Item 16. FORM 10-K SUMMARY
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Item 16. FORM 10-K SUMMARY
None.
SIGNATURES
Pursuant to the requirements of Section 13 or 15(d) of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned, thereunto duly authorized.
Date: February 25, 2021
| CIGNA CORPORATION | |||||||||||
| By: | /s/ Brian C. Evanko | ||||||||||
| Brian C. Evanko | |||||||||||
| Executive Vice President and Chief Financial Officer | |||||||||||
| (Principal Financial Officer) | |||||||||||
Pursuant to the requirements of the Securities Exchange Act of 1934, this report has been signed below by the following persons on behalf of the registrant and in the capacities indicated as of February 25, 2021.
| Signature | Title | |||||||
| /s/ David M. Cordani | ||||||||
| David M. Cordani | Chief Executive Officer and Director (Principal Executive Officer) | |||||||
| /s/ Brian C. Evanko | ||||||||
| Brian C. Evanko | Executive Vice President and Chief Financial Officer (Principal Financial Officer) | |||||||
| /s/ Mary T. Agoglia Hoeltzel | ||||||||
| Mary T. Agoglia Hoeltzel | Senior Vice President, Tax and Chief Accounting Officer (Principal Accounting Officer) | |||||||
| /s/ William J. DeLaney | ||||||||
| William J. DeLaney | Director | |||||||
| /s/ Eric J. Foss | ||||||||
| Eric J. Foss | Director | |||||||
| /s/ Elder Granger, M.D. | ||||||||
| Elder Granger, M.D. | Director | |||||||
| /s/ Isaiah Harris, Jr. | ||||||||
| Isaiah Harris, Jr. | Chairman of the Board |
| /s/ Kathleen M. Mazzarella | ||||||||
| Kathleen M. Mazzarella | Director | |||||||
| /s/ Mark McClellan, M.D. | ||||||||
| Mark McClellan, M.D. | Director | |||||||
| /s/ John M. Partridge | ||||||||
| John M. Partridge | Director | |||||||
| /s/ William L. Roper, M.D. | ||||||||
| William L. Roper, M.D. | Director | |||||||
| /s/ Kimberly A. Ross | ||||||||
| Kimberly A. Ross | Director | |||||||
| /s/ Eric C. Wiseman | ||||||||
| Eric C. Wiseman | Director | |||||||
| /s/ Donna F. Zarcone | ||||||||
| Donna F. Zarcone | Director |
CIGNA CORPORATION AND SUBSIDIARIES
INDEX TO FINANCIAL STATEMENT SCHEDULES
| PAGE | |||||||||||
| Report of Independent Registered Public Accounting Firm on Financial Statement Schedules | FS-2 | ||||||||||
| Schedules | |||||||||||
| I | Condensed Financial Information of Cigna Corporation (Registrant) | FS-3 | |||||||||
| Statements of Income for the Years Ended December 31, 2020, 2019 and 2018 | FS-3 | ||||||||||
| Balance Sheets as of December 31, 2020 and 2019 | FS-4 | ||||||||||
| Statements of Cash Flows for the Years Ended December 31, 2020, 2019 and 2018 | FS-5 | ||||||||||
| Notes to Condensed Financial Statements | FS-6 | ||||||||||
| II | Valuation and Qualifying Accounts for the Years Ended December 31, 2020, 2019 and 2018 | FS-8 |
Schedules other than those listed above are omitted because they are not required or are not applicable, or the required information is shown in the financial statements or notes thereto.
FS-1
Report of Independent Registered Public Accounting Firm on
Financial Statement Schedules
To the Board of Directors and Shareholders of Cigna Corporation
Our audits of the consolidated financial statements referred to in our report dated February 25, 2021 (which report and consolidated financial statements are included under Item 8 in this Annual Report on Form 10-K) also included an audit of the financial statement schedules listed on page FS-1 in Item 15 of this Form 10-K. In our opinion, these financial statement schedules present fairly, in all material respects, the information set forth therein when read in conjunction with the related consolidated financial statements.
/s/ PricewaterhouseCoopers LLP
Hartford, Connecticut
February 25, 2021
FS-2
CIGNA CORPORATION AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF CIGNA CORPORATION
(REGISTRANT)
STATEMENTS OF INCOME
| For the years ended | ||||||||||||||||||||
| December 31, | ||||||||||||||||||||
| Cigna | Cigna | Cigna | ||||||||||||||||||
| (in millions) | 2020 | 2019 | 2018 | |||||||||||||||||
| Revenues | ||||||||||||||||||||
| Net investment income | $ | 1 | $ | — | $ | 123 | ||||||||||||||
| Intercompany interest income | 475 | 6 | — | |||||||||||||||||
| Total revenues | 476 | 6 | 123 | |||||||||||||||||
| Operating expenses | ||||||||||||||||||||
| Selling, general and administrative expenses | 4 | (85) | 200 | |||||||||||||||||
| Total operating expenses | 4 | (85) | 200 | |||||||||||||||||
| Income (loss) from operations | 472 | 91 | (77) | |||||||||||||||||
| Interest and other (expense) | (1,324) | (1,032) | (244) | |||||||||||||||||
| Intercompany interest (expense) | (48) | (127) | (5) | |||||||||||||||||
| Debt extinguishment costs | (171) | — | — | |||||||||||||||||
| Realized investment (loss) | — | — | (1) | |||||||||||||||||
| Loss before taxes | (1,071) | (1,068) | (327) | |||||||||||||||||
| Income tax (benefit) | (234) | (251) | (74) | |||||||||||||||||
| Loss of Parent Company | (837) | (817) | (253) | |||||||||||||||||
| Equity in income of subsidiaries | 9,295 | 5,921 | 2,890 | |||||||||||||||||
| Shareholders' net income | 8,458 | 5,104 | 2,637 | |||||||||||||||||
| Shareholders' other comprehensive income (loss), net of tax | ||||||||||||||||||||
| Net unrealized appreciation (depreciation) on securities and derivatives | (75) | 957 | (365) | |||||||||||||||||
| Net translation (losses) gains of foreign currencies | 260 | (54) | (152) | |||||||||||||||||
| Postretirement benefits liability adjustment | (105) | (133) | 127 | |||||||||||||||||
| Shareholders' other comprehensive income (loss), net of tax | 80 | 770 | (390) | |||||||||||||||||
| Shareholders' comprehensive income | $ | 8,538 | $ | 5,874 | $ | 2,247 | ||||||||||||||
See Notes to Financial Statements on the following pages.
FS-3
CIGNA CORPORATION AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF CIGNA CORPORATION
(REGISTRANT)
BALANCE SHEETS
| As of December 31, | ||||||||||||||
| (in millions) | 2020 | 2019 | ||||||||||||
| Assets | ||||||||||||||
| Cash and cash equivalents | $ | 4,157 | $ | — | ||||||||||
| Short-term investments | 49 | 30 | ||||||||||||
| Other current assets | 4 | 4 | ||||||||||||
| Total current assets | 4,210 | 34 | ||||||||||||
| Intercompany receivable | 1,666 | 4,111 | ||||||||||||
| Investments in subsidiaries | 76,040 | 77,380 | ||||||||||||
| Other noncurrent assets | 22 | 19 | ||||||||||||
| TOTAL ASSETS | $ | 81,938 | $ | 81,544 | ||||||||||
| Liabilities | ||||||||||||||
| Short-term debt | $ | 3,278 | $ | 4,043 | ||||||||||
| Other current liabilities | 616 | 457 | ||||||||||||
| Total current liabilities | 3,894 | 4,500 | ||||||||||||
| Intercompany payable | 5 | 2,341 | ||||||||||||
| Long-term debt | 27,718 | 29,365 | ||||||||||||
| TOTAL LIABILITIES | 31,617 | 36,206 | ||||||||||||
| Shareholders’ Equity | ||||||||||||||
| Common stock (shares issued, 390 and 386; authorized, 600) | 4 | 4 | ||||||||||||
| Additional paid-in capital | 28,975 | 28,306 | ||||||||||||
| Accumulated other comprehensive loss | (861) | (941) | ||||||||||||
| Retained earnings | 28,575 | 20,162 | ||||||||||||
| Less treasury stock, at cost | (6,372) | (2,193) | ||||||||||||
| TOTAL SHAREHOLDERS’ EQUITY | 50,321 | 45,338 | ||||||||||||
| TOTAL LIABILITIES AND SHAREHOLDERS’ EQUITY | $ | 81,938 | $ | 81,544 |
See Notes to Financial Statements on the following pages.
FS-4
CIGNA CORPORATION AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF CIGNA CORPORATION
(REGISTRANT)
STATEMENTS OF CASH FLOWS
| For the years ended | ||||||||||||||||||||
| December 31, | ||||||||||||||||||||
| Cigna | Cigna | Cigna | ||||||||||||||||||
| (in millions) | 2020 | 2019 | 2018 | |||||||||||||||||
| Cash Flows from Operating Activities | ||||||||||||||||||||
| Shareholders’ net income | $ | 8,458 | $ | 5,104 | $ | 2,637 | ||||||||||||||
| Adjustments to reconcile shareholders’ net income | ||||||||||||||||||||
| to net cash provided by operating activities | ||||||||||||||||||||
| Equity in income of subsidiaries | (9,295) | (5,921) | (2,890) | |||||||||||||||||
| Debt extinguishment costs | 171 | — | — | |||||||||||||||||
| Dividends received from subsidiaries | 8,627 | 2,457 | — | |||||||||||||||||
| Other liabilities | 112 | 43 | 412 | |||||||||||||||||
| Other, net | 500 | 20 | (14) | |||||||||||||||||
| NET CASH PROVIDED BY OPERATING ACTIVITIES | 8,573 | 1,703 | 145 | |||||||||||||||||
| Cash Flows from Investing Activities | ||||||||||||||||||||
| Net change in loans due to (from) affiliates | (265) | — | — | |||||||||||||||||
| Short-term investment purchased, net | (19) | (30) | — | |||||||||||||||||
| Other, net | — | — | (27,115) | |||||||||||||||||
| NET CASH (USED IN) INVESTING ACTIVITIES | (284) | (30) | (27,115) | |||||||||||||||||
| Cash Flows from Financing Activities | ||||||||||||||||||||
| Net change in amounts due to affiliates | 2,262 | 2,015 | 4,437 | |||||||||||||||||
| Proceeds on issuance of commercial paper | 86 | 944 | — | |||||||||||||||||
| Payments for debt extinguishment | (181) | — | — | |||||||||||||||||
| Repayment of long-term debt | (5,996) | (3,002) | — | |||||||||||||||||
| Net proceeds on issuance of long-term debt | 3,465 | — | 22,856 | |||||||||||||||||
| Issuance of common stock | 376 | 224 | 1 | |||||||||||||||||
| Common dividends paid | (15) | (15) | — | |||||||||||||||||
| Repurchase of common stock | (4,042) | (1,987) | (32) | |||||||||||||||||
| Tax withholding on stock compensation and other | (87) | (82) | (49) | |||||||||||||||||
| Other | — | (13) | — | |||||||||||||||||
| NET CASH (USED IN) PROVIDED BY FINANCING ACTIVITIES | (4,132) | (1,916) | 27,213 | |||||||||||||||||
| Net increase (decrease) in cash and cash equivalents | 4,157 | (243) | 243 | |||||||||||||||||
| Cash and cash equivalents, beginning of year | — | 243 | — | |||||||||||||||||
| Cash and cash equivalents, end of year | 4,157 | — | 243 | |||||||||||||||||
See Notes to Financial Statements on the following pages.
FS-5
CIGNA CORPORATION AND SUBSIDIARIES
SCHEDULE I
CONDENSED FINANCIAL INFORMATION OF CIGNA CORPORATION
(REGISTRANT)
NOTES TO CONDENSED FINANCIAL STATEMENTS
The accompanying condensed financial statements should be read in conjunction with the Consolidated Financial Statements and the accompanying notes thereto contained in this Annual Report on Form 10-K (“Form 10-K”).
Note 1 — Cigna Holding Company (formerly Cigna Corporation) was incorporated in Delaware in 1981. Halfmoon Parent, Inc. was incorporated in Delaware in March 2018. Halfmoon Parent, Inc. was renamed Cigna Corporation and Cigna Holding Company became its subsidiary concurrent with the consummation of the combination with Express Scripts on December 20, 2018.
For purposes of these condensed financial statements, Cigna Corporation’s (the “Company”) wholly-owned and majority-owned subsidiaries are recorded using the equity method of accounting.
Note 2 — See Note 7 – Debt included in Part II, Item 8 of this Form 10-K for a description of the short-term and long-term debt obligations of Cigna Corporation and its subsidiaries.
Debt Issuance and Redemption. In order to decrease future interest expense and reduce future refinancing risk, the Company entered into the following transactions during 2020:
- Debt issuance: On March 16, 2020, the Company issued $3.5 billion of new senior notes. The proceeds of this issuance were mainly used to pay the consideration for the cash tender and redemption offer as described below. Interest on this debt is paid semi-annually.
| Principal | Maturity Date | Interest Rate | Net Proceeds | |||||||||||||||||
| $1,500 million | March 15, 2030 | 2.4% | $1,491 million | |||||||||||||||||
| $750 million | March 15, 2040 | 3.2% | $743 million | |||||||||||||||||
| $1,250 million | March 15, 2050 | 3.4% | $1,237 million |
- Debt tender and redemption: In March and April 2020, the Company completed a tender offer and an optional redemption totaling $2.9 billion of aggregate principal amount of certain of its outstanding debt securities. The principal amount repurchased in this tender offer was $1.3 billion. Additionally, $1.6 billion of notes were repurchased via optional redemption. The Company recorded a pre-tax loss of $171 million ($124 million after-tax), consisting primarily of premium payments on the tender and optional redemption.
Debt Exchange**.** In the fourth quarter of 2019, the Company settled an exchange of approximately $12.7 billion of Notes issued by Express Scripts Holding Company, Medco Health Solutions, Inc. and Cigna Holding Company for privately placed Notes issued by Cigna with the same interest rates and maturities and comparable other terms. We initiated an exchange offer to register such debt in the second quarter of 2020 and completed the exchange in July 2020.
Debt Repayment. In 2020, the Company repaid $6.0 billion of long-term debt, including the $2.9 billion debt tender and redemption described above. On December 31, 2020 Cigna issued a notice of full redemption to the holders of Cigna’s Senior Floating Rate Notes due 2021 (the “Notes”) pursuant to which Cigna redeemed the entire $1.0 billion aggregate principal amount of the Notes outstanding on January 15, 2021 at a redemption price calculated in accordance with the terms and conditions of the indenture governing the Notes.
Revolving Credit Agreements. Cigna has a revolving credit and letter of credit agreement that matures in April 2023 and is diversified among 23 banks. Cigna can borrow up to $3.25 billion for general corporate purposes, with up to $500 million available for issuance of letters of credit. This revolving credit agreement also includes an option to increase the facility amount up to $500 million and an option to extend the termination date for additional one-year periods, subject to consent of the banks.
Additionally, Cigna has a 364-day $1.0 billion revolving credit agreement that will mature in October 2021. The agreement replaces the $1.0 billion 364-day revolving credit agreement that expired in October 2020. The agreement is diversified among 23 banks. Pursuant to this revolving credit agreement, Cigna can borrow up to $1.0 billion for general corporate purposes. The agreement includes the option to “term out” any revolving loans that are outstanding at maturity by converting them into a term loan maturing on the one year anniversary of conversion.
FS-6
The revolving credit agreements contain customary covenants and restrictions including a financial covenant that the Company’s leverage ratio may not exceed 60%. As of December 31, 2020, there were no outstanding balances under the revolving credit agreements.
Term Loan Credit Agreement**.** On April 1, 2020, the Company borrowed an aggregate principal amount of $1.4 billion under a new 364-Day Term Loan Credit Agreement. In connection with the sale of the Group Life and Disability business, on December 31, 2020 we repaid the entire $1.4 billion balance outstanding.
Commercial Paper. Under our commercial paper program we may issue short-term, unsecured commercial paper notes privately placed on a discount basis through certain broker dealers at any time not to exceed $4.25 billion. Amounts available under the program may be borrowed, repaid and re-borrowed from time to time. The net proceeds of issuances have been and are expected to be used for general corporate purposes. The commercial paper program had approximately $1.0 billion outstanding at December 31, 2020 at an average interest rate of 0.2%.
The Company was in compliance with its debt covenants as of December 31, 2020.
Maturity of the Company’s long-term debt is as follows:
| (in millions) | ||||||||
| 2021 | $ | 2,250 | ||||||
| 2022 | $ | 1,378 | ||||||
| 2023 | $ | 3,754 | ||||||
| 2024 | $ | 714 | ||||||
| 2025 | $ | 2,957 | ||||||
| Maturities after 2025 | $ | 19,182 | ||||||
Note 3 — Intercompany receivables of the Company consist primarily of net amounts due from Express Scripts Holdings of $1.4 billion (consisting of an $8.2 billion receivable offset by a $6.8 billion payable) as of December 31, 2020 and $3.9 billion (consisting of an $8.2 billion receivable offset by a $4.3 billion payable) as of December 31, 2019. Interest income on the receivable was accrued at an annual fixed rate of 5.50%. Interest expense on the payable was accrued at an average rate of 0.97% in 2020.
Note 4 — The Company had guarantees of approximately $87 million as of December 31, 2020. These guarantees are primarily related to outstanding letters of credit. In 2020, no payments have been made on these guarantees.
FS-7
CIGNA CORPORATION AND SUBSIDIARIES
SCHEDULE II
VALUATION AND QUALIFYING ACCOUNTS AND RESERVES
| (in millions) | Balance at beginning of year | Charged (Credited) to costs and expenses | Charged (Credited) to other accounts | Other deductions | Balance at end of year | |||||||||||||||||||||||||||
| Description | ||||||||||||||||||||||||||||||||
| 2020 | ||||||||||||||||||||||||||||||||
| Investment asset valuation reserves | ||||||||||||||||||||||||||||||||
| Available-for-sale debt securities | $ | — | $ | 82 | $ | — | $ | (56) | $ | 26 | ||||||||||||||||||||||
| Accounts receivable, net | $ | 252 | $ | (50) | $ | (12) | $ | (34) | $ | 156 | ||||||||||||||||||||||
| Deferred tax asset valuation allowance | $ | 196 | $ | 10 | $ | 1 | $ | — | $ | 207 | ||||||||||||||||||||||
| Reinsurance recoverables (1) | $ | 2 | $ | (1) | $ | 31 | $ | — | $ | 32 | ||||||||||||||||||||||
| 2019 | ||||||||||||||||||||||||||||||||
| Accounts receivable, net | $ | 217 | $ | 51 | $ | — | $ | (16) | $ | 252 | ||||||||||||||||||||||
| Deferred tax asset valuation allowance | $ | 199 | $ | (6) | $ | 3 | $ | — | $ | 196 | ||||||||||||||||||||||
| Reinsurance recoverables | $ | 2 | $ | — | $ | — | $ | — | $ | 2 | ||||||||||||||||||||||
| 2018 | ||||||||||||||||||||||||||||||||
| Accounts receivable, net | $ | 207 | $ | 18 | $ | (3) | $ | (5) | $ | 217 | ||||||||||||||||||||||
| Deferred tax asset valuation allowance (2) | $ | 72 | $ | (5) | $ | 132 | $ | — | $ | 199 | ||||||||||||||||||||||
| Reinsurance recoverables | $ | 3 | $ | (1) | $ | — | $ | — | $ | 2 |
*(1)*The Company recorded an additional allowance of $31 million on January 1, 2020 upon the adoption of ASU 2016-13
*(2)*Deferred tax valuation allowance amount includes amount assumed from Express Scripts in 2018.
FS-8
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