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Investments
3 Months Ended
Mar. 31, 2024
Investments [Abstract]  
Investments
Note 11 – Investments
The Cigna Group's investment portfolio consists of a broad range of investments including debt securities, equity securities, commercial mortgage loans, policy loans, other long-term investments, short-term investments and derivative financial instruments. The sections below provide more detail regarding our investment balances and realized investment gains and losses. See Note 12 to the Consolidated Financial Statements for information about the valuation of the Company's investment portfolio. Further information about our accounting policies for investment assets can be found in Note 12 in the Company's 2023 Form 10-K.
The following table summarizes the Company's investments by category and current or long-term classification:
March 31, 2024December 31, 2023
(In millions)CurrentLong-termTotalCurrentLong-termTotal
Debt securities$604 $8,876 $9,480 $590 $9,265 $9,855 
Equity securities18 1,553 1,571 31 3,331 3,362 
Commercial mortgage loans197 1,365 1,562 182 1,351 1,533 
Policy loans— 1,186 1,186 — 1,211 1,211 
Other long-term investments— 4,301 4,301 — 4,181 4,181 
Short-term investments374 — 374 206 — 206 
Total$1,193 $17,281 $18,474 $1,009 $19,339 $20,348 
Investments classified as assets of businesses held for sale (1)
(85)(1,256)(1,341)(84)(1,354)(1,438)
Investments per Consolidated Balance Sheets$1,108 $16,025 $17,133 $925 $17,985 $18,910 
(1) Investments related to the HCSC transaction that were held for sale as of March 31, 2024. These investments were primarily comprised of debt securities and commercial mortgage loans, and to a lesser extent, other long-term investments.
Investment Portfolio
Debt Securities
The amortized cost and fair value by contractual maturity periods for debt securities were as follows as of March 31, 2024:
(In millions)Amortized
Cost
Fair
Value
Due in one year or less$633 $619 
Due after one year through five years3,768 3,587 
Due after five years through ten years3,144 2,921 
Due after ten years2,186 2,000 
Mortgage and other asset-backed securities389 353 
Total$10,120 $9,480 
Actual maturities of these securities could differ from their contractual maturities used in the table above because issuers may have the right to call or prepay obligations, with or without penalties.
Gross unrealized appreciation (depreciation) on debt securities by type of issuer is shown below:
(In millions)Amortized
Cost
Allowance for Credit LossUnrealized
Appreciation
Unrealized
Depreciation
Fair
Value
March 31, 2024
Federal government and agency$289 $— $21 $(10)$300 
State and local government37 — 2 (1)38 
Foreign government354 — 8 (14)348 
Corporate9,051 (50)122 (682)8,441 
Mortgage and other asset-backed389 — — (36)353 
Total$10,120 $(50)$153 $(743)$9,480 
December 31, 2023
Federal government and agency$251 $— $24 $(8)$267 
State and local government37 — 2 (1)38 
Foreign government355 — 10 (13)352 
Corporate9,338 (33)158 (630)8,833 
Mortgage and other asset-backed398 — 1 (34)365 
Total$10,379 $(33)$195 $(686)$9,855 
Review of declines in fair value. Management reviews debt securities in an unrealized loss position to determine whether a credit loss allowance is needed based on criteria that include:
•severity of decline;
•financial health and specific prospects of the issuer; and
•changes in the regulatory, economic or general market environment of the issuer's industry or geographic region.
The table below summarizes debt securities with a decline in fair value from amortized cost for which an allowance for credit losses has not been recorded, by investment grade and the length of time these securities have been in an unrealized loss position. Unrealized depreciation on these debt securities is primarily due to declines in fair value resulting from increasing interest rates since these securities were purchased.
March 31, 2024December 31, 2023
(Dollars in millions)Fair
Value
Amortized
Cost
Unrealized
Depreciation
Number
of Issues
Fair
Value
Amortized
Cost
Unrealized
Depreciation
Number
of Issues
One year or less
Investment grade$562 $576 $(14)232$330 $338 $(8)142 
Below investment grade133 137 (4)253161 170 (9)135 
More than one year
Investment grade5,284 5,946 (662)1,5615,441 6,036 (595)1,590 
Below investment grade598 661 (63)367701 775 (74)486 
Total$6,577 $7,320 $(743)2,413 $6,633 $7,319 $(686)2,353 
Equity Securities
The following table provides the values of the Company's equity security investments as of March 31, 2024 and December 31, 2023:
March 31, 2024 December 31, 2023
(In millions) CostCarrying Value CostCarrying Value
Equity securities with readily determinable fair values$647 $39 $656 $51 
Equity securities with no readily determinable fair value3,281 1,532 3,248 3,311 
Total$3,928 $1,571 $3,904 $3,362 
We are a minority owner in VillageMD, a provider of primary, multi-specialty and urgent care services that is majority-owned by Walgreens Boots Alliance, Inc. These securities are included in equity securities with no readily determinable fair value in the above table. As of March 31, 2024, we determined our investment in VillageMD was impaired and wrote down the carrying value to an estimated fair value of $0.9 billion, resulting in a $1.8 billion loss recorded in Net realized investment losses in the Company's Consolidated Statements of Income.

Consistent with our strategy to invest in targeted startup and growth-stage companies in the health care industry, approximately 90% of our investments in equity securities are in the health care sector.
Commercial Mortgage Loans
Mortgage loans held by the Company are made exclusively to commercial borrowers and are diversified by property type, location and borrower. Loans are generally issued at fixed rates of interest and are secured by high quality, primarily completed and substantially leased operating properties.
The Company regularly evaluates and monitors credit risk from the initial mortgage loan underwriting and throughout the investment holding period. For more information on the Company's accounting policies and methodologies regarding these investments, see Note 12 in the Company's 2023 Form 10-K.
The following table summarizes the credit risk profile of the Company's commercial mortgage loan portfolio:
(Dollars in millions)March 31, 2024December 31, 2023
Loan-to-Value RatioCarrying ValueAverage Debt Service Coverage RatioAverage Loan-to-Value RatioCarrying ValueAverage Debt Service Coverage RatioAverage Loan-to-Value Ratio
Below 60%$810 2.12$802 2.13
60% to 79%594 1.75574 1.77
80% to 100%158 0.63157 0.65
Total$1,562 1.8164 %$1,533 1.8264 %
Other Long-Term Investments
Other long-term investments include investments in unconsolidated entities, including certain limited partnerships and limited liability companies holding real estate, securities or loans. These investments are carried at cost plus the Company's ownership percentage of reporting income or loss, based on the financial statements of the underlying investments that are generally reported at fair value. Income or loss from these investments is reported on a one quarter lag due to the timing of when financial information is received from the general partner or manager of the investments.
Other long-term investments also include investment real estate carried at depreciated cost less any impairment write-downs to fair value when cash flows indicate that the carrying value may not be recoverable. Additionally, statutory and other restricted deposits and foreign currency swaps carried at fair value are reported in the table below as Other. The following table provides the carrying value information for these investments:
Carrying Value as of
(In millions)March 31, 2024December 31, 2023
Real estate investments$1,696 $1,606 
Securities partnerships2,423 2,400 
Other182 175 
Total$4,301 $4,181 
Derivative Financial Instruments
The Company uses derivative financial instruments to manage the characteristics of investment assets (such as duration, yield, currency and liquidity) to meet the varying demands of the related insurance and contractholder liabilities. The Company also uses derivative financial instruments to hedge the risk of changes in the net assets of certain of its foreign subsidiaries due to changes in foreign currency exchange rates and to hedge the interest rate risk of certain long-term debt.
As of March 31, 2024, there have been no material changes to the Company's derivative financial instruments. Please refer to the Company's 2023 Form 10-K for further discussion of the types of derivative financial instruments and associated accounting policies. The effects of derivative financial instruments used in our individual hedging strategies were not material to the Consolidated Financial Statements as of March 31, 2024 and December 31, 2023. The gross fair values of our derivative financial instruments are presented in Note 12 to the Consolidated Financial Statements.
Realized Investment Gains and LossesNet realized investment losses, before income taxes were $1,836 million for the three months ended March 31, 2024 and $56 million for the three months ended March 31, 2023. This increase was primarily driven by the impairment of equity securities in 2024. These amounts exclude realized gains and losses attributed to the Company's separate accounts because those gains and losses generally accrue directly to separate account policyholders.