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Cigna Corp (CI)
NYSE:CI

Cigna (CI) AI Stock Analysis

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CI

Cigna

(NYSE:CI)

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Outperform 76 (OpenAI - 5.2)
Rating:76Outperform
Price Target:
$329.00
▲(18.53% Upside)
Action:ReiteratedDate:03/03/26
The score is driven primarily by solid fundamentals and cash generation, supported by an attractive valuation (low-teens P/E plus dividend). Technicals are constructive with positive momentum. Offsetting factors include margin/medical cost pressure and near-term cash flow headwinds tied to the PBM transition, alongside execution considerations during the CEO handover.
Positive Factors
Consistent free cash flow generation
Cigna’s consistently strong free cash flow that tracks close to reported earnings provides durable funding for dividends, buybacks, and strategic investments. This cash-generation capacity supports capital returns and balance sheet flexibility through cyclical troughs and transformational investments over multiple years.
Negative Factors
Elevated medical cost trends (MCR)
Management’s guidance of a materially higher medical care ratio reflects persistent cost pressures that compress underwriting margins. Sustained elevated MCRs reduce operating earnings leverage, constrain margin recovery even amid revenue growth, and require sustained pricing or utilization improvements to restore prior profitability levels.
Read all positive and negative factors
Positive Factors
Negative Factors
Consistent free cash flow generation
Cigna’s consistently strong free cash flow that tracks close to reported earnings provides durable funding for dividends, buybacks, and strategic investments. This cash-generation capacity supports capital returns and balance sheet flexibility through cyclical troughs and transformational investments over multiple years.
Read all positive factors

Cigna (CI) vs. SPDR S&P 500 ETF (SPY)

Cigna Business Overview & Revenue Model

Company Description
The Cigna Group provides insurance and related products and services in the United States. Its Evernorth segment provides a range of coordinated and point solution health services, including pharmacy, benefits management, care delivery and managem...
How the Company Makes Money
Cigna generates revenue primarily through premiums collected from its health insurance policies, which include individual, employer-sponsored, and government health plans. The company also earns revenue from its pharmacy benefit management (PBM) s...

Cigna Key Performance Indicators (KPIs)

Any
Any
External Customers Revenue by Type
External Customers Revenue by Type
Shows revenue generated from different types of external customers, highlighting which customer segments are most lucrative and where there may be opportunities for growth or diversification.
Chart InsightsCigna's pharmacy revenue has surged significantly, with a notable increase from 2023 to 2025, driven by Evernorth's strong performance and strategic initiatives like new AI solutions and multiyear contracts. Despite pressures from elevated medical costs, the company's focus on innovation and partnerships, such as with Prime Therapeutics, supports this growth trajectory. Meanwhile, total premiums and fees show variability, reflecting challenges in the individual exchange business. Overall, Cigna's strategic focus on Evernorth and innovation appears to be paying off, despite some headwinds in healthcare costs.
Data provided by:The Fly

Cigna Earnings Call Summary

Earnings Call Date:Feb 05, 2026
(Q4-2025)
|
% Change Since: |
Next Earnings Date:Apr 30, 2026
Earnings Call Sentiment Positive
Overall the call emphasized strong top-line and EPS growth in 2025, robust specialty and EverNorth performance, strategic clarity from the FTC settlement and PBM reform, and continued capital returns. Management acknowledged near-term charges, planned investments for the new rebate-free PBM model that will pressure cash flow and require execution, and elevated medical cost trends that influence MCR guidance. On balance, the positives (sustained revenue and earnings growth, specialty momentum, capital returns, regulatory clarity and a customer-oriented PBM model) outweigh the transitional and cost-related headwinds.
Positive Updates
Full-Year Revenue and EPS Growth
Consolidated full-year adjusted revenues of $275 billion, an 11% increase year-over-year, and full-year adjusted earnings per share of $29.84, a 9% increase versus prior year.
Negative Updates
Quarterly Special Item Charges
Recorded after-tax special item charges in Q4 of $483 million, or $1.82 per share, which reduced reported results for the quarter.
Read all updates
Q4-2025 Updates
Negative
Full-Year Revenue and EPS Growth
Consolidated full-year adjusted revenues of $275 billion, an 11% increase year-over-year, and full-year adjusted earnings per share of $29.84, a 9% increase versus prior year.
Read all positive updates
Company Guidance
Cigna guided 2026 consolidated adjusted revenues of approximately $280 billion and consolidated adjusted earnings per share of at least $30.25 (Q1 slightly above 25% of the full year), with EverNorth adjusted earnings of at least $6.9 billion (Q1 >20% of EverNorth’s annual earnings) and Cigna Healthcare adjusted earnings of at least $4.5 billion (Q1 >30% of its annual earnings); Cigna expects Cigna Healthcare’s 2026 medical care ratio to be 83.7%–84.7% (Q1 <81%), roughly 18.1 million total medical cost customers at year‑end, an enterprise adjusted SG&A ratio of ~5%, a consolidated adjusted tax rate of ~19%, operating cash flow of about $9 billion, capital expenditures of ~$1.3 billion, shareholder dividends of ~$1.6 billion (quarterly dividend $1.56/share), weighted average shares of 261–265 million, and continued progress toward a ~40% debt‑to‑capital target (exiting 2025 at 43%, +190 bps improvement in Q4); the company also noted 2025 cash flow from operations of $9.6 billion, $3.6 billion of share repurchases (11.9M shares) and $1.6 billion of dividends.

Cigna Financial Statement Overview

Summary
Strong, consistent cash generation and improving 2025 performance support the score, with revenue scaling meaningfully. Offsetting factors are margin compression versus earlier years and ROE below prior-cycle peaks, though leverage appears manageable.
Income Statement
74
Positive
Balance Sheet
70
Positive
Cash Flow
78
Positive
BreakdownDec 2025Dec 2024Dec 2023Dec 2022Dec 2021
Income Statement
Total Revenue274.95B247.12B195.26B180.52B174.07B
Gross Profit25.99B25.96B25.18B23.50B22.95B
EBITDA11.61B11.45B10.85B10.44B9.96B
Net Income5.96B3.43B5.16B6.70B5.37B
Balance Sheet
Total Assets157.92B155.88B152.76B143.88B154.89B
Cash, Cash Equivalents and Short-Term Investments7.68B8.21B8.75B6.83B6.00B
Total Debt31.46B31.97B30.93B31.55B34.27B
Total Liabilities116.05B114.64B106.41B98.98B107.70B
Stockholders Equity41.71B41.03B46.22B44.87B47.11B
Cash Flow
Free Cash Flow8.39B8.96B10.24B7.36B6.04B
Operating Cash Flow9.60B10.36B11.81B8.66B7.19B
Investing Cash Flow-4.41B-2.10B-5.17B3.10B-3.61B
Financing Cash Flow-6.42B-7.65B-4.29B-11.24B-8.21B

Cigna Technical Analysis

Technical Analysis Sentiment
Positive
Last Price277.56
Price Trends
50DMA
275.13
Positive
100DMA
273.73
Positive
200DMA
282.59
Negative
Market Momentum
MACD
-0.39
Negative
RSI
57.17
Neutral
STOCH
88.56
Negative
Evaluating momentum and price trends is crucial in stock analysis to make informed investment decisions. For CI, the sentiment is Positive. The current price of 277.56 is above the 20-day moving average (MA) of 266.96, above the 50-day MA of 275.13, and below the 200-day MA of 282.59, indicating a neutral trend. The MACD of -0.39 indicates Negative momentum. The RSI at 57.17 is Neutral, neither overbought nor oversold. The STOCH value of 88.56 is Negative, not indicating any strong overbought or oversold conditions. Overall, these indicators collectively point to a Positive sentiment for CI.

Cigna Risk Analysis

Cigna disclosed 27 risk factors in its most recent earnings report. Cigna reported the most risks in the "Legal & Regulatory" category.
Finance & Corporate - Financial and accounting risks. Risks related to the execution of corporate activity and strategy
Latest Risks Added 0 New Risks

Cigna Peers Comparison

Overall Rating
UnderperformOutperform
Sector (51)
Financial Indicators
Name
Overall Rating
Market Cap
P/E Ratio
ROE
Dividend Yield
Revenue Growth
EPS Growth
76
Outperform
$73.14B12.2914.53%2.21%16.75%113.48%
64
Neutral
$70.23B13.7313.01%1.99%11.96%-11.11%
63
Neutral
$277.73B24.9212.70%2.69%10.48%24.25%
53
Neutral
$100.24B56.872.34%3.41%6.71%-90.11%
51
Neutral
$7.86B-0.30-43.30%2.27%22.53%-2.21%
51
Neutral
$23.82B25.976.59%1.38%9.87%-5.58%
50
Neutral
$18.33B-3.03-27.74%14.92%-286.72%
* Healthcare Sector Average
Performance Comparison
Ticker
Company Name
Price
Change
% Change
CI
Cigna
277.56
-35.80
-11.42%
CNC
Centene
37.28
-25.35
-40.48%
CVS
CVS Health
78.79
11.19
16.55%
HUM
Humana
198.39
-82.70
-29.42%
UNH
UnitedHealth
305.98
-256.65
-45.62%
ELV
Elevance Health
318.23
-108.34
-25.40%

Cigna Corporate Events

Business Operations and StrategyExecutive/Board ChangesFinancial Disclosures
Cigna Announces CEO Succession and Leadership Transition Plan
Positive
Mar 3, 2026
On February 25, 2026, The Cigna Group&#8217;s board approved a leadership transition under which long-serving chief executive David M. Cordani will retire as CEO on July 1, 2026 and become executive chair, while president and COO Brian C. Evanko, ...
Business Operations and StrategyFinancial Disclosures
Cigna Reaffirms 2026 Adjusted Earnings Outlook to Investors
Positive
Feb 27, 2026
The Cigna Group said it will use upcoming meetings with investors and analysts to reaffirm its previously stated outlook for full-year 2026 consolidated adjusted income from operations of at least $30.25 per share. Management emphasized that this ...
Glossary
BuyA stock rated as a "Buy" is expected to perform better than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock is likely to deliver higher returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
HoldA stock rated as a "Hold" is expected to perform in line with the overall market or a specific benchmark. This rating indicates that the stock is neither particularly compelling nor unfavorable for investment. Note: This is not investment advice; please consult a financial advisor before making investment decisions.
SellA stock rated as a "Sell" is expected to perform worse than the overall market or a specific benchmark over the near-to-medium term. This rating suggests the stock may deliver lower returns compared to other stocks in the same sector or market index. Note: This is not investment advice; please consult a financial advisor before making investment decisions.

Disclaimer

This AI Analyst Stock Report is automatically generated by our AI systems using advanced algorithms and publicly available financial, technical, and market data. While the information provided aims to be accurate and insightful, it is intended for informational purposes only and should not be considered financial advice. Any content created by an AI (Artificial Intelligence) system may contain inaccuracies and/or contain errors. Investing in stocks carries inherent risks, and past performance is not indicative of future results. This report does not account for your personal financial circumstances, objectives, or risk tolerance. Always conduct your own research or consult with a qualified financial advisor before making investment decisions. The analysis and recommendations provided are based on historical and current data and may not fully reflect future market conditions or unexpected developments. Neither the creators of this report nor its affiliated entities guarantee the accuracy, completeness, or reliability of the information presented. Use this report at your own discretion and risk.Date of analysis: Mar 03, 2026