Comprehensive income (loss) attributable to noncontrolling interests
Net income attributable to redeemable noncontrolling interest4 4 12 12 
Net income attributable to other noncontrolling interests10 6 21 12 
Other comprehensive (loss) attributable to redeemable noncontrolling interest(1)(4)(6)(10)
Total comprehensive income attributable to noncontrolling interests13 6 27 14 
SHAREHOLDERS' COMPREHENSIVE INCOME$1,545 $1,635 $3,957 $4,723 
The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
4


Cigna Corporation
Consolidated Balance Sheets
Unaudited
As of
September 30,
As of
December 31,
(In millions)20212020
Assets
Cash and cash equivalents$3,483 $10,182 
Investments1,374 1,331 
Accounts receivable, net16,250 12,191 
Inventories3,020 3,165 
Other current assets1,360 930 
Total current assets25,487 27,799 
Long-term investments23,756 23,262 
Reinsurance recoverables5,035 5,200 
Deferred policy acquisition costs3,367 3,385 
Property and equipment4,070 4,205 
Goodwill46,056 44,648 
Other intangible assets34,615 35,179 
Other assets2,715 2,687 
Separate account assets9,150 9,086 
TOTAL ASSETS$154,251 $155,451 
Liabilities
Current insurance and contractholder liabilities$5,917 $5,308 
Pharmacy and other service costs payable14,705 13,347 
Accounts payable5,659 5,478 
Accrued expenses and other liabilities7,356 8,515 
Short-term debt2,703 3,374 
Total current liabilities36,340 36,022 
Non-current insurance and contractholder liabilities16,576 16,844 
Deferred tax liabilities, net8,832 8,939 
Other non-current liabilities4,261 4,629 
Long-term debt31,609 29,545 
Separate account liabilities9,150 9,086 
TOTAL LIABILITIES106,768 105,065 
Contingencies — Note 15
Redeemable noncontrolling interests56 58 
Shareholders’ equity
Common stock (1)
4 4 
Additional paid-in capital29,077 28,975 
Accumulated other comprehensive loss(1,153)(861)
Retained earnings31,803 28,575 
Less: Treasury stock, at cost(12,316)(6,372)
TOTAL SHAREHOLDERS’ EQUITY47,415 50,321 
Other noncontrolling interests12 7 
Total equity47,427 50,328 
Total liabilities and equity$154,251 $155,451 
(1)Par value per share, $0.01; shares issued, 394 million as of September 30, 2021 and 390 million as of December 31, 2020; authorized shares, 600 million.
The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
5


Cigna Corporation
Consolidated Statements of Changes in Total Equity
Unaudited
Three Months Ended September 30, 2021
(In millions)Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive (Loss)Retained EarningsTreasury StockShareholders’ EquityOther Non- controlling InterestsTotal EquityRedeemable Noncontrolling Interests
Balance at June 30, 2021$4 $29,403 $(1,077)$30,513 $(10,134)$48,709 $7 $48,716 $51 
Effects of issuing stock for employee benefits plans76 (1)75 75 
Other comprehensive (loss)(76)(76)(76)(1)
Net income1,621 1,621 10 1,631 4 
Common dividends declared (per share: $1.00)
(331)(331)(331)
Repurchase of common stock(400)(2,181)(2,581)(2,581)
Other transactions impacting noncontrolling interests(2)(2)(5)(7)2 
Balance at September 30, 2021$4 $29,077 $(1,153)$31,803 $(12,316)$47,415 $12 $47,427 $56 
Three Months Ended September 30, 2020
(In millions)Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive (Loss)Retained EarningsTreasury StockShareholders’ EquityOther Non- controlling InterestsTotal
Equity
Redeemable Noncontrolling Interests
Balance at June 30, 2020$4 $28,699 $(788)$23,052 $(3,601)$47,366 $5 $47,371 $34 
Effect of issuing stock for employee benefit plans78 (2)76 76 
Other comprehensive income (loss)247 247 247 (4)
Net income1,388 1,388 6 1,394 4 
Repurchase of common stock(1,045)(1,045)(1,045)
Other transactions impacting noncontrolling interests(4)(4)25 
Balance at September 30, 2020$4 $28,777 $(541)$24,440 $(4,648)$48,032 $7 $48,039 $59 
The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
6


Cigna Corporation
Consolidated Statements of Changes in Total Equity
Unaudited
Nine Months Ended September 30, 2021
(In millions)Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive (Loss)Retained EarningsTreasury StockShareholders’ EquityOther Non- controlling InterestsTotal
Equity
Redeemable Noncontrolling Interests
Balance at December 31, 2020$4 $28,975 $(861)$28,575 $(6,372)$50,321 $7 $50,328 $58 
Effect of issuing stock for employee benefit plans507 (90)417 417 
Other comprehensive (loss)(292)(292)(292)(6)
Net income4,249 4,249 21 4,270 12 
Common dividends declared (per share: $3.00)
(1,021)(1,021)(1,021)
Repurchase of common stock(400)(5,854)(6,254)(6,254)
Other transactions impacting noncontrolling interests(5)(5)(16)(21)(8)
Balance at September 30, 2021$4 $29,077 $(1,153)$31,803 $(12,316)$47,415 $12 $47,427 $56 
Nine Months Ended September 30, 2020
(In millions)Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive (Loss)Retained EarningsTreasury StockShareholders’ EquityOther Non- controlling InterestsTotal
Equity
Redeemable Noncontrolling Interests
Balance at December 31, 2019$4 $28,306 $(941)$20,162 $(2,193)$45,338 $6 $45,344 $35 
Cumulative effect of adopting new credit loss guidance (ASU 2016-13)
(30)(30)(30)
Effect of issuing stock for employee benefit plans471 (86)385 385 
Other comprehensive income (loss)400 400 400 (10)
Net income4,323 4,323 12 4,335 12 
Common dividends declared (per share: $0.04)
(15)(15)(15)
Repurchase of common stock(2,369)(2,369)(2,369)
Other transactions impacting noncontrolling interests(11)(11)22 
Balance at September 30, 2020$4 $28,777 $(541)$24,440 $(4,648)$48,032 $7 $48,039 $59 

The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
7


Cigna Corporation
Consolidated Statements of Cash Flows
Unaudited
Nine Months Ended September 30, 2021
(In millions)20212020
Cash Flows from Operating Activities
Net income$4,282 $4,347 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization2,180 2,089 
Realized investment (gains) losses, net(128)18 
Deferred income tax (benefit) (104)(340)
Debt extinguishment costs141 199 
Net changes in assets and liabilities, net of non-operating effects:
Accounts receivable(4,039)(2,810)
Inventories145 5 
Deferred policy acquisition costs(182)(244)
Reinsurance recoverable and Other assets(281)(468)
Insurance liabilities863 740 
Pharmacy and other service costs payable1,357 2,084 
Accounts payable and Accrued expenses and other liabilities(1,411)(32)
Other, net93 468 
NET CASH PROVIDED BY OPERATING ACTIVITIES2,916 6,056 
Cash Flows from Investing Activities
Proceeds from investments sold:
Debt securities and equity securities1,052 2,038 
Investment maturities and repayments:
Debt securities and equity securities1,265 1,097 
Commercial mortgage loans127 14 
Other sales, maturities and repayments (primarily short-term and other long-term investments)1,261 1,086 
Investments purchased or originated:
Debt securities and equity securities(2,742)(3,317)
Commercial mortgage loans(233)(55)
Other (primarily short-term and other long-term investments)(1,768)(1,434)
Property and equipment purchases, net(850)(775)
Acquisitions, net of cash acquired(1,836)(135)
Divestiture, net of cash sold(61) 
Other, net51 37 
NET CASH (USED IN) INVESTING ACTIVITIES(3,734)(1,444)
Cash Flows from Financing Activities
Deposits and interest credited to contractholder deposit funds132 769 
Withdrawals and benefit payments from contractholder deposit funds(139)(736)
Net change in short-term debt1,633 592 
Net proceeds on issuance of term loan 1,398 
Payments for debt extinguishment(136)(212)
Repayment of long-term debt(4,578)(6,897)
Net proceeds on issuance of long-term debt4,260 3,465 
Repurchase of common stock(6,321)(2,352)
Issuance of common stock301 239 
Common stock dividend paid(1,017)(