XML 53 R42.htm IDEA: XBRL DOCUMENT v3.5.0.2
HEALTH CARE REFORM (Details) - USD ($)
$ in Millions
1 Months Ended 3 Months Ended 9 Months Ended
Sep. 30, 2016
Sep. 30, 2016
Sep. 30, 2015
Sep. 30, 2016
Sep. 30, 2015
Dec. 31, 2015
Premium Deficiency Reserve Activity [Roll Forward]            
Balance at January 1, 2016 $ 206 $ 206   $ 206    
Current period results applied to the PDR liability for the 2016 coverage year       (178)    
Change in full year 2016 estimate recorded in benefits expense       208    
Balance at September 30, 2016       176    
Other current assets 4,791 4,791   4,791   $ 4,712
Trade accounts payable and accrued expenses (2,933) (2,933)   (2,933)   (2,212)
Other long-term assets 2,789 2,789   2,789   2,475
Other long-term liabilities (279) (279)   (279)   (235)
Risk Adjustment Settlement            
Premium Deficiency Reserve Activity [Roll Forward]            
Total net (liability) asset 144 144   144   (87)
Reinsurance Recoverables            
Premium Deficiency Reserve Activity [Roll Forward]            
Total net (liability) asset 215 215   215   610
Risk Corridor Settlement            
Premium Deficiency Reserve Activity [Roll Forward]            
Total net (liability) asset 591 591   591   459
Health Care Reform            
Premium Deficiency Reserve Activity [Roll Forward]            
Payment of annual health insurance industry fee 916          
Amortization of deferred charges   231 $ 217 687 $ 650  
Deferred cost asset balance 229 229   229    
2016 Coverage Year            
Premium Deficiency Reserve Activity [Roll Forward]            
Balance at September 30, 2016       176    
2016 Coverage Year | Risk Adjustment Settlement            
Premium Deficiency Reserve Activity [Roll Forward]            
Trade accounts payable and accrued expenses (107) (107)   (107)   0
Other long-term assets 197 197   197   0
Total net (liability) asset 90 90   90   0
2016 Coverage Year | Reinsurance Recoverables            
Premium Deficiency Reserve Activity [Roll Forward]            
Trade accounts payable and accrued expenses 0 0   0   0
Other long-term assets 157 157   157   0
Total net (liability) asset 157 157   157   0
2016 Coverage Year | Risk Corridor Settlement            
Premium Deficiency Reserve Activity [Roll Forward]            
Trade accounts payable and accrued expenses 0 0   0   0
Other long-term assets 168 168   168   0
Total net (liability) asset 168 168   168   0
Current Coverage Year            
Premium Deficiency Reserve Activity [Roll Forward]            
Payments for risk adjustment charges       240 186  
Proceeds from reinsurance recoverable       471 521  
Proceeds from risk adjustment settlements       84 $ 57  
Current Coverage Year | Risk Adjustment Settlement            
Premium Deficiency Reserve Activity [Roll Forward]            
Premiums receivable 54 54   54   126
Other current assets 0 0   0   0
Trade accounts payable and accrued expenses 0 0   0   (223)
Net current asset (liability) 54 54   54   (97)
Other long-term assets 0 0   0   10
Total net (liability) asset 54 54   54   (87)
Current Coverage Year | Reinsurance Recoverables            
Premium Deficiency Reserve Activity [Roll Forward]            
Premiums receivable 0 0   0   0
Other current assets 58 58   58   610
Trade accounts payable and accrued expenses 0 0   0   0
Net current asset (liability) 58 58   58   610
Other long-term assets 0 0   0   0
Total net (liability) asset 58 58   58   610
Current Coverage Year | Risk Corridor Settlement            
Premium Deficiency Reserve Activity [Roll Forward]            
Premiums receivable 0 0   0   0
Other current assets 0 0   0   0
Trade accounts payable and accrued expenses 0 0   0   0
Net current asset (liability) 0 0   0   0
Other long-term assets 423 423   423   459
Total net (liability) asset $ 423 $ 423   423   $ 459
2014 Coverage Year | Risk Corridor Settlement            
Premium Deficiency Reserve Activity [Roll Forward]            
Proceeds from risk corridor settlements       $ 30    
Percent of receivable to be paid by CMS (between December 2015 and January 2016) 12.60% 12.60%   12.60%