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Cigna Group: Q2 FY2026 earnings call

What management said about Q2 FY2026, from the documents filed with the SEC on 30 July 2026: press release. Guidance figures: 2 raised, 2 kept. The quarter’s numbers.

Key takeaways

  • Net income and per-share earnings rose: Shareholders’ net income was $1.7 billion, or $6.29 per share, against $1.5 billion, or $5.71 per share, in the second quarter 2025, reflecting Cigna Healthcare growth. Source
  • Adjusted income rose 6%: Adjusted income from operations was $2.1 billion, or $7.78 per share, up 6% from $1.9 billion, or $7.20 per share, driven by higher Cigna Healthcare contributions. Source
  • Full-year per-share guidance raised: Full-year adjusted income per share is now at least $30.45, up $0.10 from the prior at least $30.35. Source
  • Evernorth pre-tax income dipped 2%: Evernorth adjusted revenues rose 6% to $61.5 billion, while adjusted pre-tax income fell 2% to $1.66 billion. Source
  • Pharmacy benefit revenue rose on drug mix: Pharmacy Benefit Services adjusted revenues rose 8% to $34.5 billion, mainly on drug mix; its adjusted pre-tax income fell 27% to $609 million. Source
  • Cigna Healthcare pre-tax income up 17%: Cigna Healthcare adjusted pre-tax income rose 17% to $1.28 billion, mainly on an improved U.S. Employer margin; pre-tax margin was 10.9%. Source
  • Medical care ratio rose to 84.5%: The Cigna Healthcare MCR was 84.5%, up from 83.2%, mainly because of higher prior-year risk adjustment benefits in Individual and Family Plans recorded in second quarter 2025. Source

“Our strong second quarter results reflect continued progress against these priorities and demonstrate the effectiveness of our strategy and execution.”

Brian C. Evanko, President and Chief Executive Officer of The Cigna Group

Guidance

AreaPeriodFigureAgainst last quarter
Adjusted income from operations per share Sourcefull year 2026at least $30.45Raised from at least $30.35
Cigna Healthcare adjusted pre-tax income Sourcefull year 2026at least $4,550 millionRaised from at least $4,525 million
Evernorth adjusted pre-tax income Sourcefull year 2026at least $6,900 millionKept
Cigna Healthcare medical care ratio Sourcefull year 202683.7% to 84.7%Kept

What changed from last quarter

  • Guidance raised: Full-year adjusted income per share guidance raised by $0.10 to at least $30.45. Source
  • Guidance raised: Cigna Healthcare full-year adjusted pre-tax income guidance raised by $25 million to at least $4,550 million. Source
  • New: Release names Brian C. Evanko as President and Chief Executive Officer; the first-quarter release named David M. Cordani as chairman and CEO. Source
  • New: Planned exit from the Individual and Family Plans medical business, announced in April 2026, effective January 1, 2027. Source

Results and growth drivers

  • Net income and per-share earnings rose: Shareholders’ net income was $1.7 billion, or $6.29 per share, against $1.5 billion, or $5.71 per share, in the second quarter 2025, reflecting Cigna Healthcare growth. Source
  • Adjusted income rose 6%: Adjusted income from operations was $2.1 billion, or $7.78 per share, up 6% from $1.9 billion, or $7.20 per share, driven by higher Cigna Healthcare contributions. Source
  • Revenue rose 7% to $71.7 billion: Total revenues reached $71.7 billion, up 7%, with growth in both Evernorth Health Services and Cigna Healthcare. Source
  • Full-year per-share guidance raised: Full-year adjusted income per share is now at least $30.45, up $0.10 from the prior at least $30.35. Source

Evernorth Health Services results

  • Evernorth pre-tax income dipped 2%: Evernorth adjusted revenues rose 6% to $61.5 billion, while adjusted pre-tax income fell 2% to $1.66 billion. Source
  • Pharmacy benefit revenue rose on drug mix: Pharmacy Benefit Services adjusted revenues rose 8% to $34.5 billion, mainly on drug mix; its adjusted pre-tax income fell 27% to $609 million. Source
  • Specialty and Care income up 22%: Specialty and Care Services adjusted pre-tax income rose 22% to $1.05 billion, reflecting organic specialty growth, with adjusted revenues up 4% to $27.0 billion. Source

“By harnessing technology, data and AI to deliver more personalized experiences, improve access and lower costs, we are creating greater value every day.”

Brian C. Evanko, President and Chief Executive Officer of The Cigna Group

Cigna Healthcare results

  • Cigna Healthcare pre-tax income up 17%: Cigna Healthcare adjusted pre-tax income rose 17% to $1.28 billion, mainly on an improved U.S. Employer margin; pre-tax margin was 10.9%. Source
  • Medical care ratio rose to 84.5%: The Cigna Healthcare MCR was 84.5%, up from 83.2%, mainly because of higher prior-year risk adjustment benefits in Individual and Family Plans recorded in second quarter 2025. Source
  • Revenue up 9% on premium rates: Cigna Healthcare adjusted revenues rose 9% to $11.7 billion, mainly on premium rate increases to cover expected rises in medical costs. Source

Customers and membership

  • Customer relationships down 3% this year: Total customer relationships fell 3% from December 31, 2025, to 182.8 million; pharmacy customers fell 4% to 118.2 million. Source
  • Medical customers up 2%: Total medical customers rose 2% to 18.4 million from year-end, on Middle and Select growth, partly offset by lower National Accounts membership. Source
  • Behavioral Care customers declined: Behavioral Care customers were 27.6 million at June 30, 2026, against 28.3 million at December 31, 2025. Source

Costs, reserves and corporate

  • SG&A ratio fell to 4.8%: The SG&A expense ratio was 4.8%, against 5.1% a year earlier; the adjusted ratio was 4.6%, against 4.9%, which management attributed to operating efficiency. Source
  • Medical costs payable rose on seasonality: Cigna Healthcare net medical costs payable was $5.09 billion at June 30, 2026, up from $4.78 billion at March 31, reflecting typical stop loss seasonality. Source
  • Corporate loss of $389 million: Corporate and Other Operations posted a pre-tax adjusted loss of $389 million, against $357 million a year earlier. Source

Capital and share count

  • Shares repurchased year to date: The company repurchased 0.9 million shares for approximately $250 million through July 29, 2026. Source
  • Weighted average share count lower: Weighted average shares were 263.96 million in the second quarter, against 268.15 million a year earlier. Source
  • Shareholders’ equity rose: Shareholders’ equity was $42.62 billion at June 30, 2026, against $40.21 billion a year earlier. Source

Coming up, as management said on 30 July 2026

  • Buybacks and dividends in guidance: Guidance includes expected future share repurchases and anticipated 2026 dividends. Source

Figures management reported

FigureReported
Prior-year reserve development Source$268 million favorable, gross pre-tax, six months 2026
Investment income Source$272 million net investment income, second quarter 2026
Book value per share Source$161.35 at June 30, 2026

Risks management discussed

  • Demand: Pharmacy customer count fell on expected client transitions and lower health plan membership. Source
  • Operational: Pharmacy Benefit Services income declined on client contract renewals and customer-focused initiatives. Source

Earlier plans management reported on

  • Not stated: Management described the Pharmacy Benefit Services income decline as consistent with prior commentary. Source

Other quarters

Summarised with AI from the documents the company filed with the SEC. Every point is checked against the filing before it is shown: management’s own words word for word, figures against the line or table row they come from. A point that fails the check is left out. Source opens the filing at that line.