The Cigna Group (NYSE:CI) shares are marginally down on Thursday as the company reported first-quarter results.

Cigna Earnings

The health plan company reported first-quarter 2026 adjusted earnings of $7.79 per share, beating the consensus of $7.61 per share.

Sales rose 5% to $68.52 billion, beating the consensus of $66.37 billion, primarily driven by growth in Evernorth Health Services.

Outlook Raised On Growth Momentum

Additionally, the company raised its full-year outlook for consolidated adjusted income from operations to at least $30.35 per share, versus the consensus of $30.33 and prior guidance of $30.25.

The company, in an investor call, said the updated guidance reinforces the sustained growth, durability, and strength of the company.

Cigna Healthcare affirms the Medical Care Ratio to be between 83.7% and 84.7%.

Customer Metrics

Customer relationships decreased 2% quarter on quarter to 185.5 million.

Total pharmacy customers decreased 2% sequentially to 121.0 million, reflecting expected client transitions and lower membership from health plan clients.

Total medical customers increased 1% to 18.3 million, reflecting growth in Middle, Select, and International markets, partially offset by lower membership in …

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