The Cigna Group
MX ˙ BMV ˙ US1255231003
SecurityMX:CI / The Cigna Group
InstitutionCapstone Investment Advisors, Llc
Latest Disclosed Ownership1,397 shares
Latest Disclosed Value $ 372,650
Capstone Investment Advisors, Llc ownership in CI / The Cigna Group

On May 15, 2026 - Capstone Investment Advisors, Llc filed a 13F-HR form disclosing ownership of 1,397 shares of The Cigna Group (MX:CI) valued at $372,650 USD as of March 31, 2026. The entity filed a previous 13F-HR on February 17, 2026 disclosing 0 shares of The Cigna Group.

Capstone Investment Advisors, Llc 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 2,900 of underlying shares valued at $773,575 USD and put options representing 11,900 of underlying shares valued at $3,174,325 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.

MX: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)
2026-05-15 2026-03-31 13F THE CIGNA GROUP COM 125523100 1,397 1,397 373 0.0006
2026-02-17 2025-12-31 13F THE CIGNA GROUP COM 125523100 0 -10,954 -100.00 0 -100.00
2025-11-14 2025-09-30 13F THE CIGNA GROUP COM 125523100 10,954 9,950 991.04 3,157 853.78 0.0059
2025-08-14 2025-06-30 13F THE CIGNA GROUP COM 125523100 1,004 118 13.32 332 13.75 0.0008
2025-05-15 2025-03-31 13F THE CIGNA GROUP COM 125523100 886 -15,889 -94.72 291 -93.72 0.0008
2025-02-14 2024-12-31 13F THE CIGNA GROUP COM 125523100 16,775 11,986 250.28 4,632 179.20 0.0112
2024-11-14 2024-09-30 13F THE CIGNA GROUP COM 125523100 4,789 -1,454 -23.29 1,659 -19.58 0.0050
2024-08-14 2024-06-30 13F THE CIGNA GROUP COM 125523100 6,243 515 8.99 2,064 -0.82 0.0065
2024-05-01 2024-03-31 13F THE CIGNA GROUP COM 125523100 5,728 1,070 22.97 2,080 49.21 0.0075
2024-02-12 2023-12-31 13F THE CIGNA GROUP COM 125523100 4,658 -2,429 -34.27 1,395 -31.23 0.0042
2023-11-13 2023-09-30 13F THE CIGNA GROUP COM 125523100 7,087 659 10.25 2,027 12.42 0.0091
2023-08-10 2023-06-30 13F THE CIGNA GROUP COM 125523100 6,428 -2,941 -31.39 1,804 -24.69 0.0089
2023-05-09 2023-03-31 13F THE CIGNA GROUP COM 125523100 9,369 4,732 102.05 2,394 55.86 0.0121
2023-02-10 2022-12-31 13F CIGNA CORP COM 125523100 4,637 951 25.80 1,536 50.15 0.0112
2022-11-10 2022-09-30 13F CIGNA CORP COM 125523100 3,686 3,426 1,317.69 1,023 1,382.61 0.0062
2022-08-15 2022-06-30 13F CIGNA CORP COM 125523100 260 -3,308 -92.71 69 -91.93 0.0003
2022-05-13 2022-03-31 13F CIGNA CORP COM 125523100 3,568 3,568 855 0.0023
2022-02-11 2021-12-31 13F CIGNA CORP COM 125523100 0 -89,573 -100.00 0 -100.00
2021-11-15 2021-09-30 13F CIGNA CORP COM 125523100 89,573 88,239 6,614.62 17,929 5,573.73 0.0355
2022-02-11 2021-06-30 13F/A-1 CIGNA CORP COM 125523100 1,334 1,334 316 0.0007
2021-08-16 2021-06-30 13F CIGNA CORP COM 125523100 1,334 1,334 316 0.0007
2021-06-21 2020-12-31 13F/A-1 CIGNA CORP COM 125523100 0 -32,484 -100.00 0 -100.00
2021-06-21 2020-09-30 13F/A-1 CIGNA CORP COM 125523100 32,484 32,484 5,503 0.0281
2020-11-16 2020-09-30 13F CIGNA CORP COM 125523100 32,484 32,484 5,503 0.0281
2021-06-21 2020-03-31 13F/A-1 CIGNA CORP COM 125523100 0 -6,924 -100.00 0 -100.00
2021-06-21 2019-12-31 13F/A-1 CIGNA CORP COM 125523100 6,924 -17,305 -71.42 1,416 -61.50 0.0076
2020-02-14 2019-12-31 13F CIGNA CORP COM 125523100 6,924 -17,305 1,416 0.0076
2019-11-14 2019-09-30 13F CIGNA CORP COM 125523100 24,229 -7,586 -23.84 3,678 -26.62 0.0253
2019-08-14 2019-06-30 13F CIGNA CORP COM 125523100 31,815 3,005 10.43 5,012 8.18 0.0363
2019-08-15 2019-03-31 13F/A-1 CIGNA CORP COM 125523100 28,810 27,356 1,881.43 4,633 1,578.62 0.0426
2019-05-15 2019-03-31 13F CIGNA CORP COM 125523100 28,810 4,633
2019-02-14 2018-12-31 13F CIGNA CORP COM 125523100 1,454 1,219 518.72 276 463.27 0.0034
2018-11-14 2018-09-30 13F CIGNA COM 125509109 235 -46 -16.37 49 2.08 0.0006
2018-08-13 2018-06-30 13F CIGNA COM 125509109 281 281 19.57 48 -2.04 0.0007
2017-11-14 2017-09-30 13F CIGNA COM 125509109 0 -14,612 -100.00 0 -100.00
2017-08-14 2017-06-30 13F CIGNA COM 125509109 14,612 5,912 67.95 2,445 91.92 0.0664
2017-05-15 2017-03-31 13F CIGNA COM 125509109 8,700 8,700 1,274 0.0319
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
(%)
2026-05-15 2026-03-31 13F THE CIGNA GROUP COM Call 2,900 774 n/a n/a n/a
2026-02-17 2025-12-31 13F THE CIGNA GROUP COM Call 0 -100.00 0 -100.00 n/a n/a n/a
2026-02-17 2025-12-31 13F THE CIGNA GROUP COM Call 0 0 n/a n/a n/a
2025-11-14 2025-09-30 13F THE CIGNA GROUP COM Call 7,400 12.12 2,133 -2.20 n/a n/a n/a
2025-08-14 2025-06-30 13F THE CIGNA GROUP COM Call 6,600 -25.84 2,182 -25.51 n/a n/a n/a
2025-05-15 2025-03-31 13F THE CIGNA GROUP COM Call 8,900 -23.28 2,928 -8.59 n/a n/a n/a
2025-02-14 2024-12-31 13F THE CIGNA GROUP COM Call 11,600 65.71 3,203 32.08 n/a n/a n/a
2024-11-14 2024-09-30 13F THE CIGNA GROUP COM Call 7,000 18.64 2,425 24.36 n/a n/a n/a
2024-08-14 2024-06-30 13F THE CIGNA GROUP COM Call 5,900 78.79 1,950 62.77 n/a n/a n/a
2024-05-01 2024-03-31 13F THE CIGNA GROUP COM Call 3,300 -67.65 1,199 -60.77 n/a n/a n/a
2024-02-12 2023-12-31 13F THE CIGNA GROUP COM Call 10,200 41.67 3,054 48.32 n/a n/a n/a
2023-11-13 2023-09-30 13F THE CIGNA GROUP COM Call 7,200 4.35 2,060 6.35 n/a n/a n/a
2023-08-10 2023-06-30 13F THE CIGNA GROUP COM Call 6,900 4.55 1,936 14.83 n/a n/a n/a
2023-05-09 2023-03-31 13F THE CIGNA GROUP COM Call 6,600 -62.29 1,686 -70.92 n/a n/a n/a
2023-02-10 2022-12-31 13F CIGNA CORP COM Call 17,500 5.42 5,798 25.88 n/a n/a n/a
2022-11-10 2022-09-30 13F CIGNA CORP COM Call 16,600 -0.60 4,606 4.66 n/a n/a n/a
2022-08-15 2022-06-30 13F CIGNA CORP COM Call 16,700 -74.39 4,401 -71.83 n/a n/a n/a
2022-05-13 2022-03-31 13F CIGNA CORP COM Call 65,200 -12.60 15,623 -8.80 n/a n/a n/a
2022-02-11 2021-12-31 13F CIGNA CORP COM Call 74,600 10.52 17,130 26.79 n/a n/a n/a
2021-11-15 2021-09-30 13F CIGNA CORP COM Call 67,500 80.97 13,511 52.79 n/a n/a n/a
2022-02-11 2021-06-30 13F/A CIGNA CORP COM Call 37,300 -37.94 8,843 -39.14 n/a n/a n/a
2021-08-16 2021-06-30 13F CIGNA CORP COM Call 37,300 8,843 n/a n/a n/a
2022-02-11 2021-03-31 13F/A CIGNA CORP COM Call 60,100 41.08 14,529 63.84 n/a n/a n/a
2021-05-17 2021-03-31 13F CIGNA CORP COM Call 60,100 14,529 n/a n/a n/a
2021-06-21 2020-12-31 13F/A CIGNA CORP COM Call 42,600 -14.80 8,868 4.70 n/a n/a n/a
2021-02-16 2020-12-31 13F CIGNA CORP COM Call 42,600 8,868 n/a n/a n/a
2021-06-21 2020-09-30 13F/A CIGNA CORP COM Call 50,000 8.70 8,470 -1.88 n/a n/a n/a
2020-11-16 2020-09-30 13F CIGNA CORP COM Call 50,000 8,470 n/a n/a n/a
2021-06-21 2020-06-30 13F/A CIGNA CORP COM Call 46,000 -11.37 8,632 -6.13 n/a n/a n/a
2020-08-14 2020-06-30 13F CIGNA CORP COM Call 46,000 8,632 n/a n/a n/a
2021-06-21 2020-03-31 13F/A CIGNA CORP COM Call 51,900 -16.96 9,196 -28.05 n/a n/a n/a
2020-05-15 2020-03-31 13F CIGNA CORP COM Call 51,900 9,196 n/a n/a n/a
2021-06-21 2019-12-31 13F/A CIGNA CORP COM Call 62,500 41.40 12,781 90.51 n/a n/a n/a
2020-02-14 2019-12-31 13F CIGNA CORP COM Call 62,500 12,781 n/a n/a n/a
2019-11-14 2019-09-30 13F CIGNA CORP COM Call 44,200 -20.07 6,709 -23.00 n/a n/a n/a
2019-08-14 2019-06-30 13F CIGNA CORP COM Call 55,300 96.10 8,713 92.13 n/a n/a n/a
2019-08-15 2019-03-31 13F/A CIGNA CORP COM Call 28,200 59.32 4,535 34.89 n/a n/a n/a
2019-05-15 2019-03-31 13F CIGNA CORP COM Call 28,200 4,535 n/a n/a n/a
2019-02-14 2018-12-31 13F CIGNA CORP COM Call 17,700 580.77 3,362 521.44 n/a n/a n/a
2018-11-14 2018-09-30 13F CIGNA COM Call 2,600 -97.41 541 -96.83 n/a n/a n/a
2018-08-13 2018-06-30 13F CIGNA COM Call 100,400 100.80 17,063 103.45 n/a n/a n/a
2018-05-15 2018-03-31 13F CIGNA COM Call 50,000 8,387 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
(%)
2026-05-15 2026-03-31 13F THE CIGNA GROUP COM Put 11,900 3,174 n/a n/a n/a
2026-02-17 2025-12-31 13F THE CIGNA GROUP COM Put 0 0 n/a n/a n/a
2026-02-17 2025-12-31 13F THE CIGNA GROUP COM Put 0 -100.00 0 -100.00 n/a n/a n/a
2025-11-14 2025-09-30 13F THE CIGNA GROUP COM Put 33,700 21.22 9,714 5.70 n/a n/a n/a
2025-08-14 2025-06-30 13F THE CIGNA GROUP COM Put 27,800 -17.75 9,190 -17.36 n/a n/a n/a
2025-05-15 2025-03-31 13F THE CIGNA GROUP COM Put 33,800 -7.65 11,120 10.03 n/a n/a n/a
2025-02-14 2024-12-31 13F THE CIGNA GROUP COM Put 36,600 70.23 10,107 35.69 n/a n/a n/a
2024-11-14 2024-09-30 13F THE CIGNA GROUP COM Put 21,500 12.57 7,448 17.98 n/a n/a n/a
2024-08-14 2024-06-30 13F THE CIGNA GROUP COM Put 19,100 37.41 6,314 25.06 n/a n/a n/a
2024-05-01 2024-03-31 13F THE CIGNA GROUP COM Put 13,900 -65.16 5,048 -57.75 n/a n/a n/a
2024-02-12 2023-12-31 13F THE CIGNA GROUP COM Put 39,900 26.67 11,948 32.59 n/a n/a n/a
2023-11-13 2023-09-30 13F THE CIGNA GROUP COM Put 31,500 29.63 9,011 32.16 n/a n/a n/a
2023-08-10 2023-06-30 13F THE CIGNA GROUP COM Put 24,300 17.96 6,819 29.55 n/a n/a n/a
2023-05-09 2023-03-31 13F THE CIGNA GROUP COM Put 20,600 -68.40 5,264 -75.64 n/a n/a n/a
2023-02-10 2022-12-31 13F CIGNA CORP COM Put 65,200 9.95 21,603 31.29 n/a n/a n/a
2022-11-10 2022-09-30 13F CIGNA CORP COM Put 59,300 36.32 16,454 43.54 n/a n/a n/a
2022-08-15 2022-06-30 13F CIGNA CORP COM Put 43,500 -80.36 11,463 -78.40 n/a n/a n/a
2022-05-13 2022-03-31 13F CIGNA CORP COM Put 221,500 -38.27 53,074 -35.58 n/a n/a n/a
2022-02-11 2021-12-31 13F CIGNA CORP COM Put 358,800 11.81 82,391 28.27 n/a n/a n/a
2021-11-15 2021-09-30 13F CIGNA CORP COM Put 320,900 51.94 64,231 28.28 n/a n/a n/a
2022-02-11 2021-06-30 13F/A CIGNA CORP COM Put 211,200 -27.92 50,069 -29.31 n/a n/a n/a
2021-08-16 2021-06-30 13F CIGNA CORP COM Put 211,200 50,069 n/a n/a n/a
2022-02-11 2021-03-31 13F/A CIGNA CORP COM Put 293,000 71.04 70,830 98.62 n/a n/a n/a
2021-05-17 2021-03-31 13F CIGNA CORP COM Put 293,000 70,830 n/a n/a n/a
2021-06-21 2020-12-31 13F/A CIGNA CORP COM Put 171,300 14.35 35,661 40.52 n/a n/a n/a
2021-02-16 2020-12-31 13F CIGNA CORP COM Put 171,300 35,661 n/a n/a n/a
2021-06-21 2020-09-30 13F/A CIGNA CORP COM Put 149,800 8.00 25,378 -2.49 n/a n/a n/a
2020-11-16 2020-09-30 13F CIGNA CORP COM Put 149,800 25,378 n/a n/a n/a
2021-06-21 2020-06-30 13F/A CIGNA CORP COM Put 138,700 -12.66 26,027 -7.50 n/a n/a n/a
2020-08-14 2020-06-30 13F CIGNA CORP COM Put 138,700 26,027 n/a n/a n/a
2021-06-21 2020-03-31 13F/A CIGNA CORP COM Put 158,800 -26.31 28,136 -36.15 n/a n/a n/a
2020-05-15 2020-03-31 13F CIGNA CORP COM Put 158,800 28,136 n/a n/a n/a
2021-06-21 2019-12-31 13F/A CIGNA CORP COM Put 215,500 44.83 44,068 95.11 n/a n/a n/a
2020-02-14 2019-12-31 13F CIGNA CORP COM Put 215,500 44,068 n/a n/a n/a
2019-11-14 2019-09-30 13F CIGNA CORP COM Put 148,800 11.63 22,586 7.55 n/a n/a n/a
2019-08-14 2019-06-30 13F CIGNA CORP COM Put 133,300 34.10 21,001 31.37 n/a n/a n/a
2019-08-15 2019-03-31 13F/A CIGNA CORP COM Put 99,400 47.70 15,986 25.07 n/a n/a n/a
2019-05-15 2019-03-31 13F CIGNA CORP COM Put 99,400 15,986 n/a n/a n/a
2019-02-14 2018-12-31 13F CIGNA CORP COM Put 67,300 354.73 12,782 314.73 n/a n/a n/a
2018-11-14 2018-09-30 13F CIGNA COM Put 14,800 2,014.29 3,082 2,489.92 n/a n/a n/a
2018-08-13 2018-06-30 13F CIGNA COM Put 700 119 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.