10-Q 1 wlp-20130930x10q.htm 10-Q WLP-2013.09.30-10Q
 
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
(Mark One)
x
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the Quarterly Period ended September 30, 2013
OR
¨
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the transition period from                     to                     
Commission file number: 001-16751
WELLPOINT, INC.
(Exact name of registrant as specified in its charter)
INDIANA
 
35-2145715
(State or other jurisdiction of
incorporation or organization)
 
(I.R.S. Employer
Identification Number)
 
 
120 MONUMENT CIRCLE
INDIANAPOLIS, INDIANA
(Address of principal executive offices)
 
46204-4903
(Zip Code)
Registrant’s telephone number, including area code: (317) 488-6000
Not Applicable
(Former name, former address and former fiscal year, if changed since last report)
Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.    Yes x No  ¨
Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T (§232.405 of this chapter) during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).    Yes  x    No  ¨
Indicate by check mark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer”, “accelerated filer”, and “smaller reporting company” in Rule 12b-2 of the Exchange Act (Check one):
Large accelerated filer
x
 
  
Accelerated filer
¨
Non-accelerated filer
¨
 (Do not check if a smaller reporting company)
  
Smaller reporting company
¨
Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act).    Yes  ¨    No  x
Indicate the number of shares outstanding of each of the issuer’s classes of common stock, as of the latest practicable date:
Title of Each Class
 
Outstanding at October 10, 2013
Common Stock, $0.01 par value
 
295,417,144 shares
 
 
 



WellPoint, Inc.
Quarterly Report on Form 10-Q
For the Period Ended September 30, 2013
Table of Contents
 
 
 
Page
PART I. FINANCIAL INFORMATION
 
 
 
 
ITEM 1.
 
 
 
 
 
 
 
 
 
 
 
 
 
ITEM 2.
ITEM 3.
ITEM 4.
PART II. OTHER INFORMATION
 
ITEM 1.
ITEM 1A.
ITEM 2.
ITEM 3.
ITEM 4.
ITEM 5.
ITEM 6.

-1-


PART I. FINANCIAL INFORMATION
ITEM 1.
FINANCIAL STATEMENTS

WellPoint, Inc.
Consolidated Balance Sheets
 
September 30,
2013
 
December 31,
2012
(In millions, except share data)
(Unaudited)
 
 
Assets
 
 
 
Current assets:
 
 
 
Cash and cash equivalents
$
2,185.7

 
$
2,484.6

Investments available-for-sale, at fair value:
 
 
 
Fixed maturity securities (amortized cost of $17,271.6 and $16,033.1)
17,538.0

 
16,912.9

Equity securities (cost of $1,023.5 and $869.9)
1,484.9

 
1,212.4

Other invested assets, current
15.0

 
14.8

Accrued investment income
175.4

 
162.2

Premium and self-funded receivables
4,014.0

 
3,687.4

Other receivables
1,018.3

 
928.8

Income taxes receivable
152.3

 
228.5

Securities lending collateral
837.6

 
564.6

Deferred tax assets, net
367.9

 
243.2

Other current assets
1,807.8

 
1,829.0

Total current assets
29,596.9

 
28,268.4

Long-term investments available-for-sale, at fair value:
 
 
 
Fixed maturity securities (amortized cost of $442.6 and $426.0)
437.8

 
431.5

Equity securities (cost of $27.0 and $27.1)
30.3

 
30.1

Other invested assets, long-term
1,516.8

 
1,387.7

Property and equipment, net
1,806.5

 
1,738.3

Goodwill
17,497.6

 
17,510.5

Other intangible assets
8,921.6

 
9,102.8

Other noncurrent assets
456.0

 
486.1

Total assets
$
60,263.5

 
$
58,955.4

 
 
 
 
Liabilities and shareholders’ equity
 
 
 
Liabilities
 
 
 
Current liabilities:
 
 
 
Policy liabilities:
 
 
 
Medical claims payable
$
6,117.3

 
$
6,174.5

Reserves for future policy benefits
60.2

 
61.3

Other policyholder liabilities
2,322.6

 
2,345.7

Total policy liabilities
8,500.1

 
8,581.5

Unearned income
939.7

 
896.8

Accounts payable and accrued expenses
3,301.2

 
3,132.5

Security trades pending payable
284.8

 
69.3

Securities lending payable
837.7

 
564.7

Short-term borrowings
350.0

 
250.0

Current portion of long-term debt
0.1

 
557.1

Other current liabilities
1,828.8

 
1,785.0

Total current liabilities
16,042.4

 
15,836.9

Long-term debt, less current portion
14,514.0

 
14,170.8

Reserves for future policy benefits, noncurrent
701.9

 
750.8

Deferred tax liabilities, net
3,322.9

 
3,381.0

Other noncurrent liabilities
874.2

 
1,013.2

Total liabilities
35,455.4

 
35,152.7

 
 
 
 
Commitment and contingencies – Note 9


 


Shareholders’ equity
 
 
 
Preferred stock, without par value, shares authorized – 100,000,000; shares issued and outstanding – none
—

 
—

Common stock, par value $0.01, shares authorized – 900,000,000; shares issued and outstanding:
296,188,115 and 304,715,144
3.0

 
3.0

Additional paid-in capital
10,769.4

 
10,853.5

Retained earnings
14,040.5

 
12,647.1

Accumulated other comprehensive (loss) income
(4.8
)
 
299.1

Total shareholders’ equity
24,808.1

 
23,802.7

Total liabilities and shareholders’ equity
$
60,263.5

 
$
58,955.4

See accompanying notes.

-2-


WellPoint, Inc.
Consolidated Statements of Income
(Unaudited)
 
 
Three Months Ended 
 September 30
 
Nine Months Ended 
 September 30
(In millions, except per share data)
2013
 
2012
 
2013
 
2012
Revenues
 
 
 
 
 
 
 
Premiums
$
16,580.9

 
$
14,037.1

 
$
49,509.5

 
$
42,336.6

Administrative fees
1,027.8

 
955.6

 
3,006.4

 
2,928.9

Other revenue
124.3

 
141.0

 
360.6

 
191.7

Total operating revenue
17,733.0

 
15,133.7

 
52,876.5

 
45,457.2

Net investment income
167.6

 
168.6

 
482.8

 
507.0

Net realized gains on investments
95.4

 
54.6

 
166.4

 
232.0

Other-than-temporary impairment losses on investments:
 
 
 
 
 
 
 
Total other-than-temporary impairment losses on investments
(27.1
)
 
(3.8
)
 
(74.0
)
 
(24.0
)
Portion of other-than-temporary impairment losses recognized in other comprehensive income
0.9

 
—

 
0.9

 
3.4

Other-than-temporary impairment losses recognized in income
(26.2
)
 
(3.8
)
 
(73.1
)
 
(20.6
)
Total revenues
17,969.8

 
15,353.1

 
53,452.6

 
46,175.6

Expenses
 
 
 
 
 
 
 
Benefit expense
14,075.0

 
11,984.8

 
41,656.3

 
35,849.8

Selling, general and administrative expense:
 
 
 
 
 
 
 
Selling expense
377.3

 
390.2

 
1,139.9

 
1,176.5

General and administrative expense
2,202.7

 
1,688.4

 
6,275.6

 
5,149.6

Total selling, general and administrative expense
2,580.0

 
2,078.6

 
7,415.5

 
6,326.1

Cost of products
68.6

 
66.5

 
196.0

 
73.2

Interest expense
151.5

 
133.6

 
456.9

 
360.3

Amortization of other intangible assets
66.6

 
63.9

 
202.2

 
182.1

Loss on extinguishment of debt
145.3

 
—

 
145.3

 
—

Total expenses
17,087.0

 
14,327.4

 
50,072.2

 
42,791.5

Income before income tax expense
882.8

 
1,025.7

 
3,380.4

 
3,384.1

Income tax expense
226.6

 
334.5

 
1,038.9

 
1,192.8

Net income
$
656.2

 
$
691.2

 
$
2,341.5

 
$
2,191.3

Net income per share
 
 
 
 
 
 
 
Basic
$
2.21

 
$
2.17

 
$
7.81

 
$
6.70

Diluted
$
2.16

 
$
2.15

 
$
7.69

 
$
6.63

Dividends per share
$
0.3750

 
$
0.2875

 
$
1.1250

 
$
0.8625









See accompanying notes.

-3-


WellPoint, Inc.
Consolidated Statements of Comprehensive Income
(Unaudited)
 
 
Three Months Ended 
 September 30
 
Nine Months Ended 
 September 30
(In millions)
2013
 
2012
 
2013
 
2012
Net income
$
656.2

 
$
691.2

 
$
2,341.5

 
$
2,191.3

Other comprehensive income (loss), net of tax:
 
 
 
 
 
 
 
Change in net unrealized gains/losses on investments
16.3

 
168.3

 
(327.0
)
 
248.5

Change in non-credit component of other-than-temporary impairment losses on investments
(0.6
)
 
—

 
1.6

 
4.4

Change in net unrealized gains/losses on cash flow hedges
0.7

 
(1.0
)
 
2.2

 
(0.6
)
Change in net periodic pension and postretirement costs
4.8

 
6.9

 
18.6

 
19.9

Foreign currency translation adjustments
1.2

 
0.5

 
0.7

 
(0.2
)
Other comprehensive income (loss)
22.4

 
174.7

 
(303.9
)
 
272.0

Total comprehensive income
$
678.6

 
$
865.9

 
$
2,037.6

 
$
2,463.3







































See accompanying notes.

-4-

WellPoint, Inc.
Consolidated Statements of Cash Flows
(Unaudited)
 
Nine Months Ended 
 September 30
(In millions)
2013
 
2012
Operating activities
 
 
 
Net income
$
2,341.5

 
$
2,191.3

Adjustments to reconcile net income to net cash provided by operating activities:
 
 
 
Net realized gains on investments
(166.4
)
 
(232.0
)
Other-than-temporary impairment losses recognized in income
73.1

 
20.6

Loss on extinguishment of debt
145.3

 
—

Loss on disposal of assets
5.1

 
1.6

Deferred income taxes
(12.0
)
 
255.3

Amortization, net of accretion
592.7

 
474.8

Depreciation expense
78.4

 
72.8

Share-based compensation
103.7

 
123.7

Excess tax benefits from share-based compensation
(23.5
)
 
(23.2
)
Changes in operating assets and liabilities, net of effect of business combinations:
 
 
 
Receivables, net
(368.0
)
 
(133.2
)
Other invested assets
1.7

 
(26.6
)
Other assets
51.6

 
(33.3
)
Policy liabilities
(130.3
)
 
(16.8
)
Unearned income
42.9

 
(102.8
)
Accounts payable and accrued expenses
95.9

 
(446.7
)
Other liabilities
(78.0
)
 
(57.5
)
Income taxes
87.5

 
(79.5
)
Other, net
(61.7
)
 
(3.7
)
Net cash provided by operating activities
2,779.5

 
1,984.8

Investing activities
 
 
 
Purchases of fixed maturity securities
(11,494.1
)
 
(11,808.8
)
Proceeds from fixed maturity securities:
 
 
 
Sales
8,756.4

 
8,433.4

Maturities, calls and redemptions
1,490.0

 
1,347.8

Purchases of equity securities
(574.4
)
 
(245.1
)
Proceeds from sales of equity securities
575.2

 
312.3

Purchases of other invested assets
(207.9
)
 
(153.7
)
Proceeds from sales of other invested assets
53.0

 
25.4

Changes in securities lending collateral
(273.1
)
 
171.5

Purchases of subsidiaries, net of cash acquired
—

 
(992.3
)
Purchases of property and equipment
(408.1
)
 
(375.1
)
Proceeds from sales of property and equipment
—

 
0.4

Other, net
(3.8
)
 
(0.9
)
Net cash used in investing activities
(2,086.8
)
 
(3,285.1
)
Financing activities
 
 
 
Net proceeds from commercial paper borrowings
224.1

 
30.1

Proceeds from long-term borrowings
1,250.0

 
4,935.2

Repayments of long-term borrowings
(1,801.9
)
 
(1,251.2
)
Proceeds from short-term borrowings
600.0

 
392.0

Repayments of short-term borrowings
(500.0
)
 
(300.0
)
Changes in securities lending payable
273.0

 
(171.5
)
Changes in bank overdrafts
72.3

 
(94.6
)
Repurchase and retirement of common stock
(1,170.4
)
 
(1,828.8
)
Cash dividends
(337.5
)
 
(280.0
)
Proceeds from issuance of common stock under employee stock plans
374.9

 
86.7

Excess tax benefits from share-based compensation
23.5

 
23.2

Net cash (used in) provided by financing activities
(992.0
)
 
1,541.1

Effect of foreign exchange rates on cash and cash equivalents
0.4

 
(0.3
)
Change in cash and cash equivalents
(298.9
)
 
240.5

Cash and cash equivalents at beginning of period
2,484.6

 
2,201.6

Cash and cash equivalents at end of period
$
2,185.7

 
$
2,442.1

See accompanying notes.

-5-

WellPoint, Inc.
Consolidated Statements of Shareholders’ Equity
(Unaudited)
 
Common Stock
 
Additional
Paid-in
Capital
 
Retained
Earnings
 
Accumulated
Other
Comprehensive
Income (Loss)
 
Total
Shareholders’
Equity
(In millions)
Number of
Shares
 
Par
Value
 
January 1, 2013
304.7

 
$
3.0

 
$
10,853.5

 
$
12,647.1

 
$
299.1

 
$
23,802.7

Net income
—

 
—

 
—

 
2,341.5

 
—

 
2,341.5

Other comprehensive loss
—

 
—

 
—

 
—

 
(303.9
)
 
(303.9
)
Repurchase and retirement of common stock
(15.6
)
 
(0.1
)
 
(566.2
)
 
(607.4
)
 
—

 
(1,173.7
)
Convertible debenture tax adjustment
—

 
—

 
(3.3
)
 
—

 
—

 
(3.3
)
Dividends and dividend equivalents
—

 
—

 
—

 
(340.7
)
 
—

 
(340.7
)
Issuance of common stock under employee stock plans, net of related tax benefits
7.1

 
0.1

 
485.4

 
—

 
—

 
485.5

September 30, 2013
296.2

 
$
3.0

 
$
10,769.4

 
$
14,040.5

 
$
(4.8
)
 
$
24,808.1

 
 
 
 
 
 
 
 
 
 
 
 
January 1, 2012
339.4

 
$
3.4

 
$
11,679.2

 
$
11,490.7

 
$
114.9

 
$
23,288.2

Net income
—

 
—

 
—

 
2,191.3

 
—

 
2,191.3

Other comprehensive income
—

 
—

 
—

 
—

 
272.0

 
272.0

Repurchase and retirement of common stock
(28.6
)
 
(0.3
)
 
(986.4
)
 
(842.1
)
 
—

 
(1,828.8
)
Dividends and dividend equivalents
—

 
—

 
—

 
(283.1
)
 
—

 
(283.1
)
Issuance of common stock under employee stock plans, net of related tax benefits
3.2

 
—

 
176.9

 
—

 
—

 
176.9

September 30, 2012
314.0

 
$
3.1

 
$
10,869.7

 
$
12,556.8

 
$
386.9

 
$
23,816.5



























See accompanying notes.

-6-

WellPoint, Inc.
Notes to Consolidated Financial Statements
(Unaudited)
September 30, 2013
(In Millions, Except Per Share Data or As Otherwise Stated Herein)
 
1.
Organization
References to the terms “we”, “our”, “us”, “WellPoint” or the “Company” used throughout these Notes to Consolidated Financial Statements refer to WellPoint, Inc., an Indiana corporation, and unless the context otherwise requires, its direct and indirect subsidiaries.
We are one of the largest health benefits companies in the United States, serving 35.5 medical members through our affiliated health plans and approximately 67.4 individuals through all subsidiaries as of September 30, 2013. We offer a broad spectrum of network-based managed care plans to large and small employer, individual, Medicaid and Medicare markets. Our managed care plans include: preferred provider organizations, or PPOs; health maintenance organizations, or HMOs; point-of-service, or POS, plans; traditional indemnity plans and other hybrid plans, including consumer-driven health plans, or CDHPs; and hospital only and limited benefit products. In addition, we provide a broad array of managed care services to self-funded customers, including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, disease management, wellness programs and other administrative services. We provide an array of specialty and other insurance products and services such as behavioral health benefit services, dental, vision, life and disability insurance benefits, radiology benefit management, analytics-driven personal health care guidance and long-term care insurance. We also provide services to the Federal Government in connection with the Federal Employee Program, or FEP, and various Medicare programs. Finally, we sell contact lenses, eyeglasses and other ocular products through our 1-800 CONTACTS, Inc., or 1-800 CONTACTS, business.
We are an independent licensee of the Blue Cross and Blue Shield Association, or BCBSA, an association of independent health benefit plans. We serve our members as the Blue Cross licensee for California; the Blue Cross and Blue Shield, or BCBS, licensee for Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York (as the BCBS licensee in 10 New York City metropolitan and surrounding counties and as the Blue Cross or BCBS licensee in selected upstate counties only), Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.) and Wisconsin. In a majority of these service areas we do business as Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Georgia, Empire Blue Cross Blue Shield, or Empire Blue Cross (in our New York service areas). Through our AMERIGROUP Corporation subsidiary, or Amerigroup, we conduct business in Florida, Georgia, Kansas, Louisiana, Maryland, Nevada, New Jersey, New Mexico, New York, Tennessee, Texas and Washington. Amerigroup also provided services to the state of Ohio through June 30, 2013. We also serve customers throughout the country as HealthLink, UniCare and in certain Arizona, California, Nevada, New York and Virginia markets through our CareMore Health Group, Inc., or CareMore, subsidiary. We are licensed to conduct insurance operations in all 50 states through our subsidiaries.
2.
Basis of Presentation
The accompanying unaudited consolidated financial statements have been prepared in accordance with U.S. generally accepted accounting principles, or GAAP, for interim financial reporting. Accordingly, they do not include all of the information and footnotes required by GAAP for annual financial statements. We have omitted certain footnote disclosures that would substantially duplicate the disclosures in our 2012 Annual Report on Form 10-K, unless the information contained in those disclosures materially changed or is required by GAAP. In the opinion of management, all adjustments, including normal recurring adjustments, necessary for a fair statement of the consolidated financial statements as of and for the three and nine months ended September 30, 2013 and 2012 have been recorded. The results of operations for the three and nine months ended September 30, 2013 are not necessarily indicative of the results that may be expected for the full year ending December 31, 2013. These unaudited consolidated financial statements should be read in conjunction with our audited consolidated financial statements for the year ended December 31, 2012 included in our 2012 Annual Report on Form 10-K.
Certain of our subsidiaries operate outside of the United States and have functional currencies other than the U.S. dollar, or USD. We translate the assets and liabilities of those subsidiaries to USD using the exchange rate in effect at the end of the period. We translate the revenues and expenses of those subsidiaries to USD using the average exchange rates in effect during the period. The net effect of these translation adjustments is included in “Foreign currency translation adjustments” in our consolidated statements of comprehensive income.
Certain prior period amounts have been reclassified to conform to the current period presentation, including the presentation of our segment disclosures.

-7-

3.
Restructuring Activities
As a result of restructuring activities implemented during 2012 and 2011, we recorded liabilities for employee termination costs and lease and other contract exit costs. The restructuring activities are classified as components of general and administrative expenses in the consolidated statements of income for the respective period in which they occurred.
The 2012 restructuring activities were initiated primarily as a result of personnel changes, organizational realignment to create efficiencies in our business processes and certain integration activities associated with the Amerigroup acquisition. Activity related to these liabilities for the nine months ended September 30, 2013, by reportable segment, is as follows:
 
Commercial
and Specialty
Business
 
Government
Business
 
Other
 
Total
2012 Restructuring Activities
 
 
 
 
 
 
 
Employee termination costs:
 
 
 
 
 
 
 
Liability for employee termination costs at January 1, 2013
$
60.0

 
$
54.7

 
$
2.9

 
$
117.6

Payments
(30.2
)
 
(32.4
)
 
(1.5
)
 
(64.1
)
Liability released
(6.1
)
 
(1.6
)
 
(0.2
)
 
(7.9
)
Liability for employee termination costs at September 30, 2013
23.7

 
20.7

 
1.2

 
45.6

Lease and other contract exit costs:
 
 
 
 
 
 
 
Liability for lease and other contract exit costs at January 1, 2013
8.8

 
2.9

 
0.1

 
11.8

Payments
(5.1
)
 
(1.7
)
 
(0.2
)
 
(7.0
)
Liability released
(0.6
)
 
(0.2
)
 
—

 
(0.8
)
Liability for lease and other contract exit costs at September 30, 2013
3.1

 
1.0

 
(0.1
)
 
4.0

Total liability for 2012 restructuring activities at September 30, 2013
$
26.8

 
$
21.7

 
$
1.1

 
$
49.6

The 2011 restructuring activities were initiated as a result of a change in strategic focus primarily in response to federal health care reform. At September 30, 2013, our total liability for 2011 restructuring activities was $18.8, of which $2.4 related to employee termination costs and $16.4 related to lease and other contract exit costs. We expect the remaining payments for employee termination costs to be substantially completed by the end of 2013. Payments for lease and other contract exit costs will continue to occur over the remaining terms of the related contracts.
4.
Investments
We evaluate our investment securities for other-than-temporary declines based on qualitative and quantitative factors. Other-than-temporary impairment losses recognized in income totaled $26.2 and $3.8 for the three months ended September 30, 2013 and 2012, respectively. Other-than-temporary impairment losses recognized in income totaled $73.1 and $20.6 for the nine months ended September 30, 2013 and 2012, respectively. There were no individually significant other-than-temporary impairment losses on investments by issuer during the three and nine months ended September 30, 2013 and 2012. We continue to review our investment portfolios under our impairment review policy. Given the current market conditions and the significant judgments involved, there is a continuing risk that further declines in fair value may occur and additional material other-than-temporary impairment losses on investments may be recorded in future periods.

-8-

A summary of current and long-term investments, available-for-sale, at September 30, 2013 and December 31, 2012 is as follows:
 
 
 
 
 
 
 
 
 
Non-Credit
Component of
Other-Than-
Temporary
Impairments
Recognized in
AOCI
 
Cost or
Amortized
Cost
 
Gross
Unrealized
Gains
 
Gross Unrealized Losses
 
Estimated
Fair Value
 
 
 
 
Less than
12 Months
 
12 Months
or Greater
 
 
September 30, 2013:
 
 
 
 
 
 
 
 
 
 
 
Fixed maturity securities:
 
 
 
 
 
 
 
 
 
 
 
United States Government securities
$
464.0

 
$
4.1

 
$
(1.4
)
 
$
—

 
$
466.7

 
$
—

Government sponsored securities
195.2

 
0.9

 
(1.5
)
 
—

 
194.6

 
—

States, municipalities and political subdivisions, tax-exempt
6,143.2

 
234.9

 
(93.6
)
 
(1.2
)
 
6,283.3

 
—

Corporate securities
7,780.3

 
212.0

 
(109.3
)
 
(12.4
)
 
7,870.6

 
(0.1
)
Options embedded in convertible debt securities
81.0

 
—

 
—

 
—

 
81.0

 
—

Residential mortgage-backed securities
2,198.4

 
52.6

 
(29.4
)
 
(3.3
)
 
2,218.3

 
—

Commercial mortgage-backed securities
488.1

 
11.3

 
(3.4
)
 
—

 
496.0

 
—

Other debt securities
364.0

 
5.8

 
(3.2
)
 
(1.3
)
 
365.3

 
(0.8
)
Total fixed maturity securities
17,714.2

 
521.6

 
(241.8
)
 
(18.2
)
 
17,975.8

 
$
(0.9
)
Equity securities
1,050.5

 
481.4

 
(16.7
)
 
—

 
1,515.2

 
 
Total investments, available-for-sale
$
18,764.7

 
$
1,003.0

 
$
(258.5
)
 
$
(18.2
)
 
$
19,491.0

 
 
December 31, 2012:
 
 
 
 
 
 
 
 
 
 
 
Fixed maturity securities:
 
 
 
 
 
 
 
 
 
 
 
United States Government securities
$
330.3

 
$
13.1

 
$
(0.2
)
 
$
—

 
$
343.2

 
$
—

Government sponsored securities
153.6

 
2.6

 
—

 
—

 
156.2

 
—

States, municipalities and political subdivisions, tax-exempt
5,501.3

 
388.2

 
(5.7
)
 
(1.6
)
 
5,882.2

 
—

Corporate securities
7,642.0

 
387.0

 
(17.0
)
 
(8.0
)
 
8,004.0

 
(1.7
)
Options embedded in convertible debt securities
67.2

 
—

 
—

 
—

 
67.2

 
—

Residential mortgage-backed securities
2,204.7

 
103.1

 
(1.1
)
 
(1.9
)
 
2,304.8

 
(0.4
)
Commercial mortgage-backed securities
323.2

 
22.5

 
—

 
—

 
345.7

 
—

Other debt securities
236.8

 
7.6

 
(0.2
)
 
(3.1
)
 
241.1

 
(1.3
)
Total fixed maturity securities
16,459.1

 
924.1

 
(24.2
)
 
(14.6
)
 
17,344.4

 
$
(3.4
)
Equity securities
897.0

 
358.0

 
(12.5
)
 
—

 
1,242.5

 
 
Total investments, available-for-sale
$
17,356.1

 
$
1,282.1

 
$
(36.7
)
 
$
(14.6
)
 
$
18,586.9

 
 
At September 30, 2013, we owned $2,714.3 of mortgage-backed securities and $341.8 of asset-backed securities out of a total available-for-sale investment portfolio of $19,491.0. These securities included sub-prime and Alt-A securities with fair values of $33.6 and $108.4, respectively. These sub-prime and Alt-A securities had accumulated net unrealized gains of $1.3 and $6.1, respectively. The average credit rating of the sub-prime and Alt-A securities was “BB” and “CCC”, respectively.

-9-

The following tables summarize for fixed maturity securities and equity securities in an unrealized loss position at September 30, 2013 and December 31, 2012, the aggregate fair value and gross unrealized loss by length of time those securities have been continuously in an unrealized loss position: 
 
Less than 12 Months
 
12 Months or Greater
(Securities are whole amounts)
Number of
Securities
 
Estimated
Fair Value
 
Gross
Unrealized
Loss
 
Number of
Securities
 
Estimated
Fair Value
 
Gross
Unrealized
Loss
September 30, 2013:
 
 
 
 
 
 
 
 
 
 
 
Fixed maturity securities:
 
 
 
 
 
 
 
 
 
 
 
United States Government securities
24

 
$
119.9

 
$
(1.4
)
 
—

 
$
—

 
$
—

Government sponsored securities
23

 
56.6

 
(1.5
)
 
—

 
—

 
—

States, municipalities and political subdivisions, tax-exempt
768

 
1,979.3

 
(93.6
)
 
22

 
14.3

 
(1.2
)
Corporate securities
1,700

 
3,075.0

 
(109.3
)
 
57

 
53.0

 
(12.4
)
Residential mortgage-backed securities
434

 
921.9

 
(29.4
)
 
54

 
65.8

 
(3.3
)
Commercial mortgage-backed securities
50

 
216.8

 
(3.4
)
 
1

 
0.6

 
—

Other debt securities
52

 
145.7

 
(3.2
)
 
17

 
17.7

 
(1.3
)
Total fixed maturity securities
3,051

 
6,515.2

 
(241.8
)
 
151

 
151.4

 
(18.2
)
Equity securities
624

 
194.2

 
(16.7
)
 
—

 
—

 
—

Total fixed maturity and equity securities
3,675

 
$
6,709.4

 
$
(258.5
)
 
151

 
$
151.4

 
$
(18.2
)
December 31, 2012:
 
 
 
 
 
 
 
 
 
 
 
Fixed maturity securities:
 
 
 
 
 
 
 
 
 
 
 
United States Government securities
17

 
$
48.5

 
$
(0.2
)
 
—

 
$
—

 
$
—

States, municipalities and political subdivisions, tax-exempt
184

 
420.1

 
(5.7
)
 
1

 
46.9

 
(1.6
)
Corporate securities
457

 
1,066.5

 
(17.0
)
 
74

 
52.6

 
(8.0
)
Residential mortgage-backed securities
79

 
211.0

 
(1.1
)
 
44

 
25.5

 
(1.9
)
Commercial mortgage-backed securities
4

 
10.1

 
—

 
3

 
4.1

 
—

Other debt securities
7

 
5.4

 
(0.2
)
 
21

 
28.9

 
(3.1
)
Total fixed maturity securities
748

 
1,761.6

 
(24.2
)
 
143

 
158.0

 
(14.6
)
Equity securities
961

 
149.6

 
(12.5
)
 
—

 
—

 
—

Total fixed maturity and equity securities
1,709

 
$
1,911.2

 
$
(36.7
)
 
143

 
$
158.0

 
$
(14.6
)
The amortized cost and fair value of fixed maturity securities at September 30, 2013, by contractual maturity, are shown below. Expected maturities may differ from contractual maturities because the issuers of the securities may have the right to prepay obligations.
 
Amortized
Cost
 
Estimated
Fair Value
Due in one year or less
$
429.4

 
$
448.2

Due after one year through five years
4,704.9

 
4,837.6

Due after five years through ten years
5,176.7

 
5,272.4

Due after ten years
4,716.7

 
4,703.3

Mortgage-backed securities
2,686.5

 
2,714.3

Total available-for-sale fixed maturity securities
$
17,714.2

 
$
17,975.8


-10-

Proceeds from fixed maturity and equity securities and the related gross realized gains and gross realized losses for the three and nine months ended September 30, 2013 and 2012 are as follows:
 
Three Months Ended 
 September 30
 
Nine Months Ended 
 September 30
 
2013
 
2012
 
2013
 
2012
Proceeds
$
5,411.6

 
$
3,492.3

 
$
10,821.6

 
$
10,093.5

Gross realized gains
160.4

 
109.0

 
339.3

 
364.1

Gross realized losses
(65.0
)
 
(54.4
)
 
(172.9
)
 
(132.1
)
In the ordinary course of business, we may sell securities at a loss for a number of reasons, including, but not limited to: (i) changes in the investment environment; (ii) expectation that the fair value could deteriorate further; (iii) desire to reduce exposure to an issuer or an industry; (iv) changes in credit quality; or (v) changes in expected cash flow.
All securities sold resulting in investment gains and losses are recorded on the trade date. Realized gains and losses are determined on the basis of the cost or amortized cost of the specific securities sold.
5.
Fair Value
Assets and liabilities recorded at fair value in the consolidated balance sheets are categorized based upon the level of judgment associated with the inputs used to measure their fair value. Level inputs, as defined by Financial Accounting Standards Board, or FASB, guidance for fair value measurements and disclosures, are as follows:
Level Input
 
Input Definition
Level I
 
Inputs are unadjusted, quoted prices for identical assets or liabilities in active markets at the measurement date.
Level II
 
Inputs other than quoted prices included in Level I that are observable for the asset or liability through corroboration with market data at the measurement date.
Level III
 
Unobservable inputs that reflect management’s best estimate of what market participants would use in pricing the asset or liability at the measurement date.
The following methods, assumptions and inputs were used to determine the fair value of each class of the following assets and liabilities recorded at fair value in the consolidated balance sheets:
Cash equivalents: Cash equivalents primarily consist of highly rated money market funds with maturities of three months or less and are purchased daily at par value with specified yield rates. Due to the high ratings and short-term nature of the funds, we designate all cash equivalents as Level I.
Fixed maturity securities, available-for-sale: Fair values of available-for-sale fixed maturity securities are based on quoted market prices, where available. These fair values are obtained primarily from third party pricing services, which generally use Level I or Level II inputs for the determination of fair value to facilitate fair value measurements and disclosures. United States Government securities represent Level I securities, while Level II securities primarily include corporate securities, securities from states, municipalities and political subdivisions and mortgage-backed securities. For securities not actively traded, the third party pricing services may use quoted market prices of comparable instruments or discounted cash flow analyses, incorporating inputs that are currently observable in the markets for similar securities. We have controls in place to review the third party pricing services’ qualifications and procedures used to determine fair values. In addition, we periodically review the third party pricing services’ pricing methodologies, data sources and pricing inputs to ensure the fair values obtained are reasonable. Inputs that are often used in the valuation methodologies include, but are not limited to, broker quotes, benchmark yields, credit spreads, default rates and prepayment speeds. We also have certain fixed maturity securities, primarily corporate debt securities, that are designated Level III securities. For these securities, the valuation methodologies may incorporate broker quotes or discounted cash flow analyses using assumptions for inputs such as expected cash flows, benchmark yields and credit spreads that are not observable in the markets.
Equity securities, available-for-sale: Fair values of equity securities are generally designated as Level I and are based on quoted market prices. For certain equity securities, quoted market prices for the identical security are not always available and the fair value is estimated by reference to similar securities for which quoted prices are available. These securities are designated Level II. We also have certain equity securities, including private equity securities, for which the fair value is estimated based on each security’s current condition and future cash flow projections. Such securities are designated Level III. The fair values of these private equity securities are generally based on either broker quotes or discounted cash flow projections

-11-

using assumptions for inputs such as the weighted average cost of capital, long-term revenue growth rates and earnings before interest, taxes, depreciation and amortization, or EBITDA, and/or revenue multiples that are not observable in the markets.
Other invested assets, current: Other invested assets, current include securities held in rabbi trusts that are classified as trading. Fair values are based on quoted market prices.
Securities lending collateral: Fair values of securities lending collateral are based on quoted market prices, where available. These fair values are obtained primarily from third party pricing services, which generally use Level I or Level II inputs for the determination of fair value, to facilitate fair value measurements and disclosures.
Derivatives-interest rate swaps: Fair values are based on the quoted market prices by the financial institution that is the counterparty to the swap. We independently verify prices provided by the counterparties using valuation models that incorporate market observable inputs for similar interest rate swaps.

-12-

A summary of fair value measurements by level for assets and liabilities measured at fair value on a recurring basis at September 30, 2013 and December 31, 2012 is as follows:
 
Level I
 
Level II
 
Level III
 
Total
September 30, 2013:
 
 
 
 
 
 
 
Assets:
 
 
 
 
 
 
 
Cash equivalents
$
774.5

 
$
—

 
$
—

 
$
774.5

Investments available-for-sale:
 
 
 
 
 
 
 
Fixed maturity securities:
 
 
 
 
 
 
 
United States Government securities
466.7

 
—

 
—

 
466.7

Government sponsored securities
—

 
194.6

 
—

 
194.6

States, municipalities and political subdivisions, tax-exempt
—

 
6,283.3

 
—

 
6,283.3

Corporate securities
—

 
7,736.3

 
134.3

 
7,870.6

Options embedded in convertible debt securities
—

 
81.0

 
—

 
81.0

Residential mortgage-backed securities
—

 
2,218.3

 
—

 
2,218.3

Commercial mortgage-backed securities
—

 
485.7

 
10.3

 
496.0

Other debt securities
24.3

 
326.3

 
14.7

 
365.3

Total fixed maturity securities
491.0

 
17,325.5

 
159.3

 
17,975.8

Equity securities
1,303.5

 
174.6

 
37.1

 
1,515.2

Other invested assets, current
15.0

 
—

 
—

 
15.0

Securities lending collateral
424.7

 
412.9

 
—

 
837.6

Derivatives excluding embedded options (reported with other assets)
—

 
40.3

 
—

 
40.3

Total assets
$
3,008.7

 
$
17,953.3

 
$
196.4

 
$
21,158.4

Liabilities:
 
 
 
 
 
 
 
Derivatives excluding embedded options (reported with other liabilities)
$
—

 
$
(20.6
)
 
$
—

 
$
(20.6
)
Total liabilities
$
—

 
$
(20.6
)
 
$
—

 
$
(20.6
)
December 31, 2012:
 
 
 
 
 
 
 
Assets:
 
 
 
 
 
 
 
Cash equivalents
$
728.3

 
$
—

 
$
—

 
$
728.3

Investments available-for-sale:
 
 
 
 
 
 
 
Fixed maturity securities:
 
 
 
 
 
 
 
United States Government securities
343.2

 
—

 
—

 
343.2

Government sponsored securities
—

 
156.2

 
—

 
156.2

States, municipalities and political subdivisions, tax-exempt
—

 
5,882.2

 
—

 
5,882.2

Corporate securities
—

 
7,882.9

 
121.1

 
8,004.0

Options embedded in convertible debt securities
—

 
67.2

 
—

 
67.2

Residential mortgage-backed securities
—

 
2,300.5

 
4.3

 
2,304.8

Commercial mortgage-backed securities
—

 
345.7

 
—

 
345.7

Other debt securities
33.8

 
203.4

 
3.9

 
241.1

Total fixed maturity securities
377.0

 
16,838.1

 
129.3

 
17,344.4

Equity securities
1,103.1

 
113.2

 
26.2

 
1,242.5

Other invested assets, current
14.8

 
—

 
—

 
14.8

Securities lending collateral
231.7

 
332.9

 
—

 
564.6

Derivatives excluding embedded options (reported with other assets)
—

 
58.6

 
—

 
58.6

Total assets
$
2,454.9

 
$
17,342.8

 
$
155.5

 
$
19,953.2

Liabilities:
 
 
 
 
 
 
 
Derivatives excluding embedded options (reported with other liabilities)
$
—

 
$
(0.1
)
 
$
—

 
$
(0.1
)
Total liabilities
$
—

 
$
(0.1
)
 
$
—

 
$
(0.1
)


-13-

A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using Level III inputs for the three months ended September 30, 2013 and 2012 is as follows:
 
Corporate
Securities
 
Residential
Mortgage-
backed
Securities
 
Commercial
Mortgage-
backed
Securities
 
Other Debt
Securities
 
Equity
Securities
 
Total
Three Months Ended September 30, 2013:
 
 
 
 
 
 
 
 
 
 
 
Beginning balance at July 1, 2013
$
139.2

 
$
12.6

 
$
—

 
$
5.4

 
$
35.8

 
$
193.0

Total gains (losses):
 
 
 
 
 
 
 
 
 
 
 
Recognized in net income
(14.9
)
 
—

 
—

 
(0.1
)
 
—

 
(15.0
)
Recognized in accumulated other comprehensive income
4.9

 
—

 
—

 
0.1

 
(2.4
)
 
2.6

Purchases
6.4

 
—

 
—

 
—

 
3.7

 
10.1

Sales
(1.6
)
 
—

 
—

 
—

 
—

 
(1.6
)
Issuances
—

 
—

 
—

 
—

 
—

 
—

Settlements
(2.7
)
 
—

 
(2.3
)
 
(0.2
)
 
—

 
(5.2
)
Transfers into Level III
3.0

 
—

 
12.6

 
9.8

 
—

 
25.4

Transfers out of Level III
—

 
(12.6
)
 
—

 
(0.3
)
 
—

 
(12.9
)
Ending balance at September 30, 2013
$
134.3

 
$
—

 
$
10.3

 
$
14.7

 
$
37.1

 
$
196.4

Change in unrealized losses included in net income related to assets still held for the three months ended September 30, 2013
$
(14.9
)
 
$
—

 
$
—

 
$
(0.1
)
 
$
—

 
$
(15.0
)
Three Months Ended September 30, 2012:
 
 
 
 
 
 
 
 
 
 
 
Beginning balance at July 1, 2012
$
127.7

 
$
1.4

 
$
5.3

 
$
3.9

 
$
28.8

 
$
167.1

Total gains (losses):
 
 
 
 
 
 
 
 
 
 


Recognized in net income
(0.2
)
 
—

 
—

 
—

 
(0.2
)
 
(0.4
)
Recognized in accumulated other comprehensive income
2.0

 
—

 
0.1

 
0.6

 
(5.5
)
 
(2.8
)
Purchases
15.6

 
—

 
—

 
—

 
4.2

 
19.8

Sales
(21.2
)
 
—

 
—

 
—

 
—

 
(21.2
)
Issuances
—

 
—

 
—

 
—

 
—

 
—

Settlements
(5.7
)
 
—

 
(0.1
)
 
(0.2
)
 
—

 
(6.0
)
Transfers into Level III
—

 
—

 
—

 
10.0

 
—

 
10.0

Transfers out of Level III
(5.8
)
 
—

 
—

 
—

 
—

 
(5.8
)
Ending balance at September 30, 2012
$
112.4

 
$
1.4

 
$
5.3

 
$
14.3

 
$
27.3

 
$
160.7

Change in unrealized losses included in net income related to assets still held for the three months ended September 30, 2012
$
—

 
$
—

 
$
—

 
$
—

 
$
(0.2
)
 
$
(0.2
)

-14-

A reconciliation of the beginning and ending balances of assets measured at fair value on a recurring basis using Level III inputs for the nine months ended September 30, 2013 and 2012 is as follows:
 
Corporate
Securities
 
Residential
Mortgage-
backed
Securities
 
Commercial
Mortgage-
backed
Securities
 
Other Debt
Securities
 
Equity
Securities
 
Total
Nine Months Ended September 30, 2013:
 
 
 
 
 
 
 
 
 
 
 
Beginning balance at January 1, 2013
$
121.1

 
$
4.3

 
$
—

 
$
3.9

 
$
26.2

 
$
155.5

Total gains (losses):
 
 
 
 
 
 
 
 
 
 
 
Recognized in net income
(16.0
)
 
—

 
—

 
(0.1
)
 
(1.0
)
 
(17.1
)
Recognized in accumulated other comprehensive income
1.8

 
—

 
—

 
0.4

 
4.8

 
7.0

Purchases
45.3

 
—

 
—

 
1.6

 
9.6

 
56.5

Sales
(1.6
)
 
—

 
—

 
—

 
(2.5
)
 
(4.1
)
Issuances
—

 
—

 
—

 
—

 
—

 
—

Settlements
(12.6
)
 
(1.9
)
 
(2.3
)
 
(0.6
)
 
—

 
(17.4
)
Transfers into Level III
3.0

 
13.1

 
12.6

 
9.8

 
—

 
38.5

Transfers out of Level III
(6.7
)
 
(15.5
)
 
—

 
(0.3
)
 
—

 
(22.5
)
Ending balance at September 30, 2013
$
134.3

 
$
—

 
$
10.3

 
$
14.7

 
$
37.1

 
$
196.4

Change in unrealized losses included in net income related to assets still held for the nine months ended September 30, 2013
$
(16.5
)
 
$
—

 
$
—

 
$
(0.1
)
 
$
(3.0
)
 
$
(19.6
)
Nine Months Ended September 30, 2012:
 
 
 
 
 
 
 
 
 
 
 
Beginning balance at January 1, 2012
$
195.1

 
$
—

 
$
6.3

 
$
59.0

 
$
24.4

 
$
284.8

Total gains (losses):
 
 
 
 
 
 
 
 
 
 
 
Recognized in net income
15.3

 
—

 
—

 
0.1

 
(0.5
)
 
14.9

Recognized in accumulated other comprehensive income
(15.5
)
 
—

 
0.1

 
0.8

 
(13.2
)
 
(27.8
)
Purchases
61.8

 
—

 
3.4

 
—

 
4.5

 
69.7

Sales
(26.3
)
 
—

 
—

 
(6.6
)
 
(0.4
)
 
(33.3
)
Issuances
—

 
—

 
—

 
—

 
—

 
—

Settlements
(64.5
)
 
—

 
(0.1
)
 
(1.0
)
 
—

 
(65.6
)
Transfers into Level III
1.7

 
1.4

 
1.9

 
12.0

 
12.5

 
29.5

Transfers out of Level III
(55.2
)
 
—

 
(6.3
)
 
(50.0
)
 
—

 
(111.5
)
Ending balance at September 30, 2012
$
112.4

 
$
1.4

 
$
5.3

 
$
14.3

 
$
27.3

 
$
160.7

Change in unrealized losses included in net income related to assets still held for the nine months ended September 30, 2012
$
—

 
$
—

 
$
—

 
$
—

 
$
(0.6
)
 
$
(0.6
)
Transfers between levels, if any, are recorded as of the beginning of the reporting period. There were no material transfers into or out of Level III during the nine months ended September 30, 2013 and no material transfers into Level III during the nine months ended September 30, 2012. During the nine months ended September 30, 2012, the transfers out of Level III of corporate securities were for certain sub-prime securities transferred from Level III to Level II as a result of inputs that were previously unobservable becoming observable due to increased volume and level of trading in active markets. In addition, the transfers out of Level III of other debt securities were for certain inverse floating rate securities transferred from Level III to Level II as a result of those securities’ impending maturity and settlement and recent trading activity of similar securities in observable markets.
During the three and nine months ended September 30, 2013 and 2012, there were no transfers from Level I to Level II or from Level II to Level I.
There were no material assets or liabilities measured at fair value on a nonrecurring basis during the three and nine months ended September 30, 2013. During the nine months ended September 30, 2012 we recorded the fair value of net assets acquired and resulting goodwill and other intangible assets related to our 1-800 CONTACTS acquisition using Level III inputs. Other

-15-

than the assets acquired and liabilities assumed in our acquisition of 1-800 CONTACTS, there were no material assets or liabilities measured at fair value on a nonrecurring basis during the three and nine months ended September 30, 2012.
Our valuation policy is determined by members of our treasury and accounting departments. Whenever possible, our policy is to obtain quoted market prices in active markets to estimate fair values for recognition and disclosure purposes. Where quoted market prices in active markets are not available, fair values are estimated using discounted cash flow analyses, broker quotes or other valuation techniques. These techniques are significantly affected by our assumptions, including discount rates and estimates of future cash flows. Potential taxes and other transaction costs are not considered in estimating fair values. Our valuation policy is generally to obtain only one quoted price for each security from third party pricing services, which are derived through recently reported trades for identical or similar securities making adjustments through the reporting date based upon available market observable information. When broker quotes are used, we generally obtain only one broker quote per security. As we are responsible for the determination of fair value, we perform monthly analysis on the prices received from third parties to determine whether the prices are reasonable estimates of fair value. This analysis is performed by our internal treasury personnel who are familiar with our investment portfolios, the third party pricing services engaged and the valuation techniques and inputs used. Our analysis includes a review of month-to-month price fluctuations. If unusual fluctuations are noted in this review, we may obtain additional information from other pricing services to validate the quoted price. There were no adjustments to quoted market prices obtained from third party pricing services during the three and nine months ended September 30, 2013 or 2012.
In addition to the preceding disclosures on assets recorded at fair value in the consolidated balance sheets, FASB guidance also requires the disclosure of fair values for certain other financial instruments for which it is practicable to estimate fair value, whether or not such values are recognized in the consolidated balance sheets.
Non-financial instruments such as real estate, property and equipment, other current assets, deferred income taxes, intangible assets and certain financial instruments, such as policy liabilities, are excluded from the fair value disclosures. Therefore, the fair value amounts cannot be aggregated to determine our underlying economic value.
The carrying amounts reported in the consolidated balance sheets for cash, accrued investment income, premium and self-funded receivables, other receivables, unearned income, accounts payable and accrued expenses, income taxes receivable/payable, security trades pending payable, securities lending payable and certain other current liabilities approximate fair value because of the short term nature of these items. These assets and liabilities are not listed in the table below.
The following methods, assumptions and inputs were used to estimate the fair value of each class of financial instrument:
Other invested assets, long-term: Other invested assets, long-term include primarily our investments in limited partnerships, joint ventures and other non-controlled corporations, as well as the cash surrender value of corporate-owned life insurance policies. Investments in limited partnerships, joint ventures and other non-controlled corporations are carried at our share in the entities’ undistributed earnings, which approximates fair value. The carrying value of corporate-owned life insurance policies represents the cash surrender value as reported by the respective insurer, which approximates fair value.
Short-term borrowings: The fair value of our short-term borrowings is based on quoted market prices for the same or similar debt, or, if no quoted market prices are available, on the current market interest rates available to us for debt of similar terms and remaining maturities.
Long-term debt – commercial paper: The carrying amount for commercial paper approximates fair value as the underlying instruments have variable interest rates at market value.
Long-term debt – notes: The fair values of our notes are based on quoted market prices in active markets for the same or similar debt, or, if no quoted market prices are available, on the current market observable rates estimated to be available to us for debt of similar terms and remaining maturities.
Long-term debt – convertible debentures: The fair value of our convertible debentures is based on the quoted market price in the active private market in which the convertible debentures trade.

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A summary of the carrying values and fair values by level of financial instruments not recorded at fair value on our consolidated balance sheets at September 30, 2013 and December 31, 2012 are as follows:
 
Carrying
Value
 
Fair Value
 
 
Level I
 
Level II
 
Level III
 
Total
September 30, 2013
 
 
 
 
 
 
 
 
 
Assets:
 
 
 
 
 
 
 
 
 
Other invested assets, long-term
$
1,516.8

 
$
—

 
$
—

 
$
1,516.8

 
$
1,516.8

Liabilities:
 
 
 
 
 
 
 
 
 
Debt:
 
 
 
 
 
 
 
 
 
Short-term borrowings
350.0

 
—

 
350.0

 
—

 
350.0

Commercial paper
794.9

 
—

 
794.9

 
—

 
794.9

Notes
12,755.1

 
—

 
13,071.5

 
—

 
13,071.5

Convertible debentures
964.0

 
—

 
1,909.7

 
—

 
1,909.7

December 31, 2012
 
 
 
 
 
 
 
 
 
Assets:
 
 
 
 
 
 
 
 
 
Other invested assets, long-term
$
1,387.7

 
$
—

 
$
—

 
$
1,387.7

 
$
1,387.7

Liabilities:
 
 
 
 
 
 
 
 
 
Debt:
 
 
 
 
 
 
 
 
 
Short-term borrowings
250.0

 
—

 
250.0

 
—

 
250.0

Commercial paper
570.9

 
—

 
570.9

 
—

 
570.9

Notes
13,198.9

 
—

 
14,407.1

 
—

 
14,407.1

Convertible debentures
958.1

 
—

 
1,613.4

 
—

 
1,613.4

6.
Income Taxes
During the three months ended September 30, 2013 and 2012, we recognized income tax expense of $226.6 and $334.5, respectively, which represents effective tax rates of 25.7% and 32.6%, respectively. The decrease in income tax expense was due to a lower effective rate in 2013 as well as decreased income before income tax expense. The 2013 effective tax rate includes benefits resulting from a favorable tax election made subsequent to the Amerigroup acquisition. The 2012 effective tax rate reflects a benefit from the settlement with the Internal Revenue Service, or IRS, of a portion of our open tax issues related to taxes at certain of our acquired companies incurred prior to our acquisition of these companies. This benefit was partially offset by an increase in our state deferred tax asset valuation allowance attributable to the uncertainty associated with some of our state net operating loss carryforwards.
During the nine months ended September 30, 2013 and 2012, we recognized income tax expense of $1,038.9 and $1,192.8, respectively, which represents effective tax rates of 30.7% and 35.2%, respectively. The decrease in income tax expense was due to a lower effective rate in 2013. The 2013 effective tax rate includes benefits resulting from a favorable tax election made subsequent to the Amerigroup acquisition and from inclusion of Amerigroup in our state apportionment factors calculation, which produces a lower effective state tax rate. The 2012 effective tax rate reflects the non-tax deductibility of litigation settlement expenses associated with the settlement of a class action lawsuit in June 2012 and the increase in our state deferred tax asset valuation allowance. This was partially offset by the settlement with the IRS of a portion of our open tax issues related to certain of our acquired companies.


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7.
Retirement Benefits
The components of net periodic benefit (credit) cost included in the consolidated statements of income for the three months ended September 30, 2013 and 2012 are as follows:
 
Pension Benefits
 
Other Benefits
 
2013
 
2012
 
2013
 
2012
Service cost
$
3.5

 
$
4.1

 
$
1.6

 
$
1.7

Interest cost
17.2

 
19.1

 
5.6

 
6.8

Expected return on assets
(33.2
)
 
(33.7
)
 
(5.5
)
 
(5.2
)
Recognized actuarial loss
6.1

 
7.6

 
2.8

 
3.5

Settlement loss
2.6

 
4.0

 
—

 
—

Amortization of prior service credit
(0.2
)
 
(0.2
)
 
(3.3
)
 
(3.3
)
Net periodic benefit (credit) cost
$
(4.0
)
 
$
0.9

 
$
1.2

 
$
3.5

The components of net periodic benefit (credit) cost included in the consolidated statements of income for the nine months ended September 30, 2013 and 2012 are as follows:
 
Pension Benefits
 
Other Benefits
 
2013
 
2012
 
2013
 
2012
Service cost
$
10.8

 
$
12.3

 
$
5.0

 
$
5.1

Interest cost
50.6

 
57.4

 
16.8

 
20.6

Expected return on assets
(99.8
)
 
(101.0
)
 
(16.5
)
 
(15.7
)
Recognized actuarial loss
23.2

 
22.8

 
8.4

 
10.6

Settlement loss
9.7

 
10.6

 
—

 
—

Amortization of prior service credit
(0.6
)
 
(0.6
)
 
(10.0
)
 
(10.0
)
Net periodic benefit (credit) cost
$
(6.1
)
 
$
1.5

 
$
3.7

 
$
10.6

For the year ending December 31, 2013, no material contributions are expected to be necessary to meet the Employee Retirement Income Security Act, or ERISA, required funding levels; however, we may elect to make discretionary contributions up to the maximum amount deductible for income tax purposes. Contributions of $34.8 and $30.9 were made to our retirement benefit plans during the nine months ended September 30, 2013 and 2012, respectively.

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8.
Debt
 
The carrying value of long-term debt as of September 30, 2013 and December 31, 2012 consists of the following:
 
September 30,
2013
 
December 31,
2012
Senior unsecured notes:
 
 
 
6.000%, face amount of $400.0, due 2014
$
—

 
$
399.8

5.000%, face amount of $500.0, due 2014
527.6

 
535.9

1.250%, face amount of $625.0, due 2015
624.8

 
624.8

5.250%, face amount of $1,100.0, due 2016
1,109.6

 
1,114.0

2.375%, face amount of $400.0, due 2017
399.3

 
401.5

5.875%, face amount of $700.0, due 2017
545.0

 
697.4

1.875%, face amount of $625.0, due 2018
612.7

 
625.2

2.300%, face amount of $650.0, due 2018
647.3

 
—

7.500%, face amount of $475.0, due 2019
—


556.9

7.000%, face amount of $600.0, due 2019
452.8

 
599.3

4.350%, face amount of $700.0, due 2020
690.8

 
701.0

3.700%, face amount of $700.0, due 2021
699.3

 
699.3

3.125%, face amount of $850.0, due 2022
846.2

 
845.9

3.300%, face amount of $1,000.0, due 2023
996.9

 
996.7

5.950%, face amount of $500.0, due 2034
447.3

 
498.8

5.850%, face amount of $900.0, due 2036
775.6

 
895.7

6.375%, face amount of $800.0, due 2037
651.4

 
796.7

5.800%, face amount of $300.0, due 2040
216.2

 
296.8

4.625%, face amount of $900.0, due 2042
893.8

 
893.7

4.650%, face amount of $1,000.0, due 2043
994.3


994.2

5.100%, face amount of $600.0, due 2044
599.2

 
—

Senior convertible debentures:
 
 
 
2.750%, face amount of $1,500.0, due 2042
964.0

 
958.1

Surplus notes:
 
 
 
9.000%, face amount of $25.1, due 2027
25.0

 
25.0

Variable rate debt:
 
 
 
Commercial paper program
794.9

 
570.9

Capital leases
0.1

 
0.3

Total long-term debt
14,514.1

 
14,727.9

Current portion of long-term debt
(0.1
)
 
(557.1
)
Long-term debt, less current portion
$
14,514.0

 
$
14,170.8

On September 5, 2013, we redeemed the $400.0 outstanding principal balance of our 6.000% senior unsecured notes due 2014, plus applicable premium for early redemption and accrued and unpaid interest up to but not including the redemption date, for cash totaling $411.0. We recognized a loss on extinguishment of debt of $10.0 for the redemption of these notes.
On July 30, 2013, we initiated a cash tender offer and consent solicitation to purchase up to $300.0 aggregate principal amount of our outstanding 5.875% Notes due 2017 and 7.000% Notes due 2019 (the “First Tranche Offer”) and to purchase up to $300.0 aggregate principal amount of our outstanding 5.950% Notes due 2034, 5.850% Notes due 2036, 6.375% Notes due 2037 and 5.800% Notes due 2040 (the “Second Tranche Offer”), collectively, the “Tender Offers”. The Tender Offers were each subject to increase up to an additional $100.0 at our election. On August 12, 2013, we increased the Second Tranche Offer to $400.0 and on August 13, 2013 we repurchased $300.0 of the First Tranche Notes and $400.0 of the Second Tranche Notes for cash totaling $837.7. Holders who tendered their notes prior to the early tender date received the principal amounts, applicable premium for early redemption and accrued and unpaid interest up to but not including the early tender offer settlement date. We recognized a loss on extinguishment of debt of $135.3 for the repurchase of these notes.

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On July 30, 2013, we issued $650.0 of 2.300% notes due 2018 and $600.0 of 5.100% notes due 2044 under our shelf registration statement. We used the proceeds from this offering in part to fund the purchase price of the 6.000% senior unsecured notes and the Tender Offers, discussed above, and intend to use the remaining net proceeds from the offerings for general corporate purposes. Interest on the notes will be payable semi-annually in arrears on January 15 and July 15 of each year, commencing on January 15, 2014. The notes have a call feature that allows us to repurchase the notes at any time at our option and a put feature that allows the trustee or the holders of 25% of the principal amount of the notes to require us to repurchase the notes if an event of default occurs under the Indenture and has not been cured.
As a result of our acquisition of Amerigroup on December 24, 2012, the carrying amount of Amerigroup’s $475.0 of 7.500% senior unsecured notes due 2019 was included in our consolidated balance sheet as of December 31, 2012. In accordance with FASB accounting guidance for business combinations, the notes were recorded at their estimated fair value of $556.9 on the date of acquisition. On January 25, 2013 we redeemed the outstanding principal balance of these notes, plus applicable premium for early redemption, for cash totaling $555.6. The weighted-average redemption price of the notes was approximately 117% of the principal amount outstanding.
We have a senior revolving credit facility, or the Facility, with certain lenders for general corporate purposes. The Facility, as amended, provides credit up to $2,000.0, and matures on September 29, 2016. There were no amounts outstanding under this Facility as of September 30, 2013 or at any time during the three and nine months then ended.
We have an authorized commercial paper program of up to $2,500.0, the proceeds of which may be used for general corporate purposes. At September 30, 2013, we had $794.9 outstanding under this program.
We have issued senior convertible debentures due 2042, or the Debentures, which are governed by an indenture between us and The Bank of New York Mellon Trust Company, N.A., as trustee. We have accounted for the Debentures in accordance with the FASB cash conversion guidance for debt with conversion and other options. As a result, the value of the embedded conversion option has been bifurcated from its debt host and recorded as a component of “additional paid-in capital” (net of deferred taxes and equity issuance costs) in our consolidated balance sheets. The following table summarizes at September 30, 2013 the related balances, conversion rate and conversion price of the Debentures:
 
 
Outstanding principal amount
$
1,500.0

Unamortized debt discount
536.0

Net debt carrying amount
964.0

Equity component carrying amount
543.6

Conversion rate (shares of common stock per $1,000 of principal amount)
13.2790

Effective conversion price (per $1,000 of principal amount)
$
75.3065

9.
Commitments and Contingencies
Litigation
In the ordinary course of business, we are defendants in, or parties to, a number of pending or threatened legal actions or proceedings. To the extent a plaintiff or plaintiffs in the following cases have specified in their complaint or in other court filings the amount of damages being sought, we have noted those alleged damages in the descriptions below. With respect to the cases described below, we contest liability and/or the amount of damages in each matter and believe we have meritorious defenses.
In the Los Angeles County Superior Court, we defended a lawsuit filed by the Los Angeles City Attorney alleging the wrongful rescission of individual insurance policies and representations made concerning rescission practices and policies. The suit named WellPoint as well as Blue Cross of California, or BCC, and BC Life & Health Insurance Company, or BCL&H (which name changed to Anthem Blue Cross Life and Health Insurance Company in July 2007), both WellPoint subsidiaries. The lawsuit generally alleged unfair business practices and a purported practice of rescinding new individual members following the submission of large claims. The Los Angeles City Attorney filed an amended complaint in October 2010, adding claims of misrepresentation arising from several public statements made by the Company during 2010. The Los Angeles City Attorney requested two thousand five hundred dollars ($2,500) per alleged violation of the California Business and Professions Code. The lawsuit was recently settled for $6.0. The court entered final approval of the settlement and judgment on July 10, 2013.
We are defending a certified class action filed as a result of the 2001 demutualization of Anthem Insurance Companies, Inc., or AICI. The lawsuit names AICI as well as Anthem, Inc., or Anthem, n/k/a WellPoint, Inc., and is captioned Ronald Gold,

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et al. v. Anthem, Inc. et al. AICI’s 2001 Plan of Conversion, or the Plan, provided for the conversion of AICI from a mutual insurance company into a stock insurance company pursuant to Indiana law. Under the Plan, AICI distributed the fair value of the company at the time of conversion to its Eligible Statutory Members, or ESMs, in the form of cash or Anthem common stock in exchange for their membership interests in the mutual company. Plaintiffs in Gold allege that AICI distributed value to the wrong ESMs. Cross motions for summary judgment were granted in part and denied in part on July 26, 2006 with regard to the issue of sovereign immunity asserted by co-defendant, the state of Connecticut, or the State. The court also denied our motion for summary judgment as to plaintiffs’ claims on January 10, 2005. The State appealed the denial of its motion to the Connecticut Supreme Court. We filed a cross-appeal on the sovereign immunity issue. On May 11, 2010, the Court reversed the judgment of the trial court denying the State’s motion to dismiss the plaintiff’s claims under sovereign immunity and dismissed our cross-appeal. The case was remanded to the trial court for further proceedings. Plaintiffs’ motion for class certification was granted on December 15, 2011. We and the plaintiffs filed renewed cross-motions for summary judgment on January 24, 2013. Argument on the renewed motions was held on April 19, 2013. On August 19, 2013, the court denied plaintiffs' motion for summary judgment. The court deferred a final ruling on our motion for summary judgment, instead requesting supplemental argument which is scheduled to occur on November 7, 2013. We intend to vigorously defend the Gold lawsuit; however, its ultimate outcome cannot be presently determined.
We are currently a defendant in eleven putative class actions relating to out-of-network, or OON, reimbursement that were consolidated into a single multi-district lawsuit called In re WellPoint, Inc. Out-of-Network “UCR” Rates Litigation that is pending in the United States District Court for the Central District of California. The lawsuits were filed in 2009. The plaintiffs include current and former members on behalf of a putative class of members who received OON services for which the defendants paid less than billed charges, the American Medical Association, four state medical associations, OON physicians, chiropractors, clinical psychologists, podiatrists, psychotherapists, the American Podiatric Association, California Chiropractic Association and the California Psychological Association on behalf of a putative class of all physicians and all non-physician health care providers. In the consolidated complaint, the plaintiffs allege that the defendants violated the Racketeer Influenced and Corrupt Organizations Act, or RICO, the Sherman Antitrust Act, ERISA, federal regulations, and state law by relying on databases provided by Ingenix in determining OON reimbursement. A consolidated amended complaint was filed to add allegations in the lawsuit that OON reimbursement was calculated improperly by methodologies other than the Ingenix databases. We filed a motion to dismiss the amended consolidated complaint, which motion was granted in part and denied in part. The court gave the plaintiffs permission to replead many of those claims that were dismissed. The plaintiffs then filed a third amended consolidated complaint repleading some of the claims that had been dismissed without prejudice and adding additional statements in an attempt to bolster other claims. We filed a motion to dismiss most of the claims in the third amended consolidated complaint, which was granted in part and denied in part. The plaintiffs then filed a fourth amended consolidated complaint and we filed a motion to dismiss most of the claims asserted in the fourth amended consolidated complaint. In July 2013 the court issued an order granting in part and denying in part our motion. The court held that the state and federal anti-trust claims along with the RICO claims should be dismissed in their entirety with prejudice. The court further found that the ERISA claims, to the extent they involved non-Ingenix methodologies, along with those that involved our alleged non-disclosures should be dismissed with prejudice. The court also dismissed most of the plaintiffs’ state law claims with prejudice. The only claims that remain after the court’s decision are an ERISA benefits claim relating to claims priced based on Ingenix, a breach of contract claim on behalf of one subscriber plaintiff, a breach of implied covenant claim on behalf of one plaintiff, and one subscriber plaintiff’s claim under the California Unfair Competition Law. The plaintiffs filed a motion for reconsideration of the motion to dismiss order, which the court granted in part and denied in part. The court ruled that the plaintiffs adequately allege that one Georgia provider plaintiff is deemed to have exhausted administrative remedies regarding non-Ingenix methodologies based on the facts alleged regarding that plaintiff. Fact discovery is complete. Earlier in the case, in 2009, we filed a motion in the United States District Court for the Southern District of Florida, or the Florida Court, to enjoin the claims brought by the medical doctors and doctors of osteopathy and certain medical associations based on prior litigation releases, which was granted in 2011. The Florida Court ordered the plaintiffs to dismiss their claims that are barred by the release. The plaintiffs then filed a petition for declaratory judgment asking the court to find that these claims are not barred by the releases from the prior litigation. We filed a motion to dismiss the declaratory judgment action, which was granted. The plaintiffs appealed the dismissal of the declaratory judgment to the United States Court of Appeals for the Eleventh Circuit, but the dismissal was upheld. The enjoined physicians have not yet dismissed their claims. The Florida Court found the enjoined physicians in contempt and sanctioned them in July 2012. The barred physicians are paying the sanctions and have appealed the Florida Court’s sanctions order to the United States Court of Appeals for the Eleventh Circuit. Oral argument on that appeal is scheduled for October 2013. We intend to vigorously defend these suits; however, their ultimate outcome cannot be presently determined.
Where available information indicates that it is probable that a loss has been incurred as of the date of the consolidated financial statements and we can reasonably estimate the amount of that loss, we accrue the estimated loss by a charge to income. In many proceedings, however, it is difficult to determine whether any loss is probable or reasonably possible. In addition, even where loss is possible or an exposure to loss exists in excess of the liability already accrued with respect to a

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previously identified loss contingency, it is not always possible to reasonably estimate the amount of the possible loss or range of loss.
With respect to many of the proceedings to which we are a party, we cannot provide an estimate of the possible losses, or the range of possible losses in excess of the amount, if any, accrued, for various reasons, including but not limited to some or all of the following: (i) there are novel or unsettled legal issues presented, (ii) the proceedings are in early stages, (iii) there is uncertainty as to the likelihood of a class being certified or decertified or the ultimate size and scope of the class, (iv) there is uncertainty as to the outcome of pending appeals or motions, (v) there are significant factual issues to be resolved, and/or (vi) in many cases, the plaintiffs have not specified damages in their complaint or in court filings. For those legal proceedings where a loss is probable, or reasonably possible, and for which it is possible to reasonably estimate the amount of the possible loss or range of losses, we currently believe that the range of possible losses, in excess of established reserves, for all of those proceedings is from $0 to approximately $350.0 at September 30, 2013. This estimated aggregate range of reasonably possible losses is based upon currently available information taking into account our best estimate of such losses for which such an estimate can be made.
Other Contingencies
From time to time, we and certain of our subsidiaries are parties to various legal proceedings, many of which involve claims for coverage encountered in the ordinary course of business. We, like HMOs and health insurers generally, exclude certain health care and other services from coverage under our HMO, PPO and other plans. We are, in the ordinary course of business, subject to the claims of our enrollees arising out of decisions to restrict or deny reimbursement for uncovered services. The loss of even one such claim, if it results in a significant punitive damage award, could have a material adverse effect on us. In addition, the risk of potential liability under punitive damage theories may increase significantly the difficulty of obtaining reasonable settlements of coverage claims.
In addition to the lawsuits described above, we are also involved in other pending and threatened litigation of the character incidental to our business, and are from time to time involved as a party in various governmental investigations, audits, reviews and administrative proceedings. These investigations, audits, reviews and administrative proceedings include routine and special inquiries by state insurance departments, state attorneys general, the U.S. Attorney General and subcommittees of the U.S. Congress. Such investigations, audits, reviews and administrative proceedings could result in the imposition of civil or criminal fines, penalties, other sanctions and additional rules, regulations or other restrictions on our business operations. Any liability that may result from any one of these actions, or in the aggregate, could have a material adverse effect on our consolidated financial position or results of operations.
The National Organization of Life & Health Insurance Guaranty Associations, or NOLHGA, is a voluntary organization consisting of the state life and health insurance guaranty associations located throughout the U.S. State life and health insurance guaranty associations, working together with NOLHGA, provide a safety net for their state’s policyholders, ensuring that they continue to receive coverage even if their insurer is declared insolvent. We are aware that the Pennsylvania Insurance Commissioner, or Insurance Commissioner, has placed Penn Treaty Network America Insurance Company and its subsidiary American Network Insurance Company, or collectively Penn Treaty, in rehabilitation, an intermediate action before insolvency. The state court denied the Insurance Commissioner’s petition for the liquidation of Penn Treaty and ordered the Insurance Commissioner to file an updated plan of rehabilitation, which proposed plan was filed on April 30, 2013. The state court has ordered a hearing on the proposed plan for which a date has not yet been set. The Insurance Commissioner has filed a Notice of Appeal asking the Pennsylvania Supreme Court to reverse the order denying the liquidation petition. The Supreme Court has probable jurisdiction over the appeal and issued a schedule for filing briefs. In the event rehabilitation of Penn Treaty is unsuccessful and Penn Treaty is declared insolvent and placed in liquidation, we and other insurers may be required to pay a portion of their policyholder claims through state guaranty association assessments in future periods. Given the uncertainty around whether Penn Treaty will ultimately be declared insolvent and, if so, the amount of the insolvency, the amount and timing of any associated future guaranty fund assessments and the availability and amount of any potential premium tax and other offsets, we currently cannot estimate our net exposure, if any, to this potential insolvency. We will continue to monitor the situation and may record a liability and expense in future reporting periods, which could be material to our cash flows and results of operations.
Contractual Obligations and Commitments
We are a party to an agreement with Express Scripts, Inc., or Express Scripts, to provide pharmacy benefit management, or PBM, services for our plans, excluding Amerigroup and certain self-insured members, which have exclusive agreements with different PBM services providers. The initial term of this agreement expires on December 31, 2019. Under this agreement, Express Scripts is the exclusive provider of certain specified PBM services, such as pharmacy network management, home delivery, pharmacy customer service, claims processing, rebate management, drug utilization and specialty pharmaceutical

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management services. Accordingly, the agreement contains certain financial and operational requirements obligating both Express Scripts and us. Express Scripts’ primary obligations relate to the performance of such services and meeting certain pricing guarantees and performance standards. Our primary obligations relate to oversight, provision of data, payment for services and certain minimum volume requirements. The failure by either party to meet the respective requirements could potentially serve as a basis for financial penalties or early termination of the contract. We believe we have appropriately recognized all rights and obligations under this contract at September 30, 2013.
During the first quarter of 2010, we entered into a new agreement with International Business Machines Corporation to provide information technology infrastructure services. This new agreement supersedes certain prior agreements and also includes provisions for additional services. Our remaining commitment under this agreement at September 30, 2013 was $296.7 through March 31, 2015. We have the ability to terminate this agreement upon the occurrence of certain events, subject to early termination fees.
On March 31, 2009, we entered into an agreement with Affiliated Computer Services, Inc. to provide certain print and mailroom services that were previously performed in-house. Our remaining commitment under this agreement at September 30, 2013 was $157.1 through March 31, 2016. We have the ability to terminate this agreement upon the occurrence of certain events, subject to early termination fees.
10.
Capital Stock
Use of Capital – Dividends and Stock Repurchase Program
We regularly review the appropriate use of capital, including common stock repurchases, repurchases of debt and dividends to shareholders. The declaration and payment of any dividends or repurchases of our common stock or debt securities are at the discretion of our Board of Directors and depend upon our financial condition, results of operations, future liquidity needs, regulatory and capital requirements and other factors deemed relevant by our Board of Directors.
A summary of the cash dividend activity for the nine months ended September 30, 2013 and 2012 is as follows: 
Declaration Date
 
Record Date
 
Payment Date
 
Cash
Dividend
per Share
 
Total
Nine Months Ended September 30, 2013
 
 
 
 
 
 
 
 
February 20, 2013
 
March 8, 2013
 
March 25, 2013
 
$
0.3750

 
$
113.4

May 15, 2013
 
June 10, 2013
 
June 25, 2013
 
0.3750

 
112.7

July 23, 2013
 
September 10, 2013
 
September 25, 2013
 
0.3750

 
111.4

 
 
 
 
 
 
 
 
 
Nine Months Ended September 30, 2012
 
 
 
 
 
 
 
 
January 24, 2012
 
March 9, 2012
 
March 23, 2012
 
$
0.2875

 
$
95.8

May 16, 2012
 
June 8, 2012
 
June 25, 2012
 
0.2875

 
93.5

July 24, 2012
 
September 10, 2012
 
September 25, 2012
 
0.2875

 
90.7

Under our Board of Directors’ authorization, we maintain a common stock repurchase program. On September 25, 2013, the Board of Directors authorized a $3,500.0 increase to the common stock repurchase program. Repurchases may be made from time to time at prevailing market prices, subject to certain restrictions on volume, pricing and timing. The repurchases are effected from time to time in the open market, through negotiated transactions, including options and accelerated share repurchase agreements, and through plans designed to comply with Rule 10b5-1 under the Securities Exchange Act of 1934, as amended. Our common stock repurchase program is discretionary as we are under no obligation to repurchase shares. We repurchase shares under the program when we believe it is a prudent use of capital. The excess cost of repurchased shares over par value is charged on a pro rata basis to additional paid-in capital and retained earnings.

-23-

A summary of share repurchases for the period October 1, 2013 through October 10, 2013 (subsequent to September 30, 2013) and for the nine months ended September 30, 2013 and 2012 is as follows:
 
October 1, 2013
Through
October 10, 2013
 
Nine Months Ended 
 September 30
 
 
2013
 
2012
Shares repurchased
0.9

 
15.6

 
28.6

Average price per share
$
85.28

 
$
74.86

 
$
63.85

Aggregate cost
$
72.7

 
$
1,170.4

 
$
1,828.8

Authorization remaining at the end of each period
$
4,093.8

 
$
4,166.5

 
$
2,504.9

Stock Incentive Plans
A summary of stock option activity for the nine months ended September 30, 2013 is as follows:
 
Number of
Shares
 
Weighted-
Average
Option Price
per Share
 
Weighted-
Average
Remaining
Contractual
Life (Years)
 
Aggregate
Intrinsic
Value
Outstanding at January 1, 2013
17.8

 
$
64.67

 
 
 
 
Granted
2.0

 
62.37

 
 
 
 
Exercised
(6.2
)
 
60.28

 
 
 
 
Forfeited or expired
(1.3
)
 
70.88

 
 
 
 
Outstanding at September 30, 2013
12.3

 
$
65.85

 
3.4
 
$
217.5

Exercisable at September 30, 2013
9.7

 
$
66.54

 
2.8
 
$
166.5

A summary of the status of nonvested restricted stock activity, including restricted stock units, for the nine months ended September 30, 2013 is as follows:
 
Restricted
Stock Shares
and Units
 
Weighted-
Average
Grant Date
Fair Value
per Share
Nonvested at January 1, 2013
2.6

 
$
63.87

Granted
2.4

 
62.69

Vested
(0.4
)
 
59.64

Forfeited
(0.5
)
 
64.61

Nonvested at September 30, 2013
4.1

 
$
63.50

Fair Value
We use a binomial lattice valuation model to estimate the fair value of all stock options granted. For a more detailed discussion of our stock incentive plan fair value methodology, see Note 15, “Capital Stock,” to our audited consolidated financial statements as of and for the year ended December 31, 2012 included in our 2012 Annual Report on Form 10-K.
The following weighted-average assumptions were used to estimate the fair values of options granted during the nine months ended September 30, 2013 and 2012:
 
2013
 
2012
Risk-free interest rate
1.25
%
 
1.41
%
Volatility factor
35.00
%
 
34.00
%
Quarterly dividend yield
0.600
%
 
0.400
%
Weighted-average expected life (years)
4.0

 
4.1


-24-

The following weighted-average fair values were determined for the nine months ended September 30, 2013 and 2012: 
 
2013
 
2012
Options granted during the period
$
14.60

 
$
16.51

11.
Accumulated Other Comprehensive Income (Loss)
A reconciliation of the components of accumulated other comprehensive income (loss) at September 30, 2013 and 2012 is as follows:
 
2013
 
2012
Investments:
 
 
 
Gross unrealized gains
$
1,003.0

 
$
1,373.9

Gross unrealized losses
(276.7
)
 
(46.7
)
Net pre-tax unrealized gains
726.3

 
1,327.2

Deferred tax liability
(249.7
)
 
(465.0
)
Net unrealized gains on investments
476.6

 
862.2

Non-credit components of other-than-temporary impairments on investments:
 
 
 
Unrealized losses
(0.9
)
 
(3.4
)
Deferred tax asset
0.3

 
1.2

Net unrealized non-credit component of other-than-temporary impairments on investments
(0.6
)
 
(2.2
)
Cash flow hedges:
 
 
 
Gross unrealized losses
(50.8
)
 
(55.4
)
Deferred tax asset
17.8

 
19.4

Net unrealized losses on cash flow hedges
(33.0
)
 
(36.0
)
Defined benefit pension plans:
 
 
 
Deferred net actuarial loss
(654.0
)
 
(620.3
)
Deferred prior service credits
3.3

 
4.1

Deferred tax asset
256.4

 
249.6

Net unrecognized periodic benefit costs for defined benefit pension plans
(394.3
)
 
(366.6
)
Postretirement benefit plans:
 
 
 
Deferred net actuarial loss
(182.7
)
 
(224.0
)
Deferred prior service credits
93.2

 
106.5

Deferred tax asset
35.2

 
47.6

Net unrecognized periodic benefit costs for postretirement benefit plans
(54.3
)
 
(69.9
)
Foreign currency translation adjustments:
 
 
 
Gross unrealized gains (losses)
1.3

 
(0.9
)
Deferred tax (liability) asset
(0.5
)
 
0.3

Net unrealized gains (losses) on foreign currency translation adjustments
0.8

 
(0.6
)
Accumulated other comprehensive (loss) income
$
(4.8
)
 
$
386.9


-25-

Other comprehensive income (loss) reclassification adjustments for the three months ended September 30, 2013 and 2012 are as follows:
 
2013
 
2012
Investments:
 
 
 
Net holding (loss) gain on investment securities arising during the period, net of tax (benefit) expense of $(9.4) and $73.4, respectively
$
(15.0
)
 
$
135.3

Reclassification adjustment for net realized gain on investment securities, net of tax expense of $16.9 and $17.8, respectively
31.3

 
33.0

Total reclassification adjustment on investments
16.3

 
168.3

Non-credit component of other-than-temporary impairments on investments:
 
 
 
Non-credit component of other-than-temporary impairments on investments, net of tax benefit of $0.3 and $0.0, respectively
(0.6
)
 
—

Cash flow hedges:
 
 
 
Holding gain (loss), net of tax expense (benefit) of $0.4 and $(0.6), respectively
0.7

 
(1.0
)
Other:
 
 
 
Net change in unrecognized periodic benefit costs for defined benefit pension and postretirement benefit plans, net of tax expense of $3.2 and $4.7, respectively
4.8

 
6.9

Foreign currency translation adjustment, net of tax expense of $0.6 and $0.3, respectively
1.2

 
0.5

Net gain recognized in other comprehensive income (loss), net of tax expense of $11.4 and $95.6, respectively
$
22.4

 
$
174.7

Other comprehensive income (loss) reclassification adjustments for the nine months ended September 30, 2013 and 2012 are as follows: 
 
2013
 
2012
Investments:
 
 
 
Net holding (loss) gain on investment securities arising during the period, net of tax (benefit) expense of $(213.6) and $59.1, respectively
$
(390.1
)
 
$
111.1

Reclassification adjustment for net realized gain on investment securities, net of tax expense of $34.0 and $74.0, respectively
63.1

 
137.4

Total reclassification adjustment on investments
(327.0
)
 
248.5

Non-credit component of other-than-temporary impairments on investments:
 
 
 
Non-credit component of other-than-temporary impairments on investments, net of tax expense of $0.9 and $2.4, respectively
1.6

 
4.4

Cash flow hedges:
 
 
 
Holding gain (loss), net of tax expense (benefit) of $1.2 and $(0.3), respectively
2.2

 
(0.6
)
Other:
 
 
 
Net change in unrecognized periodic benefit costs for defined benefit pension and postretirement benefit plans, net of tax expense of $12.1 and $13.5, respectively
18.6

 
19.9

Foreign currency translation adjustment, net of tax expense (benefit) of $0.4 and $(0.1), respectively
0.7

 
(0.2
)
Net (loss) gain recognized in other comprehensive income (loss), net of tax (benefit) expense of $(165.0) and $148.6, respectively
$
(303.9
)
 
$
272.0


-26-

12.
Earnings per Share
The denominator for basic and diluted earnings per share for the three and nine months ended September 30, 2013 and 2012 was as follows:
 
Three Months Ended 
 September 30

Nine Months Ended 
 September 30
 
2013
 
2012
 
2013
 
2012
Denominator for basic earnings per share – weighted average shares
297.4

 
318.9

 
300.0

 
327.2

Effect of dilutive securities – employee stock options, non-vested restricted stock awards and convertible debentures
7.1

 
3.0

 
4.5

 
3.5

Denominator for diluted earnings per share
304.5

 
321.9

 
304.5

 
330.7

During the three months ended September 30, 2013 and 2012, weighted average shares related to certain stock options of 0.1 and 14.8, respectively, were excluded from the denominator for diluted earnings per share because the stock options were anti-dilutive. During the nine months ended September 30, 2013 and 2012, weighted average shares related to certain stock options of 5.6 and 11.9, respectively, were excluded from the denominator for diluted earnings per share because the stock options were anti-dilutive.
During the nine months ended September 30, 2013, we issued approximately 2.4 restricted stock units under our stock incentive plans, 0.9 of which vesting is contingent upon us meeting specified annual operating gain targets for 2013. The contingent restricted stock units have been excluded from the denominator for diluted earnings per share and will be included only if and when the contingency is met.
13.
Segment Information
On May 20, 2013, we announced certain organizational and executive leadership changes to align with how our new Chief Executive Officer is managing the Company. Beginning with the three months ended June 30, 2013, our organizational structure is comprised of three reportable segments: Commercial and Specialty Business, Government Business and Other.
Our Commercial and Specialty Business segment includes Local Group, National Accounts, Individual and Specialty businesses. Business units in the Commercial and Specialty Business segment offer fully-insured products; provide a broad array of managed care services to self-funded customers including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, disease management, wellness programs and other administrative services; provide an array of specialty and other insurance products and services such as behavioral health benefit services, dental, vision, life and disability insurance benefits, radiology benefit management, analytics-driven personal health care guidance and long-term care insurance; and include the operations of our 1-800 CONTACTS business.
Our Government Business segment includes Medicare and Medicaid businesses, National Government Services and services provided to the Federal Government in connection with FEP. Medicare business includes services such as Medicare Advantage, Medicare Part D, and Medicare Supplement, while Medicaid business includes our managed care alternatives through publicly funded health care programs, including Medicaid, state Children’s Health Insurance Programs and Medicaid expansion programs. National Government Services acts as a Medicare contractor in several regions across the nation.
Our Other segment includes other businesses that do not meet the quantitative thresholds for an operating segment as defined by FASB guidance, as well as corporate expenses not allocated to the other reportable segments.
We define operating revenues to include premium income, administrative fees and other revenue. Operating revenues are derived from premiums and fees received primarily from the sale and administration of health benefit products, as well as sales of ocular products by 1-800 CONTACTS. Operating gain is calculated as total operating revenue less benefit expense; selling, general and administrative expense; and costs of products.

-27-

Financial data by reportable segment for the three and nine months ended September 30, 2013 and 2012 is as follows (amounts reported for prior periods have been reclassified to conform to our new segment reporting structure):
 
Commercial
and Specialty
Business
 
Government
Business
 
Other
 
Total
Three Months Ended September 30, 2013:
 
 
 
 
 
 
 
Operating revenue from external customers
$
9,789.1

 
$
7,931.1

 
$
12.8

 
$
17,733.0

Operating gain (loss)
688.2

 
326.5

 
(5.3
)
 
1,009.4

Three Months Ended September 30, 2012:
 
 
 
 
 
 
 
Operating revenue from external customers
$
9,751.2

 
$
5,374.1

 
$
8.4

 
$
15,133.7

Operating gain (loss)
852.3

 
169.0

 
(17.5
)
 
1,003.8

Nine Months Ended September 30, 2013:
 
 
 
 
 
 
 
Operating revenue from external customers
$
29,358.7

 
$
23,493.5

 
$
24.3

 
$
52,876.5

Operating gain (loss)
2,869.9

 
757.6

 
(18.8
)
 
3,608.7

Nine Months Ended September 30, 2012:
 
 
 
 
 
 
 
Operating revenue from external customers
$
29,391.7

 
$
16,039.2

 
$
26.3

 
$
45,457.2

Operating gain (loss)
2,863.2

 
381.8

 
(36.9
)
 
3,208.1

A reconciliation of reportable segments operating revenues to total revenues reported in the consolidated statements of income for the three and nine months ended September 30, 2013 and 2012 is as follows:
 
Three Months Ended 
 September 30
 
Nine Months Ended 
 September 30
 
2013
 
2012
 
2013
 
2012
Reportable segments operating revenues
$
17,733.0

 
$
15,133.7

 
$
52,876.5

 
$
45,457.2

Net investment income
167.6

 
168.6

 
482.8

 
507.0

Net realized gains on investments
95.4

 
54.6

 
166.4

 
232.0

Other-than-temporary impairment losses recognized in income
(26.2
)
 
(3.8
)
 
(73.1
)
 
(20.6
)
Total revenues
$
17,969.8

 
$
15,353.1

 
$
53,452.6

 
$
46,175.6

A reconciliation of reportable segments operating gain to income before income tax expense included in the consolidated statements of income for the three and nine months ended September 30, 2013 and 2012 is as follows:
 
Three Months Ended 
 September 30
 
Nine Months Ended 
 September 30
 
2013
 
2012
 
2013
 
2012
Reportable segments operating gain
$
1,009.4

 
$
1,003.8

 
$
3,608.7

 
$
3,208.1

Net investment income
167.6

 
168.6

 
482.8

 
507.0

Net realized gains on investments
95.4

 
54.6

 
166.4

 
232.0

Other-than-temporary impairment losses recognized in income
(26.2
)
 
(3.8
)
 
(73.1
)
 
(20.6
)
Interest expense
(151.5
)
 
(133.6
)
 
(456.9
)
 
(360.3
)
Loss on extinguishment of debt
(145.3
)
 
—

 
(145.3
)
 
—

Amortization of other intangible assets
(66.6
)
 
(63.9
)
 
(202.2
)
 
(182.1
)
Income before income tax expense
$
882.8

 
$
1,025.7

 
$
3,380.4

 
$
3,384.1


-28-


ITEM 2.
MANAGEMENT’S DISCUSSION AND ANALYSIS OF FINANCIAL CONDITION AND RESULTS OF OPERATIONS
(In Millions, Except Per Share Data or Otherwise Stated Herein)
References to the terms “we”, “our” or “us” used throughout this Management’s Discussion and Analysis of Financial Condition and Results of Operations, or MD&A, refer to WellPoint, Inc., an Indiana corporation, and unless the context otherwise requires, its direct and indirect subsidiaries.
This MD&A should be read in conjunction with our audited consolidated financial statements as of and for the year ended December 31, 2012 and the MD&A included in our 2012 Annual Report on Form 10-K, and our unaudited consolidated financial statements and accompanying notes as of and for the three and nine months ended September 30, 2013 included in this Form 10-Q. Results of operations, cost of care trends, investment yields and other measures for the three and nine month periods ended September 30, 2013 are not necessarily indicative of the results and trends that may be expected for the full year ending December 31, 2013. Also see Part I, Item 1A, “Risk Factors” of our 2012 Annual Report on Form 10-K and Part II, Item 1A, “Risk Factors” of this Form 10-Q.
Overview
On May 20, 2013, we announced certain organizational and executive leadership changes to align with how our new Chief Executive Officer is managing our operations. Beginning with the three months ended June 30, 2013, our organizational structure is comprised of three reportable segments: Commercial and Specialty Business, Government Business and Other. Prior period segment information has been reclassified to conform to the new segment reporting structure.
Our Commercial and Specialty Business segment includes Local Group, National Accounts, Individual and Specialty businesses. Business units in the Commercial and Specialty Business segment offer fully-insured products; provide a broad array of managed care services to self-funded customers including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, disease management, wellness programs and other administrative services; provide an array of specialty and other insurance products and services such as behavioral health benefit services, dental, vision, life and disability insurance benefits, radiology benefit management, analytics-driven personal health care guidance and long-term care insurance; and include the operations of our 1-800 CONTACTS, Inc., or 1-800 CONTACTS business.
Our Government Business segment includes Medicare and Medicaid businesses, National Government Services and services provided to the Federal Government in connection with the Federal Employee Program, or FEP. Medicare business includes services such as Medicare Advantage, Medicare Part D, and Medicare Supplement, while Medicaid business includes our managed care alternatives through publicly funded health care programs, including Medicaid, state Children’s Health Insurance Programs and Medicaid expansion programs. National Government Services acts as a Medicare contractor in several regions across the nation.
Our Other segment includes other businesses that do not meet the quantitative thresholds for an operating segment as defined by Financial Accounting Standards Board, or FASB, guidance, as well as corporate expenses not allocated to the other reportable segments.
The Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010 (collectively “Health Care Reform”) has changed and will continue to make broad-based changes to the U.S. health care system which could impact the U.S. economy and we expect will continue to significantly impact our business model and results of operations. Health Care Reform presents us with new business opportunities, but also with new financial and regulatory challenges. We will continue to evaluate the impact of Health Care Reform as new regulations are implemented and additional guidance becomes available. For additional discussion regarding Health Care Reform, see Part I, Item 1 “Business – Regulation”, Part I, Item 1A “Risk Factors” and the “Overview” section of Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in our 2012 Annual Report on Form 10-K.
For additional information about our organization, see the “Overview” section of Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in our 2012 Annual Report on Form 10-K.
Executive Summary
We are one of the largest health benefits companies in the United States, serving approximately 35.5 medical members through our affiliated health plans and approximately 67.4 individuals through all subsidiaries as of September 30, 2013. We are an independent licensee of the Blue Cross and Blue Shield Association, or BCBSA, an association of independent health benefit plans. We serve our members as the Blue Cross licensee for California and as the Blue Cross and Blue Shield, or BCBS,

-29-


licensee for: Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri (excluding 30 counties in the Kansas City area), Nevada, New Hampshire, New York (as BCBS in 10 New York City metropolitan and surrounding counties, and as Blue Cross or BCBS in selected upstate counties only), Ohio, Virginia (excluding the Northern Virginia suburbs of Washington, D.C.), and Wisconsin. In a majority of these service areas we do business as Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Georgia, and Empire Blue Cross Blue Shield, or Empire Blue Cross (in our New York service areas). Through our AMERIGROUP Corporation subsidiary, or Amerigroup, we conduct business in Florida, Georgia, Kansas, Louisiana, Maryland, Nevada, New Jersey, New Mexico, New York, Tennessee, Texas and Washington. Amerigroup also provided services to the state of Ohio through June 30, 2013. We also serve customers throughout the country as HealthLink, UniCare and in certain Arizona, California, Nevada, New York and Virginia markets through our CareMore Health Group, Inc., or CareMore, subsidiary. We are licensed to conduct insurance operations in all 50 states through our subsidiaries. We also sell contact lenses, eyeglasses and other ocular products through our 1-800 CONTACTS business.
Operating revenue for the three months ended September 30, 2013 was $17,733.0, an increase of $2,599.3, or 17.2%, from the three months ended September 30, 2012, reflecting higher premium revenue in both our Government Business segment and our Commercial and Specialty Business segment. The higher premium revenue in our Government Business segment primarily resulted from the acquisition of Amerigroup in December 2012 and was partially offset by lower revenues in our non-CareMore Medicare Advantage business primarily due to membership losses as a result of our product repositioning strategy toward health maintenance organization, or HMO, product offerings. The higher premium revenue in our Commercial and Specialty Business segment was driven primarily by premium rate increases in our Local Group, FEP, Individual and National businesses designed to cover overall cost trends, partially offset by fully-insured membership declines in our Local Group and Individual businesses resulting from strategic product portfolio changes in certain states, competitive pressure in certain markets and, we believe, affordability challenges affecting healthcare consumers in general.
Operating revenue for the nine months ended September 30, 2013 was $52,876.5, an increase of $7,419.3, or 16.3%, from the nine months ended September 30, 2012, reflecting higher premium revenue in our Government Business segment, partially offset by lower premium revenue in our Commercial and Specialty Business segment. The higher premium revenue in our Government Business segment primarily resulted from the acquisition of Amerigroup in December 2012, growth in our FEP business resulting from both premium rate increases designed to cover overall cost trends and increases in membership as well as increased membership in our CareMore subsidiary. These increases were partially offset by lower revenues in our Medicare Advantage and Medicare Part D businesses primarily due to membership losses as a result of our product repositioning strategy toward HMO product offerings. The premium revenue decrease in our Commercial and Specialty Business segment was driven primarily by fully-insured membership declines in our Local Group business resulting from strategic product portfolio changes in certain states, competitive pressure in certain markets and, we believe, affordability challenges affecting healthcare consumers in general. This decrease was partially offset by rate increases in our Local Group, Individual and National businesses designed to cover overall cost trends as well as revenues generated by 1-800-CONTACTS, which we acquired on June 20, 2012.
Net income for the three months ended September 30, 2013 was $656.2, a decrease of $35.0, or 5.1%, from the three months ended September 30, 2012. This decrease in net income was primarily driven by lower operating results in our Commercial and Specialty Business segment primarily attributable to project costs incurred in preparation for the implementation of health care reform effective in 2014 as well as realized losses on extinguishment of debt, partially offset by higher operating results in our Government Business segment and lower income tax expense. Our fully-diluted earnings per share, or EPS, was $2.16 for the three months ended September 30, 2013, which represented a 0.5% increase over the EPS of $2.15 for the three months ended September 30, 2012. The increase in EPS resulted primarily from the lower number of shares outstanding in 2013 due to share buyback activity under our share repurchase program, partially offset by the decrease in net income.
Net income for the nine months ended September 30, 2013 was $2,341.5, an increase of $150.2, or 6.9%, from the nine months ended September 30, 2012. This increase in net income was primarily driven by higher operating results in both our Government Business and Commercial and Specialty Business segments and lower income tax expense, partially offset by project costs incurred in preparation for the implementation of health care reform effective in 2014, realized losses on extinguishment of debt, an increase in interest expense resulting from higher outstanding debt balances associated with our acquisition of Amerigroup and a decrease in net realized gains on investments. Our fully-diluted EPS was $7.69 for the nine months ended September 30, 2013, which represented a 16.0% increase over the EPS of $6.63 for the nine months ended September 30, 2012. The increase in EPS resulted primarily from the lower number of shares outstanding in 2013 due to share buyback activity under our share repurchase program and the increase in net income.
Our results of operations discussed throughout this MD&A are determined in accordance with U.S. generally accepted accounting principles, or GAAP. We also calculate adjusted net income, adjusted EPS and operating gain, which are non-GAAP measures, to further aid investors in understanding and analyzing our core operating results and comparing them among

-30-


periods. Adjusted net income and adjusted EPS exclude realized gains and losses on investments, other-than-temporary impairment losses on investments recognized in income and certain other items, if applicable, that we do not consider a part of our core operating results. Operating gain is calculated as total operating revenue less benefit expense, selling, general and administrative expense and cost of products. We use these measures as a basis for evaluating segment performance, allocating resources, setting incentive compensation targets and for forecasting future operating periods. This information is not intended to be considered in isolation or as a substitute for income before income tax expense, net income or diluted EPS prepared in accordance with GAAP, and may not be comparable to similarly titled measures reported by other companies. For additional details on operating gain, see our “Reportable Segments Results of Operations” discussion within this MD&A.
The table below reconciles net income and EPS calculated in accordance with GAAP to adjusted net income and adjusted EPS for the three months ended September 30, 2013 and 2012.
 
Three Months Ended 
 September 30
 
 
 
 
 
2013
 
2012
 
Change
 
% Change
Net income
$
656.2

 
$
691.2

 
$
(35.0
)
 
(5.1
)%
Less (net of tax):
 
 
 
 
 
 
 
Net realized gains on investments
62.0

 
35.5

 
26.5

 
 
Other-than-temporary impairment losses on investments
(17.0
)
 
(2.5
)
 
(14.5
)
 
 
Loss on extinguishment of debt
(94.4
)
 
—

 
(94.4
)
 
 
Tax benefit from favorable tax election
65.0

 
—

 
65.0

 
 
Acquisition and integration related costs
—

 
(13.9
)
 
13.9

 
 
Adjusted net income
$
640.6

 
$
672.1

 
$
(31.5
)
 
(4.7
)%
 
 
 
 
 
 
 
 
EPS
$
2.16

 
$
2.15

 
$
0.01

 
0.5
 %
Less (net of tax):
 
 
 
 
 
 
 
Net realized gains on investments
0.20

 
0.11

 
0.09

 
 
Other-than-temporary impairment losses on investments
(0.05
)
 
(0.01
)
 
(0.04
)
 
 
Loss on extinguishment of debt
(0.31
)
 
—

 
(0.31
)
 
 
Tax benefit from favorable tax election
0.21

 
—

 
0.21

 
 
Acquisition and integration related costs
—

 
(0.04
)
 
0.04

 
 
Per share rounding impact
0.01

 
—

 
0.01

 
 
Adjusted EPS
$
2.10

 
$
2.09

 
$
0.01

 
0.5
 %

-31-


The table below reconciles net income and EPS calculated in accordance with GAAP to adjusted net income and adjusted EPS for the nine months ended September 30, 2013 and 2012.
 
Nine Months Ended 
 September 30
 
 
 
 
 
2013
 
2012
 
Change
 
% Change
Net income
$
2,341.5

 
$
2,191.3

 
$
150.2

 
6.9
%
Less (net of tax):
 
 
 
 
 
 
 
Net realized gains on investments
108.2

 
150.8

 
(42.6
)
 
 
Other-than-temporary impairment losses on investments
(47.5
)
 
(13.4
)
 
(34.1
)
 
 
Loss on extinguishment of debt
(94.4
)
 
—

 
(94.4
)
 
 
Tax benefit from favorable tax election
65.0

 
—

 
65.0

 
 
Acquisition and integration related costs
(16.3
)
 
(21.1
)
 
4.8

 
 
Litigation related costs
—

 
(24.0
)
 
24.0

 
 
Tax impact of non-deductible litigation related costs
—

 
(41.4
)
 
41.4

 
 
Adjusted net income
$
2,326.5

 
$
2,140.4

 
$
186.1

 
8.7
%
 
 
 
 
 
 
 
 
EPS
$
7.69

 
$
6.63

 
$
1.06

 
16.0
%
Less (net of tax):
 
 
 
 
 
 
 
Net realized gains on investments
0.36

 
0.46

 
(0.10
)
 
 
Other-than-temporary impairment losses on investments
(0.16
)
 
(0.04
)
 
(0.12
)
 
 
Loss on extinguishment of debt
(0.31
)
 
—

 
(0.31
)
 
 
Tax benefit from favorable tax election
0.21

 
—

 
0.21

 
 
Acquisition and integration related costs
(0.05
)
 
(0.06
)
 
0.01

 
 
Litigation related costs
—

 
(0.07
)
 
0.07

 
 
Tax impact of non-deductible litigation related costs
—

 
(0.13
)
 
0.13

 
 
Adjusted EPS
$
7.64

 
$
6.47

 
$
1.17

 
18.1
%
Operating cash flow for the nine months ended September 30, 2013 was $2,779.5, or 1.2 times net income. Operating cash flow for the nine months ended September 30, 2012 was $1,984.8. The increase in operating cash flow from 2012 of $794.7 was driven primarily by higher net income in 2013, lower payments in 2013 for litigation, incentive compensation and minimum medical loss rebates and an increase in the collection of income tax refunds in 2013.
Sources and Uses of Capital
We regularly review the appropriate use of capital, including common stock repurchases, repurchases of debt and dividends to shareholders. The declaration and payment of any dividends or repurchases of our common stock or debt securities are at the discretion of our Board of Directors and depend upon our financial condition, results of operations, future liquidity needs, regulatory and capital requirements and other factors deemed relevant by our Board of Directors.
For additional information regarding our use of capital during the three and nine months ended September 30, 2013, see Note 8, “Debt,” and the “Use of Capital – Dividends and Stock Repurchase Program” section of Note 10, “Capital Stock,” to our unaudited consolidated financial statements included in Part I, Item 1 of this Form 10-Q.
Membership
Our medical membership includes seven different customer types: Local Group, Individual, National Accounts, BlueCard®, Medicare, Medicaid and FEP. BCBS-branded business generally refers to members in our service areas licensed by the BCBSA. Non-BCBS-branded business refers to Amerigroup and CareMore members as well as HealthLink and UniCare members. For a more detailed description of our medical membership, see the “Membership” section of Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in our 2012 Annual Report on Form 10-K.

-32-


The following table presents our medical membership by customer type, funding arrangement and reportable segment as of September 30, 2013 and 2012. Also included below is other membership by product. The medical membership and other membership information presented is unaudited and in certain instances includes estimates of the number of members represented by each contract at the end of the period. 
  
September 30

 

 
(In thousands)
2013
 
2012

Change

% Change
Medical Membership







Customer Type







Local Group
14,497

 
14,602

 
(105
)
 
(0.7
)%
Individual
1,807

 
1,862

 
(55
)
 
(3.0
)
National:
 
 
 
 
 
 
 
National Accounts
6,797

 
7,019

 
(222
)
 
(3.2
)
BlueCard®
5,079

 
5,062

 
17

 
0.3

Total National
11,876

 
12,081

 
(205
)
 
(1.7
)
Medicare
1,477

 
1,538

 
(61
)
 
(4.0
)
Medicaid
4,323

 
1,891

 
2,432

 
128.6

FEP
1,528

 
1,519

 
9

 
0.6

Total Medical Membership by Customer Type
35,508

 
33,493

 
2,015

 
6.0

Funding Arrangement
 
 
 
 
 
 
 
Self-Funded
20,139

 
20,172

 
(33
)
 
(0.2
)
Fully-Insured
15,369

 
13,321

 
2,048

 
15.4

Total Medical Membership by Funding Arrangement
35,508

 
33,493

 
2,015

 
6.0

Reportable Segment
 
 
 
 
 
 
 
Commercial and Specialty Business
28,180

 
28,545

 
(365
)
 
(1.3
)
Government Business
7,328

 
4,948

 
2,380

 
48.1

Total Medical Membership by Reportable Segment
35,508

 
33,493

 
2,015

 
6.0

Other Membership & Customers
 
 
 
 
 
 
 
Behavioral Health Members
24,345

 
24,386

 
(41
)
 
(0.2
)
Life and Disability Members
4,750

 
4,895

 
(145
)
 
(3.0
)
Dental Members
4,900

 
4,871

 
29

 
0.6

Dental Administration Members
4,888

 
4,103

 
785

 
19.1

Vision Members
4,723

 
4,435

 
288

 
6.5

Medicare Advantage Part D Members
625

 
689

 
(64
)
 
(9.3
)
Medicare Part D Standalone Members
477

 
579

 
(102
)
 
(17.6
)
Retail Vision Customers
3,127

 
3,112

 
15

 
0.5

Medical Membership (in thousands)
For the rolling twelve months ended September 30, 2013, total medical membership increased 2,015, or 6.0%, primarily due to Medicaid membership acquired with the acquisition of Amerigroup, partially offset by decreases in our National Accounts, Local Group, Medicare and Individual membership.
Self-funded medical membership decreased 33, or 0.2%, primarily due to lapses in our National Accounts business, partially offset by membership increases in our Local Group self-funded accounts.
Fully-insured membership increased 2,048, or 15.4%, primarily due to Medicaid membership acquired with the acquisition of Amerigroup, partially offset by membership losses in certain Local Group and Individual markets, as well as membership losses in our Medicare business, described below.

-33-


Local Group membership decreased 105, or 0.7%, primarily due to strategic product portfolio changes in certain states, competitive pressure in certain markets and, we believe, affordability challenges affecting healthcare consumers in general.
Individual membership decreased 55, or 3.0%, primarily due to a heightened competitive environment in certain markets.
National Accounts membership decreased 222, or 3.2%, primarily due to lapses in our self-funded business.
BlueCard® membership increased 17, or 0.3%, primarily due to favorable membership activity at other BCBSA plans whose members reside in or travel to our licensed areas.
Medicare membership decreased 61, or 4.0%, primarily due to our product repositioning strategy toward HMO product offerings.
Medicaid membership increased 2,432, or 128.6%, primarily due to membership acquired with the acquisition of Amerigroup.
FEP membership increased 9, or 0.6%, primarily due to favorable in-group change.
Other Membership (in thousands)
Our Other products are often ancillary to our health business, and can therefore be impacted by corresponding changes in our medical membership.
Behavioral health membership decreased 41, or 0.2%, primarily due to the overall declines in our medical membership.
Life and disability membership decreased 145, or 3.0%, primarily due to the overall declines in our Commercial and Specialty Business medical membership. Life and disability products are generally offered as part of Commercial and Specialty Business medical membership sales.
Dental membership increased 29, or 0.6%, primarily due to growth from the launch of new product offerings, partially offset by declines in our Commercial and Specialty Business membership.
Dental administration membership increased 785, or 19.1%, primarily due to the acquisition of a large managed dental contract pursuant to which we provide dental administrative services.
Vision membership increased 288, or 6.5%, primarily due to strong sales and in-group change in our Local Group, National Accounts and Individual businesses.
Medicare Advantage Part D membership decreased 64, or 9.3%, primarily due to our product repositioning strategy toward HMO product offerings.
Medicare Part D standalone membership decreased 102, or 17.6%, primarily due to competitive pressure in certain markets.
Retail vision customers increased 15, or 0.5%, primarily due to increased sales as a result of our continued marketing efforts.
Cost of Care
The following discussion summarizes our aggregate underlying cost of care trends for the rolling 12 months ended September 30, 2013 for our Local Group fully-insured business only.
Our cost of care trends are calculated by comparing the year-over-year change in average per member per month claim costs, including member co-payments and deductibles. While our cost of care trend varies by geographic location, based on underlying medical cost trends, we believe that our 2013 cost of care trend estimate will be in the range of 6.0% plus or minus 50 basis points.
Overall, our medical cost trend is driven by unit cost. Inpatient hospital trend is in the mid-single digit range and is 90% cost driven and 10% utilization driven. While provider rate increases are a primary driver of unit cost trends, we continually negotiate with hospitals to manage these cost trends. We remain committed to optimizing our reimbursement rates and strategies to help address the cost pressures faced by employers and consumers. Inpatient admission counts per thousand members and inpatient day counts per thousand members are both slightly higher than prior year. The average length of stay is slightly lower than prior year. In addition to our re-contracting efforts, a number of clinical management initiatives are in place

-34-


to help mitigate the inpatient trend. Focused review efforts continue in key areas, including inpatient behavioral health stays and spinal surgery cases, among others. Additionally, we continue to refine our programs related to readmission management, focused utilization management at high cost facilities, and post-discharge follow-up care.
Outpatient trend is in the mid-single digit range and is 90% cost driven and 10% utilization driven. Outpatient costs are a collection of different types of expenses, such as outpatient facilities, labs, x-rays, emergency room, and occupational and physical therapy. Per visit costs are still the largest contributor to overall outpatient trend, influenced largely by price increases within certain provider contracts. Outpatient utilization (visits per thousand members) is slightly higher than the prior year. We continue to work with vendors and providers to help optimize site of service decisions, including key areas such as emergency room, lab, radiology, sleep studies, and surgery settings. As an example, we have launched a Sleep Management Program through our American Imaging Management subsidiary in west, central and north-east states. The program aligns the diagnosis and treatment of sleep apnea with clinical guidelines based on widely accepted medical literature, while at the same time enhancing member access to high value providers and ensuring treatment compliance for the continuing payment for equipment rental and ongoing supplies. Programs like this, along with continued expansion and optimization of our utilization management programs, are serving to moderate trend.
Physician services trend is in the mid-to-low single digit range and is unit cost driven. Increases in the physician care category are partially driven by contracting changes. We continue to collaborate with physicians to improve quality of care through pay-for-performance programs and bundled payment initiatives. Additionally, we continue to enhance our ability to detect and deter fraud and abuse, reducing waste in the system.
Pharmacy trend is in the mid-to-low single digit range and is 30% unit cost related and 70% utilization related. Continued inflation in the average wholesale price of drugs is applying upward pressure to the overall cost per prescription, as is the increasing cost of specialty drugs. The increase in cost per prescription measures continues to be mitigated by improvements in our generic usage rates and benefit plan design changes. We are continuously evaluating our drug formulary to ensure the most effective pharmaceutical therapies are available to our members.
In response to cost trends, we continue to pursue contracting and plan design changes, promote and implement performance-based contracts that reward clinical outcomes and quality, and expand our radiology management, disease management and advanced care management programs. We believe we are taking a leading role in the area of payment reform as evidenced by the introduction of the Patient Centered Primary Care program. By establishing the primary care doctor as central to the coordination of a patient’s health care needs, the initiative builds on the success of current patient-centered medical home programs in helping to improve patient care while lowering costs. Additionally, our value-based contracting initiative continues to underscore our commitment to partnering with providers to improve quality and lower cost.

-35-


Consolidated Results of Operations
Our consolidated summarized results of operations for the three and nine months ended September 30, 2013 and 2012 are as follows: 
 
Three Months Ended September 30
 
Nine Months Ended September 30

Change
 
Three Months Ended September 30

Nine Months Ended September 30
 
2013 vs. 2012
 
2013 vs. 2012
 
2013
 
2012
 
2013
 
2012

$      

%      

$

%
Total operating revenue
$
17,733.0


$
15,133.7


$
52,876.5


$
45,457.2


$
2,599.3

 
17.2
 %
 
$
7,419.3

 
16.3
 %
Net investment income
167.6


168.6


482.8


507.0


(1.0
)
 
(0.6
)%
 
(24.2
)
 
(4.8
)%
Net realized gains on investments
95.4


54.6


166.4


232.0


40.8

 
74.7
 %
 
(65.6
)
 
(28.3
)%
Other-than-temporary impairment losses on investments
(26.2
)

(3.8
)

(73.1
)

(20.6
)

(22.4
)
 
589.5
 %
 
(52.5
)
 
254.9
 %
Total revenues
17,969.8


15,353.1


53,452.6


46,175.6


2,616.7

 
17.0
 %
 
7,277.0

 
15.8
 %
Benefit expense
14,075.0


11,984.8


41,656.3


35,849.8


2,090.2

 
17.4
 %
 
5,806.5

 
16.2
 %
Selling, general and administrative expense
2,580.0


2,078.6


7,415.5


6,326.1


501.4

 
24.1
 %
 
1,089.4

 
17.2
 %
Cost of products
68.6


66.5


196.0


73.2


2.1

 
3.2
 %
 
122.8

 
167.8
 %
Other expense1 
363.4


197.5


804.4


542.4


165.9

 
84.0
 %
 
262.0

 
48.3
 %
Total expenses
17,087.0


14,327.4


50,072.2


42,791.5


2,759.6

 
19.3
 %
 
7,280.7

 
17.0
 %
Income before income tax expense
882.8


1,025.7


3,380.4


3,384.1


(142.9
)
 
(13.9
)%
 
(3.7
)
 
(0.1
)%
Income tax expense
226.6


334.5


1,038.9


1,192.8


(107.9
)
 
(32.3
)%
 
(153.9
)
 
(12.9
)%
Net income
$
656.2


$
691.2


$
2,341.5


$
2,191.3


$
(35.0
)
 
(5.1
)%
 
$
150.2

 
6.9
 %
Average diluted shares outstanding
304.5


321.9


304.5


330.7


(17.4
)
 
(5.4
)%
 
(26.2
)
 
(7.9
)%
Diluted net income per share
$
2.16


$
2.15


$
7.69


$
6.63


$
0.01

 
0.5
 %
 
$
1.06

 
16.0
 %
Benefit expense ratio2
84.9
%

85.4
%

84.1
%

84.7
%



(50)bp3




(60)bp3

Selling, general and administrative expense ratio4
14.5
%

13.7
%

14.0
%

13.9
%



80bp3




10bp3

Income before income taxes as a percentage of total revenue
4.9
%

6.7
%

6.3
%

7.3
%



(180)bp3




(100)bp3

Net income as a percentage of total revenue
3.7
%

4.5
%

4.4
%

4.7
%



(80)bp3




(30)bp3

Certain of the following definitions are also applicable to all other results of operations tables in this discussion:
1
Includes interest expense, amortization of other intangible assets and loss on extinguishment of debt.
2
Benefit expense ratio = Benefit expense ÷ Premiums. Premiums for the three months ended September 30, 2013 and 2012 were $16,580.9 and $14,037.1, respectively. Premiums for the nine months ended September 30, 2013 and 2012 were $49,509.5 and $42,336.6, respectively. Premiums are included in total operating revenue presented above.
3
bp = basis point; one hundred basis points = 1%.
4
Selling, general and administrative expense ratio = Selling, general and administrative expense ÷ Total operating revenue.
Three Months Ended September 30, 2013 Compared to the Three Months Ended September 30, 2012
Total operating revenue increased $2,599.3, or 17.2%, to $17,733.0 in 2013, resulting primarily from higher premiums and, to a lesser extent, increased administrative fees, partially offset by decreased other revenue. Higher premiums were mainly due to increases in our Medicaid business resulting from our acquisition of Amerigroup in December 2012. Rate increases in our Local Group, FEP, Individual and National businesses designed to cover overall cost trends also contributed to the increased premium revenue. These increases were partially offset by fully-insured membership declines in our Local Group and Individual businesses due to strategic portfolio changes in certain states, competitive pressure in certain markets and, we believe, affordability challenges affecting healthcare consumers in general. Finally, lower revenues in our Medicare Advantage business, primarily due to membership losses as a result of our product repositioning strategy toward HMO product offerings, partially offset the increased operating revenues.


-36-


Net realized gains on investments increased $40.8, or 74.7%, to $95.4 in 2013, primarily due to an increase in net realized gains resulting from sales of equity securities and lower net realized losses on sales and settlements of derivative financial instruments, partially offset by lower net realized gains resulting from sales of fixed maturity securities.
Other-than-temporary impairment losses on investments increased $22.4, or 589.5%, primarily due to the impairment of certain fixed maturity securities.
Benefit expense increased $2,090.2, or 17.4%, to $14,075.0 in 2013, primarily from our acquisition of Amerigroup and increased benefit costs in our Local Group, FEP and Individual businesses. These increases were partially offset by the fully-insured membership declines in our Local Group and Individual and Medicare Advantage businesses as described above.
Our benefit expense ratio decreased 50 basis points to 84.9% in 2013, primarily due to improved operating results in our Medicare business and modest declines in the ratios for our Commercial and Specialty segment and our California Medicaid operations. These improvements were partially offset by the acquisition of Amerigroup and changes in product mix as a result of membership increases in our FEP business which both carry higher average benefit expense ratios than our consolidated average.
Selling, general and administrative expense increased $501.4, or 24.1%, to $2,580.0 in 2013, primarily due to the inclusion of selling, general and administrative expense related to our Amerigroup subsidiary in 2013 and project costs incurred in preparation for the implementation of health care reform effective in 2014. The increase was further attributable to increases in incentive compensation as a result of our operating performance.
Our selling, general and administrative expense ratio increased 80 basis points to 14.5% in 2013, primarily due to project costs incurred in preparation for the implementation of health care reform effective in 2014 and increases in incentive compensation as a result of our operating performance, partially offset by the effect of the increase in operating revenue.
Other expense increased $165.9, or 84.0%, to $363.4, primarily due to losses on debt extinguishment of $145.3 associated with our early redemption and repurchase of $1,100.0 aggregate principal amount of outstanding notes, as follows. On July 30, 2013, we initiated a cash tender offer and consent solicitation to purchase certain of our outstanding 5.875% Notes due 2017, 7.000% Notes due 2019, 5.950% Notes due 2034, 5.850% Notes due 2036, 6.375% Notes due 2037 and 5.800% Notes due 2040 (collectively, the “Tendered Notes”). On August 13, 2013 we repurchased $700.0 of the Tendered Notes for cash totaling $837.7. Holders who tendered their notes prior to the early tender date received the principal amounts, applicable premium for early redemption and accrued and unpaid interest up to but not including the early tender offer settlement date. Additionally, on September 5, 2013, we redeemed the $400.0 outstanding principal balance of our 6.000% senior unsecured notes due 2014, plus applicable premium for early redemption and accrued and unpaid interest up to but not including the redemption date, for cash totaling $411.0.
Income tax expense decreased $107.9, or 32.3%, to $226.6 in 2013. The effective tax rates in 2013 and 2012 were 25.7% and 32.6%, respectively. The decrease in income tax expense was due to a lower effective rate in 2013 as well as decreased income before tax expense. The 2013 effective tax rate includes benefits resulting from a favorable tax election made subsequent to the Amerigroup acquisition. The 2012 effective tax rate reflects a benefit from the settlement with the Internal Revenue Service, or IRS, of a portion of our open tax issues related to taxes at certain of our acquired companies incurred prior to our acquisition of these companies. This benefit was partially offset by an increase in our state deferred tax asset valuation allowance attributable to the uncertainty associated with some of our state net operating loss carryforwards.
Our net income as a percentage of total revenue decreased 80 basis points to 3.7% in 2013 as compared to 2012 as a result of all factors discussed above.
Nine Months Ended September 30, 2013 Compared to the Nine Months Ended September 30, 2012
Total operating revenue increased $7,419.3, or 16.3%, to $52,876.5 in 2013, resulting primarily from higher premiums and, to a lesser extent, increased other revenue and administrative fees. The higher premiums were mainly due to increases in our Medicaid business primarily as a result of our acquisition of Amerigroup in December 2012. Rate increases in our Local Group, FEP, Individual and National businesses designed to cover overall cost trends also contributed to the increased premium revenue. In addition, other revenues generated by 1-800 CONTACTS resulted in an increase over the prior year period. These increases were partially offset by fully-insured membership declines in our Local Group business due to strategic portfolio changes in certain states, competitive pressure in certain markets and, we believe, affordability challenges affecting healthcare consumers in general. Additionally, lower revenues in our Medicare Advantage and Medicare Part D businesses primarily due to membership declines as a result of our product repositioning strategy toward HMO product offerings, partially offset the increased operating revenues.

-37-


Net investment income decreased $24.2, or 4.8%, to $482.8 in 2013, primarily due to lower investment yields.
Net realized gains on investments decreased $65.6, or 28.3%, to $166.4 in 2013, primarily due to lower net realized gains resulting from sales of fixed maturity securities, partially offset by an increase in net realized gains resulting from sales of equity securities and a decrease in net realized losses on sales and settlements of derivative financial instruments.
Other-than-temporary impairment losses on investments increased $52.5, or 254.9%, to $73.1, primarily due to the impairment of certain joint venture investments and fixed maturity securities.
Benefit expense increased $5,806.5, or 16.2%, to $41,656.3 in 2013, primarily from our acquisition of Amerigroup and increased benefit costs in our Local Group, FEP and Individual businesses. These increases were partially offset by the fully-insured membership declines in our Local Group and Medicare Advantage businesses as described above.
Our benefit expense ratio decreased 60 basis points to 84.1% in 2013, primarily due to the favorable impact of declines in membership in our Local Group business in products with higher benefit costs and lower than expected medical cost trends. These improvements were partially offset by the acquisition of Amerigroup which carries higher average benefit expense ratios than our consolidated average and lower favorable reserve development in the Commercial and Specialty business.
Selling, general and administrative expense increased $1,089.4, or 17.2%, to $7,415.5 in 2013, primarily due to the inclusion of selling, general and administrative expense related to our Amerigroup and 1-800 CONTACT subsidiaries in 2013. The increase was further attributable to increases in incentive compensation as a result of our operating performance as well as project costs incurred in preparation for the implementation of health care reform effective in 2014.
Our selling, general and administrative expense ratio increased 10 basis points to 14.0% in 2013, primarily due to increases in incentive compensation as a result of our operating performance as well as project costs incurred in preparation for the implementation of health care reform effective in 2014.
Cost of products increased $122.8 due to the acquisition of 1-800-CONTACTS on June 20, 2012.
Other expense increased $262.0, or 48.3%, to $804.4, primarily due to losses on debt extinguishment of $145.3 associated with our early redemption and repurchases of $1,100.0 aggregate principal amount of outstanding notes, as follows. On August 13, 2013 we repurchased $700.0 of the Tendered Notes for cash totaling $837.7. Holders who tendered their notes prior to the early tender date received the principal amounts, applicable premium for early redemption and accrued and unpaid interest up to but not including the early tender offer settlement date. Additionally, on September 5, 2013, we redeemed the $400.0 outstanding principal balance of our 6.000% senior unsecured notes due 2014, plus applicable premium for early redemption and accrued and unpaid interest up to but not including the redemption date, for cash totaling $411.0. The increase in other expense was further attributable to increased interest expense resulting from higher outstanding debt balances associated with our acquisition of Amerigroup and the issuance on July 30, 2013 of $650.0 of 2.300% notes due 2018 and $600.0 of 5.100% notes due 2044 to fund, in part, the early repurchases and redemption discussed above.
Income tax expense decreased $153.9, or 12.9%, to $1,038.9 in 2013. The effective tax rates in 2013 and 2012 were 30.7% and 35.2%, respectively. The decrease in income tax expense was due to a lower effective rate in 2013. The 2013 effective tax rate includes benefits resulting from a favorable tax election made subsequent to the Amerigroup acquisition and inclusion of Amerigroup in our state apportionment factors calculation, which produces a lower effective state tax rate. The 2012 effective tax rate reflects the non-tax deductibility of litigation settlement expenses associated with the settlement of a class action lawsuit in June 2012 and the increase in our state deferred tax asset valuation allowance. This was partially offset by the settlement with the IRS of a portion of our open tax issues related to certain of our acquired companies.
Our net income as a percentage of total revenue decreased 30 basis points to 4.4% in 2013 as compared to 2012 as a result of all factors discussed above.
Reportable Segments Results of Operations
We use operating gain to evaluate the performance of our reportable segments, which are Commercial and Specialty Business, Government Business and Other. Operating gain is calculated as total operating revenue less benefit expense, selling, general and administrative expense and cost of products. It does not include net investment income, net realized gains/losses on investments, other-than-temporary impairment losses recognized in income, interest expense, amortization of other intangible assets, loss on extinguishment of debt or income taxes, as these items are managed in a corporate shared service environment and are not the responsibility of operating segment management. For additional information, including reconciliation of non-GAAP financial measures, see Note 13, “Segment Information,” to our unaudited consolidated financial statements included in Part I, Item 1 of this Form 10-Q. The discussions of segment results for the three and nine months ended September 30, 2013 and 2012 presented below are based on operating gain, as described above, and operating margin, which is calculated as

-38-


operating gain divided by operating revenue. Our definitions of operating gain and operating margin may not be comparable to similarly titled measures reported by other companies.
Our Commercial and Specialty Business, Government Business and Other segments’ summarized results of operations for the three and nine months ended September 30, 2013 and 2012 are as follows:
 
Three Months Ended 
 September 30
 
Nine Months Ended 
 September 30
 
Change
 
Three Months Ended 
 September 30
 
Nine Months Ended 
 September 30
 
2013 vs. 2012
 
2013 vs. 2012
 
2013
 
2012
 
2013
 
2012
 
$      
 
%      
 
$
 
%
Commercial and Specialty Business















Operating revenue
$
9,789.1

 
$
9,751.2

 
$
29,358.7

 
$
29,391.7

 
$
37.9

 
0.4
 %
 
$
(33.0
)
 
(0.1
)%
Operating gain
$
688.2

 
$
852.3

 
$
2,869.9

 
$
2,863.2

 
$
(164.1
)
 
(19.3
)%
 
$
6.7

 
0.2
 %
Operating margin
7.0
%
 
8.7
%
 
9.8
%
 
9.7
%

NA1


(170)bp


NA1


10bp

Government Business















Operating revenue
$
7,931.1

 
$
5,374.1

 
$
23,493.5

 
$
16,039.2

 
$
2,557.0

 
47.6
 %
 
$
7,454.3

 
46.5
 %
Operating gain
$
326.5

 
$
169.0

 
$
757.6

 
$
381.8

 
$
157.5

 
93.2
 %
 
$
375.8

 
98.4
 %
Operating margin
4.1
%
 
3.1
%
 
3.2
%
 
2.4
%

NA1


100bp


NA1


80bp

Other2















Operating revenue
$
12.8

 
$
8.4

 
$
24.3

 
26.3

 
$
4.4

 
52.4
 %
 
$
(2.0
)
 
(7.6
)%
Operating loss
$
(5.3
)
 
$
(17.5
)
 
$
(18.8
)
 
(36.9
)
 
$
12.2

 
(69.7
)%
 
$
18.1

 
(49.1
)%
 
1
Not Applicable
2
Not Material
Three Months Ended September 30, 2013 Compared to the Three Months Ended September 30, 2012
Commercial and Specialty Business
Operating revenue increased $37.9, or 0.4%, to $9,789.1 in 2013, primarily due to premium rate increases in our Local Group, Individual and National businesses designed to cover overall cost trends. These increases were partially offset by fully-insured membership declines in our Local Group and Individual businesses resulting from strategic product portfolio changes in certain states, competitive pressure in certain markets and, we believe, affordability challenges affecting healthcare consumers in general.
Operating gain decreased $164.1, or 19.3%, to $688.2 in 2013, primarily due to higher selling, general and administrative expenses primarily attributable to project costs incurred in preparation for the implementation of health care reform effective in 2014 as well as increases in incentive compensation as a result of our operating performance.
The operating margin in 2013 was 7.0%, a 170 basis point decrease from 2012, primarily due to the factors discussed in the preceding two paragraphs.

Government Business
Operating revenue increased $2,557.0, or 47.6%, to $7,931.1 in 2013, primarily due to the acquisition of Amerigroup and growth in our FEP business resulting from both premium rate increases designed to cover overall cost trends and increases in membership. These increases were partially offset by membership declines in our non-CareMore Medicare Advantage and Medicare Part D businesses related to our product repositioning strategy toward HMO product offerings.
Operating gain increased $157.5, or 93.2%, to $326.5 in 2013, primarily due to the acquisition of Amerigroup.
The operating margin in 2013 was 4.1%, a 100 basis point increase from 2012, primarily due to the factors discussed in the preceding two paragraphs.

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Nine Months Ended September 30, 2013 Compared to the Nine Months Ended September 30, 2012
Commercial and Specialty Business
Operating revenue decreased $33.0, or 0.1%, to $29,358.7 in 2013, primarily due to fully-insured membership declines in our Local Group business resulting from strategic product portfolio changes in certain states, competitive pressure in certain markets and, we believe, affordability challenges affecting healthcare consumers in general. This decrease was partially offset by premium rate increases in our Local Group, Individual and National businesses designed to cover overall cost trends as well as revenues generated by 1-800 CONTACTS, which we acquired on June 20, 2012.
Operating gain increased $6.7, or 0.2%, to $2,869.9 in 2013, primarily due to improved results in our Local Group business resulting from lower than anticipated medical cost trends and improved results in our National business. Operating gain was partially offset by higher selling, general and administrative expenses primarily due to project costs incurred in preparation for the implementation of health care reform effective in 2014 as well as increases in incentive compensation as a result of operating performance.
The operating margin in 2013 was 9.8%, a 10 basis point increase over 2012, primarily due to the factors discussed in the preceding two paragraphs.
Government Business
Operating revenue increased $7,454.3, or 46.5%, to $23,493.5 in 2013, primarily due to the acquisition of Amerigroup, growth in our FEP business due to premium rate increases designed to cover overall cost trends and increases in membership in our CareMore and FEP businesses. These increases were partially offset by membership declines in our non-CareMore Medicare Advantage and Medicare Part D businesses related to our product repositioning strategy toward HMO product offerings.
Operating gain increased $375.8, or 98.4%, to $757.6 in 2013, primarily due to the acquisition of Amerigroup and favorable reserve development.
The operating margin in 2013 was 3.2%, an 80 basis point increase over 2012, primarily due to the factors discussed in the preceding two paragraphs.
Critical Accounting Policies and Estimates
We prepare our consolidated financial statements in conformity with GAAP. Application of GAAP requires management to make estimates and assumptions that affect the amounts reported in our consolidated financial statements and accompanying notes and within this MD&A. We consider some of our most important accounting policies that require estimates and management judgment to be those policies with respect to liabilities for medical claims payable, income taxes, goodwill and other intangible assets, investments and retirement benefits. Our accounting policies related to these items are discussed in our 2012 Annual Report on Form 10-K in Note 2, “Basis of Presentation and Significant Accounting Policies,” to our audited consolidated financial statements as of and for the year ended December 31, 2012, as well as in the “Critical Accounting Policies and Estimates” section of Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations.” As of September 30, 2013, our critical accounting policies and estimates have not changed from those described in our 2012 Annual Report on Form 10-K.
Medical Claims Payable
The most subjective accounting estimate in our consolidated financial statements is our liability for medical claims payable. Our accounting policies related to medical claims payable are discussed in the references cited above, as well as in Note 12, “Medical Claims Payable,” to our audited consolidated financial statements as of and for the year ended December 31, 2012 included in our 2012 Annual Report on Form 10-K. Also as discussed above, as of September 30, 2013, our critical accounting policies and estimates related to medical claims payable have not changed from those described in our 2012 Annual Report on Form 10-K.

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A reconciliation of the beginning and ending balance for medical claims payable for the nine months ended September 30, 2013 and 2012 and for the years ended December 31, 2012, 2011 and 2010 is as follows:
 
Nine Months Ended 
 September 30
 
Years Ended December 31
2013
 
2012
 
2012
 
2011
 
2010
Gross medical claims payable, beginning of period
$
6,174.5

 
$
5,489.0

 
$
5,489.0

 
$
4,852.4

 
$
5,450.5

Ceded medical claims payable, beginning of period
(27.2
)
 
(16.4
)
 
(16.4
)
 
(32.9
)
 
(29.9
)
Net medical claims payable, beginning of period
6,147.3

 
5,472.6

 
5,472.6

 
4,819.5

 
5,420.6

Business combinations and purchase adjustments
—

 
—

 
804.4

 
100.9

 
—

Net incurred medical claims:
 
 
 
 
 
 
 
 
 
Current year
41,547.0

 
35,860.9

 
48,080.1

 
47,281.6

 
45,077.1

Prior years redundancies
(560.1
)
 
(483.3
)
 
(513.6
)
 
(209.7
)
 
(718.0
)
Total net incurred medical claims
40,986.9

 
35,377.6

 
47,566.5

 
47,071.9

 
44,359.1

Net payments attributable to:
 
 
 
 
 
 
 
 
 
Current year medical claims
35,630.8

 
30,557.9

 
42,832.4

 
41,999.0

 
40,387.8

Prior years medical claims
5,415.3

 
4,798.4

 
4,863.8

 
4,520.7

 
4,572.4

Total net payments
41,046.1

 
35,356.3

 
47,696.2

 
46,519.7

 
44,960.2

Net medical claims payable, end of period
6,088.1

 
5,493.9

 
6,147.3

 
5,472.6

 
4,819.5

Ceded medical claims payable, end of period
29.2

 
29.3

 
27.2

 
16.4

 
32.9

Gross medical claims payable, end of period
$
6,117.3

 
$
5,523.2

 
$
6,174.5

 
$
5,489.0

 
$
4,852.4

Current year medical claims paid as a percentage of current year net incurred medical claims
85.8
%
 
85.2
%
 
89.1
%
 
88.8
%
 
89.6
%
Prior year redundancies in the current period as a percentage of prior year net medical claims payable less prior year redundancies in the current period
10.0
%
 
9.7
%
 
10.4
%
 
4.5
%
 
15.3
%
Prior year redundancies in the current period as a percentage of prior year net incurred medical claims
1.2
%
 
1.0
%
 
1.1
%
 
0.5
%
 
1.5
%
The following table provides a summary of the two key assumptions having the most significant impact on our incurred but not paid liability estimates for the nine months ended September 30, 2013 and 2012, which are the completion and trend factors. These two key assumptions can be influenced by utilization levels, unit costs, mix of business, benefit plan designs, provider reimbursement levels, processing system conversions and changes, claim inventory levels, claim processing patterns, claim submission patterns and operational changes resulting from business combinations. 
 
Favorable Developments by 
Changes in Key Assumptions
 
2013
 
2012
Assumed trend factors
$
417.0

 
$
375.3

Assumed completion factors
143.1

 
108.0

Total
$
560.1

 
$
483.3

The favorable development recognized in 2013 resulted primarily from trend factors in late 2012 developing more favorably than originally expected. Favorable development in the completion factors resulting from operational improvements in the latter part of 2012 also contributed to the favorability. The favorable development recognized in 2012 resulted primarily from trend factors in late 2011 developing more favorably than originally expected. Favorable development in the completion factors resulting from operational improvements in the latter part of 2011 also contributed to the favorability.
The ratio of current year medical claims paid as a percent of current year net medical claims incurred was 89.1% for 2012, 88.8% for 2011 and 89.6% for 2010. Comparison of these ratios reflects a small level of fluctuation in claim processing speed that occurred over the course of the three-year period. The nine month periods presented above show that as of September 30, 2013, 85.8% of current year net incurred medical claims had been paid in the period incurred, as compared to 85.2% for the same period in 2012.

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We calculate the percentage of prior year redundancies in the current period as a percent of prior year net incurred claims payable less prior year redundancies in the current period in order to demonstrate the development of the prior year reserves. For the nine month period ended September 30, 2013, this metric was 10.0%, largely driven by favorable trend factor development at the end of the year. For the nine month period ended September 30, 2012, this metric was 9.7%, reflecting the acceleration of claim processing that occurred in late 2012 which had not been fully recognized in completion factor development and trend factors at the end of the year. This metric was 10.4%, 4.5% and 15.3% for the years ended December 31, 2012, 2011 and 2010, respectively.
We calculate the percentage of prior year redundancies in the current period as a percent of prior year net incurred medical claims to indicate the percentage of redundancy included in the preceding year calculation of current year net incurred medical claims. We believe this calculation supports the reasonableness of our prior year estimate of incurred medical claims and the level of consistency in our methodology. For the nine months ended September 30, 2013, this metric was 1.2%, which was calculated using the redundancy of $560.1 shown above. For the nine months ended September 30, 2012, the comparable metric was 1.0%, which was calculated using the redundancy of $483.3 and which represents an estimate based on paid medical claims activity from January 1, 2012 to September 30, 2012. This metric was 1.1% for full year 2012, 0.5% for full year 2011 and 1.5% for full year 2010, and demonstrates the previously mentioned lower level of redundancies in 2012, along with the generally consistent level of reserve conservatism.
New Accounting Pronouncements
In February 2013, the FASB issued Accounting Standards Update 2013-02, Comprehensive Income (Topic 220): Reporting of Amounts Reclassified Out of Accumulated Other Comprehensive Income, or ASU 2013-02. ASU 2013-02 amends certain portions of Accounting Standards Codification Topic 220, Comprehensive Income, or ASC 220, to improve reporting by requiring the presentation, in one place, of significant reclassifications out of accumulated other comprehensive income on the respective line items in net income if the amount being reclassified is required under GAAP to be reclassified in its entirety to net income. For other amounts that are not required to be reclassified in their entirety to net income in the same reporting period, cross-reference to other disclosures that provide additional detail about those amounts is required. The adoption of ASU 2013-02 in the first quarter of 2013 did not have an impact on our consolidated financial position, results of operations or cash flows. However, we have added certain disclosures related to the components and reclassification adjustments of accumulated other comprehensive income in Note 11, “Accumulated Other Comprehensive Income (Loss)” to our unaudited consolidated financial statements included in Part I, Item 1 of this Form 10-Q.
There were no other new accounting pronouncements issued or that became effective during the nine months ended September 30, 2013 that had, or are expected to have, a material impact on our financial position, operating results or disclosures.
Liquidity and Capital Resources
Introduction
Our cash receipts result primarily from premiums, administrative fees, investment income, other revenue, proceeds from the sale or maturity of our investment securities, proceeds from borrowings, and proceeds from the exercise of stock options. Cash disbursements result mainly from claims payments, administrative expenses, taxes, purchases of investment securities, interest expense, payments on borrowings, acquisitions, capital expenditures, repurchases of our debt securities and common stock and the payment of shareholder cash dividends. Cash outflows fluctuate with the amount and timing of settlement of these transactions. Any future decline in our profitability would likely have an unfavorable impact on our liquidity.
For a more detailed overview of our liquidity and capital resources management, see the “Introduction” section included in the “Liquidity and Capital Resources” section of Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” included in our 2012 Annual Report on Form 10-K.

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Liquidity
The table below outlines the change in cash and cash equivalents for the nine months ended September 30, 2013 and 2012:
 
Nine Months Ended
September 30
 
2013
 
2012
Cash flows provided by (used in):
 
 
 
Operating activities
$
2,779.5

 
$
1,984.8

Investing activities
(2,086.8
)
 
(3,285.1
)
Financing activities
(992.0
)
 
1,541.1

Effect of foreign exchange rates on cash and cash equivalents
0.4

 
(0.3
)
(Decrease) increase in cash and cash equivalents
$
(298.9
)
 
$
240.5

During the nine months ended September 30, 2013, net cash flow provided by operating activities was $2,779.5, compared to $1,984.8 for the nine months ended September 30, 2012, an increase of $794.7. This increase was driven primarily by higher net income in 2013, lower payments in 2013 for litigation, incentive compensation and minimum medical loss ratio rebates and an increase in the collection of income tax refunds in 2013.
Net cash flow used in investing activities was $2,086.8 during the nine months ended September 30, 2013, compared to $3,285.1 for the nine months ended September 30, 2012. The decrease in cash flow used in investing activities of $1,198.3 between the two periods primarily resulted from a decrease in cash used for the purchase of subsidiaries, as net cash used in investing activities for the nine months ended September 30, 2012 included the purchase of 1-800 CONTACTS while there were no purchases of subsidiaries during the nine months ended September 30, 2013. The decrease in cash flow used in investing activities was further attributable to a decrease in net purchases of investments partially offset by changes in securities lending collateral.
Net cash flow used in financing activities was $992.0 during the nine months ended September 30, 2013, compared to net cash flow provided by financing activities of $1,541.1 for the nine months ended September 30, 2013. The change in cash flow from financing activities of $2,533.1 primarily resulted from an increase in long-term borrowings during the nine months ended September 30, 2012 primarily to fund the acquisition of Amerigroup compared to an increase in net repayments of long-term borrowings during the nine months ended September 30, 2013. The change in cash flow from financing activity was further attributable to a decrease in common stock repurchases, changes in securities lending payable, an increase in proceeds from the issuance of common stock under our employee stock plans, an increase in net proceeds from commercial paper borrowings and changes in bank overdrafts.
Financial Condition
We maintained a strong financial condition and liquidity position, with consolidated cash, cash equivalents and investments, including long-term investments, of $23,208.5 at September 30, 2013. Since December 31, 2012, total cash, cash equivalents and investments, including long-term investments, increased by $734.5 primarily due to cash generated from operations, proceeds from employee stock option exercises and net proceeds from commercial paper borrowings, partially offset by common stock repurchases, net repayments of long-term borrowings, changes in unrealized gains on investments, purchases of property and equipment and cash dividends paid to shareholders.
Many of our subsidiaries are subject to various government regulations that restrict the timing and amount of dividends and other distributions that may be paid to their respective parent companies. Certain accounting practices prescribed by insurance regulatory authorities, or statutory accounting practices, differ from GAAP. Changes that occur in statutory accounting practices, if any, could impact our subsidiaries’ future dividend capacity. In addition, we have agreed to certain undertakings with regulatory authorities, including requirements to maintain certain capital levels in certain of our subsidiaries.
At September 30, 2013, we held $1,692.3 of cash and cash equivalents and investments at the parent company, which are available for general corporate use, including investment in our businesses, acquisitions, potential future share repurchases and shareholder dividends and debt and interest payments.
We calculate our consolidated debt-to-capital ratio, a non-GAAP measure, which we believe assists investors and rating agencies in measuring our overall leverage and additional borrowing capacity. In addition, our bank covenants include a maximum debt-to-capital ratio that we cannot exceed. Our targeted range of debt-to-capital ratio is 25% to 35%. Our debt-to-capital ratio is calculated as the sum of debt divided by the sum of debt plus shareholders’ equity. Our debt-to-capital ratio may not be comparable to similarly titled measures reported by other companies. Our consolidated debt-to-capital ratio was 37.5%

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and 38.6% as of September 30, 2013 and December 31, 2012, respectively. The higher than targeted consolidated debt-to-capital ratio at September 30, 2013 was primarily due to the increased debt we incurred to finance our acquisition of Amerigroup, and we expect in time to return to targeted levels.
Our senior debt is rated “A-” by Standard & Poor’s, “BBB+” by Fitch, Inc., “Baa2” by Moody’s Investor Service, Inc. and “bbb+” by AM Best Company, Inc. We intend to maintain our senior debt investment grade ratings. A significant downgrade in our debt ratings could adversely affect our borrowing capacity and costs.
Future Sources and Uses of Liquidity
We regularly review the appropriate use of capital, including common stock repurchases, repurchases of debt securities and dividends to shareholders. The declaration and payment of any dividends or repurchases of our common stock or debt securities are at the discretion of our Board of Directors and depend upon our financial condition, results of operations, future liquidity needs, regulatory and capital requirements and other factors deemed relevant by our Board of Directors.
For additional information regarding our sources and uses of capital at September 30, 2013, see Note 8, “Debt,” and the “Use of Capital—Dividends and Stock Repurchase Program” section of Note 10, “Capital Stock” to our unaudited consolidated financial statements included in Part I, Item 1 of this Form 10-Q.
For additional information regarding our future sources and uses of liquidity, see “Future Sources and Uses of Liquidity” included in the “Liquidity and Capital Resources” section of Part II, Item 7, “Management’s Discussion and Analysis of Financial Condition and Results of Operations” in our 2012 Annual Report on Form 10-K.
Contractual Obligations and Commitments
We believe that funds from future operating cash flows, cash and investments and funds available under our credit agreement or from public or private financing sources will be sufficient for future operations and commitments, and for capital acquisitions and other strategic transactions.
For additional information regarding our estimated contractual obligations and commitments, see the “Other Contingencies” and “Contractual Obligations and Commitments” sections of Note 9, “Commitments and Contingencies,” to our unaudited consolidated financial statements included in Part I, Item 1 of this Form 10-Q. There have been no material changes to our Contractual Obligations and Commitments disclosure in our 2012 Annual Report on Form 10-K other than payments on and proceeds from long-term debt borrowings. See Note 8, “Debt” to our unaudited consolidated financial statements included in Part I, Item 1 of this Form 10-Q.
Risk-Based Capital
Our regulated subsidiaries’ states of domicile have statutory risk-based capital, or RBC, requirements for health and other insurance companies and health maintenance organizations largely based on the National Association of Insurance Commissioners, or NAIC, RBC Model Act. These RBC requirements are intended to measure capital adequacy, taking into account the risk characteristics of an insurer’s investments and products. The NAIC sets forth the formula for calculating the RBC requirements, which are designed to take into account asset risks, insurance risks, interest rate risks and other relevant risks with respect to an individual insurance company’s business. In general, under the RBC Model Act, an insurance company must submit a report of its RBC level to the state insurance department or insurance commissioner, as appropriate, at the end of each calendar year. Our regulated subsidiaries’ respective RBC levels as of December 31, 2012, which was the most recent date for which reporting was required, were in excess of all mandatory RBC thresholds. In addition to exceeding the RBC requirements, we are in compliance with the liquidity and capital requirements for a licensee of the BCBSA and with the tangible net equity requirements applicable to certain of our California subsidiaries.

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Safe Harbor Statement under the Private Securities Litigation Reform Act of 1995
This document contains certain forward-looking information about us that is intended to be covered by the safe harbor for “forward-looking statements” provided by the Private Securities Litigation Reform Act of 1995. Forward-looking statements are statements that are not generally historical facts. Words such as “expect(s),” “feel(s),” “believe(s),” “will,” “may,” “anticipate(s),” “intend,” “estimate,” “project” and similar expressions are intended to identify forward-looking statements, which generally are not historical in nature. These statements include, but are not limited to, financial projections and estimates and their underlying assumptions; statements regarding plans, objectives and expectations with respect to future operations, products and services; and statements regarding future performance. Such statements are subject to certain risks and uncertainties, many of which are difficult to predict and generally beyond our control, that could cause actual results to differ materially from those expressed in, or implied or projected by, the forward-looking information and statements. These risks and uncertainties include: those discussed and identified in our public filings with the U.S. Securities and Exchange Commission, or SEC; increased government participation in, or regulation or taxation of health benefits and managed care operations, including, but not limited to, the impact of the Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010; trends in health care costs and utilization rates; our ability to secure sufficient premium rates including regulatory approval for and implementation of such rates; our ability to contract with providers consistent with past practice; our ability to integrate and achieve expected synergies and operating efficiencies in the AMERIGROUP Corporation acquisition within the expected timeframe or at all, as such integration may be more difficult, time consuming or costly than expected, revenues following the transaction may be lower than expected and operating costs, customer loss and business disruption, including, without limitation, difficulties in maintaining relationships with employees, customers, clients and suppliers, may be greater than expected following the transaction; competitor pricing below market trends of increasing costs; reduced enrollment, as well as a negative change in our health care product mix; risks and uncertainties regarding Medicare and Medicaid programs, including those related to non-compliance with the complex regulations imposed thereon and funding risks with respect to revenue received from participation therein; a downgrade in our financial strength ratings; litigation and investigations targeted at our industry and our ability to resolve litigation and investigations within estimates; medical malpractice or professional liability claims or other risks related to health care services provided by our subsidiaries; risks inherent in selling health care products in the consumer retail market; our ability to repurchase shares of our common stock and pay dividends on our common stock due to the adequacy of our cash flow and earnings and other considerations; non-compliance by any party with the Express Scripts, Inc. pharmacy benefit management services agreement, which could result in financial penalties, our inability to meet customer demands, and sanctions imposed by governmental entities, including the Centers for Medicare and Medicaid Services; events that result in negative publicity for us or the health benefits industry; failure to effectively maintain and modernize our information systems and e-business organization and to maintain good relationships with third party vendors for information system resources; events that may negatively affect our licenses with the Blue Cross and Blue Shield Association; possible impairment of the value of our intangible assets if future results do not adequately support goodwill and other intangible assets; intense competition to attract and retain employees; unauthorized disclosure of member sensitive or confidential information; changes in the economic and market conditions, as well as regulations that may negatively affect our investment portfolios and liquidity; possible restrictions in the payment of dividends by our subsidiaries and increases in required minimum levels of capital and the potential negative effect from our substantial amount of outstanding indebtedness; general risks associated with mergers and acquisitions; various laws and provisions in our governing documents that may prevent or discourage takeovers and business combinations; future public health epidemics and catastrophes; and general economic downturns. Readers are cautioned not to place undue reliance on these forward-looking statements that speak only as of the date hereof. Except to the extent otherwise required by federal securities law, we do not undertake any obligation to republish revised forward-looking statements to reflect events or circumstances after the date hereof or to reflect the occurrence of unanticipated events. Readers are also urged to carefully review and consider the various disclosures in our SEC reports.

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ITEM 3.
QUANTITATIVE AND QUALITATIVE DISCLOSURES ABOUT MARKET RISK
For a detailed discussion of our market risks, refer to Item 7A, “Quantitative and Qualitative Disclosures about Market Risk,” included in our 2012 Annual Report on Form 10-K. There have been no material changes to any of these risks since December 31, 2012.
ITEM 4.
CONTROLS AND PROCEDURES
We carried out an evaluation as of September 30, 2013, under the supervision and with the participation of our management, including our Chief Executive Officer and Chief Financial Officer, of the effectiveness of the design and operation of our disclosure controls and procedures as defined in Rule 13a-15(e) of the Securities Exchange Act of 1934. Based upon that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures are effective in timely alerting them to material information relating to us (including our consolidated subsidiaries) required to be disclosed in our reports under the Securities Exchange Act of 1934. In addition, based on that evaluation, the Chief Executive Officer and Chief Financial Officer concluded that our disclosure controls and procedures were effective in ensuring that information required to be disclosed by us in the reports that we file or submit under the Securities Exchange Act of 1934 is accumulated and communicated to our management, including the Chief Executive Officer and Chief Financial Officer, as appropriate to allow timely decisions regarding required disclosures.
There have been no changes in our internal control over financial reporting that occurred during the three months ended September 30, 2013 that have materially affected, or are reasonably likely to materially affect, our internal control over financial reporting.
PART II. OTHER INFORMATION
ITEM 1.
LEGAL PROCEEDINGS
For information regarding legal proceedings at September 30, 2013, see the “Litigation” and “Other Contingencies” sections of Note 9, “Commitments and Contingencies” to our unaudited consolidated financial statements included in Part I, Item 1 of this Form 10-Q.
ITEM 1A.
RISK FACTORS
There have been no material changes to the risk factors disclosed in our 2012 Annual Report on Form 10-K.
ITEM 2.
UNREGISTERED SALES OF EQUITY SECURITIES AND USE OF PROCEEDS
Issuer Purchases of Equity Securities
The following table presents information related to our repurchases of common stock for the periods indicated:
Period
Total Number
of Shares
Purchased1 
 
Average
Price Paid
per Share
 
Total Number
of Shares
Purchased
as Part
of Publicly
Announced
Programs2 
 
Approximate
Dollar Value
of Shares
that May Yet
Be Purchased
Under the
Programs
(in millions, except share and per share data)
 
 
 
 
 
 
 
July 1, 2013 to July 31, 2013
1,731,532

 
$
83.89

 
1,719,000

 
$
1,077.2

August 1, 2013 to August 31, 2013
2,348,072

 
86.52

 
2,345,200

 
874.3

September 1, 2013 to September 30, 2013
2,431,113

 
85.73

 
2,424,100

 
4,166.5

 
6,510,717

 
 
 
6,488,300

 
 
1
Total number of shares purchased includes 22,417 delivered to or withheld by us in connection with employee payroll tax withholding upon exercise or vesting of stock awards. Stock grants to employees and directors and stock issued for stock option plans and stock purchase plans in the consolidated statements of shareholders’ equity are shown net of these shares purchased.
2
Represents the number of shares repurchased through the common stock repurchase program authorized by our Board of Directors, which the Board evaluates periodically. During the three months ended September 30, 2013, we repurchased 6,488,300 shares at a cost of $554.9 under the program. The Board of Directors has authorized our common stock repurchase program since 2003. The Board's most recent authorized increase to the program was $3,500.0 on September 25, 2013. Between October 1, 2013 and October 10, 2013, we repurchased 852,000 shares at a cost of $72.7,

-46-

including the cost of options to purchase shares, bringing our current availability to $4,093.8 at October 10, 2013. No duration has been placed on our common stock repurchase program and we reserve the right to discontinue the program at any time.
ITEM 3.
DEFAULTS UPON SENIOR SECURITIES
None.
ITEM 4.
MINE SAFETY DISCLOSURES
None.
ITEM 5.
OTHER INFORMATION
On October 22, 2013, the Board of Directors of the Company adopted amendments to the Company’s By-Laws to (1) delete Section 2.10 to eliminate the Planning Committee as one of the committees of the Board of Directors, (2) revise Section 2.13 (a)(1) to provide that the Board may authorize a committee to approve the reacquisition of shares, dividends or other distributions, if done according to a formula or method, or within a range, prescribed by the Board of Directors, and (3) eliminate the reference to the Planning Committee in Sections 2.12 and 2.13, renumber prior Sections 2.11 through 2.14 and change Section 2.13 cross references to Section 2.12 throughout Article II. The amendments took effect upon adoption by the Board of Directors.
The preceding is qualified in its entirety by reference to the Company’s By-Laws, as amended, which are attached hereto as Exhibit 3.2 and are incorporated herein by reference.
ITEM 6.
EXHIBITS
Exhibits: A list of exhibits required to be filed as part of this Form 10-Q is set forth in the Index to Exhibits, which immediately precedes such exhibits, and is incorporated herein by reference.

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SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.
 
 
 
 
 
 
WELLPOINT, INC.
Registrant
 
 
 
Date: October 23, 2013
By:
 
/S/  WAYNE S. DEVEYDT
 
 
 
Wayne S. DeVeydt
Executive Vice President and Chief Financial Officer
(Duly Authorized Officer and Principal Financial Officer)
 
 
 
 
Date: October 23, 2013
By:
 
/S/  JOHN E. GALLINA
 
 
 
John E. Gallina
Senior Vice President and Chief Accounting Officer
(Principal Accounting Officer)

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INDEX TO EXHIBITS
Exhibit
Number
 
 
Exhibit
 
 
 
 
3.1

  
Articles of Incorporation of the Company, as amended effective May 17, 2011, incorporated by reference to Exhibit 3.1 to the Company’s Current Report on Form 8-K filed on May 20, 2011.
 
 
 
 
3.2

  
By-Laws of the Company, as amended effective October 22, 2013.
 
 
 
 
4.5

 
Indenture dated as of January 10, 2006 between the Company and the Bank of New York Mellon Trust Company, N.A., as trustee (formerly known as The Bank of New York Trust Company, N.A.), incorporated by reference to Exhibit 4.1 to the Company’s Current Report on Form 8-K dated January 11, 2006, SEC File No. 001-16751.
 
 
 
 
 
 
(q)
Form of the 2.300% Notes due 2018, incorporated by reference to Exhibit 4.2 to the Company’s Current Report on Form 8-K, filed on July 31, 2013.
 
 
(r)
Form of the 5.100% Notes due 2044, incorporated by reference to Exhibit 4.3 to the Company’s Current Report on Form 8-K, filed on July 31, 2013.
 
 
 
 
4.7

  
Upon the request of the Securities and Exchange Commission, the Company will furnish copies of any other instruments defining the rights of holders of long-term debt of the Company or its subsidiaries.
 
 
 
 
10.4*

 
WellPoint, Inc. Executive Agreement Plan, amended and restated effective January 1, 2009, incorporated by reference to Exhibit 10.4 to the Company’s Annual Report on Form 10-K for the year ended December 31, 2008.
 
 
 
 
 
 
(c)
Third Amendment to the WellPoint, Inc. Executive Agreement Plan effective as of August 6, 2013.
 
 
 
 
10.6*

 
WellPoint Directed Executive Compensation Plan amended effective January 1, 2014.
 
 
 
 
31.1

  
Certification of Chief Executive Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Exchange Act Rules, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
 
 
 
 
31.2

  
Certification of Chief Financial Officer pursuant to Rule 13a-14(a) and Rule 15d-14(a) of the Exchange Act Rules, as adopted pursuant to Section 302 of the Sarbanes-Oxley Act of 2002.
 
 
 
 
32.1

  
Certification of Chief Executive Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
 
 
 
 
32.2

  
Certification of Chief Financial Officer pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.
 
 
 
 
101

  
The following material from WellPoint, Inc.’s Quarterly Report on Form 10-Q, for the quarter ended September 30, 2013, formatted in XBRL (Extensible Business Reporting Language): (i) the Consolidated Balance Sheets; (ii) the Consolidated Statements of Income; (iii) the Consolidated Statements of Comprehensive Income; (iv) the Consolidated Statements of Cash Flows; (v) the Consolidated Statements of Shareholders’ Equity; and (vi) Notes to Consolidated Financial Statements.
 
 
 
 
 
 
 
 
*

 
Indicates management contracts or compensatory plans or arrangements.


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