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SEGMENT INFORMATION (Tables)
9 Months Ended
Sep. 30, 2016
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, 2016 and 2015:
 
Retail
 
Group
 
Healthcare
Services
 
Other
Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
Three months ended September 30, 2016
 
 
 
 
 
 
 
 
 
 
Revenues - external customers
 
 
 
 
 
 
 
 
 
 
 
Premiums:
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
7,977

 
$

 
$

 
$

 
$

 
$
7,977

Group Medicare Advantage
1,067

 

 

 

 

 
1,067

Medicare stand-alone PDP
1,004

 

 

 

 

 
1,004

Total Medicare
10,048

 

 

 

 

 
10,048

Fully-insured
991

 
1,350

 

 

 

 
2,341

Specialty
65

 
253

 

 

 

 
318

Medicaid and other
652

 
2

 

 
10

 

 
664

Total premiums
11,756

 
1,605

 

 
10

 

 
13,371

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
Provider

 
12

 
57

 

 

 
69

ASO and other
3

 
146

 

 
1

 

 
150

Pharmacy

 

 
8

 

 

 
8

Total services revenue
3

 
158

 
65

 
1

 

 
227

Total revenues - external customers
11,759

 
1,763

 
65

 
11

 

 
13,598

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
Services

 
23

 
4,708

 

 
(4,731
)
 

Products

 

 
1,580

 

 
(1,580
)
 

Total intersegment revenues

 
23

 
6,288

 

 
(6,311
)
 

Investment income
25

 
4

 
8

 
17

 
42

 
96

Total revenues
11,784

 
1,790

 
6,361

 
28

 
(6,269
)
 
13,694

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
9,771

 
1,327

 

 
26

 
(224
)
 
10,900

Operating costs
1,308

 
430

 
6,040

 
4

 
(6,023
)
 
1,759

Depreciation and amortization
61

 
21

 
33

 

 
(29
)
 
86

Total operating expenses
11,140

 
1,778

 
6,073

 
30

 
(6,276
)
 
12,745

Income (loss) from operations
644

 
12

 
288

 
(2
)
 
7

 
949

Interest expense

 

 

 

 
47

 
47

Income (loss) before income taxes
$
644

 
$
12

 
$
288

 
$
(2
)
 
$
(40
)
 
$
902


 
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

 
4,558

 

 
(4,582
)
 

Products

 

 
1,271

 

 
(1,271
)
 

Total intersegment revenues

 
24

 
5,829

 

 
(5,853
)
 

Investment income
38

 
7

 

 
16

 
69

 
130

Total revenues
11,392

 
1,830

 
5,898

 
27

 
(5,784
)
 
13,363

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
9,777

 
1,341

 

 
22

 
(244
)
 
10,896

Operating costs
1,241

 
426

 
5,584

 
3

 
(5,566
)
 
1,688

Depreciation and amortization
49

 
24

 
30

 

 
(19
)
 
84

Total operating expenses
11,067

 
1,791

 
5,614

 
25

 
(5,829
)
 
12,668

Income from operations
325

 
39

 
284

 
2

 
45

 
695

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)
Nine months ended September 30, 2016
 
 
 
 
 
 
 
 
 
 
Revenues - external customers
 
 
 
 
 
 
 
 
 
 
 
Premiums:
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
24,054

 
$

 
$

 
$

 
$

 
$
24,054

Group Medicare Advantage
3,229

 

 

 

 

 
3,229

Medicare stand-alone PDP
3,058

 

 

 

 

 
3,058

Total Medicare
30,341

 

 

 

 

 
30,341

Fully-insured
3,118

 
4,044

 

 

 

 
7,162

Specialty
196

 
761

 

 

 

 
957

Medicaid and other
1,960

 
12

 

 
29

 

 
2,001

Total premiums
35,615

 
4,817

 

 
29

 

 
40,461

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
Provider

 
38

 
176

 

 

 
214

ASO and other
7

 
499

 

 
7

 

 
513

Pharmacy

 

 
22

 

 

 
22

Total services revenue
7

 
537

 
198

 
7

 

 
749

Total revenues - external customers
35,622

 
5,354

 
198

 
36

 

 
41,210

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
Services

 
67

 
14,198

 

 
(14,265
)
 

Products

 

 
4,373

 

 
(4,373
)
 

Total intersegment revenues

 
67

 
18,571

 

 
(18,638
)
 

Investment income
77

 
13

 
22

 
48

 
131

 
291

Total revenues
35,699

 
5,434

 
18,791

 
84

 
(18,507
)
 
41,501

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
30,581

 
3,794

 

 
82

 
(651
)
 
33,806

Operating costs
3,825

 
1,300

 
17,894

 
12

 
(17,778
)
 
5,253

Depreciation and amortization
175

 
69

 
97

 

 
(78
)
 
263

Total operating expenses
34,581

 
5,163

 
17,991

 
94

 
(18,507
)
 
39,322

Income (loss) from operations
1,118

 
271

 
800

 
(10
)
 

 
2,179

Interest expense

 

 

 

 
141

 
141

Income (loss) before income taxes
$
1,118

 
$
271

 
$
800

 
$
(10
)
 
$
(141
)
 
$
2,038

 
 
 
 
 
 
 
 
 
 
 
 
 
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

 
13,357

 

 
(13,425
)
 

Products

 

 
3,654

 

 
(3,654
)
 

Total intersegment revenues

 
68

 
17,011

 

 
(17,079
)
 

Investment income
96

 
18

 

 
53

 
171

 
338

Total revenues
34,589

 
5,536

 
17,623

 
88

 
(16,908
)
 
40,928

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
29,781

 
3,908

 

 
66

 
(602
)
 
33,153

Operating costs
3,708

 
1,323

 
16,774

 
10

 
(16,365
)
 
5,450

Depreciation and amortization
140

 
69

 
112

 

 
(54
)
 
267

Total operating expenses
33,629

 
5,300

 
16,886

 
76

 
(17,021
)
 
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