XML 73 R53.htm IDEA: XBRL DOCUMENT v3.10.0.1
Segment Information (Tables)
12 Months Ended
Dec. 31, 2018
Segment Information [Abstract]  
Special item charges
(In millions)
Description of Special Item Charges (Benefits) and Financial Statement Line Item(s)After-taxBefore-tax
Year ended December 31, 2018
Transaction-related costs
- Selling, general and administrative expenses (see Note 3)$587$748
- Interest expense and other (see Note 3)179227
- Net investment income (see Note 3)(97)(123)
Total transaction-related costs$669$852
Charges associated with litigation matters (Selling, general and administrative expenses, see Note 19D.) $19$25
Total charges associated with U.S. tax reform
- Selling, general and administrative expenses$1$2
- Tax expense(3)-
Total charges associated with U.S. tax reform$(2)$2
Year ended December 31, 2017
Transaction-related costs (see Note 3)$33$126
Charges associated with U.S. tax reform
- Selling, general and administrative expenses$(36)$(56)
- Tax expense (see Note 18)232-
Total charges associated with U.S. tax reform$196$(56)
Debt extinguishment costs (see Note 5)$209$321
Long-term care guaranty fund assessment (Selling, general and administrative expenses, see Note 19D. for details)$83$129
Year ended December 31, 2016
Transaction-related costs (see Note 3)$147$166
Charges associated with litigation matters (Selling, general and administrative expenses, see Note 19D. for details)$25$40
Risk corridor allowance (Selling, general and administrative expenses)$80$124
Summarized segment financial information
(In millions)Integrated MedicalHealth ServicesInternational MarketsGroup Disability and Other Corporate and EliminationsTotal
2018
Revenues from external customers (1)$31,759$5,902$5,174$4,335$-$47,170
Inter-segment revenues5731,154-14(1,741)-
Net investment income45991497121511,480
Total revenues32,7917,0655,3235,061(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)36-61252124
Amortization of acquired intangible assets99113185-235
Special items
Transaction-related costs----852852
Charges associated with litigation matters25----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 ServicesInternational MarketsGroup Disability and Other Corporate and EliminationsTotal
2017
Revenues from external customers (1)$28,193$3,250$4,774$4,363$-$40,580
Inter-segment revenues476988-12(1,476)-
Net investment income3663127700301,226
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 interests1-1--2
Net realized investment (gains) losses(137)-(31)(69)-(237)
Amortization of acquired intangible assets93-175-115
Special items
Transaction-related costs----126126
U.S. tax reform---(56)-(56)
Debt extinguishment costs----321321
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 ServicesInternational MarketsGroup Disability and Other Corporate and EliminationsTotal
2016
Revenues from external customers (1)$26,695$3,169$4,424$4,403$-$38,691
Inter-segment revenues395894--(1,289)-
Net investment income3053113705211,147
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 interests2-18--20
Net realized investment (gains) losses(116)-2(54)(1)(169)
Amortization of acquired intangible assets125-215-151
Special items
Transaction-related costs----166166
Risk corridor allowance124----124
Charges associated with litigation matters40----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)201820172016
Insurance premiums
Integrated Medical premiums (ASC 944)
Commercial Premiums
Risk$10,710$9,439$7,911
Stop loss4,0083,4833,082
Other1,038917886
Government
Medicare Advantage5,8325,5346,621
Medicare Part D7647641,122
Other4,4963,4942,640
Total Integrated Medical premiums26,84823,63122,262
International Markets premiums5,0434,6194,273
Domestic disability, life and accident premiums4,0003,9734,002
Other premiums222268287
Total premiums36,11332,49130,824
Services (ASC 606)
Fees5,5585,0534,844
Other external revenues205757
2016-2017 other revenues adjustment5757
Total services5,5785,1104,901
Products (Pharmacy revenues) (ASC 606)
Home delivery and specialty revenues3,9972,9792,966
Network revenues1,415--
Other67--
Total pharmacy revenues5,4792,9792,966
Total revenues from external customers$47,170$40,580$38,691
Foreign and U.S. revenues from external customers
(In millions)201820172016
United States $ 42,773 $ 36,555 $ 35,011
South Korea2,0931,8921,666
All other foreign countries2,3042,1332,014
Total$47,170$40,580$38,691