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What is the history of Cigna?
Cigna Corporation, a global health service company, traces its origins back to 1792 with the founding of the Insurance Company of North America (INA). Initially focused on marine insurance, INA laid the groundwork for a company dedicated to providing essential coverage.

From these early beginnings, Cigna has undergone a remarkable transformation, evolving into a leading provider of comprehensive health services. Its current offerings span medical, dental, behavioral health, pharmacy, and vision care benefits, serving a vast global clientele.
The company's journey is marked by significant growth and strategic expansion, culminating in its current standing. For 2024, Cigna reported total revenues of $247.1 billion, a substantial 27% increase from the previous year. Projections indicate adjusted revenue to reach at least $252 billion in 2025. As of March 31, 2025, Cigna served over 180 million customer relationships across more than 30 countries, showcasing its extensive international presence and impact. Understanding the strategic moves and pivotal moments in its history, including analyses like the Cigna Porter's Five Forces Analysis, provides insight into its enduring success.
What is the Cigna Founding Story?
The Cigna company's rich history is a tapestry woven from two significant insurance entities, each with its own distinct origins and contributions to the modern corporation. Understanding these foundational elements is key to grasping the Cigna company history.
The Cigna origins trace back to two separate companies: the Insurance Company of North America (INA) and the Connecticut General Life Insurance Company (CG). These two entities eventually merged to form the company known today.
- INA was established on November 19, 1792, in Philadelphia, Pennsylvania, marking a significant early step in American insurance.
- CG was incorporated in 1865 in Hartford, Connecticut, focusing initially on life insurance needs.
- The merger of INA and CG in 1982 officially created Cigna Corporation.
- Philadelphia was designated as the headquarters for the newly formed Cigna in 1983.
The Insurance Company of North America, or INA, began its journey on November 19, 1792, in Philadelphia, Pennsylvania. This venture was initiated after a series of meetings held in Independence Hall, recognizing the financial center's need for a comprehensive insurance provider. Initially, INA concentrated on marine insurance, issuing its very first policies to the ship America for its voyage to Londonderry, Northern Ireland. By 1794, INA had secured its incorporation and broadened its services to encompass fire and life insurance, even including a unique clause against pirate capture in a life insurance policy issued to a sea captain. This early diversification laid the groundwork for its future expansion and eventual role in the Competitors Landscape of Cigna.
Concurrently, the Connecticut General Life Insurance Company, or CG, was incorporated in 1865 in Hartford, Connecticut, through a special act of the General Assembly. Guy R. Phelps, a co-founder of the Connecticut Mutual Company, identified a demand for life insurance, particularly for individuals facing higher risks, though the company soon expanded its reach to cover a wider demographic. The pivotal moment in the Cigna company development occurred in 1982 when INA and CG merged, giving rise to Cigna Corporation. The name 'Cigna' itself is a portmanteau, derived from 'CI' of Connecticut General and 'GNA' from Insurance Company of North America, symbolizing the union of these two historical entities.
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What Drove the Early Growth of Cigna?
Following its formation in 1982, the company embarked on a strategic path of growth and expansion. Despite a challenging economic climate in the early 1980s, key acquisitions significantly bolstered its market position and operational reach. This period marked a crucial phase in the Cigna company history.
In 1984, the company acquired the American Foreign Insurance Association (AFIA). This move was instrumental in strengthening its international operations, extending its customer base to over 100 countries and marking a significant step in its Cigna evolution.
By the late 1990s, a strategic refocusing on the healthcare sector began. This shift was driven by a series of acquisitions aimed at enhancing its managed healthcare capabilities and service offerings.
The acquisition of EQUICOR-Equitable HCA Corporation in 1990 positioned the company as the sixth-largest provider of employee benefits in the U.S. This accelerated the expansion of its managed healthcare programs, a key component of the history of Cigna insurance.
Further solidifying its healthcare presence, the company acquired Healthsource, Inc. in 1997, expanding its medical HMO membership to 5.3 million. By 1998, the individual life insurance and annuity business was divested, followed by the property and casualty business in 1999, underscoring its commitment to healthcare services and aligning with its Mission, Vision & Core Values of Cigna.
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What are the key Milestones in Cigna history?
The Cigna company history is rich with significant events, from its early days as INA and Connecticut General to its present-day integrated health services. The company's journey is a testament to its resilience and adaptability in the ever-changing insurance and healthcare landscape. This brief history of Cigna highlights key moments that shaped its development.
Year | Milestone |
---|---|
1871 | INA paid out $650,000 in claims following the Great Chicago Fire, demonstrating early reliability. |
1898 | Benjamin Rush introduced 'scientific underwriting' at INA, a method that improved risk assessment and profitability. |
1906 | INA paid $4,772,000 in claims after the San Francisco earthquake and fires, reinforcing its commitment to policyholders. |
1919 | Connecticut General began offering group accident and sickness contracts, expanding its health insurance offerings. |
1950 | Connecticut General introduced the first Major Medical insurance policy in the United States. |
2018 | Cigna completed the $67 billion acquisition of Express Scripts, a major move into pharmacy benefit management. |
2020 | Cigna rebranded its health services portfolio as Evernorth, signaling a focus on integrated health solutions. |
Cigna's history is marked by significant innovations that have shaped the health insurance industry. The introduction of 'scientific underwriting' in 1898 by Benjamin Rush at INA revolutionized risk assessment, leading to reduced claims and increased profits. Later, in 1950, Connecticut General pioneered the Major Medical insurance policy, a groundbreaking product in the U.S. market that provided more comprehensive health coverage.
Introduced in 1898 at INA, this method of risk assessment significantly improved the accuracy of underwriting, leading to better financial outcomes.
Launched in 1950 by Connecticut General, this policy was the first of its kind in the United States, offering broader coverage for medical expenses.
In 1919, Connecticut General began marketing group accident and sickness contracts, expanding access to health insurance for larger populations.
The rebranding of its health services portfolio to Evernorth in 2020, encompassing entities like Express Scripts, signifies a strategic shift towards comprehensive, integrated healthcare services.
Early in its history, INA demonstrated financial strength and reliability by fully paying claims after major events like the Great Chicago Fire and the San Francisco earthquake.
The acquisition of Express Scripts in 2018 marked a significant integration of pharmacy benefit management with health insurance, aiming to streamline healthcare delivery.
Despite its successes, the company has navigated significant challenges throughout its Cigna company history. A major hurdle was the proposed $54 billion merger with Anthem Inc. in 2015, which ultimately collapsed in 2017 due to regulatory antitrust concerns and a court ruling, leading to legal disputes over a termination fee. The company has also faced litigation concerning coverage decisions and allegations of improper claim denials.
The planned merger with Anthem Inc. in 2015 was blocked by regulators in 2017, resulting in a significant legal and financial setback for the company.
Antitrust concerns played a pivotal role in the failure of the Anthem merger, highlighting the intense regulatory oversight in the health insurance sector.
The company has faced lawsuits related to its coverage decisions and has been subject to allegations of automatically denying insurance claims without proper review.
Navigating a highly competitive market requires continuous adaptation and strategic planning to maintain market share and profitability.
Changes in healthcare policy and regulations necessitate ongoing adjustments to business models and service offerings to ensure compliance and competitiveness.
Successfully integrating large acquisitions, such as Express Scripts, presents operational and cultural challenges that require careful management to realize strategic benefits.
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What is the Timeline of Key Events for Cigna?
The journey of Cigna, a significant player in the health services industry, is marked by a series of strategic mergers and foundational beginnings, tracing its roots back to the late 18th century. Understanding the Brief History of Cigna reveals a company built on resilience and adaptation.
Year | Key Event |
---|---|
1792 | Insurance Company of North America (INA) was established as the first marine insurance company in the U.S. |
1794 | INA was incorporated and issued its inaugural life insurance policy. |
1865 | Connecticut General Life Insurance Company (CG) was founded in Hartford, Connecticut. |
1871 | INA managed claims totaling $650,000 following the Great Chicago Fire. |
1906 | INA paid out $4,772,000 in losses after the San Francisco earthquake and subsequent fires. |
1919 | CG began offering group accident and sickness contracts. |
1950 | CG introduced the first Major Medical insurance policy in the United States. |
1982 | INA and CG merged, forming Cigna Corporation. |
1984 | Cigna expanded its international presence by acquiring American Foreign Insurance Association (AFIA). |
1990 | The acquisition of EQUICOR significantly broadened Cigna's employee benefits business. |
1997 | Cigna enhanced its healthcare benefits offerings by acquiring Healthsource, Inc. |
2015-2017 | A proposed merger with Anthem Inc. was unsuccessful due to antitrust concerns. |
2018 | Cigna acquired Express Scripts, integrating pharmacy benefit management services. |
2020 | Cigna rebranded its health services division as Evernorth. |
March 19, 2025 | Cigna completed the divestiture of its Medicare businesses to Health Care Service Corporation (HCSC). |
The Cigna Group is actively pursuing its growth strategy, with a strong emphasis on its Evernorth Health Services and Cigna Healthcare segments. This strategic direction aims to leverage the company's integrated health solutions.
The company reported robust financial results for 2024, achieving total revenues of $247.1 billion, a substantial 27% increase year-over-year. This momentum continued into early 2025, with first-quarter revenues rising 14% to $65.5 billion, largely driven by Evernorth's expansion.
Reflecting confidence in its future, Cigna raised its full-year 2025 adjusted income from operations outlook to at least $29.60 per share. Additionally, the company increased its quarterly dividend by 8% to $1.51 per share and authorized an additional $6 billion for share repurchases in early 2025.
Cigna Healthcare is set to offer affordable and comprehensive health plans in 11 states through the individual marketplace in 2025. This marks the 11th consecutive year of participation in the Affordable Care Act (ACA) marketplace, demonstrating a sustained commitment to accessible healthcare.
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