Company: CI
Filing Date: 2025-01-16
Form Type: CORRESP
Source: 0001739940-25-000005
Chunk: 8

Company: Cigna Group
Filing Date: 2025-01-16
Form: CORRESP
Chunk 8
---
.S. Healthcare operating segment. The production processes needed to support clients and customers are aligned with the product offerings and constructed with similar functional capabilities. Although only a portion of the operational capabilities are shared by the operating segments, the similarity is evident within the intended purpose of the operating processes that are fundamentally consistent.

#### Operating Segment Geography
We also contemplated geography as a difference between U.S. Healthcare and International Health in our qualitative analysis. We considered whether the physical location of our customers, the provision of medical services and execution of operational processes could impact the similarity of the qualitative aggregation criteria. Approximately 20% of the healthcare benefits provided to the customers of the International Health segment is delivered in the U.S. and leverages the same provider and care network that is available to the U.S. Healthcare segment customers. Although there is variation in the physical location of many aspects of the businesses, we concluded that, in substance, the nature of both the products and services and the operational processes supporting the businesses are similar.

#### Local Regulatory and Capital Requirements
We also considered local regulatory and capital requirements, including the fact that regulation applicable to each of the Cigna Healthcare operating segments is similar in that it exists at the federal and state level domestically as well as at the national and local levels internationally. In geographies where we participate, specific health care insurance regulations vary; they are, however, consistently designed to govern the provision of healthcare services to customers. Capital requirements may also vary based on specific jurisdictions but are consistently structured to achieve the same primary goal of ensuring sufficient assets are available to pay customer claims.

<div align='center'>6</div>

#### Segment Reporting, page 48

#### 3.
We note on pages 48 and 49 that your Adjusted SG&A expense ratio by segment is calculated using the applicable segment’s selling, general and administrative expenses excluding certain special items. Please tell us whether you believe Adjusted SG&A expense ratio by segment is a non-GAAP measure considering Question 104.03 of the C&DIs on Non-GAAP Financial Measures. Where applicable, include in your future filings a reconciliation to the most directly comparable GAAP measure for each non-GAAP measure and disclose the reasons why management believes such non-GAAP measure provides useful information to investors required by Item 10(e) of Regulation S-K.

In addition to our principal segment performance measures (pre-tax adjusted income (loss) from operations and adjusted revenues), we have historically presented an incremental segment expense ratio metric (adjusted expense ratio) that we believe provides investors with additional insights and