v3.26.1
Insurance and Contractholder Liabilities
 6 Months Ended
Jun. 30, 2026
Insurance Loss Reserves [Abstract]  
Insurance and Contractholder Liabilities
Note 7 – Insurance and Contractholder Liabilities

A.Account Balances – Insurance and Contractholder Liabilities
The Company's insurance and contractholder liabilities were comprised of the following:

June 30, 2026December 31, 2025June 30, 2025
(In millions)CurrentNon-currentTotalCurrentNon-currentTotalTotal
Unpaid claims and claim expenses
Cigna Healthcare
$5,161 $67 $5,228 $4,180 $61 $4,241 $4,636 
Other165 139 304 167 176 343 355 
Future policy benefits
Cigna Healthcare
39 154 193 38 153 191 192 
Other Operations140 2,989 3,129 142 3,081 3,223 3,292 
Contractholder deposit funds334 5,648 5,982 336 5,778 6,114 6,188 
Market risk benefits23 593 616 25 649 674 767 
Unearned premiums827 43 870 822 40 862 742 
Total insurance and contractholder liabilities$6,689 $9,633 $16,322 $5,710 $9,938 $15,648 $16,172 
Insurance and contractholder liabilities expected to be paid within one year are classified as current.
Unpaid Claims and Claim Expenses – Cigna Healthcare
This liability reflects estimates of the ultimate cost of claims that have been incurred but not reported, expected development on reported claims, claims that have been reported but not yet paid (reported claims in process), and other medical care expenses and services payable that are primarily comprised of accruals for incentives and other amounts payable to health care professionals and facilities.
The total of incurred but not reported liabilities plus expected development on reported claims and reported claims in process was $5.0 billion as of June 30, 2026 and $4.5 billion as of June 30, 2025.
Activity, net of intercompany transactions, in the unpaid claims liability for the Cigna Healthcare segment was as follows:
Six Months Ended June 30,
(In millions)
2026
2025 (1)
Beginning balance$4,241 $5,018 
Less: Reinsurance and other amounts recoverable147 159 
Beginning balance, net4,094 4,859 
Incurred costs related to:
Current year16,093 18,163 
Prior years(268)(297)
Total incurred15,825 17,866 
Paid costs related to:
Current year11,576 13,019 
Prior years3,258 3,889 
Total paid14,834 16,908 
Less: Divestiture and other— 1,323 
Ending balance, net5,085 4,494 
Add: Reinsurance and other amounts recoverable143 142 
Ending balance$5,228 $4,636 
(1) Includes unpaid claims amounts classified as liabilities of businesses held for sale prior to the completion of the HCSC transaction. As of December 31, 2024, includes $983 million classified as liabilities of businesses held for sale.
Reinsurance and other amounts recoverable reflect amounts due from reinsurers and policyholders to cover incurred but not reported and pending claims of certain business for which the Company administers the plan benefits without any right of offset. See Note 8 to the Consolidated Financial Statements for additional information on reinsurance.
Variances in incurred costs related to prior years' unpaid claims and claim expenses that resulted from the differences between actual experience and the Company's key assumptions were as follows:
Six Months Ended June 30,
20262025
(Dollars in millions)$
% (1)
$
% (2)
Actual completion factors and other
$144 0.4 %$170 0.5 %
Medical cost trend124 0.4 127 0.3 
Total favorable variance$268 0.8 %$297 0.8 %
(1)Percentage of current year incurred costs as reported for the year ended December 31, 2025.
(2)Percentage of current year incurred costs as reported for the year ended December 31, 2024.

Favorable prior year development in both years primarily reflects lower than expected utilization of medical services as compared to our assumptions.
Future Policy Benefits
The weighted average interest rates applied and duration for future policy benefits in Other Operations, consisting of annuity and life insurance products, were as follows:
As of
June 30, 2026June 30, 2025
Interest accretion rate 5.64 %5.64 %
Current discount rate 5.38 %5.27 %
Weighted average duration 10.7 years10.6 years

Obligations for annuities represent discounted periodic benefits to be paid to an individual or groups of individuals over their remaining lives. Other Operations' traditional insurance contracts, which are in run-off, have no premium remaining to be collected; therefore, future policy benefit reserves represent the present value of expected future policy benefits, discounted using the current discount rate, and the remaining amortizable deferred profit liability.
Future policy benefits include deferred profit liability of $344 million as of June 30, 2026 and $353 million as of June 30, 2025. Future policy benefits excluding deferred profit liability were $2.8 billion as of June 30, 2026 and $2.9 billion as of December 31, 2025, June 30, 2025, and December 31, 2024. Undiscounted expected future policy benefits were $4.1 billion as of June 30, 2026 and $4.2 billion as of June 30, 2025. As of June 30, 2026 and June 30, 2025, $0.8 billion and $0.9 billion, respectively, of the future policy benefit reserve was recoverable through treaties with external reinsurers.
Contractholder Deposit Funds
Contractholder deposit fund liabilities within Other Operations were $6.0 billion as of June 30, 2026, $6.1 billion as of December 31, 2025, $6.2 billion as of June 30, 2025 and $6.3 billion as of December 31, 2024. Approximately 37% of the balance is reinsured externally. Activity in these liabilities is presented net of reinsurance in the Consolidated Statements of Cash Flows.
As of June 30, 2026, the weighted average crediting rate, net amount at risk and cash surrender value for contractholder deposit fund liabilities not effectively exited through reinsurance were 3.24%, $2.4 billion and $2.7 billion, respectively. The comparative amounts as of June 30, 2025 were 3.22%, $2.7 billion and $2.8 billion, respectively. More than 99% of the $3.8 billion liability as of June 30, 2026 and the $3.9 billion liability as of June 30, 2025 not reinsured externally is for contracts with guaranteed interest rates of 3% - 4%, and approximately $1.1 billion and $1.2 billion as of these period ends represented contracts with policies at the guarantee. At these same period ends, $1.0 billion and $1.1 billion was 50 - 150 basis points ("bps") above the guarantee, and the remaining $1.7 billion as of June 30, 2026 and $1.6 billion as of June 30, 2025 represented contracts above the guarantee that pay the policyholder based on the greater of a guaranteed minimum cash value or the actual cash value. As of both June 30, 2026 and June 30, 2025, more than 90% of these contracts have actual cash values of at least 110% of the guaranteed cash value.
Market Risk Benefits
Liabilities for market risk benefits ("MRBs") consist of variable annuity reinsurance contracts in Other Operations. These liabilities arise under annuities and riders to annuities written by ceding companies that guarantee the benefit received at death and, for a subset of policies, also provide contractholders the option, within 30 days of a policy anniversary after the appropriate waiting period, to elect minimum income payments. The Company's capital market risk exposure on variable annuity reinsurance contracts arises when the reinsured guaranteed minimum benefit exceeds the contractholder's account value in the related underlying mutual funds at the time the insurance benefit is payable under the respective contract. The Company receives and pays premium periodically based on the terms of the reinsurance agreements.
Market risk benefits activity was as follows:
Six Months Ended June 30,
(In millions)20262025
Balance, beginning of year$674 $785 
Balance, beginning of year, before the effect of nonperformance risk (own credit risk)714 838 
Changes due to expected run-off(12)(11)
Changes due to capital markets versus expected(43)(7)
Changes due to policyholder behavior versus expected(9)3 
Balance, end of period, before the effect of changes in nonperformance risk (own credit risk)650 823 
Nonperformance risk (own credit risk), end of period(34)(56)
Balance, end of period$616 $767 
Reinsured market risk benefit, end of period$650 $822 
The following table presents the net amount at risk and the average attained age of contractholders (weighted by exposure) for contracts assumed by the Company. The net amount at risk is the amount the Company would have to pay to contractholders if all deaths or annuitizations occurred as of the earliest possible date in accordance with the insurance contract. The Company should be reimbursed in full for these payments unless the Berkshire reinsurance limit is exceeded, as discussed further in Note 8 to the Consolidated Financial Statements.
(Dollars in millions, excludes impact of reinsurance ceded)June 30, 2026June 30, 2025
Net amount at risk$1,019 $1,236 
Average attained age of contractholders (weighted by exposure)78.5 years78.0 years