Here is a comment from Yahoo message board. https://finance.yahoo.com/quote/CI/community/
More layoffs coming?
Institutions were displeased to see that the US commercial membership account number continues to decline. It happens every quarter, every year. Cigna now has a smaller commercial book today than they did in 2015. This makes the PBM an even bigger target for regulatory attack. Cigna's overreliance on the PBM, rather than growing out their commercial health insurance biz, that's the pushback to the long thesis. The white collar workers making up the bulk of the Cigna commercial book; likely most of them are at risk of displacement by AI in the coming years. And an AI algorithm does not require health, vision or dental coverage.