Cigna Reports Q4 2024 Results, Misses Profit Estimates on Higher Medical Costs, Boosts Dividend and Buyback

CI
November 01, 2025

The Cigna Group reported fourth-quarter 2024 adjusted income from operations of $1.8 billion, or $6.64 per share, falling short of analyst estimates of $7.83 per share. Total revenues for the quarter reached $65.65 billion, surpassing Street forecasts of $63.25 billion, driven by strong contributions from Evernorth Health Services.

The profit miss was primarily attributed to higher-than-expected medical costs in the stop-loss product within Cigna Healthcare, stemming from a greater frequency of high-dollar claimants related to specialty medications and high-acuity surgical activity. For the full year 2024, adjusted income from operations was $7.7 billion, or $27.33 per share.

Despite the Q4 profit miss, Cigna's board raised the quarterly dividend by 7.9% to $1.51 per share and authorized an additional $6 billion for its share-repurchase plan, bringing the total buyback authority to $10.3 billion. The company also established its full-year 2025 adjusted EPS outlook at at least $29.50 and adjusted revenues at at least $252 billion, reflecting confidence in future performance and a plan to recapture margins in the stop-loss business over the next two years.

The content on BeyondSPX is for informational purposes only and should not be construed as financial or investment advice. We are not financial advisors. Consult with a qualified professional before making any investment decisions. Any actions you take based on information from this site are solely at your own risk.