NASHVILLE, Tenn. (AP) — HealthSpring Inc. shareholders have approved the insurer's planned acquisition by larger managed care provider Cigna Corp., moving the two companies closer to completing the deal.

HealthSpring, based in Nashville, Tenn., said nearly all the stockholders voted in favor of the deal at a special meeting Thursday. The shareholders represented about 83 percent of HealthSpring's total outstanding shares as of Dec. 8.

The acquisition has received antitrust clearance but still needs state regulatory approvals.

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