The Cigna Group reported nearly $6 billion in profits in 2025, according to the company’s fourth quarter earnings report published Feb. 5.
Total revenues in the fourth quarter were $72.5 billion, up 10% year over year. Total revenues in 2025 were $274.9 billion, up 11%.
In the fourth quarter, net income was $1.2 billion, down 13%. Year-end net income was nearly $6 billion, up 73% year over year, though the increase was largely driven by the absence of a one-time investment loss that weighed on 2024 results. Adjusted income from operations, which excludes those items, grew 4% to $8 billion.
Evernorth revenues rose 17% year over year to $63.1 billion in the fourth quarter. Operational earnings in the fourth quarter were $1.8 billion, and $5.8 billion in 2025.
The insurance side of the business, Cigna Healthcare, reported fourth quarter revenues of $11.1 billion, down 16% from the previous year, primarily due to the company’s sale of its Medicare business to Health Care Service Corp. in March. Excluding divested businesses, revenues increased 8%. Operational income in the fourth quarter was $695 million, and $4.4 billion in 2025.
The company’s medical loss ratio was 88% in the fourth quarter, compared to 87.9% during the same period last year. In 2025, the company’s MLR was 84.4%, up from 83.2% in 2024, primarily due to higher medical costs in the ACA business.
As of Dec. 31, Cigna had 18.1 million total members, down 5% year over year. The decline was primarily driven by the HCSC sale. Excluding the impact of that deal, membership growth was roughly flat.
The company’s projected 2026 revenue is approximately $280 billion. Full-year adjusted income from operations is projected to be at least $7.95 billion, or at least $30.25 per share.
