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Condensed Consolidated Statements Of Cash Flows (Unaudited) - USD ($)
$ in Millions
9 Months Ended
Sep. 30, 2015
Sep. 30, 2014
Cash flows from operating activities    
Net income $ 1,175 $ 1,002
Adjustments to reconcile net income to net cash provided by operating activities:    
Gain on sale of business (267) 0
Net realized capital gains (88) (9)
Stock-based compensation 92 76
Depreciation 263 240
Other intangible amortization 72 85
Provision (benefit) for deferred income taxes 13 (30)
Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:    
Receivables 56 (68)
Other assets (1,080) (960)
Benefits payable 447 783
Other liabilities (140) 238
Unearned revenues (64) 40
Other, net 52 28
Net cash provided by operating activities 531 1,425
Cash flows from investing activities    
Proceeds from sale of business 1,055 72
Acquisitions, net of cash acquired (38) (3)
Purchases of property and equipment (384) (361)
Purchases of investment securities (4,345) (1,949)
Maturities of investment securities 881 702
Proceeds from sales of investment securities 3,448 1,171
Net cash provided by (used in) investing activities 617 (368)
Cash flows from financing activities    
Receipts (withdrawals) from contract deposits, net (984) (743)
Proceeds from issuance of senior notes, net 0 1,733
Proceeds from issuance of commercial paper, net 10 0
Change in book overdraft (38) (136)
Common stock repurchases (380) (270)
Dividends paid (129) (129)
Excess tax benefit from stock-based compensation 15 10
Proceeds from stock option exercises and other 20 45
Net cash (used in) provided by financing activities (1,486) 510
(Decrease) increase in cash and cash equivalents (338) 1,567
Cash and cash equivalents at beginning of period 1,935 1,138
Cash and cash equivalents at end of period 1,597 2,705
Supplemental cash flow disclosures:    
Interest payments 105 83
Income tax payments, net $ 1,038 $ 852