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Shareholders Equity and Dividend Restrictions
12 Months Ended
Dec. 31, 2021
Equity [Abstract]  
Stockholders' Equity And Dividend Restrictions Shareholders' Equity and Dividend RestrictionsState insurance departments and foreign jurisdictions that regulate certain of the Company's subsidiaries prescribe accounting practices (differing in some respects from GAAP) to determine statutory net income and surplus. The Company's life, accident and health insurance and Health Maintenance Organization ("HMO") subsidiaries are regulated by such statutory requirements. The statutory net income of the Company's life, accident and health insurance and HMO subsidiaries for the years ended, and their statutory surplus as of December 31, were as follows:
(In billions)202120202019
Net income$3.4 $4.0 $3.8 
Surplus$13.3 $12.9 $13.8 
The Company's HMO and life, accident and health insurance subsidiaries are also subject to minimum statutory surplus requirements and may be required to maintain investments on deposit with state departments of insurance or other regulatory bodies. Additionally, these subsidiaries may be subject to regulatory restrictions on the amount of annual dividends or other distributions (such as loans or cash advances) that insurance companies may extend to their parent companies without prior approval. As of December 31, 2021, these amounts, including restricted GAAP net assets of the Company's subsidiaries, were as follows:
(In billions)2021
Minimum statutory surplus required by regulators (1),(2)
$4.9 
Investments on deposit with regulatory bodies (3)
$0.3 
Maximum dividend distributions permitted in 2022 without regulatory approval (4)
$3.2 
Maximum loans to the parent company permitted without regulatory approval$0.8 
Restricted GAAP net assets of Cigna Corporation's subsidiaries (5)
$12.9 
(1) Excludes amounts associated with foreign operated equity method joint ventures.
(2) Includes approximately $1 billion associated with businesses held for sale.
(3) Includes approximately $40 million associated with businesses held for sale.
(4) Includes approximately $200 million associated with businesses held for sale.
(5) Includes approximately $3.0 billion associated with businesses held for sale.

Permitted practices used by the Company's insurance subsidiaries in 2021 that differed from prescribed regulatory accounting had an immaterial impact on statutory surplus.

Undistributed earnings for equity method subsidiaries are $1.1 billion as of December 31, 2021.