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Consolidated Statements Of Cash Flows - USD ($)
$ in Millions
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Cash flows from operating activities      
Net income $ 1,147 $ 1,231 $ 1,222
Adjustments to reconcile net income to net cash provided by operating activities:      
Depreciation and amortization 449 426 338
Stock-based compensation 98 92 82
Net realized capital gains (20) (22) (33)
(Benefit) provision for deferred income taxes (64) 42 (80)
Provision for doubtful accounts 32 37 26
Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:      
Receivables (264) (251) 326
Other assets (952) (330) (253)
Benefits payable 582 109 (41)
Other liabilities 413 313 300
Unearned revenues 155 (24) (43)
Other 42 93 79
Net cash provided by operating activities 1,618 1,716 1,923
Cash flows from investing activities      
Acquisitions, net of cash acquired (18) (187) (1,235)
Proceeds from sale of business 72 34 0
Purchases of property and equipment (528) (441) (410)
Proceeds from sales of property and equipment 0 4 0
Purchases of investment securities (2,883) (3,261) (3,221)
Maturities of investment securities 885 1,077 1,497
Proceeds from sales of investment securities 2,409 1,592 1,404
Net cash used in investing activities (63) (1,182) (1,965)
Cash flows from financing activities      
Receipts (withdrawals) from contract deposits, net (919) (150) (397)
Proceeds from issuance of senior notes, net 1,733 0 990
Repayment of long-term debt (500) 0 (36)
Common stock repurchases (872) (531) (518)
Dividends paid (172) (168) (165)
Excess tax benefit from stock-based compensation 12 8 22
Change in book overdraft (69) 79 18
Proceeds from stock option exercises and other, net 29 60 57
Net cash used in financing activities (758) (702) (29)
Increase (decrease) in cash and cash equivalents 797 (168) (71)
Cash and cash equivalents at beginning of year 1,138 1,306 1,377
Cash and cash equivalents at end of year 1,935 1,138 1,306
Supplemental cash flow disclosures:      
Interest payments 143 146 110
Income tax payments, net 1,030 734 745
Details of businesses acquired in purchase transactions:      
Fair value of assets acquired, net of cash acquired 18 196 1,535
Less: Fair value of liabilities assumed 0 (9) (300)
Cash paid for acquired businesses, net of cash acquired $ 18 $ 187 $ 1,235