Q3202212/31false0001739940http://fasb.org/us-gaap/2022#OtherAssetsNoncurrenthttp://fasb.org/us-gaap/2022#OtherAssetsNoncurrenthttp://www.cigna.com/20220930#AccruedExpensesAndOtherLiabilitieshttp://www.cigna.com/20220930#AccruedExpensesAndOtherLiabilitieshttp://fasb.org/us-gaap/2022#OtherLiabilitiesNoncurrenthttp://fasb.org/us-gaap/2022#OtherLiabilitiesNoncurrenthttp://fasb.org/us-gaap/2022#PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortizationhttp://fasb.org/us-gaap/2022#PropertyPlantAndEquipmentAndFinanceLeaseRightOfUseAssetAfterAccumulatedDepreciationAndAmortizationhttp://fasb.org/us-gaap/2022#DebtCurrenthttp://fasb.org/us-gaap/2022#DebtCurrenthttp://fasb.org/us-gaap/2022#LongTermDebtAndCapitalLeaseObligationshttp://fasb.org/us-gaap/2022#LongTermDebtAndCapitalLeaseObligations00017399402022-01-012022-09-3000017399402022-10-31xbrli:shares0001739940us-gaap:ProductMember2022-07-012022-09-30iso4217:USD0001739940us-gaap:ProductMember2021-07-012021-09-300001739940us-gaap:ProductMember2022-01-012022-09-300001739940us-gaap:ProductMember2021-01-012021-09-3000017399402022-07-012022-09-3000017399402021-07-012021-09-3000017399402021-01-012021-09-300001739940us-gaap:ServiceMember2022-07-012022-09-300001739940us-gaap:ServiceMember2021-07-012021-09-300001739940us-gaap:ServiceMember2022-01-012022-09-300001739940us-gaap:ServiceMember2021-01-012021-09-30iso4217:USDxbrli:shares00017399402022-09-3000017399402021-12-310001739940us-gaap:CommonStockMember2022-06-300001739940us-gaap:AdditionalPaidInCapitalMember2022-06-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2022-06-300001739940us-gaap:RetainedEarningsMember2022-06-300001739940us-gaap:TreasuryStockMember2022-06-300001739940us-gaap:ParentMember2022-06-300001739940us-gaap:NoncontrollingInterestMember2022-06-3000017399402022-06-300001739940us-gaap:AdditionalPaidInCapitalMember2022-07-012022-09-300001739940us-gaap:TreasuryStockMember2022-07-012022-09-300001739940us-gaap:ParentMember2022-07-012022-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2022-07-012022-09-300001739940us-gaap:RetainedEarningsMember2022-07-012022-09-300001739940us-gaap:NoncontrollingInterestMember2022-07-012022-09-300001739940us-gaap:CommonStockMember2022-09-300001739940us-gaap:AdditionalPaidInCapitalMember2022-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2022-09-300001739940us-gaap:RetainedEarningsMember2022-09-300001739940us-gaap:TreasuryStockMember2022-09-300001739940us-gaap:ParentMember2022-09-300001739940us-gaap:NoncontrollingInterestMember2022-09-300001739940us-gaap:CommonStockMember2021-06-300001739940us-gaap:AdditionalPaidInCapitalMember2021-06-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2021-06-300001739940us-gaap:RetainedEarningsMember2021-06-300001739940us-gaap:TreasuryStockMember2021-06-300001739940us-gaap:ParentMember2021-06-300001739940us-gaap:NoncontrollingInterestMember2021-06-3000017399402021-06-300001739940us-gaap:AdditionalPaidInCapitalMember2021-07-012021-09-300001739940us-gaap:TreasuryStockMember2021-07-012021-09-300001739940us-gaap:ParentMember2021-07-012021-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2021-07-012021-09-300001739940us-gaap:RetainedEarningsMember2021-07-012021-09-300001739940us-gaap:NoncontrollingInterestMember2021-07-012021-09-300001739940us-gaap:CommonStockMember2021-09-300001739940us-gaap:AdditionalPaidInCapitalMember2021-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2021-09-300001739940us-gaap:RetainedEarningsMember2021-09-300001739940us-gaap:TreasuryStockMember2021-09-300001739940us-gaap:ParentMember2021-09-300001739940us-gaap:NoncontrollingInterestMember2021-09-3000017399402021-09-300001739940us-gaap:CommonStockMember2021-12-310001739940us-gaap:AdditionalPaidInCapitalMember2021-12-310001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2021-12-310001739940us-gaap:RetainedEarningsMember2021-12-310001739940us-gaap:TreasuryStockMember2021-12-310001739940us-gaap:ParentMember2021-12-310001739940us-gaap:NoncontrollingInterestMember2021-12-310001739940us-gaap:AdditionalPaidInCapitalMember2022-01-012022-09-300001739940us-gaap:TreasuryStockMember2022-01-012022-09-300001739940us-gaap:ParentMember2022-01-012022-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2022-01-012022-09-300001739940us-gaap:RetainedEarningsMember2022-01-012022-09-300001739940us-gaap:NoncontrollingInterestMember2022-01-012022-09-300001739940us-gaap:CommonStockMember2020-12-310001739940us-gaap:AdditionalPaidInCapitalMember2020-12-310001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2020-12-310001739940us-gaap:RetainedEarningsMember2020-12-310001739940us-gaap:TreasuryStockMember2020-12-310001739940us-gaap:ParentMember2020-12-310001739940us-gaap:NoncontrollingInterestMember2020-12-3100017399402020-12-310001739940us-gaap:AdditionalPaidInCapitalMember2021-01-012021-09-300001739940us-gaap:TreasuryStockMember2021-01-012021-09-300001739940us-gaap:ParentMember2021-01-012021-09-300001739940us-gaap:AccumulatedOtherComprehensiveIncomeMember2021-01-012021-09-300001739940us-gaap:RetainedEarningsMember2021-01-012021-09-300001739940us-gaap:NoncontrollingInterestMember2021-01-012021-09-300001739940us-gaap:DisposalGroupDisposedOfBySaleNotDiscontinuedOperationsMemberci:InternationalLifeAccidentSupplementalBenefitsBusinessesExcludingTurkeyJointVentureMember2022-07-010001739940us-gaap:DisposalGroupDisposedOfBySaleNotDiscontinuedOperationsMemberci:InternationalLifeAccidentSupplementalBenefitsBusinessesExcludingTurkeyJointVentureMember2022-07-012022-07-010001739940ci:MDLIVEIncMember2021-04-19xbrli:pure0001739940us-gaap:DisposalGroupHeldforsaleNotDiscontinuedOperationsMemberci:InternationalLifeAccidentSupplementalBenefitsBusinessesMember2021-12-310001739940us-gaap:EmployeeStockOptionMember2022-07-012022-09-300001739940us-gaap:EmployeeStockOptionMember2021-07-012021-09-300001739940us-gaap:EmployeeStockOptionMember2022-01-012022-09-300001739940us-gaap:EmployeeStockOptionMember2021-01-012021-09-3000017399402022-07-012022-07-310001739940ci:NotesDue2022305InterestMember2022-09-300001739940ci:NotesDue2022305InterestMember2021-12-310001739940ci:NotesDue202383InterestMember2022-09-300001739940ci:NotesDue202383InterestMember2021-12-310001739940ci:NotesDue2023765InterestMember2022-09-300001739940ci:NotesDue2023765InterestMember2021-12-310001739940ci:NotesDue2023FloatingRateInterestMember2022-09-300001739940ci:NotesDue2023FloatingRateInterestMember2021-12-310001739940ci:NotesDue20233InterestMember2022-09-300001739940ci:NotesDue20233InterestMember2021-12-310001739940ci:NotesDue2023375InterestMember2022-09-300001739940ci:NotesDue2023375InterestMember2021-12-310001739940ci:NotesDue2024613InterestMember2022-09-300001739940ci:NotesDue2024613InterestMember2021-12-310001739940ci:NotesDue202435InterestMember2022-09-300001739940ci:NotesDue202435InterestMember2021-12-310001739940ci:NotesDue2025325InterestMember2022-09-300001739940ci:NotesDue2025325InterestMember2021-12-310001739940ci:NotesDue20254125InterestMember2022-09-300001739940ci:NotesDue20254125InterestMember2021-12-310001739940ci:NotesDue202645InterestMember2022-09-300001739940ci:NotesDue202645InterestMember2021-12-310001739940ci:NotesDue2026125Member2022-09-300001739940ci:NotesDue2026125Member2021-12-310001739940ci:NotesDue202734InterestMember2022-09-300001739940ci:NotesDue202734InterestMember2021-12-310001739940ci:DebenturesDue20277875InterestMember2022-09-300001739940ci:DebenturesDue20277875InterestMember2021-12-310001739940ci:NotesDue2027305Member2022-09-300001739940ci:NotesDue2027305Member2021-12-310001739940ci:NotesDue20284375InterestMember2022-09-300001739940ci:NotesDue20284375InterestMember2021-12-310001739940ci:NotesDue203024InterestMember2022-09-300001739940ci:NotesDue203024InterestMember2021-12-310001739940ci:NotesDue20312375InterestMember2022-09-300001739940ci:NotesDue20312375InterestMember2021-12-310001739940ci:StepDownNotesDue203383InterestMember2022-09-300001739940ci:StepDownNotesDue203383InterestMember2021-12-310001739940ci:NotesDue2036615InterestMember2022-09-300001739940ci:NotesDue2036615InterestMember2021-12-310001739940ci:NotesDue203848InterestMember2022-09-300001739940ci:NotesDue203848InterestMember2021-12-310001739940ci:NotesDue204032InterestMember2022-09-300001739940ci:NotesDue204032InterestMember2021-12-310001739940ci:NotesDue20415875InterestMember2022-09-300001739940ci:NotesDue20415875InterestMember2021-12-310001739940ci:NotesDue20416125InterestMember2022-09-300001739940ci:NotesDue20416125InterestMember2021-12-310001739940ci:NotesDue20425375InterestMember2022-09-300001739940ci:NotesDue20425375InterestMember2021-12-310001739940ci:NotesDue204648InterestMember2022-09-300001739940ci:NotesDue204648InterestMember2021-12-310001739940ci:NotesDue20473875Member2022-09-300001739940ci:NotesDue20473875Member2021-12-310001739940ci:NotesDue204849InterestMember2022-09-300001739940ci:NotesDue204849InterestMember2021-12-310001739940ci:NotesDue205034InterestMember2022-09-300001739940ci:NotesDue205034InterestMember2021-12-310001739940ci:NotesDue205134InterestMember2022-09-300001739940ci:NotesDue205134InterestMember2021-12-310001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2027RevolvingCreditFacilityMaturingApril2025And364DayRevolvingCreditAgreementMaturingApril2023Member2022-09-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2027Member2022-04-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2027Member2022-04-012022-04-300001739940us-gaap:LetterOfCreditMemberci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2027Member2022-04-300001739940ci:RevolvingCreditFacilityMaturingApril2025Member2022-04-300001739940ci:RevolvingCreditFacilityMaturingApril2025Member2022-04-012022-04-300001739940ci:A364DayRevolvingCreditAgreementMaturingApril2023Member2022-04-300001739940ci:A364DayRevolvingCreditAgreementMaturingApril2023Member2022-04-012022-04-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2027RevolvingCreditFacilityMaturingApril2025And364DayRevolvingCreditAgreementMaturingApril2023Member2022-04-30ci:bank0001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2026Member2021-04-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2026Member2021-04-012021-04-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2024Member2021-04-300001739940ci:RevolvingCreditAndLetterOfCreditFacilityMaturingApril2024Member2021-04-012021-04-300001739940ci:A364DayRevolvingCreditAgreementMaturingApril2022Member2021-04-300001739940ci:A364DayRevolvingCreditAgreementMaturingApril2022Member2021-04-012021-04-300001739940us-gaap:CommercialPaperMember2022-09-3000017399402022-04-012022-06-3000017399402022-01-012022-03-3100017399402021-10-012021-12-3100017399402021-01-012021-03-3100017399402021-04-012021-06-3000017399402022-03-242022-03-2400017399402022-06-232022-06-2300017399402022-09-222022-09-2200017399402021-03-252021-03-2500017399402021-06-232021-06-2300017399402021-09-232021-09-230001739940us-gaap:SubsequentEventMember2022-10-262022-10-2600017399402022-07-310001739940us-gaap:TreasuryStockMember2022-07-012022-07-310001739940us-gaap:AdditionalPaidInCapitalMember2022-07-012022-07-310001739940srt:ScenarioForecastMemberus-gaap:AdditionalPaidInCapitalMember2022-10-012022-12-310001739940us-gaap:TreasuryStockMembersrt:ScenarioForecastMember2022-10-012022-12-310001739940srt:ScenarioForecastMember2022-10-012022-12-310001739940srt:ScenarioForecastMember2022-07-012022-12-310001739940ci:CignaHealthcareMember2022-09-300001739940ci:CignaHealthcareMember2021-12-310001739940ci:CignaHealthcareMember2021-09-300001739940ci:OtherOperationsSegmentMember2022-09-300001739940ci:OtherOperationsSegmentMember2021-12-310001739940ci:OtherOperationsSegmentMember2021-09-300001739940ci:CignaHealthcareMember2020-12-310001739940ci:CignaHealthcareMember2022-01-012022-09-300001739940ci:CignaHealthcareMember2021-01-012021-09-300001739940ci:CompletionFactorsMemberci:CignaHealthcareMember2022-01-012022-09-300001739940ci:CompletionFactorsMemberci:CignaHealthcareMember2021-01-012021-09-300001739940ci:MedicalCostTrendMemberci:CignaHealthcareMember2022-01-012022-09-300001739940ci:MedicalCostTrendMemberci:CignaHealthcareMember2021-01-012021-09-300001739940ci:InterestInJointVentureInTurkeyMemberci:OtherOperationsSegmentMember2022-09-300001739940ci:OtherOperationsInternationalBusinessesToBeSoldAndInterestInJointVentureInTurkeyMemberci:OtherOperationsSegmentMember2021-09-300001739940ci:OtherOperationsSegmentOtherMemberci:OtherOperationsSegmentMember2022-09-300001739940ci:OtherOperationsSegmentOtherMemberci:OtherOperationsSegmentMember2021-09-300001739940ci:OtherOperationsInternationalBusinessesToBeSoldAndInterestInJointVentureInTurkeyMemberci:OtherOperationsSegmentMember2021-12-310001739940ci:OtherOperationsInternationalBusinessesToBeSoldAndInterestInJointVentureInTurkeyMemberci:OtherOperationsSegmentMember2020-12-310001739940ci:OtherOperationsInternationalBusinessesToBeSoldAndInterestInJointVentureInTurkeyMemberci:OtherOperationsSegmentMember2022-01-012022-09-300001739940ci:OtherOperationsInternationalBusinessesToBeSoldAndInterestInJointVentureInTurkeyMemberci:OtherOperationsSegmentMember2021-01-012021-09-300001739940ci:OtherOperationsInternationalBusinessesToBeSoldMemberci:OtherOperationsSegmentMember2022-01-012022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberus-gaap:CededCreditRiskUnsecuredMember2022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMember2022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROBBBToBBBRatingMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROBBBToBBBRatingMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROBBBToBBBRatingMemberus-gaap:CededCreditRiskUnsecuredMember2022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROBBBToBBBRatingMember2022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:OngoingOperationsMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMember2022-09-300001739940ci:OngoingOperationsMemberus-gaap:CededCreditRiskUnsecuredMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMember2022-09-300001739940ci:OngoingOperationsMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMember2022-09-300001739940ci:OngoingOperationsMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:OngoingOperationsMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2022-09-300001739940ci:OngoingOperationsMemberus-gaap:CededCreditRiskUnsecuredMember2022-09-300001739940ci:OngoingOperationsMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:LincolnNationalLifeInsuranceCompanyAndLincolnLifeAndAnnuityOfNewYorkMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:LincolnNationalLifeInsuranceCompanyAndLincolnLifeAndAnnuityOfNewYorkMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:LincolnNationalLifeInsuranceCompanyAndLincolnLifeAndAnnuityOfNewYorkMemberus-gaap:CededCreditRiskUnsecuredMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:LincolnNationalLifeInsuranceCompanyAndLincolnLifeAndAnnuityOfNewYorkMember2022-09-300001739940ci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2022-09-300001739940ci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberus-gaap:CededCreditRiskUnsecuredMember2022-09-300001739940ci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:PrudentialRetirementInsuranceAndAnnuityCompanyMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMemberci:PrudentialRetirementInsuranceAndAnnuityCompanyMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberus-gaap:CededCreditRiskUnsecuredMemberci:PrudentialRetirementInsuranceAndAnnuityCompanyMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:PrudentialRetirementInsuranceAndAnnuityCompanyMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:PrudentialInsuranceCompanyOfAmericaMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:PrudentialInsuranceCompanyOfAmericaMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:PrudentialInsuranceCompanyOfAmericaMemberus-gaap:CededCreditRiskUnsecuredMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:PrudentialInsuranceCompanyOfAmericaMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:LifeInsuranceCompanyOfNorthAmericaMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMemberci:LifeInsuranceCompanyOfNorthAmericaMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberus-gaap:CededCreditRiskUnsecuredMemberci:LifeInsuranceCompanyOfNorthAmericaMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberci:LifeInsuranceCompanyOfNorthAmericaMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberus-gaap:OtherReinsurerMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberus-gaap:OtherReinsurerMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberus-gaap:OtherReinsurerMemberus-gaap:CededCreditRiskUnsecuredMember2022-09-300001739940ci:NationallyRecognizedStatisicalRatingOrganizationsNRSROAOrHigherMemberci:AcquisitionDispositionRunoffActivitiesMemberus-gaap:OtherReinsurerMember2022-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMember2022-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMemberus-gaap:CededCreditRiskUnsecuredMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMember2022-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMemberci:NationallyRecognizedStatisicalRatingOrganizationsNRSRONotRatedMember2022-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMemberci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2022-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMemberus-gaap:CededCreditRiskUnsecuredMember2022-09-300001739940ci:AcquisitionDispositionRunoffActivitiesMember2022-09-300001739940ci:CededCreditRiskSecuredContractuallyRequiredFairValueMember2022-09-300001739940ci:CededCreditRiskSecuredCollateralProvisionsExistThatMayMitigateRiskMember2022-09-300001739940us-gaap:CededCreditRiskUnsecuredMember2022-09-300001739940us-gaap:OtherCurrentAssetsMember2022-09-300001739940ci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMemberus-gaap:VariableAnnuityMember2022-09-300001739940us-gaap:VariableAnnuityMemberus-gaap:GuaranteedMinimumDeathBenefitMember2022-09-300001739940us-gaap:VariableAnnuityMemberus-gaap:GuaranteedMinimumDeathBenefitMember2021-12-310001739940us-gaap:VariableAnnuityMemberus-gaap:GuaranteedMinimumDeathBenefitMember2022-01-012022-09-30ci:contractholder0001739940us-gaap:VariableAnnuityMemberus-gaap:GuaranteedMinimumDeathBenefitMember2021-01-012021-12-310001739940us-gaap:GuaranteedMinimumIncomeBenefitMember2022-01-012022-09-300001739940us-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2022-09-300001739940us-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2021-12-310001739940us-gaap:GuaranteedMinimumIncomeBenefitMember2021-12-31ci:reinsurer0001739940us-gaap:GuaranteedMinimumIncomeBenefitMember2022-09-300001739940ci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMemberus-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2022-09-300001739940ci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMemberus-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2021-12-310001739940ci:BerkshireHathwayLifeInsuranceCompanyOfNebraskaMemberus-gaap:CededCreditRiskSecuredMemberus-gaap:GuaranteedMinimumIncomeBenefitMemberci:GuaranteedMinimumIncomeBenefitsAssetsMemberci:CededCreditCollateralizationRiskMember2022-01-012022-09-300001739940us-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMemberci:SunLifeAssuranceCompanyOfCanadaMember2022-09-300001739940us-gaap:OtherContractMemberus-gaap:GuaranteedMinimumIncomeBenefitMemberci:SunLifeAssuranceCompanyOfCanadaMember2021-12-310001739940us-gaap:OtherContractMemberci:LibertyMutualInsuranceMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2022-09-300001739940us-gaap:OtherContractMemberci:LibertyMutualInsuranceMemberus-gaap:GuaranteedMinimumIncomeBenefitMember2021-12-310001739940us-gaap:CededCreditRiskSecuredMemberci:LibertyMutualInsuranceMemberus-gaap:GuaranteedMinimumIncomeBenefitMemberci:GuaranteedMinimumIncomeBenefitsAssetsMemberci:CededCreditCollateralizationRiskMember2022-01-012022-09-300001739940us-gaap:DebtSecuritiesMember2022-09-300001739940us-gaap:DebtSecuritiesMember2021-12-310001739940us-gaap:EquitySecuritiesMember2022-09-300001739940us-gaap:EquitySecuritiesMember2021-12-310001739940us-gaap:MortgagesMember2022-09-300001739940us-gaap:MortgagesMember2021-12-310001739940us-gaap:PolicyLoansMember2022-09-300001739940us-gaap:PolicyLoansMember2021-12-310001739940us-gaap:OtherLongTermInvestmentsMember2022-09-300001739940us-gaap:OtherLongTermInvestmentsMember2021-12-310001739940us-gaap:ShortTermInvestmentsMember2022-09-300001739940us-gaap:ShortTermInvestmentsMember2021-12-310001739940us-gaap:USTreasuryAndGovernmentMember2022-09-300001739940us-gaap:USStatesAndPoliticalSubdivisionsMember2022-09-300001739940us-gaap:ForeignGovernmentDebtSecuritiesMember2022-09-300001739940us-gaap:CorporateDebtSecuritiesMember2022-09-300001739940us-gaap:AssetBackedSecuritiesMember2022-09-300001739940us-gaap:USTreasuryAndGovernmentMember2021-12-310001739940us-gaap:USStatesAndPoliticalSubdivisionsMember2021-12-310001739940us-gaap:ForeignGovernmentDebtSecuritiesMember2021-12-310001739940us-gaap:CorporateDebtSecuritiesMember2021-12-310001739940us-gaap:AssetBackedSecuritiesMember2021-12-310001739940ci:RunoffSettlementAnnuityBusinessMember2021-12-310001739940us-gaap:DebtSecuritiesMemberci:InvestmentGradeMember2022-09-30ci:position0001739940us-gaap:DebtSecuritiesMemberci:InvestmentGradeMember2021-12-310001739940ci:BelowInvestmentGradeMemberus-gaap:DebtSecuritiesMember2022-09-300001739940ci:BelowInvestmentGradeMemberus-gaap:DebtSecuritiesMember2021-12-310001739940ci:EquitySecuritiesFVNIMemberus-gaap:ProductConcentrationRiskMemberus-gaap:HealthcareSectorMember2022-01-012022-09-300001739940ci:LtvLessThan60PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2022-09-300001739940ci:LtvLessThan60PercentMemberus-gaap:RealEstateLoanMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2022-01-012022-09-300001739940ci:LtvLessThan60PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-12-310001739940ci:LtvLessThan60PercentMemberus-gaap:RealEstateLoanMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2021-01-012021-12-310001739940ci:Ltv60To79PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2022-09-300001739940ci:Ltv60To79PercentMemberus-gaap:RealEstateLoanMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2022-01-012022-09-300001739940ci:Ltv60To79PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-12-310001739940ci:Ltv60To79PercentMemberus-gaap:RealEstateLoanMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2021-01-012021-12-310001739940us-gaap:RealEstateLoanMemberus-gaap:Ltv80To100PercentMemberus-gaap:CommercialPortfolioSegmentMember2022-09-300001739940us-gaap:RealEstateLoanMemberus-gaap:Ltv80To100PercentMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2022-01-012022-09-300001739940us-gaap:RealEstateLoanMemberus-gaap:Ltv80To100PercentMemberus-gaap:CommercialPortfolioSegmentMember2021-12-310001739940us-gaap:RealEstateLoanMemberus-gaap:Ltv80To100PercentMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2021-01-012021-12-310001739940ci:LtvGreaterThan100PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2022-09-300001739940ci:LtvGreaterThan100PercentMemberus-gaap:RealEstateLoanMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2022-01-012022-09-300001739940ci:LtvGreaterThan100PercentMemberus-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-12-310001739940ci:LtvGreaterThan100PercentMemberus-gaap:RealEstateLoanMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2021-01-012021-12-310001739940us-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2022-09-300001739940us-gaap:RealEstateLoanMemberus-gaap:CommercialPortfolioSegmentMember2021-12-310001739940us-gaap:RealEstateLoanMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2022-01-012022-09-300001739940us-gaap:RealEstateLoanMembersrt:WeightedAverageMemberus-gaap:CommercialPortfolioSegmentMember2021-01-012021-12-310001739940us-gaap:RealEstateInvestmentMember2022-09-300001739940us-gaap:RealEstateInvestmentMember2021-12-310001739940srt:PartnershipInterestMember2022-09-300001739940srt:PartnershipInterestMember2021-12-310001739940us-gaap:OtherInvestmentsMember2022-09-300001739940us-gaap:OtherInvestmentsMember2021-12-310001739940us-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:FairValueHedgingMemberus-gaap:CurrencySwapMember2022-09-300001739940us-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:FairValueHedgingMemberus-gaap:CurrencySwapMember2021-12-310001739940us-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:FairValueHedgingMemberus-gaap:InterestRateSwapMember2022-09-300001739940us-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:FairValueHedgingMemberus-gaap:InterestRateSwapMember2021-12-310001739940us-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:NetInvestmentHedgingMemberus-gaap:CurrencySwapMember2022-09-300001739940us-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:NetInvestmentHedgingMemberus-gaap:CurrencySwapMember2021-12-310001739940us-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:NetInvestmentHedgingMemberus-gaap:ForeignExchangeForwardMember2022-09-300001739940us-gaap:DesignatedAsHedgingInstrumentMemberus-gaap:NetInvestmentHedgingMemberus-gaap:ForeignExchangeForwardMember2021-12-310001739940us-gaap:NotDesignatedAsHedgingInstrumentEconomicHedgeMemberus-gaap:ForeignExchangeForwardMember2022-09-300001739940us-gaap:NotDesignatedAsHedgingInstrumentEconomicHedgeMemberus-gaap:ForeignExchangeForwardMember2021-12-310001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:USTreasuryAndGovernmentMember2022-09-300001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:USTreasuryAndGovernmentMember2021-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:USTreasuryAndGovernmentMember2022-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:USTreasuryAndGovernmentMember2021-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:USTreasuryAndGovernmentMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:USTreasuryAndGovernmentMember2021-12-310001739940us-gaap:FairValueMeasurementsRecurringMemberus-gaap:USTreasuryAndGovernmentMember2022-09-300001739940us-gaap:FairValueMeasurementsRecurringMemberus-gaap:USTreasuryAndGovernmentMember2021-12-310001739940us-gaap:FairValueInputsLevel1Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueInputsLevel1Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:USStatesAndPoliticalSubdivisionsMemberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:FairValueInputsLevel1Memberus-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueInputsLevel1Memberus-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:ForeignGovernmentDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:CorporateDebtSecuritiesMember2022-09-300001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:CorporateDebtSecuritiesMember2021-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:CorporateDebtSecuritiesMember2022-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:CorporateDebtSecuritiesMember2021-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:CorporateDebtSecuritiesMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:CorporateDebtSecuritiesMember2021-12-310001739940us-gaap:FairValueMeasurementsRecurringMemberus-gaap:CorporateDebtSecuritiesMember2022-09-300001739940us-gaap:FairValueMeasurementsRecurringMemberus-gaap:CorporateDebtSecuritiesMember2021-12-310001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2022-09-300001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2021-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2022-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2021-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2021-12-310001739940us-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2022-09-300001739940us-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2021-12-310001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMemberci:ForwardsSwapsOptionsMember2022-09-300001739940us-gaap:FairValueInputsLevel1Memberus-gaap:FairValueMeasurementsRecurringMemberci:ForwardsSwapsOptionsMember2021-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMemberci:ForwardsSwapsOptionsMember2022-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:FairValueMeasurementsRecurringMemberci:ForwardsSwapsOptionsMember2021-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberci:ForwardsSwapsOptionsMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberci:ForwardsSwapsOptionsMember2021-12-310001739940us-gaap:FairValueMeasurementsRecurringMemberci:ForwardsSwapsOptionsMember2022-09-300001739940us-gaap:FairValueMeasurementsRecurringMemberci:ForwardsSwapsOptionsMember2021-12-310001739940us-gaap:FairValueMeasurementsRecurringMemberus-gaap:SwapMemberus-gaap:ShortTermInvestmentsMember2022-09-300001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberci:CorporateAndGovernmentDebtSecuritiesMember2022-09-300001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberci:CorporateAndGovernmentDebtSecuritiesMember2021-12-310001739940srt:MinimumMemberci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMemberci:CorporateAndGovernmentDebtSecuritiesMember2022-09-300001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMembersrt:MaximumMemberci:CorporateAndGovernmentDebtSecuritiesMember2022-09-300001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMembersrt:WeightedAverageMemberci:CorporateAndGovernmentDebtSecuritiesMember2022-09-300001739940srt:MinimumMemberci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMemberci:CorporateAndGovernmentDebtSecuritiesMember2021-12-310001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMembersrt:MaximumMemberci:CorporateAndGovernmentDebtSecuritiesMember2021-12-310001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMembersrt:WeightedAverageMemberci:CorporateAndGovernmentDebtSecuritiesMember2021-12-310001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2022-09-300001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2021-12-310001739940srt:MinimumMemberci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2022-09-300001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMembersrt:MaximumMemberus-gaap:AssetBackedSecuritiesMember2022-09-300001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMembersrt:WeightedAverageMemberus-gaap:AssetBackedSecuritiesMember2022-09-300001739940srt:MinimumMemberci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMemberus-gaap:AssetBackedSecuritiesMember2021-12-310001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMembersrt:MaximumMemberus-gaap:AssetBackedSecuritiesMember2021-12-310001739940ci:UnobservableInputsDevelopedByCompanyMemberus-gaap:FairValueInputsLevel3Memberci:MeasurementInputLiquidityMemberus-gaap:FairValueMeasurementsRecurringMembersrt:WeightedAverageMemberus-gaap:AssetBackedSecuritiesMember2021-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:OtherDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:OtherDebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:DebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:DebtSecuritiesMemberus-gaap:FairValueMeasurementsRecurringMember2021-12-310001739940ci:DebtAndEquitySecuritiesMember2022-06-300001739940ci:DebtAndEquitySecuritiesMember2021-06-300001739940ci:DebtAndEquitySecuritiesMember2021-12-310001739940ci:DebtAndEquitySecuritiesMember2020-12-310001739940ci:DebtAndEquitySecuritiesMember2022-07-012022-09-300001739940ci:DebtAndEquitySecuritiesMember2021-07-012021-09-300001739940ci:DebtAndEquitySecuritiesMember2022-01-012022-09-300001739940ci:DebtAndEquitySecuritiesMember2021-01-012021-09-300001739940ci:DebtAndEquitySecuritiesMember2022-09-300001739940ci:DebtAndEquitySecuritiesMember2021-09-300001739940us-gaap:FairValueInputsLevel1Member2022-09-300001739940us-gaap:FairValueInputsLevel1Member2021-12-310001739940us-gaap:FairValueInputsLevel2Member2022-09-300001739940us-gaap:FairValueInputsLevel2Member2021-12-310001739940us-gaap:FairValueInputsLevel3Member2022-09-300001739940us-gaap:FairValueInputsLevel3Member2021-12-310001739940us-gaap:PensionPlansDefinedBenefitMember2022-09-300001739940us-gaap:PensionPlansDefinedBenefitMember2021-12-310001739940us-gaap:FairValueInputsLevel3Memberus-gaap:PensionPlansDefinedBenefitMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:PensionPlansDefinedBenefitMember2021-12-310001739940srt:PartnershipInterestMemberus-gaap:FairValueMeasurementsRecurringMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2022-09-300001739940srt:PartnershipInterestMemberus-gaap:FairValueMeasurementsRecurringMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2021-12-310001739940srt:PartnershipInterestMemberci:SeparateAccountAssetsMember2022-09-300001739940us-gaap:RealEstateFundsMemberus-gaap:FairValueMeasurementsRecurringMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2022-09-300001739940us-gaap:RealEstateFundsMemberus-gaap:FairValueMeasurementsRecurringMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2021-12-310001739940us-gaap:RealEstateFundsMemberci:SeparateAccountAssetsMember2022-09-300001739940srt:MinimumMemberus-gaap:RealEstateFundsMemberci:SeparateAccountAssetsMember2022-01-012022-09-300001739940us-gaap:RealEstateFundsMembersrt:MaximumMemberci:SeparateAccountAssetsMember2022-01-012022-09-300001739940us-gaap:HedgeFundsMemberus-gaap:FairValueMeasurementsRecurringMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2022-09-300001739940us-gaap:HedgeFundsMemberus-gaap:FairValueMeasurementsRecurringMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2021-12-310001739940us-gaap:HedgeFundsMemberci:SeparateAccountAssetsMember2022-09-300001739940srt:MinimumMemberus-gaap:HedgeFundsMemberci:SeparateAccountAssetsMember2022-01-012022-09-300001739940us-gaap:HedgeFundsMembersrt:MaximumMemberci:SeparateAccountAssetsMember2022-01-012022-09-300001739940us-gaap:FairValueMeasurementsRecurringMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2022-09-300001739940us-gaap:FairValueMeasurementsRecurringMemberci:SeparateAccountAssetsMemberus-gaap:FairValueMeasuredAtNetAssetValuePerShareMember2021-12-310001739940ci:SeparateAccountAssetsMember2022-09-300001739940srt:PartnershipInterestMemberus-gaap:FairValueMeasurementsRecurringMemberci:SeparateAccountAssetsMember2022-01-012022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2022-09-300001739940us-gaap:CarryingReportedAmountFairValueDisclosureMember2022-09-300001739940us-gaap:FairValueInputsLevel3Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2021-12-310001739940us-gaap:CarryingReportedAmountFairValueDisclosureMember2021-12-310001739940us-gaap:FairValueInputsLevel2Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2022-09-300001739940us-gaap:FairValueInputsLevel2Memberus-gaap:EstimateOfFairValueFairValueDisclosureMember2021-12-310001739940ci:SeparateAccountAssetsMember2022-07-012022-09-300001739940ci:SeparateAccountAssetsMember2021-07-012021-09-300001739940ci:SeparateAccountAssetsMember2022-01-012022-09-300001739940ci:SeparateAccountAssetsMember2021-01-012021-09-300001739940us-gaap:VariableInterestEntityPrimaryBeneficiaryMember2022-09-30ci:entity0001739940us-gaap:VariableInterestEntityPrimaryBeneficiaryMember2021-12-310001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2022-06-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2021-06-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2021-12-310001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2020-12-310001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2022-07-012022-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2021-07-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2022-01-012022-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2021-01-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesGainLossOnSaleOfBusinessParentMember2022-07-012022-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesGainLossOnSaleOfBusinessParentMember2021-07-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesGainLossOnSaleOfBusinessParentMember2022-01-012022-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesGainLossOnSaleOfBusinessParentMember2021-01-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesRealizedInvestmentGainsLossesParentMember2022-07-012022-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesRealizedInvestmentGainsLossesParentMember2021-07-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesRealizedInvestmentGainsLossesParentMember2022-01-012022-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesRealizedInvestmentGainsLossesParentMember2021-01-012021-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2022-09-300001739940ci:AOCIAccumulatedGainLossDebtSecuritiesAvailableForSaleAndDerivativesParentMember2021-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2022-06-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2021-06-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2021-12-310001739940us-gaap:AccumulatedTranslationAdjustmentMember2020-12-310001739940us-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2022-07-012022-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2021-07-012021-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2022-01-012022-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentIncludingPortionAttributableToNoncontrollingInterestMember2021-01-012021-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentAttributableToNoncontrollingInterestMember2022-07-012022-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentAttributableToNoncontrollingInterestMember2021-07-012021-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentAttributableToNoncontrollingInterestMember2022-01-012022-09-300001739940us-gaap:AccumulatedForeignCurrencyAdjustmentAttributableToNoncontrollingInterestMember2021-01-012021-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2022-07-012022-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2021-07-012021-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2022-01-012022-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2021-01-012021-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2022-09-300001739940us-gaap:AccumulatedTranslationAdjustmentMember2021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2022-06-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2021-06-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2021-12-310001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2020-12-310001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentNetUnamortizedGainLossMember2022-07-012022-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentNetUnamortizedGainLossMember2021-07-012021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentNetUnamortizedGainLossMember2022-01-012022-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentNetUnamortizedGainLossMember2021-01-012021-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentGainLossOnSaleOfBusinessMember2022-07-012022-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentGainLossOnSaleOfBusinessMember2021-07-012021-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentGainLossOnSaleOfBusinessMember2022-01-012022-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentGainLossOnSaleOfBusinessMember2021-01-012021-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentSettlementMember2022-07-012022-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentSettlementMember2021-07-012021-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentSettlementMember2022-01-012022-09-300001739940ci:AccumulatedDefinedBenefitPlansAdjustmentSettlementMember2021-01-012021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2022-07-012022-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2021-07-012021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2022-01-012022-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2021-01-012021-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2022-09-300001739940us-gaap:AccumulatedDefinedBenefitPlansAdjustmentMember2021-09-300001739940ci:RetirementAndLifeInsuranceContractsMemberus-gaap:FinancialGuaranteeMember2022-01-012022-09-300001739940ci:RetirementAndLifeInsuranceContractsMemberus-gaap:FinancialGuaranteeMember2022-09-300001739940us-gaap:IndemnificationGuaranteeMember2022-09-300001739940us-gaap:PendingLitigationMemberci:ExpressScriptsLitigationWithAnthemMemberci:PricingConcessionsThroughRemainingContractTermMember2016-03-012016-03-310001739940us-gaap:PendingLitigationMemberci:ExpressScriptsLitigationWithAnthemMemberci:PricingConcessionsAfterRemainingTermOfAgreementMember2016-03-012016-03-310001739940ci:DamagesForServiceIssuesMemberus-gaap:PendingLitigationMemberci:ExpressScriptsLitigationWithAnthemMember2016-03-012016-03-310001739940ci:ExpressScriptsCounterclaimsAgainstElevanceMember2016-04-192016-04-19ci:claim0001739940ci:ExpressScriptsCounterclaimsAgainstElevanceMember2016-04-190001739940ci:PricingConcessionsMemberci:ExpressScriptsLitigationWithAnthemMemberus-gaap:JudicialRulingMember2022-03-312022-03-310001739940us-gaap:InsuranceRelatedAssessmentsMember2022-01-012022-09-300001739940ci:LitigationMattersAndRegulatoryMattersMember2022-09-300001739940ci:EvernorthMember2022-07-012022-09-300001739940ci:CignaHealthcareMember2022-07-012022-09-300001739940ci:OtherOperationsSegmentMember2022-07-012022-09-300001739940us-gaap:CorporateNonSegmentMember2022-07-012022-09-300001739940ci:EvernorthMemberus-gaap:IntersegmentEliminationMember2022-07-012022-09-300001739940ci:CignaHealthcareMemberus-gaap:IntersegmentEliminationMember2022-07-012022-09-300001739940us-gaap:IntersegmentEliminationMemberci:OtherOperationsSegmentMember2022-07-012022-09-300001739940us-gaap:IntersegmentEliminationMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:EvernorthMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsSegmentMember2022-07-012022-09-300001739940ci:CorporateAndEliminationsMember2022-07-012022-09-300001739940ci:EvernorthMember2021-07-012021-09-300001739940ci:CignaHealthcareMember2021-07-012021-09-300001739940ci:OtherOperationsSegmentMember2021-07-012021-09-300001739940us-gaap:CorporateNonSegmentMember2021-07-012021-09-300001739940ci:EvernorthMemberus-gaap:IntersegmentEliminationMember2021-07-012021-09-300001739940ci:CignaHealthcareMemberus-gaap:IntersegmentEliminationMember2021-07-012021-09-300001739940us-gaap:IntersegmentEliminationMemberci:OtherOperationsSegmentMember2021-07-012021-09-300001739940us-gaap:IntersegmentEliminationMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:EvernorthMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsSegmentMember2021-07-012021-09-300001739940ci:CorporateAndEliminationsMember2021-07-012021-09-300001739940ci:EvernorthMember2022-01-012022-09-300001739940ci:OtherOperationsSegmentMember2022-01-012022-09-300001739940us-gaap:CorporateNonSegmentMember2022-01-012022-09-300001739940ci:EvernorthMemberus-gaap:IntersegmentEliminationMember2022-01-012022-09-300001739940ci:CignaHealthcareMemberus-gaap:IntersegmentEliminationMember2022-01-012022-09-300001739940us-gaap:IntersegmentEliminationMemberci:OtherOperationsSegmentMember2022-01-012022-09-300001739940us-gaap:IntersegmentEliminationMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:EvernorthMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsSegmentMember2022-01-012022-09-300001739940ci:CorporateAndEliminationsMember2022-01-012022-09-300001739940ci:EvernorthMember2021-01-012021-09-300001739940ci:OtherOperationsSegmentMember2021-01-012021-09-300001739940us-gaap:CorporateNonSegmentMember2021-01-012021-09-300001739940ci:EvernorthMemberus-gaap:IntersegmentEliminationMember2021-01-012021-09-300001739940ci:CignaHealthcareMemberus-gaap:IntersegmentEliminationMember2021-01-012021-09-300001739940us-gaap:IntersegmentEliminationMemberci:OtherOperationsSegmentMember2021-01-012021-09-300001739940us-gaap:IntersegmentEliminationMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:EvernorthMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsSegmentMember2021-01-012021-09-300001739940ci:CorporateAndEliminationsMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:NetworkPharmacyMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:NetworkPharmacyMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:NetworkPharmacyMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:NetworkPharmacyMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:HomeDeliveryAndSpecialtyMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:HomeDeliveryAndSpecialtyMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:HomeDeliveryAndSpecialtyMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:HomeDeliveryAndSpecialtyMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherPharmacyMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherPharmacyMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherPharmacyMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherPharmacyMember2021-01-012021-09-300001739940us-gaap:ProductMemberus-gaap:IntersegmentEliminationMember2022-07-012022-09-300001739940us-gaap:ProductMemberus-gaap:IntersegmentEliminationMember2021-07-012021-09-300001739940us-gaap:ProductMemberus-gaap:IntersegmentEliminationMember2022-01-012022-09-300001739940us-gaap:ProductMemberus-gaap:IntersegmentEliminationMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:MedicalRiskProductsMemberci:CignaHealthcareMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:MedicalRiskProductsMemberci:CignaHealthcareMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:MedicalRiskProductsMemberci:CignaHealthcareMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:MedicalRiskProductsMemberci:CignaHealthcareMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMemberci:StopLossMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMemberci:StopLossMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMemberci:StopLossMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMemberci:StopLossMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherCommercialMedicalProductsMemberci:CignaHealthcareMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherCommercialMedicalProductsMemberci:CignaHealthcareMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherCommercialMedicalProductsMemberci:CignaHealthcareMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherCommercialMedicalProductsMemberci:CignaHealthcareMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMemberci:MedicareAdvantageMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMemberci:MedicareAdvantageMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMemberci:MedicareAdvantageMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:CignaHealthcareMemberci:MedicareAdvantageMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:MedicarePartDMemberci:CignaHealthcareMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:MedicarePartDMemberci:CignaHealthcareMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:MedicarePartDMemberci:CignaHealthcareMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:MedicarePartDMemberci:CignaHealthcareMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherGovernmentProductsMemberci:CignaHealthcareMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherGovernmentProductsMemberci:CignaHealthcareMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherGovernmentProductsMemberci:CignaHealthcareMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherGovernmentProductsMemberci:CignaHealthcareMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:InternationalHealthMemberci:CignaHealthcareMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:InternationalHealthMemberci:CignaHealthcareMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:InternationalHealthMemberci:CignaHealthcareMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:InternationalHealthMemberci:CignaHealthcareMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:USMedicalProductsMemberci:CignaHealthcareMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:USMedicalProductsMemberci:CignaHealthcareMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:USMedicalProductsMemberci:CignaHealthcareMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:USMedicalProductsMemberci:CignaHealthcareMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsInternationalBusinessesToBeSoldMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsInternationalBusinessesToBeSoldMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsInternationalBusinessesToBeSoldMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsInternationalBusinessesToBeSoldMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsSegmentOtherMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsSegmentOtherMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsSegmentOtherMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:OtherOperationsSegmentOtherMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:EvernorthMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:EvernorthMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:EvernorthMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:EvernorthMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:CignaHealthcareMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:CignaHealthcareMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:CignaHealthcareMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:CignaHealthcareMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:OtherOperationsSegmentMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:OtherOperationsSegmentMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:OtherOperationsSegmentMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberci:ServiceFeesMemberci:OtherOperationsSegmentMember2021-01-012021-09-300001739940us-gaap:OperatingSegmentsMemberus-gaap:ServiceOtherMember2022-07-012022-09-300001739940us-gaap:OperatingSegmentsMemberus-gaap:ServiceOtherMember2021-07-012021-09-300001739940us-gaap:OperatingSegmentsMemberus-gaap:ServiceOtherMember2022-01-012022-09-300001739940us-gaap:OperatingSegmentsMemberus-gaap:ServiceOtherMember2021-01-012021-09-300001739940us-gaap:ServiceMemberus-gaap:IntersegmentEliminationMember2022-07-012022-09-300001739940us-gaap:ServiceMemberus-gaap:IntersegmentEliminationMember2021-07-012021-09-300001739940us-gaap:ServiceMemberus-gaap:IntersegmentEliminationMember2022-01-012022-09-300001739940us-gaap:ServiceMemberus-gaap:IntersegmentEliminationMember2021-01-012021-09-300001739940us-gaap:GuaranteesMemberci:PharmacyBenefitsManagementServicesMember2022-09-300001739940us-gaap:GuaranteesMemberci:PharmacyBenefitsManagementServicesMember2021-12-31



UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
☒ QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2022
OR
☐ TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d)
OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from _____ to _____
Commission File Number 001-38769
Cigna Corporation
(Exact name of registrant as specified in its charter)
Delaware82-4991898
(State or other jurisdiction of incorporation or organization)(I.R.S. Employer Identification No.)
900 Cottage Grove Road
Bloomfield, Connecticut 06002
(Address of principal executive offices) (Zip Code)
(860) 226-6000
(Registrant's telephone number, including area code)

Not Applicable
(Former name, former address and former fiscal year, if changed since last report)
Securities registered pursuant to Section 12(b) of the Act:
Title of each classTrading Symbol(s)Name of each exchange on which registered
Common Stock, Par Value $0.01CI
New York Stock Exchange, Inc.
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. ☒ Yes ☐ No
Indicate by check mark whether the registrant has submitted electronically every Interactive Data File required to be submitted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit such files). ☒ Yes ☐ No
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, a smaller reporting company, or an emerging growth company. See definitions of "large accelerated filer," "accelerated filer," "smaller reporting company," and "emerging growth company" in Rule 12b-2 of the Exchange Act.
Large accelerated filer☒Accelerated filer☐
Non-accelerated filer☐Smaller reporting company☐
Emerging growth company☐
If an emerging growth company, indicate by check mark if the registrant has elected not to use the extended transition period for complying with any new or revised financial accounting standards provided pursuant to Section 13(a) of the Exchange Act. ☐
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). ☐ Yes ☒ No
As of October 31, 2022, 305,739,004 shares of the issuer's common stock were outstanding.


Cigna Corporation
TABLE OF CONTENTS
Page
As used herein, "Cigna" or the "Company" refers to one or more of Cigna Corporation and its consolidated subsidiaries.


Part I. FINANCIAL INFORMATION
Item 1. FINANCIAL STATEMENTS
a
Cigna Corporation
Consolidated Statements of Income
UnauditedUnaudited
Three Months Ended September 30,Nine Months Ended September 30,
(In millions, except per share amounts)2022202120222021
Revenues
Pharmacy revenues$32,762 $31,013 $95,431 $89,085 
Premiums9,586 10,275 30,368 30,812 
Fees and other revenues2,728 2,532 8,023 7,324 
Net investment income204 468 943 1,169 
TOTAL REVENUES45,280 44,288 134,765 128,390 
Benefits and expenses
Pharmacy and other service costs31,777 30,070 92,740 86,306 
Medical costs and other benefit expenses7,754 8,330 24,214 24,819 
Selling, general and administrative expenses3,148 3,093 9,703 9,368 
Amortization of acquired intangible assets460 501 1,419 1,499 
TOTAL BENEFITS AND EXPENSES43,139 41,994 128,076 121,992 
Income from operations2,141 2,294 6,689 6,398 
Interest expense and other(304)(303)(904)(915)
Debt extinguishment costs— — — (141)
Gain on sale of businesses1,735 — 1,735 — 
Net realized investment (losses) gains(81)68 (495)128 
Income before income taxes3,491 2,059 7,025 5,470 
TOTAL INCOME TAXES713 424 1,477 1,188 
Net income2,778 1,635 5,548 4,282 
Less: Net income attributable to noncontrolling interests21 14 49 33 
SHAREHOLDERS' NET INCOME$2,757 $1,621 $5,499 $4,249 
Shareholders' net income per share
Basic$9.07 $4.84 $17.60 $12.44 
Diluted$8.97 $4.80 $17.42 $12.32 
The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
3

Cigna Corporation
Consolidated Statements of Comprehensive Income
UnauditedUnaudited
Three Months Ended September 30,Nine Months Ended September 30,
(In millions)2022202120222021
Net income$2,778 $1,635 $5,548 $4,282 
Other comprehensive income (loss), net of tax
Net unrealized (depreciation) appreciation on securities and derivatives(99)32 (1,069)(119)
Net translation gains (losses) on foreign currencies161 (125)(108)(228)
Postretirement benefits liability adjustment10 16 50 49 
Other comprehensive income (loss), net of tax72 (77)(1,127)(298)
Total comprehensive income2,850 1,558 4,421 3,984 
Comprehensive income (loss) attributable to noncontrolling interests
Net income attributable to redeemable noncontrolling interests3 4 8 12 
Net income attributable to other noncontrolling interests18 10 41 21 
Other comprehensive income (loss) attributable to redeemable noncontrolling interests1 (1)(2)(6)
Total comprehensive income attributable to noncontrolling interests22 13 47 27 
SHAREHOLDERS' COMPREHENSIVE INCOME$2,828 $1,545 $4,374 $3,957 
The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
4

Cigna Corporation
Consolidated Balance Sheets
Unaudited
As of
September 30,		As of
December 31,
(In millions)20222021
Assets
Cash and cash equivalents$7,079 $5,081 
Investments783 920 
Accounts receivable, net17,275 15,071 
Inventories4,017 3,722 
Other current assets1,016 1,283 
Assets of businesses held for sale— 10,057 
Total current assets30,170 36,134 
Long-term investments16,273 18,438 
Reinsurance recoverables4,826 4,970 
Deferred policy acquisition costs764 677 
Property and equipment3,744 3,692 
Goodwill45,807 45,811 
Other intangible assets32,885 34,102 
Other assets2,480 2,728 
Separate account assets7,260 8,337 
TOTAL ASSETS$144,209 $154,889 
Liabilities
Current insurance and contractholder liabilities$6,095 $5,318 
Pharmacy and other service costs payable16,676 15,309 
Accounts payable6,870 6,655 
Accrued expenses and other liabilities7,986 7,322 
Short-term debt3,488 2,545 
Liabilities of businesses held for sale— 6,423 
Total current liabilities41,115 43,572 
Non-current insurance and contractholder liabilities11,655 12,563 
Deferred tax liabilities, net7,777 8,346 
Other non-current liabilities3,179 3,762 
Long-term debt28,090 31,125 
Separate account liabilities7,260 8,337 
TOTAL LIABILITIES99,076 107,705 
Contingencies — Note 18
Redeemable noncontrolling interests50 54 
Shareholders' equity
Common stock (1)
4 4 
Additional paid-in capital29,395 29,574 
Accumulated other comprehensive loss(2,009)(884)
Retained earnings37,041 32,593 
Less: Treasury stock, at cost(19,390)(14,175)
TOTAL SHAREHOLDERS' EQUITY45,041 47,112 
Other noncontrolling interests42 18 
Total equity45,083 47,130 
Total liabilities and equity$144,209 $154,889 
(1) Par value per share, $0.01; shares issued, 397 million as of September 30, 2022 and 394 million as of December 31, 2021; authorized shares, 600 million.
The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
5

Cigna Corporation
Consolidated Statements of Changes in Total Equity
Unaudited
Three Months Ended September 30, 2022
(In millions)Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive (Loss)Retained EarningsTreasury StockShareholders' EquityOther Non- controlling InterestsTotal EquityRedeemable Noncontrolling Interests
Balance at June 30, 2022$4 $29,930 $(2,080)$34,626 $(16,588)$45,892 $30 $45,922 $45 
Effects of issuing stock for employee benefits plans165 (2)163 163 
Other comprehensive income71 71 71 1 
Net income2,757 2,757 18 2,775 3 
Common dividends declared (per share: $1.12)
(342)(342)(342)
Repurchase of common stock(700)(2,800)(3,500)(3,500)
Other transactions impacting noncontrolling interests— — (6)(6)1 
Balance at September 30, 2022$4 $29,395 $(2,009)$37,041 $(19,390)$45,041 $42 $45,083 $50 
Three Months Ended September 30, 2021
(In millions)Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive (Loss)Retained EarningsTreasury StockShareholders' EquityOther Non- controlling InterestsTotal EquityRedeemable Noncontrolling Interests
Balance at June 30, 2021$4 $29,403 $(1,077)$30,513 $(10,134)$48,709 $7 $48,716 $51 
Effect of issuing stock for employee benefit plans76 (1)75 75 
Other comprehensive loss(76)(76)(76)(1)
Net income1,621 1,621 10 1,631 4 
Common dividends declared (per share: $1.00)
(331)(331)(331)
Repurchase of common stock(400)(2,181)(2,581)(2,581)
Other transactions impacting noncontrolling interests(2)(2)(5)(7)2 
Balance at September 30, 2021$4 $29,077 $(1,153)$31,803 $(12,316)$47,415 $12 $47,427 $56 
The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
6

Cigna Corporation
Consolidated Statements of Changes in Total Equity
Unaudited
Nine Months Ended September 30, 2022
(In millions)Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive (Loss)Retained EarningsTreasury StockShareholders' EquityOther Non- controlling InterestsTotal EquityRedeemable Noncontrolling Interests
Balance at December 31, 2021$4 $29,574 $(884)$32,593 $(14,175)$47,112 $18 $47,130 $54 
Effect of issuing stock for employee benefit plans521 (75)446 446 
Other comprehensive loss(1,125)(1,125)(1,125)(2)
Net income5,499 5,499 41 5,540 8 
Common dividends declared (per share: $3.36)
(1,051)(1,051)(1,051)
Repurchase of common stock(700)(5,140)(5,840)(5,840)
Other transactions impacting noncontrolling interests— — (17)(17)(10)
Balance at September 30, 2022$4 $29,395 $(2,009)$37,041 $(19,390)$45,041 $42 $45,083 $50 
Nine Months Ended September 30, 2021
(In millions)Common StockAdditional Paid-in CapitalAccumulated Other Comprehensive (Loss)Retained EarningsTreasury StockShareholders' EquityOther Non- controlling InterestsTotal EquityRedeemable Noncontrolling Interests
Balance at December 31, 2020$4 $28,975 $(861)$28,575 $(6,372)$50,321 $7 $50,328 $58 
Effect of issuing stock for employee benefit plans507 (90)417 417 
Other comprehensive loss(292)(292)(292)(6)
Net income4,249 4,249 21 4,270 12 
Common dividends declared (per share: $3.00)
(1,021)(1,021)(1,021)
Repurchase of common stock(400)(5,854)(6,254)(6,254)
Other transactions impacting noncontrolling interests(5)(5)(16)(21)(8)
Balance at September 30, 2021$4 $29,077 $(1,153)$31,803 $(12,316)$47,415 $12 $47,427 $56 
The accompanying Notes to the Consolidated Financial Statements (unaudited) are an integral part of these statements.
7

Cigna Corporation
Consolidated Statements of Cash Flows
Unaudited
Nine Months Ended September 30,
(In millions)20222021
Cash Flows from Operating Activities
Net income$5,548 $4,282 
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation and amortization2,202 2,180 
Realized investment losses (gains), net
495 (128)
Deferred income tax benefit
(300)(104)
Gain on sale of businesses
(1,735)— 
Debt extinguishment costs— 141 
Net changes in assets and liabilities, net of non-operating effects:
Accounts receivable, net(2,339)(4,039)
Inventories(296)145 
Deferred policy acquisition costs(127)(182)
Reinsurance recoverable and Other assets454 (281)
Insurance liabilities981 863 
Pharmacy and other service costs payable1,368 1,357 
Accounts payable and Accrued expenses and other liabilities225 (1,411)
Other, net81 93 
NET CASH PROVIDED BY OPERATING ACTIVITIES6,557 2,916 
Cash Flows from Investing Activities
Proceeds from investments sold:
Debt securities and equity securities1,406 1,052 
Investment maturities and repayments:
Debt securities and equity securities1,124 1,265 
Commercial mortgage loans73 127 
Other sales, maturities and repayments (primarily short-term and other long-term investments)906 1,261 
Investments purchased or originated:
Debt securities and equity securities(2,457)(2,742)
Commercial mortgage loans(84)(233)
Other (primarily short-term and other long-term investments)(1,109)(1,768)
Property and equipment purchases, net(950)(850)
Acquisitions, net of cash acquired— (1,836)
Divestitures, net of cash sold4,838 (61)
Other, net(33)51 
NET CASH PROVIDED BY (USED IN) INVESTING ACTIVITIES3,714 (3,734)
Cash Flows from Financing Activities
Deposits and interest credited to contractholder deposit funds121 132 
Withdrawals and benefit payments from contractholder deposit funds(