The Cigna Group saw profits take a hit in the fourth quarter, reaching $1.4 billion while struggling with elevated medical costs, officials said during an earnings call today.

Cigna’s profits for the year were $3.4 billion, a decrease from the $5.2 billion in profit logged in 2023.

Chairman and CEO David Cordani said higher stop-loss medical costs were the primary factor in the company’s lower-than-expected performance.