--Membership, revenue gains lift Cigna earnings

--Company boosts 2013 guidance

--Shares touch all-time high

(Adds CEO comments on recent year and outlook, stock details, membership details)

 
   By Jon Kamp 
 

Cigna Corp.'s (CI) fourth-quarter earnings rose 49% as membership gains, fueled by an acquisition last year, helped boost the health insurer's revenue.

The Bloomfield, Conn., company also cited "favorable medical costs" despite an uptick in flu-related costs. Cigna posted higher earnings on an adjusted basis--which excludes some unspecified litigation costs--than Wall Street expected.

Additionally, the company boosted its forecast for adjusted per-share earnings in the new year by five cents.

"We had a strong year in 2012 that exceeded our expectations," Chief Executive David Cordani said during a conference call. "we are confident in achieving our outlook for 2013"

Cigna shares rose 1.5% to $60.57 in recent trading despite a sliding broader market. The company touched an all-time high of $61.23 earlier, according to FactSet Research, and its shares are up about 40% over the last 12 months.

This will be something of a transition year for health insurers as they gear up for major changes under the health-care overhaul law, which is adding a mix of new costs and market opportunities. Starting next year, state-based exchanges and a broadened Medicaid program are expected to expand health coverage to million more Americans. The exchanges will be a marketplace where people can shop for plans, sometimes with government subsidies.

Cigna is seen as having modest exposure to these market changes, because it doesn't focus much on markets for individual health insurance or small-business coverage that face new competition and margin pressure from exchanges. The company does aim to seek new customers through exchanges, but Mr. Cordani has noted Cigna doesn't have to defend business along the way.

"From our point of view, change creates opportunity," he said in an interview. He also confirmed "we continue to expect to grow both underlying earnings and EPS" in 2014.

The company, which traditionally focused more on commercial health insurance for bigger firms, has pushed further into the market for senior-focused plans by buying Medicare insurer HealthSpring Inc. and American Financial Group Inc.'s (AFG) Medicare supplement and critical-illness businesses last year.

Cigna also took a major step toward simplifying its business earlier this week, when it announced a deal with Warren Buffet's Berkshire Hathaway Inc. (BRKA, BRKB) that will transfer up to $4 billion in obligations pegged to once-troublesome annuity operations Cigna started winding down more than a decade ago. The news boosted Cigna's shares.

The company reported a fourth-quarter profit of $406 million, or $1.41 a share, up from $273 million, or 98 cents a share, a year earlier. Excluding items such as litigation, realignment and acquisition costs, adjusted per-share earnings rose to $1.57 from $1.05. Revenue jumped 38% to $7.62 billion.

Analysts polled by Thomson Reuters had forecast earnings of $1.48 a share on revenue of $6.79 billion.

Total medical membership rose 11% to more than 14 million, helped by having HealthSpring on board for the full quarter. Cigna closed the deal on Jan. 31, 2012. Chief Financial Officer Ralph Nicoletti also noted that 1 million of Cigna's new members were added through organic growth.

Cigna boosted its full-year adjusted earnings target to a range of $5.85 and $6.30 a share, which gets the company closer to Wall Street's recent $6.34 per-share target.

The outlook doesn't reflect an expected $500 million after-tax charge in the first quarter pegged to exiting the annuity reinsurance operations. Cigna started winding down this business in 2000, but it can still cloud financial reports, and the company has had to maintain a war chest of money to support policyholders.

--Melodie Warner contributed to this article.

Write to Jon Kamp at jon.kamp@dowjones.com

Subscribe to WSJ: http://online.wsj.com?mod=djnwires

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