Segment Information (Tables)

3 Months Ended

Mar. 31, 2022

Segment Reporting [Abstract]

Summary of Special Items

The following tables present the special items recorded by the Company for the three months ended March 31, 2022 and 2021:

	Three Months Ended
(In millions)	March 31, 2022				March 31, 2021
Description of Special Item Charges (Benefits) and Financial Statement Line Item(s)	After-tax		Before-tax		After-tax		Before-tax
Integration and transaction-related costs (Selling, general and administrative expenses)	$	37	$	52	$	22	$	29
Debt extinguishment costs	—		—		101		131
(Benefits) charges associated with litigation matters  (Selling, general and administrative expenses)	—		—		(21)		(27)
Total impact from special items	$	37	$	52	$	102	$	133

Summarized Segment Financial Information

Summarized segment financial information was as follows:

(In millions)	Evernorth		Cigna Healthcare		Other Operations		Corporate and Eliminations		Total
Three months ended March 31, 2022
Revenues from external customers	$	32,289	$	10,461	$	841	$	—	$	43,591
Inter-segment revenues	1,287		562		—		(1,849)
Net investment income	10		266		138		—		414
Total revenues	33,586		11,289		979		(1,849)		44,005
Net realized investment results from certain equity method investments	—		103		—		—		103
Adjusted revenues	$	33,586	$	11,392	$	979	$	(1,849)	$	44,108
Income (loss) before taxes	$	870	$	859	$	215	$	(395)	$	1,549
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	(11)		(1)		(5)		—		(17)
Net realized investment (gains) losses (1)	—		406		16		—		422
Amortization of acquired intangible assets	443		15		—		—		458
Special items
Integration and transaction-related costs	—		—		—		52		52
Pre-tax adjusted income (loss) from operations	$	1,302	$	1,279	$	226	$	(343)	$	2,464
(In millions)	Evernorth		Cigna Healthcare		Other Operations		Corporate and Eliminations		Total
Three months ended March 31, 2021
Revenues from external customers	$	29,419	$	10,285	$	876	$	—	$	40,580
Inter-segment revenues	1,198		509		—		(1,707)
Net investment income	3		259		129		—		391
Total revenues	30,620		11,053		1,005		(1,707)		40,971
Net realized investment results from certain equity method investments	—		14		—		—		14
Adjusted revenues	$	30,620	$	11,067	$	1,005	$	(1,707)	$	40,985
Income (loss) before taxes	$	749	$	1,045	$	206	$	(487)	$	1,513
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests	(5)		(1)		(6)		—		(12)
Net realized investment (gains) losses (1)	2		(16)		27		—		13
Amortization of acquired intangible assets	477		14		4		—		495
Special items
Integration and transaction-related costs	—		—		—		29		29
Debt extinguishment costs	—		—		—		131		131
(Benefits) charges associated with litigation matters	—		—		—		(27)		(27)
Pre-tax adjusted income (loss) from operations	$	1,223	$	1,042	$	231	$	(354)	$	2,142

(1) Includes the Company's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting.

Revenue from External Customers

Revenue from external customers includes Pharmacy revenues, Premiums and Fees and other revenues. The following table presents these revenues by product, premium and service type for the three months ended March 31:

	Three Months Ended March 31,
(In millions)	2022		2021
Products (Pharmacy revenues) (ASC 606)
Network revenues	$	15,531	$	15,138
Home delivery and specialty revenues	14,699		12,774
Other	1,712		1,388
Intercompany eliminations	(1,245)		(1,275)
Total pharmacy revenues	30,697		28,025
Insurance premiums (ASC 944)
Cigna Healthcare
U.S. Commercial
Insured	3,720		3,523
Stop loss	1,325		1,194
Other	360		310
U.S. Government
Medicare Advantage	2,078		2,092
Medicare Part D	401		450
Other	940		1,138
International Health	702		641
Total Cigna Healthcare	9,526		9,348
International businesses held for sale	763		809
Other	69		58
Intercompany eliminations	(2)		(1)
Total premiums	10,356		10,214
Services (Fees) (ASC 606)
Evernorth	1,624		1,314
Cigna Healthcare	1,496		1,434
Other Operations	5		5
Other revenues	15		19
Intercompany eliminations	(602)		(431)
Total fees and other revenues	2,538		2,341
Total revenues from external customers	$	43,591	$	40,580