EX-21 5 exh_21x10-kx23q4.htm EX-21 Document
Exhibit 21
Exhibit 21 – Subsidiaries of the Registrant

Listed below are subsidiaries of The Cigna Group as of December 31, 2023 with their jurisdictions of organization. Those subsidiaries not listed would not, in the aggregate, constitute a “significant subsidiary” of The Cigna Group, as that term is defined in Rule 1-02(w) of Regulation S-X.

Entity NameJurisdiction
Accredo Health Group, Inc.Delaware
Accredo Health, IncorporatedDelaware
Allegiance Life & Health Insurance CompanyMontana
American Retirement Life Insurance CompanyOhio
Ascent Health Services LLCDelaware
Bravo Health Mid-Atlantic, Inc.Maryland
Bravo Health Pennsylvania, Inc.Pennsylvania
Care Continuum, Inc.Kentucky
CareCore NJ, LLCNew Jersey
Chiro Alliance CorporationFlorida
Cigna & CMB Life Insurance Company LimitedChina
Cigna Arbor Life Insurance CompanyConnecticut
Cigna Dental Health Of California, Inc.California
Cigna Dental Health Of Colorado, Inc.Colorado
Cigna Dental Health Of Delaware, Inc.Delaware
Cigna Dental Health Of Florida, Inc.Florida
Cigna Dental Health Of Kansas, Inc.Kansas
Cigna Dental Health Of Kentucky, Inc.Kentucky
Cigna Dental Health Of Maryland, Inc.Maryland
Cigna Dental Health Of Missouri, Inc.Missouri
Cigna Dental Health Of New Jersey, Inc.New Jersey
Cigna Dental Health Of North Carolina, Inc.North Carolina
Cigna Dental Health Of Ohio, Inc.Ohio
Cigna Dental Health Of Pennsylvania, Inc.Pennsylvania
Cigna Dental Health Of Texas, Inc.Texas
Cigna Dental Health Of Virginia, Inc.Virginia
Cigna Dental Health Plan Of Arizona, Inc.Arizona
Cigna Europe Insurance Company S.A.-N.V.Belgium
Cigna-Evernorth Enterprise Services, Inc.Delaware
Cigna Global Insurance Company LimitedGuernsey
Cigna Global Reinsurance Company, Ltd.Bermuda
Cigna Health and Life Insurance CompanyConnecticut
Cigna HealthCare Mid-Atlantic, Inc.Maryland
Cigna HealthCare of Arizona, Inc.Arizona
Cigna HealthCare of California, Inc.California
Cigna HealthCare of Colorado, Inc.Colorado
Cigna HealthCare of Connecticut, Inc.Connecticut



Cigna HealthCare of Florida, Inc.Florida
Cigna HealthCare of Georgia, Inc.Georgia
Cigna HealthCare of Illinois, Inc.Illinois
Cigna HealthCare of Indiana, Inc.Indiana
Cigna HealthCare of Massachusetts, Inc.Massachusetts
Cigna HealthCare of New Hampshire, Inc.New Hampshire
Cigna HealthCare of New Jersey, Inc.New Jersey
Cigna HealthCare of North Carolina, Inc.North Carolina
Cigna HealthCare of Pennsylvania, Inc.Pennsylvania
Cigna HealthCare of South Carolina, Inc.South Carolina
Cigna HealthCare of St. Louis, Inc.Missouri
Cigna HealthCare of Tennessee, Inc.Tennessee
Cigna HealthCare of Texas, Inc.Texas
Cigna Holding CompanyDelaware
Cigna Holdings, Inc.Delaware
Cigna Insurance CompanyOhio
Cigna Insurance Middle East S.A.L.Lebanon
Cigna Life Insurance Company of CanadaCanada
Cigna Life Insurance Company of Europe S.A.-N.V.Belgium
Cigna National Health Insurance CompanyOhio
Cigna Services Middle East FZEDubai
Cigna Spruce Holdings GmBH    
Switzerland
Cigna Worldwide General Insurance Company LimitedHong Kong
Cigna Worldwide Insurance CompanyDelaware
Connecticut General CorporationConnecticut
Connecticut General Life Insurance CompanyConnecticut
CuraScript, Inc.Delaware
ESI Mail Pharmacy Service, Inc.Delaware
Evernorth Accountable Care, LLCDelaware
Evernorth Health, Inc.Delaware
Evernorth-VillageMD Care Alliance of NJ, LLC (F/K/A "ENAC of NJ, LLC")New Jersey
Evernorth Wholesale Distribution, Inc.Delaware
eviCore Healthcare MSI, LLCTennessee
Express Reinsurance CompanyMissouri
Express Scripts Administrators LLCDelaware
Express Scripts Pharmaceutical Procurement, LLCDelaware
Express Scripts Pharmacy, Inc.Delaware
Express Scripts Strategic Development, Inc.New Jersey
Express Scripts Utilization Management CompanyDelaware
Express Scripts, Inc.Delaware
HealthSpring Life & Health Insurance Company, Inc.Texas
HealthSpring of Florida, Inc.Florida
Inside RX, LLCDelaware



Loyal American Life Insurance CompanyOhio
ManipalCigna Health Insurance Company LimitedIndia
Matrix Healthcare Services, Inc.Florida
Medco Containment Insurance Company of NYNew York
Medco Containment Life Insurance CompanyPennsylvania
Medco Health Services, Inc.Delaware
Medco Health Solutions, Inc.Delaware
MSI Health Organization of Texas, Inc.Texas
Provident American Life & Health Insurance CompanyOhio
Sterling Life Insurance CompanyIllinois
Temple Insurance Company LimitedBermuda