The acquisition of HealthSpring, another insurer, for $3.8 billion last year helped lift Cigna Corp.'s net income by 49 percent in the fourth quarter.

That deal helped Cigna gain a bigger stake in the fast-growing market for Medicare Advantage plans, which are privately run versions of the government's Medicare insurance program for the elderly and disabled. Cigna, based in Bloomfield, Conn., operates health care, group disability and life insurance segments in the U.S. It also sells coverage overseas and has an expatriate option for people living outside their home countries.

Cigna also on Thursday raised its 2013 earnings forecast.

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