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The outlook assigned to these Assign Ratings ratings is stable. Content see link below for a detailed listing of the companies and ratings. Best categorizes as strong, as well as its strong operating performance, favorable partnership profile and appropriate enterprise danger management ERM.

The increased leverage will result in reduced prevail upon coverage and limited borrowing size, and the level of goodwill and intangible assets will escalate substantially post-close. In addition, there is significant execution risk premised the vertical nature and ratio of the transaction. Additionally, earnings improved in from continued substantial earnings in the medical role and initiatives implemented in its group life and disability organization.

Furthermore, Cigna has limited revelation to the Patient Protection and Affordable Care Act ACA Countervail, as the majority of its medical business is employer collection self-funded or administration services contrariwise ASO with a nominal amount of individual business.

Additionally, Cigna has been growing its Medicare business, which includes Medicare Codicil and Medicare Advantage, along with its supplemental business.

The agreement with Express Scripts also could provide Cigna with the possibility for cross-selling opportunities and an expansion of its customer sordid. Best categorizes as very well-supported, as well as its middling operating performance, neutral business make a bundle and appropriate ERM. Best's conjecture that the group would outfit capital support to the subsidiary in the event that it is unable to maintain take capital adequacy.

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