Cigna Reports Third Quarter 2020 Performance, Raises Revenue Guidance

BLOOMFIELD, Conn., Nov. 5, 2020 /PRNewswire/ --

    --  Total revenues in the third quarter were $41.0 billion. Adjusted
        revenues(1) were $40.8 billion.
    --  Shareholders' net income for the third quarter was $1.4 billion, or
        $3.78 per share
    --  Adjusted income from operations(2) for the third quarter was $1.6
        billion, or $4.41 per share
    --  Adjusted income from operations(2,3) is projected to be in the range of
        $18.30 to $18.60 per share in 2020(3)

Global health services company Cigna Corporation (NYSE: CI) today reported solid third quarter 2020 performance led by strong execution by its Evernorth segment.

"In these dynamic and challenging times, we at Cigna continue to act as champions for our customers, clients, and communities as we deliver on our promises to make health care more affordable, predictable and simple," said David M. Cordani, President and Chief Executive Officer. "We delivered attractive revenue growth and strong earnings, while further improving our capital position, driving strategic flexibility. Additionally, our launch of Evernorth accelerates our strategy, broadens our reach and expands our opportunities for growth, further enhancing the value we deliver to the marketplace each and every day."

Total revenues for third quarter 2020 were $41.0 billion. Adjusted revenues(1) were $40.8 billion and reflect strong contributions from each of Cigna's ongoing businesses.

Shareholders' net income for third quarter 2020 was $1.4 billion, or $3.78 per share, compared with $1.4 billion, or $3.57 per share, for third quarter 2019.

Cigna's adjusted income from operations(2) for third quarter 2020 was $1.6 billion, or $4.41 per share, compared with $1.7 billion, or $4.54 per share, for third quarter 2019 reflecting strong fundamental performance across our businesses as well as the return of medical utilization to more typical levels and COVID-19 related impacts.

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                         Nine Months
                                                                                                                                          Ended


                                                                    September 30,                        June 30,                   September 30,


                                                     2020                2019       2020                          2020






     Total Revenues                                        $
            40,955                                           $
       38,556                         $
       39,265 $
       118,689


      Net Realized Investment
       (Gains) Losses from Equity
       Method Investments(1)                         (37)                          (5)                                       (60)                  (87)



     Special Items(1)                              (117)                                                                                         (204)


      Transitioning Client
       Contributions(1)                                                        (2,718)



      Adjusted Revenues(1)                                  $
            40,801                                           $
       35,833                         $
       39,205 $
       118,398




                 Consolidated Earnings, net
                  of taxes


      Shareholders' Net Income                               $
            1,388                                            $
       1,351                          $
       1,754   $
       4,323


      Net Realized Investment
       (Gains) Losses(2)                             (64)                         (49)                                       (88)                  (75)


      Amortization of Other
       Acquired Intangible
       Assets(2)                                      376                           558                                         376                  1,061



     Special Items(2)                               (82)                           65                                         110                    219


      Transitioning Client
       Contributions1,2                                                          (207)



      Adjusted Income from
       Operations(2)                                         $
            1,618                                            $
       1,718                          $
       2,152   $
       5,528





      Shareholders' Net Income,
       per share                                              $
            3.78                                             $
       3.57                           $
       4.73   $
       11.66



      Adjusted Income from
       Operations(2), per share                               $
            4.41                                             $
       4.54                           $
       5.81   $
       14.91

    --  Cigna's third quarter results reflect revenue growth driven by strong
        fundamental performance across our businesses led by our Evernorth
        segment. Third quarter earnings reflect the return of medical
        utilization to more typical levels and COVID-19 related impacts, as well
        as focused execution in our businesses.
    --  Year to date through November 4, 2020, the Company repurchased 16.0
        million shares of common stock for approximately $2.9 billion.
    --  The debt to capitalization ratio decreased to 42.8% at September 30,
        2020 from 45.2% at December 31, 2019.
    --  The SG&A expense ratio(4) was 8.1% for third quarter 2020, a decrease
        from 9.2% for third 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


                                                                       September 30,                    June 30,         December 31,


                                                             2020 2019                     2020                     2019






     
                Total Customer Relationships           189,702                      169,712                           188,211      171,760






     
                Total Pharmacy Customers5               86,604                       75,663                            84,919       75,903






         U.S. Commercial6                                 13,901                       14,121                            14,000       14,187



         U.S. Government6                                  1,413                        1,374                             1,415        1,361



     International Markets                                 1,668                        1,576                             1,668        1,597




     
                Total Medical Customers5                16,982                       17,071                            17,083       17,145





     Behavioral Care                                      37,236                       28,744                            37,061       30,361



     Dental                                               17,671                       17,079                            17,850       17,231



     Medicare Part D                                       3,296                        3,269                             3,300        3,276



     International Markets Supplemental Policies5,7       12,013                       12,486                            12,098       12,444



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

    --  The pharmacy customer base(5) at third quarter 2020 grew to 86.6
        million, an organic increase of 10.7 million customers year to date,
        driven by strong new health plan sales.
    --  The total medical customer base(5) at third quarter 2020 was 17.0
        million, a decrease of 163,000 customers year to date, driven by a
        decline in National Accounts, partially offset by growth in the Select
        and International Markets segments and in Medicare Advantage.

HIGHLIGHTS OF SEGMENT RESULTS

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

Evernorth(6)

This segment includes a broad range of coordinated and point solution health services, including pharmacy services, benefits management, care solutions and data and analytics, which are provided to health plans, employers, government organizations, and health care providers.



     
                Financial Results (dollars in millions):




                                                      
            
                Three Months Ended                Nine Months
                                                                                                                    Ended


                                                              September 30,                    June 30,       September 30,


                                                       2020                2019                        2020                 2020





      Adjusted Revenues1                                    $
              29,827                              $
              24,880   $
      28,602 $
      85,597


      Adjusted Income from
       Operations, Pre-Tax2                                  $
              1,443                               $
              1,399    $
      1,249  $
      3,774


      Adjusted Margin, Pre-
       Tax8                                            4.8%               5.6%                       4.4%                4.4%

    --  Third quarter 2020 adjusted revenues(1) increased 20% relative to third
        quarter 2019 driven by the insourcing of U.S. Medical pharmacy volumes
        and strong organic growth, including growth in retail network and
        specialty pharmacy services.
    --  Third quarter adjusted income from operations, pre-tax(2) increased 3%
        relative to third 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 increased operating
        expenses to support growth.
    --  Evernorth fulfilled 381 million adjusted pharmacy scripts(9) in third
        quarter 2020, an increase of 22% over third quarter 2019 driven by the
        insourcing of U.S. Medical pharmacy volumes and strong organic growth.

U.S. Medical(6)

This segment includes Cigna's U.S. Commercial and U.S. Government businesses that provide comprehensive medical and coordinated 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 for insured and self-insured customers. U.S. Government solutions include Medicare Advantage, Medicare Supplement, and Medicare Part D plans for seniors, Medicaid plans, and individual health insurance plans both on and off the public exchanges.



     
                Financial Results (dollars in millions):




                                                            
            
                Three Months Ended               Nine Months
                                                                                                                         Ended


                                                                   September 30,                     June 30,      September 30,


                                                             2020               2019                         2020                2020






     Adjusted Revenues(1)                                        $
              9,629                               $
              9,148   $
     9,237 $
      28,726



     Adjusted Income from Operations, Pre-Tax(2)                   $
              757                                 $
              953   $
     1,523  $
      3,479



     Adjusted Margin, Pre-Tax8                              7.9%             10.4%                       16.5%              12.1%

    --  Third quarter 2020 adjusted revenues(1) grew 5% over third quarter 2019,
        reflecting customer growth in the Select segment and Medicare Advantage,
        as well as premium increases.
    --  Third quarter 2020 adjusted income from operations, pre-tax² and
        adjusted margin, pre-tax(8) reflect unfavorable prior period development
        primarily related to second quarter 2020, COVID-19 related impacts, and
        the return of the health insurance tax. COVID-19 related impacts include
        the net impact of the return of medical utilization to more typical
        levels and direct COVID-19 costs as well as the costs of actions we have
        taken to support customers and providers, decreased specialty
        contributions, and lower net investment income.
    --  The medical care ratio(4 )("MCR") of 82.6% for third quarter 2020
        reflects continued effective execution in our U.S. Commercial and U.S.
        Government segments. The third quarter 2020 MCR increased relative to
        third quarter 2019 due to unfavorable prior period development primarily
        related to second quarter 2020 and COVID-19 related impacts, partially
        offset by the pricing effect of the health insurance tax.
    --  U.S. Medical net medical costs payable(10) was $2.97 billion at
        September 30, 2020, $2.73 billion at September 30, 2019, and $2.59
        billion at December 31, 2019. Favorable prior year reserve development
        on a gross pre-tax basis was $126 million and $159 million through third
        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               Nine Months
                                                                                                                Ended


                                                          September 30,                     June 30,      September 30,


                                                  2020                 2019                         2020                2020





      Adjusted Revenues1,7                               $
              1,440                               $
              1,402   $
       1,432 $
       4,342


      Adjusted Income from
       Operations, Pre-
       Tax(2)                                              $
              208                                 $
              194     $
       319   $
       809


      Adjusted Margin,
       Pre-Tax8                                  14.4%               13.8%                       22.3%              18.6%

    --  Third quarter 2020 adjusted revenues(1,7) grew 3% over third quarter
        2019, reflecting continued business growth.
    --  Third quarter 2020 adjusted income from operations, pre-tax(2) and
        adjusted margin, pre-tax(8) reflect continued operational efficiency,
        lower claim levels driven by the effects of the COVID-19 pandemic, and
        business growth.

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               Nine Months
                                                                                                                  Ended


                                                            September 30,                     June 30,      September 30,


                                                    2020                 2019                         2020                2020





      Adjusted Revenues(1)                                 $
              1,314                               $
              1,284   $
       1,328 $
       3,981


      Adjusted Income from
       Operations, Pre-Tax2                                   $
              70                                 $
              143     $
       132   $
       279


      Adjusted Margin, Pre-
       Tax8                                         5.3%               11.1%                        9.9%               7.0%

    --  Third quarter 2020 adjusted income from operations, pre-tax(2) and
        adjusted margin, pre-tax(8) reflect elevated claims in Cigna's Life
        business primarily related to the COVID-19 pandemic.
    --  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 continues to expect the transaction to close in the
        fourth 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               Nine Months
                                                                                                                 Ended


                                                            September 30,                    June 30,       September 30,


                                                  2020                 2019                         2020                 2020





      Adjusted (Loss) from
       Operations, Pre-
       Tax(2)                                            $
              (366)                               $
              (442)    $
     (400) $
     (1,171)

    --  Third quarter 2020 adjusted loss from operations, pre-tax(2) decreased
        relative to third quarter 2019 as a result of lower interest expense.

2020 OUTLOOK

Cigna's outlook for full year 2020 adjusted revenues(1,3) is approximately $158 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 $18.30 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 fourth 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 third 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
(800) 857-1657 (Domestic)
(773) 799-3811 (International)
Passcode: 1152020

Replay
(800) 839-8789 (Domestic)
(203) 369-3037 (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, Evernorth companies or their affiliates, 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 approximately 190 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 U.S. 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 U.S. 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.


                                   --  Pharmacy customer relationships for
                                       periods prior to 2020 excludes
                                       transitioning clients.


                                   --  International Markets medical
                                       customers excludes medical customers
                                       served by less than 100% owned
                                       subsidiaries.


                                   --  International Markets supplemental
                                       policies exclude International
                                       Markets medical customers included in
                                       total medical customers.


                                   --  Group Disability and Life covered
                                       lives are estimated.




     
      
      6.     As of the third
                   quarter 2020, the
                   segment
                   previously
                   reported as
                   "Health Services"
                   is reported as
                   "Evernorth", and
                   the segment
                   previously
                   reported as
                   "Integrated
                   Medical" is
                   reported as "U.S.
                   Medical".
                   Additionally,
                   U.S. Medical's
                   two operating
                   segments
                   previously
                   reported as
                   "Commercial" and
                   "Government" are
                   now reported as
                   "U.S. Commercial"
                   and "U.S.
                   Government".
                   There are no
                   changes to the
                   underlying
                   businesses
                   reported in any
                   of these
                   segments.




     
      
      7.     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.




     
      
      8.     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.




     
      
      9.     For Evernorth
                   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.





      
      10.     Medical costs
                   payable within
                   the U.S. Medical
                   segment are
                   presented net of
                   reinsurance and
                   other
                   recoverables.
                   The gross medical
                   costs payable
                   balance was $3.20
                   billion as of
                   September 30,
                   2020, $2.89
                   billion as of
                   December 31,
                   2019, and $3.06
                   billion as of
                   September 30,
                   2019.

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, as supplemented by 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                              Nine Months Ended                 Three Months
                                                                                                                                                         Ended


                                                                               September 30,                                   September 30,                     June 30,


                                                         2020                            2019       2020           2019                             2020

                                                                                                                                                 ---




       
                REVENUES





       Pharmacy revenues                                                 $
              27,802                                       $
              25,987                                         $
       79,464                $
       77,454    $
       26,564



       Premiums                                       10,682                                     9,935                                         31,928                          29,709                        10,406



       Fees and other revenues                         2,174                                     2,285                                          6,424                           7,123                         2,072



       Net investment income                             297                                       349                                            873                           1,035                           223

    ---

                     Total Revenues                    40,955                                    38,556                                        118,689                         115,321                        39,265

    ---

        Revenue contributions from
         transitioning clients                              -                                  (2,718)                                                                      (11,657)


        Net realized investment results
         from certain equity method
         investments                                     (37)                                      (5)                                          (87)                           (27)                         (60)


        Special item related to contractual
         adjustment for a former client                 (117)                                                                                  (204)

    ---


       Adjusted revenues (1)                                             $
              40,801                                       $
              35,833                                        $
       118,398               $
       103,637    $
       39,205

    ---




       
                SHAREHOLDERS' NET INCOME




                     Shareholders' net income                   $
            
                1,388                            $
             
                1,351                                   $
        
         4,323            $
      
         4,127 $
     
         1,754


        After-tax adjustments to reconcile adjusted income
         from operations


        Net realized investment (gains)
         losses                                          (64)                                     (49)                                          (75)                          (100)                         (88)


        Amortization of acquired intangible
         assets                                           376                                       558                                          1,061                           1,694                           376


        Adjustment for transitioning
         clients                                            -                                    (207)                                                                      (1,217)



       
                Special Items


        Integration and transaction-
         related costs                                     83                                        88                                            256                             311                            99


        Debt extinguishment costs                           -                                                                                    151                                                           11


        Charge for organizational
         efficiency plan                                    -                                                                                     24


        (Benefits) charges associated with
         litigation matters                                 -                                     (23)                                            19                              41



       Risk corridors recovery                          (76)                                                                                   (76)


        Contractual adjustment for a former
         client                                          (89)                                                                                  (155)

    ---

        Adjusted income from operations                                    $
              1,618                                        $
              1,718                                          $
       5,528                 $
       4,856     $
       2,152

    ---



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

    ---


       Evernorth                                                          $
              1,443                                        $
              1,399                                          $
       3,774                 $
       3,555     $
       1,249



       U.S. Medical                                      757                                       953                                          3,479                           3,113                         1,523



       International Markets                             208                                       194                                            809                             607                           319


        Group Disability and Other                         70                                       143                                            279                             376                           132



       Corporate                                       (366)                                    (442)                                       (1,171)                        (1,385)                        (400)

    ---

        Consolidated pre-tax adjusted
         income from operations                         2,112                                     2,247                                          7,170                           6,266                         2,823

    ---

            Adjusted income tax expense                 (494)                                    (529)                                       (1,642)                        (1,410)                        (671)

    ---

        Consolidated after-tax adjusted
         income from operations                                            $
              1,618                                        $
              1,718                                          $
       5,528                 $
       4,856     $
       2,152

    ---




       
                DILUTED EARNINGS PER SHARE





       Shareholders' net income                                            $
              3.78                                         $
              3.57                                          $
       11.66                 $
       10.83      $
       4.73


        After-tax adjustments to reconcile to adjusted
         income from operations


        Net realized investment (gains)
         losses                                        (0.17)                                   (0.13)                                        (0.20)                         (0.26)                       (0.24)


        Amortization of acquired intangible
         assets                                          1.02                                      1.47                                           2.86                            4.43                          1.02


        Adjustment for transitioning
         clients                                            -                                   (0.55)                                                                       (3.19)



       
                Special items


        Integration and transaction-
         related costs                                   0.23                                      0.24                                           0.69                            0.82                          0.27


        Debt extinguishment costs                           -                                                                                   0.41                                                         0.03


        Charge for organizational
         efficiency plan                                    -                                                                                   0.06


        (Benefits) charges associated with
         litigation matters                                 -                                   (0.06)                                          0.05                            0.11



       Risk corridors recovery                        (0.21)                                                                                 (0.20)


        Contractual adjustment for a former
         client                                        (0.24)                                                                                 (0.42)

    ---

        Adjusted income from operations(2)                                  $
              4.41                                         $
              4.54                                          $
       14.91                 $
       12.74      $
       5.81

    ---

        Weighted average shares (in
         thousands)                                   367,190                                   378,321                                        370,831                         381,091                       370,697

    ---


       Common shares outstanding (in thousands)                                             362,403                                        373,978                         368,258

    ---





                     SHAREHOLDERS' EQUITY at September 30,                                             $
       48,032                                              $
              44,696

    ---



                     SHAREHOLDERS' EQUITY PER SHARE at September 30,                                      $
              132.54                                              $
              119.52

    ---




     
     (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:
Alexis Jones
215-761-3637
alexis.jones@cigna.com

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

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SOURCE Cigna