Cigna Corp., the third biggest health insurer by market value, raised its forecast for 2013 profit and said fourth-quarter earnings rose 49%, boosted by rising enrollment in its Medicare plans for seniors.

Net income rose to $406 million, or $1.41 a share, from $273 million, or 98 cents, a year earlier, the Bloomfield, Connecticut-based company said in a statement. Excluding one- time items, earnings of $1.57 topped the $1.49 estimate of 16 analysts tracked by Bloomberg.

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