The Trump administration has refused to commit to funding the CSR payments—which help insurers reduce ACA exchange enrollees' out-of-pocket costs—beyond the resolution of a lawsuit that challenges their legality. The uncertainty has led many insurers to request steep rate hikes or decide to exit some markets altogether next year, In its Medicare Advantage business, meanwhile, Cigna is back to business as usual after the Centers for Medicare & Medicaid Services lifted sanctions that it had placed on the insurer due to various compliance issues. Cigna is "well prepared for a very successful open enrollment cycle this fall," Cordani said on the call with investors, and expects to grow its MA portfolio in 2018.