Cigna Expands Stakeholder and Community Support, Reports Second Quarter 2020 Performance

BLOOMFIELD, Conn., July 30, 2020 /PRNewswire/ --

    --  Total revenues in the second quarter were $39.3 billion. Adjusted
        revenues(1) were $39.2 billion.
    --  Shareholders' net income for second quarter was $1.8 billion, or $4.73
        per share
    --  Adjusted income from operations(2) for the second quarter was $2.2
        billion, or $5.81 per share
    --  Adjusted income from operations(2,3) is projected to be in the range of
        $18.00 to $18.60 per share in 2020(3)

Global health service company Cigna Corporation (NYSE: CI) continues to expand stakeholder and community support and today reported second quarter 2020 performance.

"Cigna's mission to improve the health, well-being and peace of mind of those we serve continues to guide us as we remain relentlessly focused on supporting the needs of our customers, clients, and communities," said David M. Cordani, President and Chief Executive Officer. "Our stakeholders are facing unprecedented challenges from the pandemic, uncertainty of a disrupted economy, and pain of racial tensions and inequality. We are proud of the actions we have taken to provide innovative programs and services and expanded financial support, all while delivering sustained, attractive financial performance and generating substantial cash flows that fuel our offerings for the benefit of all we serve."

Total revenues for second quarter 2020 were $39.3 billion. Adjusted revenues(1) were $39.2 billion and reflect strong contributions from each of Cigna's ongoing businesses.

Shareholders' net income for second quarter 2020 was $1.8 billion, or $4.73 per share, compared with $1.4 billion, or $3.70 per share, for second quarter 2019.

Cigna's adjusted income from operations(2) for second quarter 2020 was $2.2 billion, or $5.81 per share, compared with $1.6 billion, or $4.30 per share, for second quarter 2019 reflecting the impact of deferred medical utilization due to the COVID-19 pandemic as well as ongoing focused execution across our businesses.

Reconciliations of total revenues to adjusted revenues(1) and of shareholders' net income to adjusted income from operations(2) are provided on the following page, and on Exhibit 1 of this earnings release.

CONSOLIDATED HIGHLIGHTS

The following table includes highlights of results and reconciliations of total revenues to adjusted revenues(1) and shareholders' net income to adjusted income from operations(2):



            
              Consolidated Financial Results (dollars in millions):




                                                                                             
            
      Three Months Ended                    Six Months
                                                                                                                                                    Ended


                                                                              
          
          June 30,                   March 31,                          June 30,


                                                                                2020                2019                     2020                               2020





            Total Revenues                                                            $
            39,265                           $
       38,819                                $
       38,469 $
       77,734



            Net Realized Investment (Gains) Losses from                        (60)                                          6            10                          (50)
    Equity Method Investments(1)



            Special Items(1)                                                                                                           (87)                         (87)



            Transitioning Client Contributions(1)                                                                      (4,450)



            Adjusted Revenues(1)                                                      $
            39,205                           $
       34,375                                $
       38,392 $
       77,597





            
              Consolidated Earnings, net of taxes



            Shareholders' Net Income                                                   $
            1,754                            $
       1,408                                 $
       1,181  $
       2,935



            Net Realized Investment (Gains) Losses(2)                          (88)                                       (13)           77                          (11)



            Amortization of Other Acquired Intangible Assets(2)                 376                                         572           309                           685



            Special Items(2)                                                    110                                         179           191                           301



            Transitioning Client Contributions1,2                                                                        (506)



            Adjusted Income from Operations(2)                                         $
            2,152                            $
       1,640                                 $
       1,758  $
       3,910





            Shareholders' Net Income, per share                                         $
            4.73                             $
       3.70                                  $
       3.15   $
       7.88



            Adjusted Income from Operations(2), per share                               $
            5.81                             $
       4.30                                  $
       4.69  $
       10.49
    --  Cigna's second quarter results reflect revenue and earnings growth due
        to strong fundamental performance and lower medical costs from deferred
        care related to the COVID-19 pandemic.
    --  Year to date through July 29, 2020, the Company repurchased 8.3 million
        shares of common stock for approximately $1.5 billion.
    --  The debt to capitalization ratio decreased to 43.5% at June 30, 2020
        from 45.2% at December 31, 2019.
    --  The SG&A expense ratio(4) was 8.4% for second quarter 2020, a decrease
        from 9.0% for second quarter 2019, driven by significant revenue growth
        and continued expense efficiency.

CUSTOMER RELATIONSHIPS

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



     
                Customer Relationships (in thousands):


                                                                  As of the Periods Ended


                                                                  June 30,                        March 31, 
     
       December 31,


                                                             2020     2019                   2020                  2019





     
                Total Pharmacy Customers5               84,919   75,171                 78,804                75,903





     Commercial                                           14,000   14,026                 14,140                14,187



     Government                                            1,415    1,382                  1,412                 1,361



     International Markets                                 1,668    1,589                  1,666                 1,597



     
                Total Medical Customers5                17,083   16,997                 17,218                17,145





     Behavioral Care                                      37,061   28,577                 37,231                30,361



     Dental                                               17,850   17,077                 18,018                17,231



     Medicare Part D                                       3,300    3,266                  3,295                 3,276



     International Markets Supplemental Policies5,6       12,098   12,500                 12,453                12,444



     Group Disability and Life Covered Lives5             15,900   15,400                 15,900                15,400



     
                Total Customer Relationships           188,211  168,988                182,919               171,760
    --  The pharmacy customer base(5) at second quarter 2020 grew to 84.9
        million, an organic increase of 9.0 million customers year to date,
        driven by strong new health plan sales.
    --  The total medical customer base(5) at second quarter 2020 was 17.1
        million, a decrease of 62,000 customers year to date, driven by a
        decline in National Accounts, partially offset by growth in Medicare
        Advantage and the Select and International Markets segments.

HIGHLIGHTS OF SEGMENT RESULTS

See Exhibit 1 for a reconciliation of adjusted income (loss) from operations(2) to shareholders' net income.

Health Services

This segment includes a broad range of services, including benefits management, specialty pharmacy services, clinical solutions, home delivery, and health management services.



     
                Financial Results (dollars in millions):




                                                                        
              
           Three Months Ended                      Six Months
                                                                                                                                        Ended


                                                            
            
        June 30,                           March 31,                   June 30,


                                                              2020                    2019                                    2020                   2020





     Adjusted Revenues1                                           $
      28,602                                          $
      23,537                         $
      27,168 $
      55,770



     Adjusted Income from Operations, Pre-Tax2                     $
      1,249                                           $
      1,162                          $
      1,082  $
      2,331



     Adjusted Margin, Pre-Tax7                               4.4%                   4.9%                                   4.0%                  4.2%
    --  Second quarter 2020 adjusted revenues(1) increased 22% relative to
        second quarter 2019 driven by the insourcing of Integrated Medical
        pharmacy volumes and strong organic growth, including continued growth
        in specialty pharmacy services, partially offset by reduced retail
        script volumes due to the COVID-19 pandemic.
    --  Second quarter adjusted income from operations, pre-tax(2) increased 7%
        relative to second quarter 2019, reflecting customer growth, higher
        adjusted pharmacy scripts volumes, benefits from the effective
        management of the supply chain, and continued strong performance in
        specialty pharmacy services, partially offset by an increase in
        operating expenses to support growth.
    --  Health Services fulfilled 364 million adjusted pharmacy scripts(8) in
        second quarter 2020, an increase of 24% over second quarter 2019 driven
        by the insourcing of Integrated Medical pharmacy volumes and strong
        organic growth, partially offset by reduced retail script volumes.

Integrated Medical

This segment includes Cigna's U.S. Commercial and Government businesses that provide comprehensive medical solutions to clients and customers. U.S. Commercial products and services include medical, pharmacy, behavioral health, dental, vision, health advocacy programs and other products and services to insured and self-insured customers. Government solutions include Medicare Advantage, Medicare Supplement, and Medicare Part D plans for seniors, Medicaid plans, and individual health insurance coverage both on and off the public exchanges.



     
                Financial Results (dollars in millions):




                                                                       
              
             Three Months Ended                        Six Months
                                                                                                                                           Ended


                                                            
            
        June 30,                            March 31,                     June 30,


                                                              2020       2019          2020                                      2020





     Adjusted Revenues(1)                                         $
      9,237                                            $
        8,968                        $
     9,860 $
      19,097



     Adjusted Income from Operations, Pre-Tax(2)                  $
      1,523                                              $
        990                        $
     1,199  $
      2,722



     Adjusted Margin, Pre-Tax7                              16.5%                  11.0%                                    12.2%                   14.3%
    --  Second quarter 2020 adjusted revenues(1) grew 3% over second quarter
        2019, reflecting customer growth in Medicare Advantage and in the Select
        segment, as well as premium increases, partially offset by premium
        relief programs for clients that were delivered in response to the
        COVID-19 pandemic. The sequential decline in adjusted revenues(1) was
        primarily due to premium relief programs for clients, lower net
        investment income, and a modest decline in medical customers.
    --  Second quarter 2020 adjusted income from operations, pre-tax² and
        adjusted margin, pre-tax(7) reflect significantly lower medical
        utilization in both the Commercial and Government segments compared to
        historic patterns, as individuals deferred care due to the COVID-19
        pandemic, partially offset by premium relief programs for clients and
        cost share waivers for customers.
    --  The medical care ratio(4 )("MCR") of 70.5% for second quarter 2020
        reflects significantly lower medical utilization in both the Commercial
        and Government segments compared to historic patterns, as individuals
        deferred care due to the COVID-19 pandemic, partially offset by premium
        relief programs for clients and cost share waivers for customers.
    --  Integrated Medical net medical costs payable(9) was $2.80 billion at
        June 30, 2020, $2.64 billion at June 30, 2019, and $2.59 billion at
        December 31, 2019. Year to date, favorable prior year reserve
        development on a gross pre-tax basis was $130 million and $149 million
        through second quarter 2020 and 2019, respectively.

International Markets

This segment includes supplemental health, life and accident insurance products and health care coverage in Cigna's international markets, as well as health care benefits for globally mobile individuals and employees of multinational organizations.



     
                Financial Results (dollars in millions):




                                                                        
              
             Three Months Ended                        Six Months
                                                                                                                                              Ended


                                                            
            
         June 30,                            March 31,                     June 30,


                                                              2020        2019          2020                                      2020





     Adjusted Revenues1,6                                         $
       1,432                                            $
        1,389                        $
       1,470 $
       2,902



     Adjusted Income from Operations, Pre-Tax(2)                    $
       319                                              $
        207                          $
       282   $
       601



     Adjusted Margin, Pre-Tax7                              22.3%                   14.9%                                    19.2%                   20.7%
    --  Second quarter 2020 adjusted revenues(1,6) grew 3% over second quarter
        2019, reflecting continued business growth, partially offset by adverse
        foreign currency movement.
    --  Second quarter 2020 adjusted income from operations, pre-tax(2) and
        adjusted margin, pre-tax(7) reflect lower claim levels driven by the
        COVID-19 pandemic, continued business growth and operational efficiency.

Group Disability and Other Operations

This segment includes Cigna's Group Disability and Life business which offers group long-term and short-term disability, and group life, accident, voluntary and specialty insurance products and services. Additionally, this segment includes Corporate Owned Life Insurance ("COLI") and the Company's run-off operations.



     
                Financial Results (dollars in millions):




                                                                        
              
             Three Months Ended                       Six Months
                                                                                                                                             Ended


                                                            
            
         June 30,                            March 31,                    June 30,


                                                              2020        2019          2020                                     2020





     Adjusted Revenues(1)                                         $
       1,328                                            $
       1,309                       $
        1,339 $
       2,667



     Adjusted Income from Operations, Pre-Tax2                      $
       132                                              $
       149                          $
        77   $
       209



     Adjusted Margin, Pre-Tax7                               9.9%                   11.4%                                    5.8%                   7.8%
    --  Second quarter 2020 adjusted income from operations, pre-tax(2) and
        adjusted margin, pre-tax(7) reflect elevated claims in Cigna's Life
        business primarily related to the COVID-19 pandemic, partially offset by
        favorable performance within the Disability business.
    --  On December 18, 2019, Cigna announced a definitive agreement whereby New
        York Life will acquire Cigna's Group Disability and Life business for
        $6.3 billion. Cigna expects the transaction to close in the third
        quarter of 2020, subject to applicable regulatory approvals and other
        customary closing conditions.

Corporate

Corporate reflects interest expense, as well as amounts not allocated to operating segments and includes intersegment eliminations.



     
                Financial Results (dollars in millions):




                                                                    
              
          Three Months Ended                   Six Months
                                                                                                                                Ended


                                                                      June 30,                       March 31,                   June 30,


                                                            2020       2019      2020                                 2020





     Adjusted (Loss) from Operations, Pre-Tax(2)                $
      (400)                                     $
     (453)                   $
     (405) $
     (805)
    --  Second quarter 2020 adjusted loss from operations, pre-tax(2) decreased
        relative to second quarter 2019 as a result of lower interest expense.

COVID-19 Response

From the onset of the COVID-19 pandemic, Cigna has focused on delivering peace of mind for the people and businesses we serve, and our employees and their families. We've taken bold actions to drive affordability, remove uncertainty, and make health care easier. To date, these actions include:

Making Health Care Affordable

    --  Waived customer out-of-pocket costs for COVID-19 related visits, testing
        and treatment delivered by any in-network provider anywhere - whether at
        an office, an urgent care center, emergency room or through virtual
        care.(10)
    --  Protecting customers from surprise bills by out-of-network providers
        through the Customer Protection Program.
    --  Customers can utilize free standard shipping for home delivery of
        maintenance medications.
    --  Helping people temporarily without coverage access prescription savings
        through Parachute Rx.
    --  Employers can provide tax-free financial assistance to employees for
        qualified disaster relief payments, such as medical payments, groceries,
        child care, and wellness services with the Cigna Care Card.
    --  Expanding financial assistance to Cigna group dental clients by issuing
        one-month premium credits.
    --  Offering financial relief to clients through its Guaranteed Cost Client
        Relief Program.

Making Health Care Predictable

    --  Helping customers get COVID-19 care in the safety of their home from
        Medocity.
    --  Protecting prescription medication supply through quantity limits as
        needed.
    --  24/7 customer access to pharmacists.
    --  Waived prior authorizations for patient transfers, emergency department
        visits and home health care services.
    --  Customers can utilize virtual care for non-COVID-19 issues at the
        standard in-office benefit.
    --  Acute and advanced illness care offered at home.

Making Health Care Simple

    --  Encouraged use of virtual care, and have seen 132K+ visits through
        telehealth partners MDLIVE and Amwell.
    --  Cigna Dental customers can utilize Cigna Dental Virtual Care powered by
        The TeleDentists.
    --  Buoy Health (U.S.) and Infermedica (international) tools provide
        COVID-19 symptom checkers. To date, 100K+ customers have used Buoy.
    --  Digital mental health care tools available include Happify, iPrevail and
        Talkspace, and SilverCloud Health.
    --  Expanded Employee Assistance Programs for customers and households, and
        have seen a significant increase in consultations.

Supporting Communities

    --  Cigna and the Cigna Foundation(11)launched the Brave of Heart Fund with
        a $25M grant to provide financial assistance to survivors of frontline
        U.S. workers who gave their lives in COVID-19 fight. The Fund was
        created in partnership with the New York Life Foundation. Cigna will
        also provide emotional support services at no cost.
    --  Providing free on-demand supportive resources for customers and the
        general public, such as online articles, podcasts, and webinars.
    --  24/7 free mental health support line for the public.
    --  Cigna has not requested or retained any proceeds under the CARES Act.

Supporting Our Workforce

    --  In less than one month's time, enabled nearly 100% of employees who
        could work from home to do so, globally.
    --  Lifted restriction on paid time off use before accrual.
    --  Employees have 10 paid Emergency Time Off days for COVID-19 related
        absences.
    --  20% pay premium for U.S. worksite-essential employees.
    --  Enhanced employee recognition program.
    --  Introduced the Cigna COVID-19 Employee Assistance Fund to help offset
        extraordinary financial hardships.
    --  Launched Employees Helping Employees: Cloth Face Coverings campaign for
        employees to make masks for worksite essential coworkers.
    --  Ensuring workplace health through enhanced safety protocols, including
        PPE for frontline staff.

2020 OUTLOOK

Cigna's outlook for full year 2020 adjusted revenues(1,3) is $154 billion to $156 billion. Cigna's outlook for full year 2020 consolidated adjusted income from operations(2,3) on a per share basis is in the range of $18.00 to $18.60 per share. Cigna's outlook excludes potential effects of any future share repurchase(3). Also, while Cigna continues to expect to close the sale of Cigna's Group Disability and Life business in the third quarter of 2020, Cigna's outlook assumes a full year of contributions from the Group Disability and Life business.( )

The foregoing statements represent the Company's current estimates of Cigna's 2020 consolidated adjusted revenues(1,3) and adjusted income from operations(2,3) on a per share basis as of the date of this release. Actual results may differ materially depending on a number of factors. Investors are urged to read the Cautionary Note Regarding Forward-Looking Statements included in this release. Management does not assume any obligation to update these estimates.

This quarterly earnings release and the Quarterly Financial Supplement are available on Cigna's website in the Investor Relations section (https://www.cigna.com/aboutcigna/investors). Management will be hosting a conference call to review second quarter 2020 results and discuss full year 2020 outlook beginning today at 8:30 a.m. ET. A link to the conference call is available in the Investor Relations section of Cigna's website located at https://www.cigna.com/aboutcigna/investors/events/index.page.

The call-in numbers for the conference call are as follows:
Live Call
(888) 324-7575 (Domestic)
(210) 234-0013 (International)
Passcode: 7302020

Replay
(800) 839-1171 (Domestic)
(203) 369-3030 (International)

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

About Cigna

Cigna Corporation (NYSE: CI) is a global health service company dedicated to improving the health, well-being and peace of mind of those we serve. Cigna delivers choice, predictability, affordability and access to quality care through integrated capabilities and connected, personalized solutions that advance whole person health. All products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company, Cigna Life Insurance Company of New York, Connecticut General Life Insurance Company, Express Scripts companies or their affiliates, and Life Insurance Company of North America. Such products and services include an integrated suite of health services, such as medical, dental, behavioral health, pharmacy, vision, supplemental benefits, and other related products including group life, accident and disability insurance.

Cigna maintains sales capability in over 30 countries and jurisdictions, and has more than 185 million customer relationships throughout the world. To learn more about Cigna(®), including links to follow us on Facebook or Twitter, visit www.cigna.com.



      
      Notes:




     
      
      1.    At the consolidated level, the measure "adjusted
                  revenues" is not determined in accordance with
                  accounting principles generally accepted in the United
                  States (GAAP) and should not be viewed as a substitute
                  for the most directly comparable GAAP measure, "total
                  revenues."  Cigna defines adjusted revenues as total
                  revenues excluding net realized investment results
                  from equity method investments and special items.
                  Special items are identified in Exhibit 1 of this
                  earnings release.  For periods prior to 2020, Cigna
                  also excludes revenue contributions from transitioning
                  pharmacy benefit management clients, Anthem Inc. and
                  Coventry Health Care, Inc. (the "transitioning
                  clients").  Cigna excludes these items from this
                  measure because they are not indicative of past or
                  future underlying performance of the business.  See
                  Exhibit 1 for a reconciliation of consolidated
                  adjusted revenues to total revenues.




     
      
      2.    Adjusted income (loss) from operations is defined as
                  shareholders' net income (loss) excluding the
                  following adjustments: net realized investment
                  results, amortization of acquired intangible assets,
                  and special items.  For periods prior to 2020, Cigna
                  also excludes earnings contributions from
                  transitioning clients. Adjusted income (loss) from
                  operations is measured on an after-tax basis for
                  consolidated results and on a pre-tax basis for
                  segment results.




                 Adjusted income (loss) from operations is a measure of
                  profitability used by Cigna's management because it
                  presents the underlying results of operations of
                  Cigna's businesses and permits analysis of trends in
                  underlying revenue, expenses and shareholders' net
                  income.  This consolidated measure is not determined
                  in accordance with GAAP and should not be viewed as a
                  substitute for the most directly comparable GAAP
                  measure, shareholders' net income. See Exhibit 1 for a
                  reconciliation of consolidated adjusted income from
                  operations to shareholders' net income.




     
      
      3.    Certain adjusted metrics presented for 2019 exclude
                  contributions from transitioning clients. As
                  previously disclosed, beginning in 2020, Cigna no
                  longer excludes contributions from transitioning
                  clients from its adjusted metrics, as the transition
                  for those clients was substantially complete as of
                  December 31, 2019.




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




                 The Company's outlook excludes the potential effects of
                  any share repurchases or business combinations that
                  may occur after the date of this earnings release.
                  Additionally, the Company's outlook assumes a full
                  year of contributions from Cigna's Group Disability
                  and Life business.




     
      
      4.    Operating ratios are defined as follows:

                               Medical care ratio represents medical costs as a
                                 percentage of premiums for all U.S. commercial risk
                                 products, including medical, pharmacy, dental, stop
                                 loss and behavioral products provided through
                                 guaranteed cost or experience-rated funding
                                 arrangements, as well as Medicare Advantage, Medicare
                                 Part D, Medicare Supplement, Medicaid, and individual
                                 on and off-exchange products, within Cigna's
                                 Integrated Medical segment.
                                         
                
                  SG&A expense ratio
                                                                   represents enterprise selling, general and
                                 administrative expenses excluding special items and,
                                 prior to 2020, expenses from transitioning clients, as
                                 a percentage of adjusted revenue at a consolidated
                                 level.


     
      
      5.    Customer relationships are defined as follows:

                               Total medical customers includes individuals in Cigna's
                                 Integrated Medical and International Markets segments
                                 who meet any one of the following criteria: are
                                 covered under a medical insurance policy, managed care
                                 arrangement, or service agreement issued by Cigna;
                                 have access to Cigna's provider network for covered
                                 services under their medical plan; or have medical
                                 claims and services that are administered by Cigna.

                                                                                         U.S. Individual includes on-exchange Patient
                                      Protection and Affordable Care and Education
                                 Reconciliation Act ("ACA") business, off-exchange ACA
                                 business and off-exchange non-ACA business.
                                     
              
                
                  Pharmacy
                                                                         customer relationships for periods prior to 2020
                                 excludes transitioning clients.
                                  
                
                  International Markets
                                                            supplemental policies exclude International Markets
                                 medical customers included in total medical
                                 customers.
                                         Group Disability and Life covered lives are
                                         estimated.


     
      
      6.    Cigna owns a 50% non-controlling interest in its China
                  joint venture.  Cigna's 50% share of the joint
                  venture's earnings is reported in Fees and Other
                  Revenues using the equity method of accounting under
                  GAAP.  As such, the adjusted revenues and policy
                  counts for the International Markets segment do not
                  include the China joint venture.




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




                 Adjusted margin, after-tax, is calculated by dividing
                  consolidated adjusted income (loss) from operations by
                  consolidated adjusted revenues.  Adjusted income
                  (loss) from operations is measured on an after-tax
                  basis for consolidated results.




     
      
      8.    For Health Services adjusted pharmacy scripts, non-
                  specialty network scripts filled through 90-day
                  programs and home delivery scripts are multiplied by
                  three.  All other network and specialty scripts are
                  counted as one script.




     
      
      9.    Medical costs payable within the Integrated Medical
                  segment are presented net of reinsurance and other
                  recoverables.  The gross medical costs payable balance
                  was $2.96 billion as of June 30, 2020, $2.89 billion
                  as of December 31, 2019, and $2.88 billion as of June
                  30, 2019.





      
      10.    Enhanced coverage for COVID-19 related services
                  applies to customers in the United States who are
                  covered under Cigna's employer/union sponsored
                  insured group health plans, insured plans for globally
                  mobile individuals, Medicare Advantage, Medicaid, and
                  the Individual and Family insurance plans. Self-
                  insured group health plans administered by Cigna have
                  an opportunity to opt out of these benefits.
                  Treatments covered include those covered under
                  Medicare and other applicable state regulations.





      
      11.    The Cigna Foundation is a private foundation funded by
                  contributions from Cigna Corporation and its
                  subsidiaries.

CAUTIONARY NOTE REGARDING FORWARD-LOOKING STATEMENTS

This press release, and oral statements made in connection with this release, may contain forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. Forward-looking statements are based on 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 our projected consolidated adjusted income from operations outlook for 2020 on a per share basis; projected adjusted revenue outlook for 2020; future financial or operating performance, including our ability to deliver affordable, personalized and innovative solutions for our customers and clients, in light of the challenges presented by the COVID-19 pandemic; future growth, business strategy, strategic or operational initiatives, including our organizational efficiency plan; 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; strategic transactions, including the merger (the "Merger") with Express Scripts Holding Company and the sale of our U.S. Group Disability and Life business; our ongoing operational response to the COVID-19 pandemic; 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 and pharmacy costs and price effectively; our ability to adapt to changes or trends in an evolving and rapidly changing industry; our ability to effectively differentiate our products and services from those of our competitors and maintain or increase market share; our ability to develop and maintain good relationships with physicians, hospitals, other health care providers, producers, consultants, and pharmaceutical manufacturers; changes in the pharmacy provider marketplace or pharmacy networks; changes in drug pricing; the impact of modifications to our operations and processes; our ability to identify potential strategic transactions and realize the expected benefits (including anticipated synergies) of such transactions in full or within the anticipated time frame, including with respect to the Merger and the sale of our Group Disability and Life business, as well as our ability to integrate or separate operations, resources and systems; 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 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 and those of our key suppliers or other third parties; the impact of our debt service obligations on the availability of funds for other business purposes; unfavorable industry, economic or political conditions, including foreign currency movements; acts of civil unrest, war, terrorism, natural disasters or pandemics; reinsurance credit risk; the scale and scope of the COVID-19 pandemic and its potential impact on our business, operating results, cash flows and financial condition, as well as on our employees, clients, customers, suppliers and partners and on the U.S. and global economies; as well as more specific risks and uncertainties discussed in our most recent report on Form 10-K, our Form 10-Q for the quarter ended March 31, 2020 and subsequent reports on Forms 10-Q and 8-K available through the Investor Relations section of www.cigna.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.



       
                CIGNA CORPORATION                                                                                                                                                                                                                              Exhibit 1



       
                COMPARATIVE SUMMARY OF FINANCIAL RESULTS (unaudited)



       
                (Dollars in millions, except per share amounts)




                                                                                                                                                                                          Three Months Ended                                        Six Months Ended                                     Three Months
                                                                                                                                                                                                                                                                                                 Ended


                                                                                                                                                                       
              
                June 30,                         
              
                June 30,                                           March 31,


                                                                                                                                                                    2020                              2019       2020                  2019                                 2020





       
                REVENUES





       Pharmacy revenues                                                                                                                                                              $
              26,564                                                  $
              26,288                                                                 $
              51,662                $
       51,467    $
       25,098



       Premiums                                                                                                                                                  10,406                                       9,803                                                    21,246                                            19,774                                      10,840



       Fees and other revenues                                                                                                                                    2,072                                       2,388                                                     4,250                                             4,838                                       2,178



       Net investment income                                                                                                                                        223                                         340                                                       576                                               686                                         353



       
                Total revenues                                                                                                                               39,265                                      38,819                                                    77,734                                            76,765                                      38,469



       Revenue contributions from transitioning clients                                                                                                               -                                    (4,450)                                                                                                    (8,939)



       Net realized investment results from certain equity method investments                                                                                      (60)                                          6                                                      (50)                                             (22)                                         10



       Special item related to contractual adjustment for a former client                                                                                             -                                                                                                (87)                                                                                        (87)



       Adjusted revenues (1)                                                                                                                                                          $
              39,205                                                  $
              34,375                                                                 $
              77,597                $
       67,804    $
       38,392





       
                SHAREHOLDERS' NET INCOME





       
                Shareholders' net income                                                                                                                              $
              
                1,754                                      $
              
                1,408                                                     $
              
                2,935             $
     
         2,776 $
     
         1,181



       After-tax adjustments to reconcile to adjusted income from operations



       Net realized investment (gains) losses                                                                                                                      (88)                                       (13)                                                     (11)                                             (51)                                         77



       Amortization of acquired intangible assets                                                                                                                   376                                         572                                                       685                                             1,136                                         309



       Adjustment for transitioning clients                                                                                                                           -                                      (506)                                                                                                   (1,010)



       
                Special Items



       Debt extinguishment costs                                                                                                                                     11                                                                                                  151                                                                                          140



       Integration and transaction-related costs                                                                                                                     99                                         115                                                       173                                               223                                          74



       Charge for organizational efficiency plan                                                                                                                      -                                                                                                  24                                                                                           24



       Charges associated with litigation matters                                                                                                                     -                                         64                                                        19                                                64                                          19



       Contractual adjustment for a former client                                                                                                                     -                                                                                                (66)                                                                                        (66)



       Adjusted income from operations                                                                                                                                                 $
              2,152                                                   $
              1,640                                                                  $
              3,910                 $
       3,138     $
       1,758





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

    ---


       Health Services                                                                                                                                                                 $
              1,249                                                   $
              1,162                                                                  $
              2,331                 $
       2,156     $
       1,082



       Integrated Medical                                                                                                                                         1,523                                         990                                                     2,722                                             2,160                                       1,199



       International Markets                                                                                                                                        319                                         207                                                       601                                               413                                         282



       Group Disability and Other                                                                                                                                   132                                         149                                                       209                                               233                                          77



       Corporate                                                                                                                                                  (400)                                      (453)                                                    (805)                                            (943)                                      (405)



         Consolidated pre-tax adjusted income from operations(2)                                                                                                  2,823                                       2,055                                                     5,058                                             4,019                                       2,235



          Adjusted income tax expense                                                                                                                             (671)                                      (415)                                                  (1,148)                                            (881)                                      (477)



       Consolidated after-tax adjusted income from operations(2)                                                                                                                       $
              2,152                                                   $
              1,640                                                                  $
              3,910                 $
       3,138     $
       1,758





       
                DILUTED EARNINGS PER SHARE





       Shareholders' net income                                                                                                                                                         $
              4.73                                                    $
              3.70                                                                   $
              7.88                  $
       7.26      $
       3.15



       After-tax adjustments to reconcile to adjusted income from operations



       Net realized investment (gains) losses                                                                                                                    (0.24)                                     (0.03)                                                   (0.03)                                           (0.13)                                       0.21



       Amortization of acquired intangible assets                                                                                                                  1.02                                        1.49                                                      1.84                                              2.96                                        0.82



       Adjustment for transitioning clients                                                                                                                           -                                     (1.33)                                                                                                    (2.64)



       
                Special Items



       Debt extinguishment costs                                                                                                                                   0.03                                                                                                 0.41                                                                                         0.38



       Integration and transaction-related costs                                                                                                                   0.27                                        0.30                                                      0.46                                              0.58                                        0.20



       Charge for organizational efficiency plan                                                                                                                      -                                                                                                0.06                                                                                         0.06



       Charges associated with litigation matters                                                                                                                     -                                       0.17                                                      0.05                                              0.17                                        0.05



       Contractual adjustment for a former client                                                                                                                     -                                                                                              (0.18)                                                                                      (0.18)



       Adjusted income from operations(2)                                                                                                                                               $
              5.81                                                    $
              4.30                                                                  $
              10.49                  $
       8.20      $
       4.69



       Weighted average shares (in thousands)                                                                                                                   370,697                                     380,969                                                   372,668                                           382,496                                     374,639



       Common shares outstanding (in thousands)                                                                                                                                                          368,258                                                   377,883                                           369,317







       
                SHAREHOLDERS' EQUITY at June 30,                                                                                                                                                               $
              47,366                                                                    $
              43,815





       
                SHAREHOLDERS' EQUITY PER SHARE at June 30,                                                                                                                                                     $
              128.62                                                                    $
              115.95

    ---





                     (1)  Adjusted revenues is defined as total revenues excluding the following adjustments:  special items and Cigna's share of certain realized investment results of its joint ventures reported using the equity method.  For periods prior to 2020, we also excluded revenue contributions from transitioning clients. These items are excluded
                      because they are not indicative of past or future underlying performance of our businesses.




                     (2)  Adjusted income (loss) from operations is defined as shareholders' net income (loss) excluding the following after-tax adjustments: realized investment results, amortization of acquired intangible assets and special items. For periods prior to 2020, we also excluded earnings contributions from transitioning clients.

INVESTOR RELATIONS CONTACT:
Will McDowell
215-761-4198
william.mcdowell2@cigna.com

MEDIA CONTACT:
Ellie Polack
860-902-4906
elinor.polack@cigna.com

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SOURCE Cigna