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Mergers, Acquisitions and Divestitures
12 Months Ended
Dec. 31, 2020
Business Combinations [Abstract]  
Mergers, Acquisitions and Divestitures Mergers, Acquisitions and DivestituresDivestiture of Group Disability and Life business
On December 31, 2020, Cigna completed the sale of its U.S. Group Disability and Life business to New York Life Insurance Company for cash proceeds of $6.2 billion. The Company recognized a gain of $4.2 billion pre-tax ($3.2 billion after-tax), which includes recognition of previously unrealized capital gains on investments sold (see Note 14 for further information).
In December 2019, Cigna entered into a definitive agreement to sell this business and since the sale was expected to close in the fourth quarter of 2020 following applicable regulatory approvals and other customary closing conditions, the Company aggregated and classified the assets and liabilities directly associated with the pending sale of its Group Disability and Life business as held for sale and has reported them separately on our Consolidated Balance Sheet as of December 31, 2019.
The assets and liabilities of business held for sale were as follows:
(In millions)December 31, 2019
Cash and cash equivalents$743 
Accounts receivable, net521 
Investments7,709 
Other assets539 
Total assets of business held for sale9,512 
Insurance and contractholder liabilities6,308 
Other liabilities504 
Total liabilities of business held for sale$6,812 
B.Acquisition of Express Scripts
On December 20, 2018, Cigna acquired Express Scripts Holding Company (“Express Scripts") through a series of mergers for a purchase price of $52.8 billion, which consisted of cash and stock consideration. The purchase price was allocated to the tangible and intangible net assets acquired based on management’s final estimates of their fair values. Total goodwill of $38.4 billion was recorded, of which $33.7 billion resides in the Company’s Evernorth segment, with the remainder in the Company’s U.S. Medical segment. The results of Express Scripts have been included in the Company’s Consolidated Financial Statements from the date of the acquisition. Revenues of Express Scripts included in the Company’s results for 2018 approximated $2.6 billion and Express Scripts’ results of operations were immaterial to Cigna’s net income.
C.Integration and Transaction-related Costs
The Company has incurred costs detailed in the table below related to the acquisition and integration of Express Scripts, the terminated merger with Anthem, Inc. (“Anthem”), the sale of the U.S. Group Disability and Life business and other transactions.
These costs consisted primarily of certain projects to integrate the Company’s systems, products and services, fees for legal, advisory and other professional services and certain employment-related costs. Costs in 2018 also included charitable contributions and amortization of certain financing fees and interest expense on the debt issued in the third quarter of 2018 to fund the Express Scripts merger, net of investment income earned on proceeds of the debt issuance.
 202020192018
(In millions)Before-taxAfter-taxBefore-taxAfter-taxBefore-taxAfter-tax
Interest expense on newly-issued debt$ $ $— $— $227 $179 
Net investment income on debt proceeds  — — (123)(97)
Charitable contributions  — — 200 158 
Legal and advisory fees48 36 53 41 204 185 
Bridge facility fees  — — 140 111 
All other integration and transaction-related costs479 368 499 386 204 133 
Integration and transaction-related costs, net$527 $404 $552 $427 $852 $669