By Ben Fox Rubin 

Cigna Corp. said its fourth-quarter profit declined 11% as the health insurer's global health-care margins slipped and it lost members from the prior quarter.

For the new year, the company predicted earnings of $6.80 to $7.20 a share, compared with estimates of $7.32 a share from analysts polled by Thomson Reuters.

Cigna has logged increased revenue in recent quarters, aided by growing membership and acquisitions. The company, which traditionally focused more on commercial health insurance, pushed further into the market for senior-focused plans by recently buying Medicare insurer HealthSpring Inc. and American Financial Group Inc.'s Medicare supplement and critical-illness businesses.

Cigna reported a profit of $361 million, or $1.29 a share, down from $406 million, or $1.41 a share, a year earlier. Excluding realized investment gains and other items, earnings from operations fell to $1.39 a share from $1.57 a share.

Premiums and fees revenue increased 6.7% to $7.28 billion. Total revenue rose 7% to $8.15 billion.

Analysts forecast per-share adjusted earnings of $1.49 on premiums and fees revenue of $7.35 billion.

The global health-care segment, Cigna's largest, posted 6% higher premiums and fees. Adjusted margin in the division fell to 5% from 6.7%, reflecting "elevated medical costs" in its Medicare Advantage business, the company said.

Total medical customers rose 1.2% to 14.22 million from 14.05 million last year, but declined from 14.3 million in the prior quarter.

Write to Ben Fox Rubin at ben.rubin@wsj.com

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