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Schedule I - Condensed Financial Information, Statements of Cash Flows (Details) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Cash Flows from Operating Activities                      
Shareholders' net income $ 144 $ 772 $ 806 $ 915 $ 266 $ 560 $ 813 $ 598 $ 2,637 $ 2,237 $ 1,867
Adjustments to reconcile shareholders' net income to net cash provided by (used in) operating activities:                      
Other liabilities                 332 696 171
Debt extinguishment costs           $ 321     0 321 0
Other, net                 272 197 134
Net cash provided by (used in) operating activities                 3,770 4,086 4,026
Cash Flows from Investing Activities                      
Short term investments purchased                 (1,189) (1,065) (1,698)
Other, net                 (12) 0 (101)
Net cash provided by (used in) investing activities                 (26,378) (1,703) (2,574)
Cash Flows from Financing Activities                      
Net change in amounts due to (from) affiliates                 0 0 0
Net change in short-term debt                 1,487 80 (148)
Payments for debt extinguishment                 0 (313) 0
Repayment of long-term debt       (131)       (250) (131) (1,250) 0
Net proceeds on issuance of long-term debt   $ 20,000             22,856 1,581 0
Issuance of common stock                 68 131 36
Repurchase of common stock                 (342) (2,725) (139)
Other, net                 (312) (22) (72)
Net cash provided by (used in) financing activities                 23,515 (2,651) (225)
Net increase (decrease) in cash and cash equivalents                 883 (213) 1,217
Cash and cash equivalents, January 1,       2,972       3,185 2,972 3,185 1,968
Cash and cash equivalents, December 31, 3,855       2,972       3,855 2,972 3,185
Cigna [Member]                      
Cash Flows from Operating Activities                      
Shareholders' net income                 2,637    
Adjustments to reconcile shareholders' net income to net cash provided by (used in) operating activities:                      
Equity in income from subsidiaries                 (2,890)    
Dividends received from subsidiaries                 0    
Other liabilities                 412    
Debt extinguishment costs                 0    
Other, net                 (14)    
Net cash provided by (used in) operating activities                 145    
Cash Flows from Investing Activities                      
Short term investments purchased                 0    
Other, net                 (27,115)    
Net cash provided by (used in) investing activities                 (27,115)    
Cash Flows from Financing Activities                      
Net change in amounts due to (from) affiliates                 4,437    
Net change in short-term debt                 0    
Payments for debt extinguishment                 0    
Repayment of long-term debt                 0    
Net proceeds on issuance of long-term debt                 22,856    
Issuance of common stock                 1    
Common dividends paid                 0    
Repurchase of common stock                 (32)    
Tax withholding on stock compensation and other                 (49)    
Net cash provided by (used in) financing activities                 27,213    
Net increase (decrease) in cash and cash equivalents                 243    
Cash and cash equivalents, December 31, $ 243               243    
Old Cigna [Member]                      
Cash Flows from Operating Activities                      
Shareholders' net income                   2,237 1,867
Adjustments to reconcile shareholders' net income to net cash provided by (used in) operating activities:                      
Equity in income from subsidiaries                   (2,823) (2,249)
Dividends received from subsidiaries                   758 580
Other liabilities                   (224) (9)
Debt extinguishment costs                   321 0
Other, net                   333 187
Net cash provided by (used in) operating activities                   602 376
Cash Flows from Investing Activities                      
Short term investments purchased                   (6) (3)
Other, net                   (11) (8)
Net cash provided by (used in) investing activities                   (17) (11)
Cash Flows from Financing Activities                      
Net change in amounts due to (from) affiliates                   1,955 (78)
Net change in short-term debt                   100 (100)
Payments for debt extinguishment                   (313) 0
Repayment of long-term debt                   (1,250) 0
Net proceeds on issuance of long-term debt                   1,581 0
Issuance of common stock                   131 36
Common dividends paid                   (10) (10)
Repurchase of common stock                   (2,725) (139)
Tax withholding on stock compensation and other                   (63) (72)
Net cash provided by (used in) financing activities                   (594) (363)
Net increase (decrease) in cash and cash equivalents                   (9) 2
Cash and cash equivalents, January 1,       $ 9       $ 18 $ 9 18 16
Cash and cash equivalents, December 31,         $ 9         $ 9 $ 18