Cigna is the nationÕs fourth-largest insurer, specializing in self-insured health plan products and services for large employers. The COVID-19 pandemic has reduced the carrierÕs membership during 2020 as its employer clients furloughed and later laid off thousands of Cigna members. But the company has been quick to expand its presence on the state-run ACA exchanges, where many of the newly uninsured will be seeking coverage. And the company continues to focus on growth in its Medicare Advantage business for 2021.

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