The Cigna Group
US ˙ NYSE ˙ US1255231003

SecurityCI / The Cigna Group
InstitutionTwin Tree Management, LP
Latest Disclosed Ownership9,574 shares
Latest Disclosed Value $ 2,553,865
Twin Tree Management, LP ownership in CI / The Cigna Group

On May 14, 2026 - Twin Tree Management, LP filed a 13F-HR form disclosing ownership of 9,574 shares of The Cigna Group (US:CI) valued at $2,553,864 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 11, 2026 disclosing 7,103 shares of The Cigna Group. This represents a change in shares of 34.79% during the quarter. The current value of the position is $2,591,969 USD.

Twin Tree Management, LP has a history of taking positions in derivatives of the underlying security (CI) in the form of stock options. The firm currently holds call options representing 10,200 of underlying shares valued at $2,720,850 USD and put options representing 22,300 of underlying shares valued at $5,948,525 USD .

Note: prior versions of this page mistakenly stated that the share values represented the number of options, not the number of underlying shares. For more information on the data backing these reports, please see the SEC document Frequently Asked Questions About Form 13F.

Institutional Ownership: 13F and NPORT Filings

The Security and Class in the table below are shown exactly as filed by the investor. We do our best to track continuity of investments through acquisitions, and this will be reflected in the table as changes in names. In addition to descriptive data, performance of the investment is shown over time. To calculate quarterly performance, we first calculate cost basis of the shares purchased during the quarter, then use that to calculate gross profit. Quarterly return is Gross Profit / Starting Portfolio value.

Note that cost basis is calculated and stored in thousands, so small quarterly changes in shares frequently result in a cost basis of zero.

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Institutional Put/Call Ratios
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In addition to reporting standard equity and debt issues, institutions with more than 100MM assets under management must also disclose their put and call option holdings. Since put options generally indicate negative sentiment, and call options indicate positive sentiment, we can get a sense of the overall institutional sentiment by plotting the ratio of puts to calls. The chart to the right plots the historical put/call ratio for this instrument.

Using Put/Call Ratio as an indicator of investor sentiment overcomes one of the key deficiencies of using total institutional ownership, which is that a significant amount of assets under management are invested passively to track indices. Passively-managed funds do not typically buy options, so the put/call ratio indicator more closely tracks the sentiment of actively-managed funds.

CI / The Cigna Group Historical Put/Call Ratio
Disclosed Equity Positions (from 13F/NPORT Filings)
File
Date
Effective
Date
Form Security Class ID Avg Price
Paid (Est)
Reported
Shares
ΔShares ΔShares
(%)
Reported
Value
(x1000)
ΔValue
(%)
Alloc
(%)
ΔAlloc ΔAlloc (%) Cost Basis
(x1000)
Unrealized
Gain/Loss
(x1000)
2026-05-14 2026-03-31 13F CIGNA GROUP COM 125523100 9,574 2,471 34.79 2,554 30.66 0.0538
2026-02-11 2025-12-31 13F THE CIGNA GROUP COM 125523100 7,103 -21,621 -75.27 1,955 -76.40 0.0171
2025-11-13 2025-09-30 13F CIGNA GROUP COM 125523100 28,724 -12,484 -30.30 8,280 -39.22 0.0344
2025-07-28 2025-06-30 13F THE CIGNA GROUP COM 125523100 41,208 21,753 111.81 13,623 112.84 0.0254
2025-05-15 2025-03-31 13F THE CIGNA GROUP COM 125523100 19,455 19,455 6,401 0.0121
2024-11-13 2024-09-30 13F THE CIGNA GROUP COM 125523100 0 -13,460 -100.00 0 -100.00
2024-08-13 2024-06-30 13F THE CIGNA GROUP COM 125523100 13,460 13,460 4,449 0.0100
2024-05-09 2024-03-31 13F THE CIGNA GROUP COM 125523100 0 -333 -100.00 0 -100.00
2024-02-14 2023-12-31 13F THE CIGNA GROUP COM 125523100 333 333 100 0.0002
2022-11-10 2022-09-30 13F CIGNA COM 125523100 0 -1,140 -100.00 0 -100.00
2022-08-11 2022-06-30 13F CIGNA COM 125523100 1,140 1,140 300 0.0005
2022-05-11 2022-03-31 13F CIGNA COM 125523100 0 -4,413 -100.00 0 -100.00
2022-02-10 2021-12-31 13F CIGNA COM 125523100 4,413 4,413 1,013 0.0021
2021-08-12 2021-06-30 13F CIGNA CORP COM 125523100 0 -2,391 -100.00 0 -100.00
2021-05-17 2021-03-31 13F CIGNA CORP COM 125523100 2,391 -88,593 -97.37 578 -96.95 0.0022
2021-02-12 2020-12-31 13F CIGNA COM 125523100 90,984 90,984 3,705.27 18,941 3,176.99 0.0758
2020-02-14 2019-12-31 13F CIGNA CORP COM 125523100 0 -10,585 -100.00 0 -100.00
2019-11-12 2019-09-30 13F CIGNA CORP COM 125523100 10,585 -608 -5.43 1,607 -8.85 0.0064
2019-08-12 2019-06-30 13F CIGNA ORDINARY SHARES 125523100 11,193 1,771 18.80 1,763 16.37 0.0086
2019-05-10 2019-03-31 13F CIGNA ORDINARY SHARES 125523100 9,422 -3,643 -27.88 1,515 -38.94 0.0079
2019-02-13 2018-12-31 13F CIGNA ORDINARY SHARES 125523100 13,065 -1,734 -11.72 2,481 -19.50 0.0154
2018-11-09 2018-09-30 13F CIGNA COM 125509109 14,799 7,325 98.01 3,082 142.68 0.0210
2018-08-07 2018-06-30 13F CIGNA COM 125509109 7,474 -28,865 -79.43 1,270 -79.17 0.0078
2018-05-09 2018-03-31 13F CIGNA COM 125509109 36,339 36,339 386.21 6,096 380.00 0.0488
2016-05-16 2016-03-31 13F CIGNA COM 125509109 0 -793 -100.00 0 -100.00
2016-09-14 2015-12-31 13F/A-1 CIGNA COM 125509109 793 -5,529 -87.46 116 -86.42 0.0023
2016-09-14 2015-09-30 13F/A-1 CIGNA COM 125509109 6,322 -10,896 -63.28 854 -69.38 0.0219
2015-11-16 2015-09-30 13F CIGNA COM 125509109 6,322 854
2016-09-14 2015-06-30 13F/A-1 CIGNA COM 125509109 17,218 17,139 21,694.94 2,789 27,790.00 0.0678
2015-08-14 2015-06-30 13F CIGNA COM 125509109 17,218 2,789
2016-09-14 2015-03-31 13F/A-1 CIGNA COM 125509109 79 -3,547 -97.82 10 -97.32 0.0003
2016-09-14 2014-12-31 13F/A-1 CIGNA COM 125509109 3,626 3,626 4,489.87 373 3,630.00 0.0104
2015-02-17 2014-12-31 13F CIGNA COM 125509109 3,626 373
2016-09-14 2014-06-30 13F/A-1 CIGNA COM 125509109 0 -18,549 -100.00 0 -100.00
2016-09-14 2014-03-31 13F/A-1 CIGNA COM 125509109 18,549 18,549 0.00 1,553 0.0315
2014-05-15 2014-03-31 13F CIGNA COM 125509109 18,549 1,553
2016-09-14 2013-09-30 13F/A-1 CIGNA COM 125509109 0 -9,111 -100.00 0 -100.00
2016-09-14 2013-06-30 13F/A-1 CIGNA COM 125509109 9,111 -11,188 -55.12 660 -47.87 0.0254
2013-08-14 2013-06-30 13F CIGNA COM 125509109 9,111 660
2016-09-14 2013-03-31 13F/A-1 CIGNA COM 125509109 20,299 -5,517 -21.37 1,266 -8.26 0.0628
2013-08-14 2013-03-31 13F CIGNA COM 125509109 20,299 1,266
2016-09-14 2012-12-31 13F/A-1 CIGNA COM 125509109 25,816 25,816 1,380 0.1192
2013-08-14 2012-12-31 13F CIGNA COM 125509109 25,816 1,380 1.6970
Disclosed Call Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share
Price
Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-14 2026-03-31 13F CIGNA GROUP COM Call 10,200 -82.68 2,721 -83.22 n/a n/a n/a
2026-02-11 2025-12-31 13F THE CIGNA GROUP COM Call 58,900 16,211 n/a n/a n/a
2025-11-13 2025-09-30 13F THE CIGNA GROUP COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2025-07-28 2025-06-30 13F THE CIGNA GROUP COM Call 63,300 20,926 n/a n/a n/a
2025-05-15 2025-03-31 13F CIGNA GROUP ORDINARY SHARES Call 0 -100.00 0 -100.00 n/a n/a n/a
2025-02-10 2024-12-31 13F CIGNA GROUP ORDINARY SHARES Call 26,500 7,318 n/a n/a n/a
2024-11-13 2024-09-30 13F THE CIGNA GROUP COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2024-08-13 2024-06-30 13F THE CIGNA GROUP COM Call 82,200 -80.28 27,173 -82.05 n/a n/a n/a
2024-05-09 2024-03-31 13F THE CIGNA GROUP COM Call 416,900 5.22 151,414 27.62 n/a n/a n/a
2024-02-14 2023-12-31 13F THE CIGNA GROUP CALL Call 396,200 118,642 n/a n/a n/a
2023-05-10 2023-03-31 13F CIGNA CALL Call 0 -100.00 0 -100.00 n/a n/a n/a
2023-02-13 2022-12-31 13F CIGNA CALL Call 22,100 0.00 7,323 19.41 n/a n/a n/a
2022-11-10 2022-09-30 13F CIGNA CALL Call 22,100 6,132 n/a n/a n/a
2021-11-12 2021-09-30 13F CIGNA COM NEW Call 0 -100.00 0 -100.00 n/a n/a n/a
2021-08-12 2021-06-30 13F CIGNA COM NEW Call 7,900 1,873 n/a n/a n/a
2021-02-12 2020-12-31 13F CIGNA CORP COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2020-11-13 2020-09-30 13F CIGNA CORP COM Call 150,200 -39.21 25,445 -45.12 n/a n/a n/a
2020-08-12 2020-06-30 13F CIGNA COM Call 247,100 -12.41 46,368 -7.23 n/a n/a n/a
2020-05-13 2020-03-31 13F CIGNA COM Call 282,100 -23.26 49,982 -33.51 n/a n/a n/a
2020-02-14 2019-12-31 13F CIGNA CORP COM Call 367,600 -56.13 75,171 -40.90 n/a n/a n/a
2019-11-12 2019-09-30 13F CIGNA CORP COM Call 838,000 127.97 127,200 69.21 n/a n/a n/a
2018-05-09 2018-03-31 13F CIGNA COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2018-02-09 2017-12-31 13F CIGNA COM Call 21,100 0.00 4,285 8.65 n/a n/a n/a
2017-11-13 2017-09-30 13F CIGNA COM Call 21,100 -26.48 3,944 -17.90 n/a n/a n/a
2017-08-10 2017-06-30 13F CIGNA COM Call 28,700 36.02 4,804 21.81 n/a n/a n/a
2016-09-14 2015-03-31 13F/A CIGNA COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2016-09-14 2014-12-31 13F/A CIGNA COM Call 20,500 -0.49 2,110 12.96 n/a n/a n/a
2015-02-17 2014-12-31 13F CIGNA COM Call 205 21 n/a n/a n/a
2016-09-14 2014-09-30 13F/A CIGNA COM Call 20,600 -50.00 1,868 -50.70 n/a n/a n/a
2016-09-14 2014-06-30 13F/A CIGNA COM Call 41,200 -40.63 3,789 -34.80 n/a n/a n/a
2016-09-14 2014-03-31 13F/A CIGNA COM Call 69,400 -1.56 5,811 -5.77 n/a n/a n/a
2014-05-15 2014-03-31 13F CIGNA COM Call 694 58 n/a n/a n/a
2016-09-14 2013-12-31 13F/A CIGNA COM Call 70,500 104.94 6,167 133.25 n/a n/a n/a
2016-09-14 2013-09-30 13F/A CIGNA COM Call 34,400 -41.79 2,644 -38.28 n/a n/a n/a
2016-09-14 2013-06-30 13F/A CIGNA COM Call 59,100 256.02 4,284 313.91 n/a n/a n/a
2013-08-14 2013-06-30 13F CIGNA COM Call 591 43 n/a n/a n/a
2016-09-14 2013-03-31 13F/A CIGNA COM Call 16,600 2,271.43 1,035 2,697.30 n/a n/a n/a
2013-08-14 2013-03-31 13F CIGNA COM Call 166 10 n/a n/a n/a
2016-09-14 2012-12-31 13F/A CIGNA COM Call 700 37 n/a n/a n/a
2013-08-14 2012-12-31 13F CIGNA COM Call 7 0 n/a n/a n/a
Disclosed Put Options
File
Date
Effective
Date
Form Security Class ID Opt Avg Share Price Shares ΔShares
(%)
Value
(x1000)
ΔValue
(%)
Prior Allocation
(%)
Allocation
(%)
ΔAllocation
(%)
Cost Basis
(x1000)
Profit
(x1000)
Return
(%)
2026-05-14 2026-03-31 13F CIGNA GROUP COM Put 22,300 -50.22 5,949 -51.76 n/a n/a n/a
2026-02-11 2025-12-31 13F THE CIGNA GROUP COM Put 44,800 4.19 12,330 -0.52 n/a n/a n/a
2025-11-13 2025-09-30 13F CIGNA GROUP COM Put 43,000 165.43 12,395 131.45 n/a n/a n/a
2025-07-28 2025-06-30 13F THE CIGNA GROUP COM Put 16,200 5,355 n/a n/a n/a
2024-11-13 2024-09-30 13F THE CIGNA GROUP COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2024-08-13 2024-06-30 13F THE CIGNA GROUP COM Put 83,100 -81.99 27,470 -83.60 n/a n/a n/a
2024-05-09 2024-03-31 13F THE CIGNA GROUP COM Put 461,300 25.49 167,540 52.20 n/a n/a n/a
2024-02-14 2023-12-31 13F THE CIGNA GROUP PUT Put 367,600 110,078 n/a n/a n/a
2023-11-14 2023-09-30 13F CIGNA GROUP PUT Put 0 -100.00 0 -100.00 n/a n/a n/a
2023-08-11 2023-06-30 13F CIGNA GROUP PUT Put 38,100 -33.51 10,691 -26.99 n/a n/a n/a
2023-05-10 2023-03-31 13F CIGNA GROUP PUT Put 57,300 14,642 n/a n/a n/a
2023-02-13 2022-12-31 13F CIGNA PUT Put 0 -100.00 0 -100.00 n/a n/a n/a
2022-11-10 2022-09-30 13F CIGNA PUT Put 52,800 14,650 n/a n/a n/a
2021-08-12 2021-06-30 13F CIGNA CORP COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2021-05-17 2021-03-31 13F CIGNA CORP COM Put 277,800 -15.79 67,155 -2.22 n/a n/a n/a
2021-02-12 2020-12-31 13F CIGNA COM Put 329,900 1,014.53 68,679 1,269.47 n/a n/a n/a
2020-11-13 2020-09-30 13F CIGNA CORP COM Put 29,600 -26.73 5,015 -33.85 n/a n/a n/a
2020-08-12 2020-06-30 13F CIGNA COM Put 40,400 -67.18 7,581 -65.24 n/a n/a n/a
2020-05-13 2020-03-31 13F CIGNA COM Put 123,100 -76.70 21,811 -79.81 n/a n/a n/a
2020-02-14 2019-12-31 13F CIGNA CORP COM Put 528,400 236.35 108,053 353.13 n/a n/a n/a
2019-11-12 2019-09-30 13F CIGNA CORP COM Put 157,100 272.27 23,846 258.64 n/a n/a n/a
2019-08-12 2019-06-30 13F CIGNA ORDINARY SHARES Put 42,200 0.00 6,649 -2.03 n/a n/a n/a
2019-05-10 2019-03-31 13F CIGNA ORDINARY SHARES Put 42,200 0.00 6,787 2.08 n/a n/a n/a
2018-11-09 2018-09-30 13F CIGNA COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2018-08-07 2018-06-30 13F CIGNA COM Put 90,800 -33.58 15,431 -32.70 n/a n/a n/a
2018-05-09 2018-03-31 13F CIGNA COM Put 136,700 374.65 22,930 292.03 n/a n/a n/a
2018-02-09 2017-12-31 13F CIGNA COM Put 28,800 -4.00 5,849 4.30 n/a n/a n/a
2017-11-13 2017-09-30 13F CIGNA COM Put 30,000 4.17 5,608 -4.12 n/a n/a n/a
2016-05-16 2016-03-31 13F CIGNA COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2016-09-14 2015-12-31 13F/A CIGNA COM Put 3,600 -52.63 527 -48.64 n/a n/a n/a
2016-09-14 2015-09-30 13F/A CIGNA COM Put 7,600 -46.85 1,026 -55.72 n/a n/a n/a
2015-11-16 2015-09-30 13F CIGNA COM Put 76 10 n/a n/a n/a
2016-09-14 2015-06-30 13F/A CIGNA COM Put 14,300 88.16 2,317 125.83 n/a n/a n/a
2015-08-14 2015-06-30 13F CIGNA COM Put 143 23 n/a n/a n/a
2015-02-17 2014-12-31 13F CIGNA COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2016-09-14 2014-09-30 13F/A CIGNA COM Put 71,400 -51.03 6,475 -51.71 n/a n/a n/a
2016-09-14 2014-06-30 13F/A CIGNA COM Put 145,800 57.79 13,409 73.31 n/a n/a n/a
2016-09-14 2014-03-31 13F/A CIGNA COM Put 92,400 135.11 7,737 125.04 n/a n/a n/a
2014-05-15 2014-03-31 13F CIGNA COM Put 924 77 n/a n/a n/a
2016-09-14 2013-12-31 13F/A CIGNA COM Put 39,300 61.73 3,438 84.05 n/a n/a n/a
2016-09-14 2013-09-30 13F/A CIGNA COM Put 24,300 -69.47 1,868 -67.63 n/a n/a n/a
2016-09-14 2013-06-30 13F/A CIGNA COM Put 79,600 -5.24 5,770 10.14 n/a n/a n/a
2013-08-14 2013-06-30 13F CIGNA COM Put 796 58 n/a n/a n/a
2016-09-14 2013-03-31 13F/A CIGNA COM Put 84,000 125.20 5,239 162.74 n/a n/a n/a
2013-08-14 2013-03-31 13F CIGNA COM Put 840 52 n/a n/a n/a
2016-09-14 2012-12-31 13F/A CIGNA COM Put 37,300 1,994 n/a n/a n/a
2013-08-14 2012-12-31 13F CIGNA COM Put 373 20 n/a n/a n/a
Legend
Shares
The total number of shares held by the institution at the end of the reporting period (the effective date). This is provided in the filing.
Value
The total value of the shares as of the effective date. This is provided in the filing.
Avg. Share Price
The weighted average share price of the shares held by the institution. We use FIFO accounting to determine this price
Class
This is the security class as indicated by the filer. There are a variety of values for this field. Common values include "EC" = equity common, "EP" - equity preferred
Allocation (%)
The percent of the institution's portfolio that this position represents. This is provided in NPORT filings. For 13F filings, we calculate it.
Change in Allocation
The change in allocation from the prior reporting period. This is calculated as current allocation - prior allocation.
Change in Allocation (%)
The percent change in allocation from the prior reporting period. This is calculated as (current allocation - prior allocation) / prior allocation.
Cost Basis
The total cost of the shares held. This is calculated as reported shares * avg. share price
Unrealized Gain/Loss
This is the market value of the position as of the effective date minus the cost basis.