PayorTransparency

Cigna

Also issues coverage under Cigna Healthcare.

Scale

Figures this payer discloses about itself, each on the basis it states and as of the date it states. The bases differ between payers and are reproduced rather than reconciled.

Covered lives

18.4 M

total medical customers, as of 2026-06-301

Jurisdictions

30

global markets and jurisdictions, disclosed only as "more than 30" — a floor, not an exact count, and not a U.S.-state count, as of 2025-12-312

Premium revenue

$40.3 B

premiums, the consolidated GAAP revenue line, as of 2025-12-31 (fiscal year 2025)2

Transparency in Coverage publishing

What this payer publishes under the Transparency in Coverage rule, how the published index is arranged, and what becomes of earlier months. Each statement is read from a public document and cites it.

Posting cadence
Publishes no posting schedule on its machine-readable files page; that page carries no reference to any posting frequency. As observed on August 7, 2026, the federal table-of-contents file linked from that page carried a reporting month of August 2026 and was dated the first calendar day of that month. Notices supplied to employer clients and republished on those clients' own websites state that Cigna updates the files each month.345
Index shape
Links two separate table-of-contents files from its machine-readable files page — one labelled for CMS federal Transparency in Coverage regulations and one for Colorado-specific regulations — and states that the machine-readable files are contained in, and accessible through, the table of contents on that page.3

Sources

  1. [1] The Cigna Group Form 10-Q for the quarterly period ended June 30, 2026 · U.S. Securities and Exchange Commission (EDGAR) / The Cigna Group · checked 2026-08-06

    Fetched from EDGAR on 2026-08-06 (declared User-Agent required) and read in full text to check whether a more recent membership figure exists. It does: the "Cigna Healthcare Medical Customers" table shows Total of 18,413 (in thousands) as of June 30, 2026. That is the 18.4 M seeded here, superseding the FY2025 10-K's 18.1 M.

  2. [2] The Cigna Group Form 10-K for the fiscal year ended December 31, 2025 · U.S. Securities and Exchange Commission (EDGAR) / The Cigna Group · checked 2026-08-06

    Fetched the full primary filing document (4.5 MB HTML) directly from EDGAR on 2026-08-06 and read it in full text; sec.gov returns HTTP 403 without a declared User-Agent. CIK 0001739940, accession 0001739940-26-000006. The figures seeded from this document were read off the "Premiums" line of the Consolidated Statements of Income (p.54) and the "more than 30 markets and jurisdictions" sentence in Item 1 - Business.

  3. [3] Machine Readable Files | Cigna Healthcare · Cigna Healthcare (The Cigna Group) · checked 2026-08-07

    Fetched 2026-08-07. Cigna's machine-readable files page. Its two download links are built in the browser, so the file URLs appear only in a rendered page. The page states no posting schedule, no retention period and no archive: flattened to about 5,400 characters it carries no occurrence of month, monthly, update, schedule, quarter, business day, archive, prior, retain, retention or historical. That absence is what the posting-cadence claim rests on.

  4. [4] Cigna federal Transparency in Coverage table-of-contents pointer (latest.json) · Cigna Healthcare (The Cigna Group) · checked 2026-08-07

    Fetched 2026-08-07. The small JSON metadata pointer Cigna's machine-readable files page fetches to build its federal download link; it is neither a table of contents nor a rate file. It names reporting entity "Cigna Health Life Insurance Company", typed "Health Insurance Issuer", with last_updated_on 2026-08-01 and reporting_month 2026-08, which is where publishedDate comes from. The download URL it carries is a signed link that expires, and the pointer exposes only the current month.

  5. [5] Cigna Machine Readable Files As Required Under The Federal Transparency In Coverage Rule (client notice republished by "K" Line America, Inc.) · "K" Line America, Inc. (republishing a notice supplied by Cigna) · checked 2026-08-07

    Fetched 2026-08-07. A one-page client notice supplied by Cigna and republished by an employer on its own domain rather than on cigna.com. It carries the sentence "Cigna will update the files each month and this link will remain constant and always access the most up-to-date files", and states separately that Cigna supplied the link. The wording is on no cigna.com URL and the notice is four years old, which is why the posting-cadence claim resting on it is recorded as secondary.

Reviewed 2026-08-07

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