Summarized segment financial information |
(In millions) | Integrated Medical | Health Services | International Markets | Group Disability and Other | Corporate and Eliminations | Total | 2018 | | | | | | | | | | | | | Revenues from external customers (1) | $ | 31,759 | $ | 5,902 | $ | 5,174 | $ | 4,335 | $ | - | $ | 47,170 | Inter-segment revenues | | 573 | | 1,154 | | - | | 14 | | (1,741) | | - | Net investment income | | 459 | | 9 | | 149 | | 712 | | 151 | | 1,480 | Total revenues | | 32,791 | | 7,065 | | 5,323 | | 5,061 | | (1,590) | | 48,650 | Revenue contributions from transitioning clients | | - | | (459) | | - | | - | | - | | (459) | Net realized investment results from equity method subsidiaries (2) | | - | | - | | 43 | | - | | - | | 43 | Special items reported in transaction-related costs | | - | | - | | - | | - | | (123) | | (123) | Adjusted revenues | $ | 32,791 | $ | 6,606 | $ | 5,366 | $ | 5,061 | $ | (1,713) | $ | 48,111 | Depreciation and amortization | $ | 466 | $ | 120 | $ | 55 | $ | 53 | $ | 1 | $ | 695 | Income (loss) before taxes | $ | 3,342 | $ | 329 | $ | 670 | $ | 497 | $ | (1,257) | $ | 3,581 | Pre-tax adjustments to reconcile to adjusted income from operations | | | | | | | | | | | Adjustment for transitioning clients | | - | | (62) | | - | | - | | - | | (62) | (Income) loss attributable to noncontrolling interests | | - | | - | | (14) | | - | | - | | (14) | Net realized investment (gains) losses (2) | | 36 | | - | | 61 | | 25 | | 2 | | 124 | Amortization of acquired intangible assets | | 99 | | 113 | | 18 | | 5 | | - | | 235 | Special items | | | | | | | | | | | | | Transaction-related costs | | - | | - | | - | | - | | 852 | | 852 | Charges associated with litigation matters | | 25 | | - | | - | | - | | - | | 25 | U.S. tax reform | | - | | - | | - | | 2 | | - | | 2 | Pre-tax adjusted income (loss) from operations | $ | 3,502 | $ | 380 | $ | 735 | $ | 529 | $ | (403) | $ | 4,743 | | | | | | | | | | | | | | | | | | | | | | | | | | | | (In millions) | Integrated Medical | Health Services | International Markets | Group Disability and Other | Corporate and Eliminations | Total | 2017 | | | | | | | | | | | | | Revenues from external customers (1) | $ | 28,193 | $ | 3,250 | $ | 4,774 | $ | 4,363 | $ | - | $ | 40,580 | Inter-segment revenues | | 476 | | 988 | | - | | 12 | | (1,476) | | - | Net investment income | | 366 | | 3 | | 127 | | 700 | | 30 | | 1,226 | Total revenues | $ | 29,035 | $ | 4,241 | $ | 4,901 | $ | 5,075 | $ | (1,446) | $ | 41,806 | Adjusted revenues | $ | 29,035 | $ | 4,241 | $ | 4,901 | $ | 5,075 | $ | (1,446) | $ | 41,806 | Depreciation and amortization | $ | 470 | $ | - | $ | 61 | $ | 31 | $ | 4 | $ | 566 | Income (loss) before taxes | $ | 2,859 | $ | 288 | $ | 667 | $ | 614 | $ | (822) | $ | 3,606 | Pre-tax adjustments to reconcile to adjusted income from operations | | | | | | | | | | (Income) loss attributable to noncontrolling interests | | 1 | | - | | 1 | | - | | - | | 2 | Net realized investment (gains) losses | | (137) | | - | | (31) | | (69) | | - | | (237) | Amortization of acquired intangible assets | | 93 | | - | | 17 | | 5 | | - | | 115 | Special items | | | | | | | | | | | | | Transaction-related costs | | - | | - | | - | | - | | 126 | | 126 | U.S. tax reform | | - | | - | | - | | (56) | | - | | (56) | Debt extinguishment costs | | - | | - | | - | | - | | 321 | | 321 | Long-term care guaranty fund assessment | | 106 | | - | | - | | 23 | | - | | 129 | Pre-tax adjusted income (loss) from operations | $ | 2,922 | $ | 288 | $ | 654 | $ | 517 | $ | (375) | $ | 4,006 | | (1) Includes the Company’s share of the earnings of its joint ventures reported in the International Markets segment using the equity method of accounting. | (2) Beginning in 2018, includes the Company's share of the realized investment gains (losses) of its joint ventures reported using the equity method of accounting. | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | (In millions) | Integrated Medical | Health Services | International Markets | Group Disability and Other | Corporate and Eliminations | Total | 2016 | | | | | | | | | | | | | Revenues from external customers (1) | $ | 26,695 | $ | 3,169 | $ | 4,424 | $ | 4,403 | $ | - | $ | 38,691 | Inter-segment revenues | | 395 | | 894 | | - | | - | | (1,289) | | - | Net investment income | | 305 | | 3 | | 113 | | 705 | | 21 | | 1,147 | Total revenues | $ | 27,395 | $ | 4,066 | $ | 4,537 | $ | 5,108 | $ | (1,268) | $ | 39,838 | Adjusted revenues | $ | 27,395 | $ | 4,066 | $ | 4,537 | $ | 5,108 | $ | (1,268) | $ | 39,838 | Depreciation and amortization | $ | 519 | $ | - | $ | 61 | $ | 29 | $ | 1 | $ | 610 | Income (loss) before taxes | $ | 2,417 | $ | 268 | $ | 497 | $ | 324 | $ | (527) | $ | 2,979 | Pre-tax adjustments to reconcile to adjusted income from operations | | | | | | | | | | | (Income) loss attributable to noncontrolling interests | | 2 | | - | | 18 | | - | | - | | 20 | Net realized investment (gains) losses | | (116) | | - | | 2 | | (54) | | (1) | | (169) | Amortization of acquired intangible assets | | 125 | | - | | 21 | | 5 | | - | | 151 | Special items | | | | | | | | | | | | | Transaction-related costs | | - | | - | | - | | - | | 166 | | 166 | Risk corridor allowance | | 124 | | - | | - | | - | | - | | 124 | Charges associated with litigation matters | | 40 | | - | | - | | - | | - | | 40 | Pre-tax adjusted income (loss) from operations | $ | 2,592 | $ | 268 | $ | 538 | $ | 275 | $ | (362) | $ | 3,311 | | | | | | | | | | | | | | (1) Includes the Company’s share of the earnings of its joint ventures reported in the International Markets segment using the equity method of accounting. |
(In millions) | 2018 | | 2017 | | 2016 | Insurance premiums | | | | | | | | | | Integrated Medical premiums (ASC 944) | | | | | | | | | | Commercial Premiums | | | | | | | | | | Risk | $ | | 10,710 | | $ | 9,439 | | $ | 7,911 | Stop loss | | | 4,008 | | | 3,483 | | | 3,082 | Other | | | 1,038 | | | 917 | | | 886 | Government | | | | | | | | | | Medicare Advantage | | | 5,832 | | | 5,534 | | | 6,621 | Medicare Part D | | | 764 | | | 764 | | | 1,122 | Other | | | 4,496 | | | 3,494 | | | 2,640 | Total Integrated Medical premiums | | | 26,848 | | | 23,631 | | | 22,262 | International Markets premiums | | | 5,043 | | | 4,619 | | | 4,273 | Domestic disability, life and accident premiums | | | 4,000 | | | 3,973 | | | 4,002 | Other premiums | | | 222 | | | 268 | | | 287 | Total premiums | | | 36,113 | | | 32,491 | | | 30,824 | Services (ASC 606) | | | | | | | | | | Fees | | | 5,558 | | | 5,053 | | | 4,844 | Other external revenues | | | 20 | | | 57 | | | 57 | 2016-2017 other revenues adjustment | | | | | | 57 | | | 57 | | | | | | | | | | | Total services | | | 5,578 | | | 5,110 | | | 4,901 | Products (Pharmacy revenues) (ASC 606) | | | | | | | | | | Home delivery and specialty revenues | | | 3,997 | | | 2,979 | | | 2,966 | Network revenues | | | 1,415 | | | - | | | - | Other | | | 67 | | | - | | | - | Total pharmacy revenues | | | 5,479 | | | 2,979 | | | 2,966 | Total revenues from external customers | $ | | 47,170 | | $ | 40,580 | | $ | 38,691 | | | | | | | | | | |
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