Cigna Healthcare is exiting its individual exchange business at the end of the year, Cigna Group’s incoming CEO, Brian Evanko, said during an April 30 earnings call.
“We did not make this decision lightly,” he said, adding there are no network or coverage changes associated with the update. Cigna’s individual and family plans include 369,000 lives.
The company sold its Medicare Advantage business to Health Care Service Corp. in 2025. Mr. Evanko said divestment “enabled greater focus and investment in the remaining businesses within our portfolio, supporting our forward-looking growth path.”
The Cigna Group also reported a $1.65 billion profit for the three months ended March 31, 2026, according to the earnings release.
Profit was up 25% year over year. Total revenue was $68.5 billion for the quarter, a 5% increase from the same period last year. Adjusted income from operations was under $2.1 billion, a 12% increase year over year. The growth stemmed from the insurance division, Cigna Healthcare, and Evernorth Health Services.
Total Evernorth revenue rose 9% year over year, reaching $58.4 billion. Operational income was $1.3 billion, up 18% from that period in 2025.
Cigna Healthcare brought in under $11.5 billion in total revenue, down 21% year over year, driven by the HCSC MA sale. Operational income in the first quarter was about $1.5 billion, a 12% increase.
The company’s medical loss ratio was 79.8%, a 240 basis point drop from the first quarter in 2025. Cigna attributed the lower percentage to the HCSC transaction, as well.
Cigna reported 18.3 million medical customers in the first quarter of 2026, compared to 18 million in the same quarter in 2025.
The company raised its 2026 outlook for adjusted income from operations to at least $30.35 per share, up $0.10 from the prior projection.
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.
