Tearsheet

Cigna (CI)


Market Price (10/15/2025): $302.8 | Market Cap: $82.0 Bil
Sector: Health Care | Industry: Health Care Services

Cigna (CI)


Market Price (10/15/2025): $302.8
Market Cap: $82.0 Bil
Sector: Health Care
Industry: Health Care Services

Investment Highlights

0 Attractive yield
Total YieldTotal Yield = Earnings Yield + Dividend Yield, Earnings Yield = Net Income / Market Cap Dividend Yield = Total Dividends / Market Cap is 8.1%, ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is 3.7%, FCF Yield is 7.3%
Weak multi-year price returns
2Y Excs Rtn is -45%, 3Y Excs Rtn is -72%
 
1 Attractive cash flow generation
CFO LTM is 7.4 Bil, FCF LTM is 6.0 Bil
  
2 Low stock price volatility
Vol 12M is 30%
  
0 Attractive yield
Total YieldTotal Yield = Earnings Yield + Dividend Yield, Earnings Yield = Net Income / Market Cap Dividend Yield = Total Dividends / Market Cap is 8.1%, ERPEquity Risk Premium (ERP) = Total Yield - Risk Free Rate, Reflects the premium above risk free assets offered by the investment. is 3.7%, FCF Yield is 7.3%
1 Attractive cash flow generation
CFO LTM is 7.4 Bil, FCF LTM is 6.0 Bil
2 Low stock price volatility
Vol 12M is 30%
3 Weak multi-year price returns
2Y Excs Rtn is -45%, 3Y Excs Rtn is -72%

Market Valuation & Key Metrics

CI Stock


Price Returns Compared

 202020212022202320242025Total [1]
Returns
CI Return2%12%47%-8%-6%11%60%
Peers Return14%40%4%-6%-29%2%13%
S&P 500 Return16%27%-19%24%23%13%103%

Monthly Win Rates [3]
CI Win Rate33%50%83%42%50%67% 
Peers Win Rate52%57%52%45%42%53% 
S&P 500 Win Rate58%75%42%67%75%67% 

Max Drawdowns [4]
CI Max Drawdown-36%-7%-5%-26%-10%-4% 
Peers Max Drawdown-32%-5%-15%-22%-32%-29% 
S&P 500 Max Drawdown-31%-1%-25%-1%-2%-15% 


[1] Cumulative total returns since the beginning of 2020
[2] Peers: ELV, HUM, CNC, MOH, CVS. See CI Returns vs. Peers.
[3] Win Rate = % of calendar months in which monthly returns were positive
[4] Max drawdown represents maximum peak-to-trough decline within a year
[5] 2025 data is for the year up to 10/14/2025 (YTD)

Downturns Compared

Unique KeyEventCIS&P 500
2022 Inflation Shock2022 Inflation Shock  
2022 Inflation Shock% Loss% Loss-28.5%-25.4%
2022 Inflation Shock% Gain to Breakeven% Gain to Breakeven39.8%34.1%
2022 Inflation ShockTime to BreakevenTime to Breakeven262 days464 days
2020 Covid Pandemic2020 Covid Pandemic  
2020 Covid Pandemic% Loss% Loss-41.6%-33.9%
2020 Covid Pandemic% Gain to Breakeven% Gain to Breakeven71.1%51.3%
2020 Covid PandemicTime to BreakevenTime to Breakeven295 days148 days
2018 Correction2018 Correction  
2018 Correction% Loss% Loss-35.7%-19.8%
2018 Correction% Gain to Breakeven% Gain to Breakeven55.5%24.7%
2018 CorrectionTime to BreakevenTime to Breakeven644 days120 days
2008 Global Financial Crisis2008 Global Financial Crisis  
2008 Global Financial Crisis% Loss% Loss-84.4%-56.8%
2008 Global Financial Crisis% Gain to Breakeven% Gain to Breakeven539.0%131.3%
2008 Global Financial CrisisTime to BreakevenTime to Breakeven1518 days1480 days


How Low Can It Go?

Cigna's stock fell -28.5% during the 2022 Inflation Shock from a high on 12/12/2022. A -28.5% loss requires a 39.8% gain to breakeven.

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Asset Allocation

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About Cigna (CI)

Cigna Corporation 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 management, and intelligence solutions to health plans, employers, government organizations, and health care providers. The company's Cigna Healthcare segment offers medical, pharmacy, behavioral health, dental, vision, health advocacy programs, and other products and services for insured and self-insured customers; Medicare Advantage, Medicare Supplement, and Medicare Part D plans for seniors, as well as individual health insurance plans to on and off the public exchanges; and health care coverage in its international markets, as well as health care benefits for mobile individuals and employees of multinational organizations. The company also offers permanent insurance contracts sold to corporations to provide coverage on the lives of certain employees for financing employer-paid future benefit obligations. It distributes its products and services through insurance brokers and consultants; directly to employers, unions and other groups, or individuals; and private and public exchanges. The company was founded in 1792 and is headquartered in Bloomfield, Connecticut.

Better Bets than Cigna (CI)

Latest Trefis Analyses

Trade Ideas

Select past trade ideas related to CI and Health Care Services.

Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
ADMA_9302025_Dip_Buyer_ValueBuy09302025ADMAADMA BiologicsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
2.0%2.0%-4.6%
REGN_9302025_Dip_Buyer_ValueBuy09302025REGNRegeneron PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
1.8%1.8%-0.8%
HAE_9262025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG09262025HAEHaemoneticsDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.3%3.3%-0.1%
WAT_9192025_Monopoly_xInd_xCD_Getting_Cheaper09192025WATWatersMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
10.7%10.7%-4.3%
ISRG_9052025_Monopoly_xInd_xCD_Getting_Cheaper09052025ISRGIntuitive SurgicalMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
-6.5%-6.5%-8.0%
Unique KeyDateTickerCompanyCategoryTrade Strategy6M Fwd Rtn12M Fwd Rtn12M Max DD
ADMA_9302025_Dip_Buyer_ValueBuy09302025ADMAADMA BiologicsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
2.0%2.0%-4.6%
REGN_9302025_Dip_Buyer_ValueBuy09302025REGNRegeneron PharmaceuticalsDip BuyDB | P/E OPMDip Buy with Low PE and High Margin
Buying dips for companies with tame PE and meaningfully high operating margin
1.8%1.8%-0.8%
HAE_9262025_Dip_Buyer_High_FCF_Yield_ExInd_DE_RevG09262025HAEHaemoneticsDip BuyDB | FCF Yield | Low D/EDip Buy with High Free Cash Flow Yield
Buying dips for companies with significant free cash flow yield (FCF / Market Cap) and reasonable debt / market cap
3.3%3.3%-0.1%
WAT_9192025_Monopoly_xInd_xCD_Getting_Cheaper09192025WATWatersMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
10.7%10.7%-4.3%
ISRG_9052025_Monopoly_xInd_xCD_Getting_Cheaper09052025ISRGIntuitive SurgicalMonopolyMY | Getting CheaperMonopoly-Like with P/S Decline
Large cap with monopoly-like margins or cash flow generation and getting cheaper based on P/S multiple
-6.5%-6.5%-8.0%

See Trefis Trade Ideas for more.

Recent Active Movers

Recent Active Movers

More From Trefis

Peer Comparisons for Cigna

Financials

CIELVHUMCNCMOHCVSMedian
NameCigna Elevance.Humana Centene Molina H.CVS Heal. 
Mkt Price302.13350.48261.6136.44194.8979.66228.25
Mkt Cap81.878.931.518.010.4100.555.2
Rev LTM254,465189,254123,110178,19043,413378,960183,722
Op Inc LTM---1,9711,65310,8981,971
FCF LTM6,0105,3372,4391,0804275,9413,888
FCF 3Y Avg8,8035,5763,1753,66464710,4914,620
CFO LTM7,4436,4542,9321,7305378,7604,693
CFO 3Y Avg10,2416,7823,9584,41974513,2345,601

Growth & Margins

CIELVHUMCNCMOHCVSMedian
NameCigna Elevance.Humana Centene Molina H.CVS Heal. 
Rev Chg LTM24.6%10.2%9.9%13.0%16.1%5.0%11.6%
Rev Chg 3Y Avg13.2%8.3%11.3%8.9%12.8%8.1%10.1%
Rev Chg Q18.2%14.0%9.6%22.4%15.7%7.0%14.9%
QoQ Delta Rev Chg LTM4.1%3.3%2.4%5.3%3.7%1.6%3.5%
Op Mgn LTM---1.1%3.8%2.9%2.9%
Op Mgn 3Y Avg---1.9%4.2%3.8%3.8%
QoQ Delta Op Mgn LTM----1.0%-0.3%0.2%-0.3%
CFO/Rev LTM2.9%3.4%2.4%1.0%1.2%2.3%2.3%
CFO/Rev 3Y Avg5.0%3.9%4.0%2.9%2.1%3.8%3.9%
FCF/Rev LTM2.4%2.8%2.0%0.6%1.0%1.6%1.8%
FCF/Rev 3Y Avg4.3%3.2%3.3%2.4%1.9%3.0%3.1%

Valuation

CIELVHUMCNCMOHCVSMedian
NameCigna Elevance.Humana Centene Molina H.CVS Heal. 
Mkt Cap81.878.931.518.010.4100.555.2
P/S0.30.40.30.10.20.30.3
P/EBIT9.89.411.05.26.39.89.6
P/E16.314.720.08.89.219.015.5
P/CFO11.012.210.810.419.511.511.2
Total Yield8.1%8.7%6.4%11.4%10.8%8.6%8.7%
Dividend Yield1.9%1.9%1.4%0.0%0.0%3.4%1.6%
FCF Yield 3Y Avg9.9%5.6%6.3%10.4%3.8%12.5%8.1%
D/E0.40.40.41.00.30.80.4
Net D/E0.3-0.0-0.30.0-0.50.7-0.0

Returns

CIELVHUMCNCMOHCVSMedian
NameCigna Elevance.Humana Centene Molina H.CVS Heal. 
1M Rtn-0.2%12.4%-5.0%9.6%7.7%6.2%7.0%
3M Rtn0.4%4.8%18.3%21.5%-9.2%24.6%11.6%
6M Rtn-7.2%-19.1%-8.1%-41.5%-41.9%18.0%-13.6%
12M Rtn-12.4%-29.9%-0.9%-50.0%-42.7%23.5%-21.1%
3Y Rtn7.8%-22.3%-46.0%-51.0%-44.6%-0.2%-33.5%
1M Excs Rtn1.2%13.8%-5.1%11.2%10.2%8.0%9.1%
3M Excs Rtn-6.8%-3.8%9.8%13.8%-15.9%18.8%3.0%
6M Excs Rtn-30.2%-42.7%-30.4%-65.1%-67.0%-5.3%-36.5%
12M Excs Rtn-27.1%-42.4%-9.4%-64.1%-55.1%9.7%-34.8%
3Y Excs Rtn-72.1%-104.2%-129.0%-133.8%-126.7%-81.5%-115.5%

Financials

Segment Financials

Revenue by Segment

$ Mil20242023202220212020
Evernorth Health Services153,499140,335131,912116,334109,794
Cigna Healthcare51,14844,91144,64341,265 
Other Operations5962,2633,9898,446 
Corporate and Eliminations-9,978-6,991-6,475-5,644-3,588
Net realized investment (losses) gains  198  
Group Disability and Other    5,182
International Markets    5,659
U.S. Medical    36,519
Total195,265180,518174,267160,401153,566


Price Behavior

Short Interest

Short Interest: As Of Date9302025
Short Interest: Shares Quantity3,562,269
Short Interest: % Change Since 91520259.2%
Average Daily Volume1,523,481
Days-to-Cover Short Interest2.34
Basic Shares Quantity270,867,000
Short % of Basic Shares1.3%

Earnings Returns History

Expand for More

 Forward Returns
Earnings Date1D Returns5D Returns21D Returns
7/31/2025-10.2%-9.4%0.9%
5/2/2025-0.1%-0.6%-6.0%
1/30/2025-6.7%-3.3%1.8%
10/31/20240.6%0.7%8.0%
8/1/2024-4.6%-5.6%3.6%
5/2/2024-3.6%-2.8%-3.5%
2/2/20245.4%8.1%9.6%
11/2/20233.1%-4.5%-13.1%
...
SUMMARY STATS   
# Positive111114
# Negative131310
Median Positive2.6%3.8%4.3%
Median Negative-3.9%-3.8%-5.5%
Max Positive7.0%8.1%13.3%
Max Negative-10.9%-9.4%-13.1%

SEC Filings

Expand for More

Report DateFiling DateFiling
6302025731202510-Q 6/30/2025
3312025502202510-Q 3/31/2025
12312024227202510-K 12/31/2024
93020241031202410-Q 9/30/2024
6302024801202410-Q 6/30/2024
3312024502202410-Q 3/31/2024
12312023229202410-K 12/31/2023
93020231102202310-Q 9/30/2023
6302023803202310-Q 6/30/2023
3312023505202310-Q 3/31/2023
12312022223202310-K 12/31/2022
93020221103202210-Q 9/30/2022
6302022804202210-Q 6/30/2022
3312022506202210-Q 3/31/2022
12312021224202210-K 12/31/2021
93020211104202110-Q 9/30/2021

Insider Activity

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 OwnerTitleFiling DateActionPriceSharesTransacted
Value
Value of
Held Shares
Form
0Eder Noelle KSee Remarks3112025Sell320.009,9443,182,0804,289,920Form