Exhibit 21 – Subsidiaries of the Registrant
Listed below are subsidiaries of The Cigna Group as of December 31, 2022 with their jurisdictions of organization. Those subsidiaries not listed would not, in the aggregate, constitute a “significant subsidiary” of The Cigna Group, as that term is defined in Rule 1-02(w) of Regulation S-X.
Entity Name | Jurisdiction | ||||
Accredo Health Group, Inc. | Delaware | ||||
Accredo Health, Incorporated | Delaware | ||||
Allegiance Life & Health Insurance Company | Montana | ||||
American Retirement Life Insurance Company | Ohio | ||||
Ascent Health Services LLC | Delaware | ||||
Bravo Health Mid-Atlantic, Inc. | Maryland | ||||
Bravo Health Pennsylvania, Inc. | Pennsylvania | ||||
Care Continuum, Inc. | Kentucky | ||||
CareCore NJ, LLC | New Jersey | ||||
Chiro Alliance Corporation | Florida | ||||
Cigna & CMB Life Insurance Company Limited | China | ||||
Cigna Arbor Life Insurance Company | Connecticut | ||||
Cigna Dental Health Of California, Inc. | California | ||||
Cigna Dental Health Of Colorado, Inc. | Colorado | ||||
Cigna Dental Health Of Delaware, Inc. | Delaware | ||||
Cigna Dental Health Of Florida, Inc. | Florida | ||||
Cigna Dental Health of Illinois, Inc. | Illinois | ||||
Cigna Dental Health Of Kansas, Inc. | Kansas | ||||
Cigna Dental Health Of Kentucky, Inc. | Kentucky | ||||
Cigna Dental Health Of Maryland, Inc. | Maryland | ||||
Cigna Dental Health Of Missouri, Inc. | Missouri | ||||
Cigna Dental Health Of New Jersey, Inc. | New Jersey | ||||
Cigna Dental Health Of North Carolina, Inc. | North Carolina | ||||
Cigna Dental Health Of Ohio, Inc. | Ohio | ||||
Cigna Dental Health Of Pennsylvania, Inc. | Pennsylvania | ||||
Cigna Dental Health Of Texas, Inc. | Texas | ||||
Cigna Dental Health Of Virginia, Inc. | Virginia | ||||
Cigna Dental Health Plan Of Arizona, Inc. | Arizona | ||||
Cigna Europe Insurance Company S.A.-N.V. | Belgium | ||||
Cigna Global Insurance Company Limited | Guernsey | ||||
Cigna Global Reinsurance Company, Ltd. | Bermuda | ||||
Cigna Health and Life Insurance Company | Connecticut | ||||
Cigna HealthCare Mid-Atlantic, Inc. | Maryland | ||||
Cigna HealthCare of Arizona, Inc. | Arizona | ||||
Cigna HealthCare of California, Inc. | California | ||||
Cigna HealthCare of Colorado, Inc. | Colorado | ||||
Cigna HealthCare of Connecticut, Inc. | Connecticut |
Cigna HealthCare of Florida, Inc. | Florida | ||||
Cigna HealthCare of Georgia, Inc. | Georgia | ||||
Cigna HealthCare of Illinois, Inc. | Illinois | ||||
Cigna HealthCare of Indiana, Inc. | Indiana | ||||
Cigna HealthCare of Maine, Inc. | Maine | ||||
Cigna HealthCare of Massachusetts, Inc. | Massachusetts | ||||
Cigna HealthCare of New Hampshire, Inc. | New Hampshire | ||||
Cigna HealthCare of New Jersey, Inc. | New Jersey | ||||
Cigna HealthCare of North Carolina, Inc. | North Carolina | ||||
Cigna HealthCare of Pennsylvania, Inc. | Pennsylvania | ||||
Cigna HealthCare of South Carolina, Inc. | South Carolina | ||||
Cigna HealthCare of St. Louis, Inc. | Missouri | ||||
Cigna HealthCare of Tennessee, Inc. | Tennessee | ||||
Cigna HealthCare of Texas, Inc. | Texas | ||||
Cigna HealthCare of Utah, Inc. | Utah | ||||
Cigna Holding Company | Delaware | ||||
Cigna Holdings, Inc. | Delaware | ||||
Cigna Insurance Company | Ohio | ||||
Cigna Insurance Middle East S.A.L. | Lebanon | ||||
Cigna Life Insurance Company of Canada | Canada | ||||
Cigna Life Insurance Company of Europe S.A.-N.V. | Belgium | ||||
Cigna National Health Insurance Company | Ohio | ||||
Cigna Services Middle East FZE | Dubai | ||||
Cigna Worldwide General Insurance Company Limited | Hong Kong | ||||
Cigna Worldwide Insurance Company | Delaware | ||||
Connecticut General Corporation | Connecticut | ||||
Connecticut General Life Insurance Company | Connecticut | ||||
CuraScript, Inc. | Delaware | ||||
ESI Mail Pharmacy Service, Inc. | Delaware | ||||
Evernorth Enterprise Services, Inc. | Delaware | ||||
Evernorth Health, Inc. | Delaware | ||||
eviCore healthcare MSI, LLC | Tennessee | ||||
Express Reinsurance Company | Missouri | ||||
Express Scripts Administrators LLC | Delaware | ||||
Express Scripts Pharmaceutical Procurement, LLC | Delaware | ||||
Express Scripts Pharmacy, Inc. | Delaware | ||||
Express Scripts Strategic Development, Inc. | New Jersey | ||||
Express Scripts Utilization Management Company | Delaware | ||||
Express Scripts, Inc. | Delaware | ||||
HealthSpring Life & Health Insurance Company, Inc. | Texas | ||||
HealthSpring of Florida, Inc. | Florida | ||||
Inside RX, LLC | Delaware | ||||
Loyal American Life Insurance Company | Ohio |
ManipalCigna Health Insurance Company Limited | India | ||||
Matrix Healthcare Services, Inc. | Florida | ||||
Medco Containment Insurance Company of NY | New York | ||||
Medco Containment Life Insurance Company | Pennsylvania | ||||
Medco Health Services, Inc. | Delaware | ||||
Medco Health Solutions, Inc. | Delaware | ||||
MSI Health Organization of Texas, Inc. | Texas | ||||
Provident American Life & Health Insurance Company | Ohio | ||||
Sterling Life Insurance Company | Illinois | ||||
Temple Insurance Company Limited | Bermuda |