SEC Exhibit 21Company filing
The Cigna Group Exhibit 21 — Subsidiaries
The Cigna Group · Feb 26, 2026
Company-filed list of significant subsidiaries. The filing may omit subsidiaries that are not considered significant under SEC rules.
HealthcarePaper Trail research
The Cigna Group
The Cigna Group is an organization in the Healthcare sector. Paper Trail tracks its public-money, lobbying, campaign-finance, corporate, and People relationships where supported by public records.
At a Glance
Highlights from available records. Missing information does not mean an activity did not occur.
Editorial context
Why It Is Included
Included as a major institution relevant to Paper Trail research; individual public-record connections appear only when sourced.
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What does The Cigna Group control?
Business segments, subsidiaries, joint ventures, and acquired companies connected to the parent organization.
Legal-subsidiary lists are drawn from reviewed SEC Exhibit 21 filings. Companies may omit subsidiaries that are not considered significant under SEC reporting rules, so these lists are not necessarily exhaustive.
Legal subsidiaries70
2025 Subsidiaries Or AffiliatesSEC filing source ↗
Accredo Health, Incorporated
Delaware
SEC filing source ↗Allegiance Life & Health Insurance Company
Montana
SEC filing source ↗Care Alliance of Florida, LLC
Florida
SEC filing source ↗Care Continuum, Inc
Kentucky
SEC filing source ↗CareCore NJ, LLC
New Jersey
SEC filing source ↗Chiro Alliance Corporation
Florida
SEC filing source ↗Cigna & CMB Life Insurance Company Limited
China
SEC filing source ↗Cigna Arbor Life Insurance Company
Connecticut
SEC filing source ↗Cigna Dental Health Of California, Inc
California
SEC filing source ↗Cigna Dental Health Of Colorado, Inc
Colorado
SEC filing source ↗Cigna Dental Health Of Delaware, Inc
Delaware
SEC filing source ↗Cigna Dental Health Of Florida, Inc
Florida
SEC filing source ↗Cigna Dental Health Of Kansas, Inc
Kansas
SEC filing source ↗Cigna Dental Health Of Kentucky, Inc
Kentucky
SEC filing source ↗Cigna Dental Health Of Maryland, Inc
Maryland
SEC filing source ↗Cigna Dental Health Of Missouri, Inc
Missouri
SEC filing source ↗Cigna Dental Health Of New Jersey, Inc
New Jersey
SEC filing source ↗Cigna Dental Health Of North Carolina, Inc
North Carolina
SEC filing source ↗Cigna Dental Health Of Ohio, Inc
Ohio
SEC filing source ↗Cigna Dental Health Of Pennsylvania, Inc
Pennsylvania
SEC filing source ↗Cigna Dental Health Of Texas, Inc
Texas
SEC filing source ↗Cigna Dental Health Of Virginia, Inc
Virginia
SEC filing source ↗Cigna Dental Health Plan Of Arizona, Inc
Arizona
SEC filing source ↗Cigna Europe Insurance Company S.A.-N.V
Belgium
SEC filing source ↗Cigna Global Insurance Company Limited
Guernsey
SEC filing source ↗Cigna Global Reinsurance Company, Ltd
Bermuda
SEC filing source ↗Cigna Health and Life Insurance Company
Connecticut
SEC filing source ↗Cigna HealthCare of Arizona, Inc
Arizona
SEC filing source ↗Cigna HealthCare of California, Inc
California
SEC filing source ↗Cigna HealthCare of Connecticut, Inc
Connecticut
SEC filing source ↗Cigna HealthCare of Florida, Inc
Florida
SEC filing source ↗Cigna HealthCare of Georgia, Inc
Georgia
SEC filing source ↗Cigna HealthCare of Illinois, Inc
Illinois
SEC filing source ↗Cigna HealthCare of Indiana, Inc
Indiana
SEC filing source ↗Cigna HealthCare of New Hampshire, Inc
New Hampshire
SEC filing source ↗Cigna HealthCare of New Jersey, Inc
New Jersey
SEC filing source ↗Cigna HealthCare of North Carolina, Inc
North Carolina
SEC filing source ↗Cigna HealthCare of South Carolina, Inc
South Carolina
SEC filing source ↗Cigna HealthCare of St. Louis, Inc
Missouri
SEC filing source ↗Cigna HealthCare of Tennessee, Inc
Tennessee
SEC filing source ↗Cigna HealthCare of Texas, Inc
Texas
SEC filing source ↗Cigna Holding Company
Delaware
SEC filing source ↗Cigna Holdings, Inc
Delaware
SEC filing source ↗Cigna Insurance Middle East S.A.L
Lebanon
SEC filing source ↗Cigna Life Insurance Company of Canada
Canada
SEC filing source ↗Cigna Life Insurance Company of Europe S.A.-N.V
Belgium
SEC filing source ↗Cigna Services Middle East FZE
Dubai
SEC filing source ↗Cigna Worldwide General Insurance Company Limited
Hong Kong
SEC filing source ↗Cigna Worldwide Insurance Company
Delaware
SEC filing source ↗Cigna-Evernorth Enterprise Services, Inc
Delaware
SEC filing source ↗Connecticut General Corporation
Connecticut
SEC filing source ↗Connecticut General Life Insurance Company
Connecticut
SEC filing source ↗CPRx MSO, LLC
Delaware
SEC filing source ↗Evernorth Accountable Care, LLC
Delaware
SEC filing source ↗Evernorth Health, Inc
Delaware
SEC filing source ↗Evernorth Wholesale Distribution, Inc
Delaware
SEC filing source ↗Evernorth-VillageMD Care Alliance of NJ, LLC (F/K/A "ENAC of NJ, LLC")
New Jersey
SEC filing source ↗eviCore Healthcare MSI, LLC
Tennessee
SEC filing source ↗Express Scripts Administrators LLC
Delaware
SEC filing source ↗Express Scripts Utilization Management Company
Delaware
SEC filing source ↗Express Scripts, Inc
Delaware
SEC filing source ↗Inside RX, LLC
Delaware
SEC filing source ↗ManipalCigna Health Insurance Company Limited
India
SEC filing source ↗Matrix Healthcare Services, Inc
Florida
SEC filing source ↗Medco Health Solutions, Inc
Delaware
SEC filing source ↗MSI Health Organization of Texas, Inc
Texas
SEC filing source ↗Pipeline Health Holdings LLC
Delaware
SEC filing source ↗Prohealth Pharmacy Solutions, LLC
Florida
SEC filing source ↗Temple Insurance Company Limited
Bermuda
SEC filing source ↗Document library
Important Documents
Selected filings, reports, contracts, court records, and other documents useful for understanding this organization.
Documentation
Sources
For researchers
Cite this page
The Paper Trail Project. “The Cigna Group.” Accessed November 7, 2026. https://www.papertrailproject.org/profiles/cigna-group
Record last updated 2026-09-02. Sources: Official organization website. Verify consequential claims against the linked original records.