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SEGMENT INFORMATION (Tables)
9 Months Ended
Sep. 30, 2015
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, By Segment
Intersegment sales and expenses are recorded at fair value and eliminated in consolidation. Members served by our segments often use the same provider networks, enabling us in some instances to obtain more favorable contract terms with providers. Our segments also share indirect costs and assets. As a result, the profitability of each segment is interdependent. We allocate most operating expenses to our segments. Assets and certain corporate income and expenses are not allocated to the segments, including the portion of investment income not supporting segment operations, interest expense on corporate debt, and certain other corporate expenses. These items are managed at a corporate level. These corporate amounts are reported separately from our reportable segments and are included with intersegment eliminations in the tables presenting segment results below.
Our segment results were as follows for the three and nine months ended September 30, 2015 and 2014:
 
Retail
 
Group
 
Healthcare
Services
 
Other
Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
Three months ended September 30, 2015
 
 
 
 
 
 
 
 
 
 
Revenues - external customers
 
 
 
 
 
 
 
 
 
 
 
Premiums:
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
7,316

 
$

 
$

 
$

 
$

 
$
7,316

Group Medicare Advantage
1,396

 

 

 

 

 
1,396

Medicare stand-alone PDP
927

 

 

 

 

 
927

Total Medicare
9,639

 

 

 

 

 
9,639

Fully-insured
1,056

 
1,362

 

 

 

 
2,418

Specialty
66

 
260

 

 

 

 
326

Medicaid and other
592

 
6

 

 
6

 

 
604

Total premiums
11,353

 
1,628

 

 
6

 

 
12,987

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
Provider

 
9

 
61

 

 

 
70

ASO and other
1

 
162

 

 
5

 

 
168

Pharmacy

 

 
8

 

 

 
8

Total services revenue
1

 
171

 
69

 
5

 

 
246

Total revenues - external customers
11,354

 
1,799

 
69

 
11

 

 
13,233

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
Services

 
24

 
4,633

 

 
(4,657
)
 

Products

 

 
1,271

 

 
(1,271
)
 

Total intersegment revenues

 
24

 
5,904

 

 
(5,928
)
 

Investment income
38

 
7

 

 
16

 
69

 
130

Total revenues
11,392

 
1,830

 
5,973

 
27

 
(5,859
)
 
13,363

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
9,777

 
1,341

 

 
22

 
(244
)
 
10,896

Operating costs
1,241

 
426

 
5,659

 
3

 
(5,641
)
 
1,688

Depreciation and amortization
49

 
24

 
30

 

 
(19
)
 
84

Total operating expenses
11,067

 
1,791

 
5,689

 
25

 
(5,904
)
 
12,668

Income from operations
325

 
39

 
284

 
2

 
45

 
695

Gain on sale of business

 

 

 

 

 

Interest expense

 

 

 

 
47

 
47

Income (loss) before income taxes
$
325

 
$
39

 
$
284

 
$
2

 
$
(2
)
 
$
648


 
Retail
 
Group
 
Healthcare
Services
 
Other
Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
Three months ended September 30, 2014
 
 
 
 
 
 
 
 
 
 
Revenues - external customers
 
 
 
 
 
 
 
 
 
 
 
Premiums:
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
6,448

 
$

 
$

 
$

 
$

 
$
6,448

Group Medicare Advantage
1,381

 

 

 

 

 
1,381

Medicare stand-alone PDP
806

 

 

 

 

 
806

Total Medicare
8,635

 

 

 

 

 
8,635

Fully-insured
926

 
1,335

 

 

 

 
2,261

Specialty
67

 
274

 

 

 

 
341

Medicaid and other
352

 
5

 

 
13

 

 
370

Total premiums
9,980

 
1,614

 

 
13

 

 
11,607

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
Provider

 
6

 
320

 

 

 
326

ASO and other
10

 
172

 

 
2

 

 
184

Pharmacy

 

 
26

 

 

 
26

Total services revenue
10

 
178

 
346

 
2

 

 
536

Total revenues - external customers
9,990

 
1,792

 
346

 
15

 

 
12,143

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
Services

 
22

 
3,879

 

 
(3,901
)
 

Products

 

 
968

 

 
(968
)
 

Total intersegment revenues

 
22

 
4,847

 

 
(4,869
)
 

Investment income
24

 
6

 

 
15

 
50

 
95

Total revenues
10,014

 
1,820

 
5,193

 
30

 
(4,819
)
 
12,238

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
8,469

 
1,324

 

 
24

 
(151
)
 
9,666

Operating costs
1,156

 
468

 
4,953

 
5

 
(4,684
)
 
1,898

Depreciation and amortization
43

 
27

 
37

 

 
(22
)
 
85

Total operating expenses
9,668

 
1,819

 
4,990

 
29

 
(4,857
)
 
11,649

Income from operations
346

 
1

 
203

 
1

 
38

 
589

Interest expense

 

 

 

 
38

 
38

Income before income taxes
$
346

 
$
1

 
$
203

 
$
1

 
$

 
$
551

 
 
 
 
 
 
 
 
 
 
 
 
 
Retail
 
Group
 
Healthcare
Services
 
Other
Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
Nine months ended September 30, 2015
 
 
 
 
 
 
 
 
 
 
Revenues - external customers
 
 
 
 
 
 
 
 
 
 
 
Premiums:
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
22,183

 
$

 
$

 
$

 
$

 
$
22,183

Group Medicare Advantage
4,188

 

 

 

 

 
4,188

Medicare stand-alone PDP
2,915

 

 

 

 

 
2,915

Total Medicare
29,286

 

 

 

 

 
29,286

Fully-insured
3,263

 
4,125

 

 

 

 
7,388

Specialty
195

 
795

 

 

 

 
990

Medicaid and other
1,742

 
16

 

 
25

 

 
1,783

Total premiums
34,486

 
4,936

 

 
25

 

 
39,447

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
Provider

 
29

 
590

 

 

 
619

ASO and other
7

 
485

 

 
10

 

 
502

Pharmacy

 

 
22

 

 

 
22

Total services revenue
7

 
514

 
612

 
10

 

 
1,143

Total revenues - external customers
34,493

 
5,450

 
612

 
35

 

 
40,590

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
Services

 
68

 
13,561

 

 
(13,629
)
 

Products

 

 
3,654

 

 
(3,654
)
 

Total intersegment revenues

 
68

 
17,215

 

 
(17,283
)
 

Investment income
96

 
18

 

 
53

 
171

 
338

Total revenues
34,589

 
5,536

 
17,827

 
88

 
(17,112
)
 
40,928

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
29,781

 
3,908

 

 
66

 
(602
)
 
33,153

Operating costs
3,708

 
1,323

 
16,978

 
10

 
(16,569
)
 
5,450

Depreciation and amortization
140

 
69

 
112

 

 
(54
)
 
267

Total operating expenses
33,629

 
5,300

 
17,090

 
76

 
(17,225
)
 
38,870

Income from operations
960

 
236

 
737

 
12

 
113

 
2,058

Gain on sale of business

 

 

 

 
267

 
267

Interest expense

 

 

 

 
140

 
140

Income before income taxes
$
960

 
$
236

 
$
737

 
$
12

 
$
240

 
$
2,185

 
 
 
 
 
 
 
 
 
 
 
 
 
Retail
 
Group
 
Healthcare
Services
 
Other
Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
Nine months ended September 30, 2014
 
 
 
 
 
 
 
 
 
 
Revenues - external customers
 
 
 
 
 
 
 
 
 
 
 
Premiums:
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
19,375

 
$

 
$

 
$

 
$

 
$
19,375

Group Medicare Advantage
4,131

 

 

 

 

 
4,131

Medicare stand-alone PDP
2,612

 

 

 

 

 
2,612

Total Medicare
26,118

 

 

 

 

 
26,118

Fully-insured
2,363

 
3,985

 

 

 

 
6,348

Specialty
192

 
824

 

 

 

 
1,016

Medicaid and other
735

 
15

 

 
42

 

 
792

Total premiums
29,408

 
4,824

 

 
42

 

 
34,274

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
Provider

 
17

 
951

 

 

 
968

ASO and other
37

 
535

 

 
8

 

 
580

Pharmacy

 

 
72

 

 

 
72

Total services revenue
37

 
552

 
1,023

 
8

 

 
1,620

Total revenues - external customers
29,445

 
5,376

 
1,023

 
50

 

 
35,894

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
Services

 
57

 
11,084

 

 
(11,141
)
 

Products

 

 
2,752

 

 
(2,752
)
 

Total intersegment revenues

 
57

 
13,836

 

 
(13,893
)
 

Investment income
71

 
17

 

 
45

 
145

 
278

Total revenues
29,516

 
5,450

 
14,859

 
95

 
(13,748
)
 
36,172

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
25,044

 
3,753

 

 
73

 
(453
)
 
28,417

Operating costs
3,237

 
1,445

 
14,157

 
14

 
(13,335
)
 
5,518

Depreciation and amortization
120

 
77

 
108

 
2

 
(61
)
 
246

Total operating expenses
28,401

 
5,275

 
14,265

 
89

 
(13,849
)
 
34,181

Income from operations
1,115

 
175

 
594

 
6

 
101

 
1,991

Interest expense

 

 

 

 
108

 
108

Income (loss) before income taxes
$
1,115

 
$
175

 
$
594

 
$
6

 
$
(7
)
 
$
1,883