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Condensed Consolidated Statements Of Cash Flows (Unaudited) (USD $)
In Millions, unless otherwise specified
9 Months Ended
Sep. 30, 2014
Sep. 30, 2013
Cash flows from operating activities    
Net income $ 1,002 $ 1,261
Adjustments to reconcile net income to net cash provided by operating activities:    
Net realized capital gains (9) (14)
Stock-based compensation 76 73
Depreciation and amortization 325 312
(Benefit) provision for deferred income taxes (30) 31
Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:    
Receivables (68) (89)
Other assets (960) (165)
Benefits payable 783 287
Other liabilities 238 24
Unearned revenues 40 (32)
Other, net 28 44
Net cash provided by operating activities 1,425 1,732
Cash flows from investing activities    
Acquisitions, net of cash acquired (3) (161)
Proceeds from sale of business 72 33
Purchases of property and equipment (361) (310)
Purchases of investment securities (1,949) (2,665)
Maturities of investment securities 702 853
Proceeds from sales of investment securities 1,171 1,107
Net cash used in investing activities (368) (1,143)
Cash flows from financing activities    
Receipts (withdrawals) from contract deposits, net (743) (201)
Proceeds from issuance of senior notes, net 1,733 0
Change in book overdraft (136) (51)
Common stock repurchases (270) (325)
Dividends paid (129) (125)
Excess tax benefit from stock-based compensation 10 6
Proceeds from stock option exercises and other 45 56
Net cash provided by (used in) financing activities 510 (640)
Increase (decrease) in cash and cash equivalents 1,567 (51)
Cash and cash equivalents at beginning of period 1,138 1,306
Cash and cash equivalents at end of period 2,705 1,255
Supplemental cash flow disclosures:    
Interest payments 83 82
Income tax payments, net $ 852 $ 724