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Segment Information (Tables)
 6 Months Ended
Jun. 30, 2022
Segment Reporting [Abstract]  
Summary of Special Items
The following tables present the special items recorded by the Company for the three and six months ended June 30, 2022 and 2021:
Three Months EndedSix Months Ended
(In millions)June 30, 2022June 30, 2021June 30, 2022June 30, 2021
Description of Special Item Charges (Benefits) and Financial Statement Line Item(s)After-taxBefore-taxAfter-taxBefore-taxAfter-taxBefore-taxAfter-taxBefore-tax
Integration and transaction-related costs
 (Selling, general and administrative expenses)		$26 $36 $14 $16 $63 $88 $36 $45 
Charge for organizational efficiency plan
 (Selling, general and administrative expenses)		17 22 — — 17 22 — — 
Charges (benefits) associated with litigation matters
 (Selling, general and administrative expenses)		(20)(28)— — (20)(28)(21)(27)
Debt extinguishment costs— — 9 10 — — 110 141 
Total impact from special items$23 $30 $23 $26 $60 $82 $125 $159 
Summarized Segment Financial Information Summarized segment financial information was as follows:
(In millions)
Evernorth
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
Three months ended June 30, 2022
Revenues from external customers $33,716 $10,622 $817 $— $45,155 
Intersegment revenues1,131 586 — (1,717)
Net investment income16 178 131 — 325 
Total revenues34,863 11,386 948 (1,717)45,480 
Net realized investment results from certain equity method investments — (49)— — (49)
Adjusted revenues$34,863 $11,337 $948 $(1,717)$45,431 
Income (loss) before income taxes$1,044 $1,205 $167 $(431)$1,985 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests(13)— (2)— (15)
Net realized investment (gains) losses (1)
— (22)68 — 46 
Amortization of acquired intangible assets444 57 — — 501 
Special items
Integration and transaction-related costs— — — 36 36 
Charge for organizational efficiency plan— — — 22 22 
Charges (benefits) associated with litigation matters— — — (28)(28)
Pre-tax adjusted income (loss) from operations$1,475 $1,240 $233 $(401)$2,547 
(In millions)
Evernorth
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
Three months ended June 30, 2021
Revenues from external customers $31,553 $10,403 $865 $— $42,821 
Intersegment revenues1,034 590 — (1,624)
Net investment income5 180 125 — 310 
Total revenues32,592 11,173 990 (1,624)43,131 
Net realized investment results from certain equity method investments— (24)— — (24)
Adjusted revenues$32,592 $11,149 $990 $(1,624)$43,107 
Income (loss) before income taxes$929 $1,111 $228 $(370)$1,898 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests(6)— (5)— (11)
Net realized investment (gains) losses (1)
2 (74)(11)— (83)
Amortization of acquired intangible assets488 12 3 — 503 
Special items
Integration and transaction-related costs— — — 16 16 
Debt extinguishment costs— — — 10 10 
Pre-tax adjusted income (loss) from operations$1,413 $1,049 $215 $(344)$2,333 
(1) Includes the Company's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting.
(In millions)Evernorth
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
Six months ended June 30, 2022
Revenues from external customers$66,005 $21,083 $1,658 $— $88,746 
Intersegment revenues2,418 1,148 — (3,566)
Net investment income26 444 269 — 739 
Total revenues68,449 22,675 1,927 (3,566)89,485 
Net realized investment results from certain equity method investments
— 54 — — 54 
Adjusted revenues$68,449 $22,729 $1,927 $(3,566)$89,539 
Income (loss) before income taxes$1,914 $2,064 $382 $(826)$3,534 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests(24)(1)(7)— (32)
Net realized investment (gains) losses (1)
— 384 84 — 468 
Amortization of acquired intangible assets887 72 — — 959 
Special items
Integration and transaction-related costs— — — 88 88 
Charge for organizational efficiency plan— — — 22 22 
Charges (benefits) associated with litigation matters— — — (28)(28)
Pre-tax adjusted income (loss) from operations$2,777 $2,519 $459 $(744)$5,011 
(In millions)
Evernorth
Cigna Healthcare
Other Operations
Corporate and Eliminations
Total
Six months ended June 30, 2021
Revenues from external customers
$60,972 $20,688 $1,741 $— $83,401 
Intersegment revenues2,232 1,099 — (3,331)
Net investment income8 439 254 — 701 
Total revenues63,212 22,226 1,995 (3,331)84,102 
Net realized investment results from certain equity method investments— (10)— — (10)
Adjusted revenues$63,212 $22,216 $1,995 $(3,331)$84,092 
Income (loss) before income taxes$1,678 $2,156 $434 $(857)$3,411 
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests(11)(1)(11)— (23)
Net realized investment (gains) losses (1)
4 (90)16 — (70)
Amortization of acquired intangible assets965 26 7 — 998 
Special items
Integration and transaction-related costs— — — 45 45 
Charges (benefits) associated with litigation matters— — — (27)(27)
Debt extinguishment costs— — — 141 141 
Pre-tax adjusted income (loss) from operations$2,636 $2,091 $446 $(698)$4,475 
(1) Includes the Company's share of certain realized investment results of its joint ventures reported in the Cigna Healthcare segment using the equity method of accounting.
Revenue from External Customers
Revenue from external customers includes Pharmacy revenues, Premiums and Fees and other revenues. The following table presents these revenues by product, premium and service type for the three and six months ended June 30, 2022 and 2021:
Three Months Ended June 30,Six Months Ended June 30,
(In millions)2022202120222021
Products (Pharmacy revenues) (ASC 606)
Network revenues$16,107 $16,166 $31,638 $31,304 
Home delivery and specialty revenues15,268 13,341 29,967 26,115 
Other revenues1,667 1,619 3,379 3,007 
Intercompany eliminations(1,070)(1,079)(2,315)(2,354)
Total pharmacy revenues31,972 30,047 62,669 58,072 
Insurance premiums (ASC 944)
Cigna Healthcare
U.S. Commercial
Insured3,771 3,578 7,491 7,101 
Stop loss1,344 1,194 2,669 2,388 
Other352 308 712 618 
U.S. Government
Medicare Advantage2,053 2,116 4,131 4,208 
Medicare Part D345 410 746 860 
Other1,038 1,227 1,978 2,365 
International Health712 633 1,414 1,274 
Total Cigna Healthcare9,615 9,466 19,141 18,814 
International businesses held for sale737 809 1,500 1,618 
Other74 50 143 108 
Intercompany eliminations— (2)(2)(3)
Total premiums10,426 10,323 20,782 20,537 
Services (Fees) (ASC 606)
Evernorth
1,790 1,456 3,414 2,770 
Cigna Healthcare
1,478 1,425 2,974 2,859 
Other Operations
4 5 9 10 
Other revenues132 108 147 127 
Intercompany eliminations(647)(543)(1,249)(974)
Total fees and other revenues2,757 2,451 5,295 4,792 
Total revenues from external customers$45,155 $42,821 $88,746 $83,401