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SEGMENT INFORMATION (Tables)
12 Months Ended
Dec. 31, 2017
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, By Segment
Our segment results were as follows for the years ended December 31, 2017, 2016, and 2015:
 
Retail
 
Group and Specialty
 
Healthcare Services
 
Individual Commercial
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2017
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues—external customers
Premiums:
 
 
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
32,720

 
$

 
$

 
$

 
$

 
$

 
$
32,720

Group Medicare Advantage
5,155

 

 

 

 

 

 
5,155

Medicare stand-alone PDP
3,702

 

 

 

 

 

 
3,702

Total Medicare
41,577

 

 

 

 

 

 
41,577

Fully-insured
478

 
5,462

 

 
947

 

 

 
6,887

Specialty

 
1,310

 

 

 

 

 
1,310

Medicaid and other
2,571

 

 

 

 
35

 

 
2,606

Total premiums
44,626

 
6,772

 

 
947

 
35

 

 
52,380

Services revenue:
 
 
 
 
 
 
 
Provider

 

 
258

 

 

 

 
258

ASO and other
10

 
626

 

 

 
8

 

 
644

Pharmacy

 

 
80

 

 

 

 
80

Total services revenue
10

 
626

 
338

 

 
8

 

 
982

Total revenues—external customers
44,636

 
7,398

 
338

 
947

 
43

 

 
53,362

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
 
 
Services

 
20

 
17,293

 

 

 
(17,313
)
 

Products

 

 
6,292

 

 

 
(6,292
)
 

Total intersegment revenues

 
20

 
23,585

 

 

 
(23,605
)
 

Investment income
90

 
31

 
35

 
4

 
87

 
158

 
405

Total revenues
44,726

 
7,449

 
23,958

 
951

 
130

 
(23,447
)
 
53,767

Operating expenses:
 
 
 
 
 
 
 
Benefits
38,218

 
5,363

 

 
544

 
131

 
(760
)
 
43,496

Operating costs
4,292

 
1,590

 
22,848

 
201

 
12

 
(22,376
)
 
6,567

Merger termination fee and related costs, net










(936
)

(936
)
Depreciation and amortization
238

 
84

 
143

 
13

 

 
(100
)
 
378

Total operating expenses
42,748

 
7,037

 
22,991

 
758

 
143

 
(24,172
)
 
49,505

Income (loss) from operations
1,978

 
412

 
967

 
193

 
(13
)
 
725

 
4,262

Interest expense

 

 

 

 

 
242

 
242

Income (loss) before income taxes
$
1,978

 
$
412

 
$
967

 
$
193

 
$
(13
)
 
$
483

 
$
4,020


Premium and services revenues derived from our contracts with the federal government, as a percentage of our total premium and services revenues, was approximately 79% for 2017, compared to 75% for 2016, and 73% for 2015.
 
Retail
 
Group and Specialty
 
Healthcare Services
 
Individual Commercial
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2016
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues—external customers
Premiums:
 
 
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
31,863

 
$

 
$

 
$

 
$

 
$

 
$
31,863

Group Medicare Advantage
4,283

 

 

 

 

 

 
4,283

Medicare stand-alone PDP
4,009

 

 

 

 

 

 
4,009

Total Medicare
40,155

 

 

 

 

 

 
40,155

Fully-insured
428

 
5,405

 

 
3,064

 

 

 
8,897

Specialty

 
1,279

 

 

 

 

 
1,279

Medicaid and other
2,640

 
12

 

 

 
38

 

 
2,690

Total premiums
43,223

 
6,696

 

 
3,064

 
38

 

 
53,021

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
 
 
Provider

 

 
278

 

 

 

 
278

ASO and other
6

 
643

 
1

 

 
10

 

 
660

Pharmacy

 

 
31

 

 

 

 
31

Total services revenue
6

 
643

 
310

 

 
10

 

 
969

Total revenues—external customers
43,229

 
7,339

 
310

 
3,064

 
48

 

 
53,990

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
 
 
Services

 
22

 
18,979

 

 

 
(19,001
)
 

Products

 

 
5,993

 

 

 
(5,993
)
 

Total intersegment revenues

 
22

 
24,972

 

 

 
(24,994
)
 

Investment income
90

 
25

 
30

 
5

 
66

 
173

 
389

Total revenues
43,319

 
7,386

 
25,312

 
3,069

 
114

 
(24,821
)
 
54,379

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
 
 
Benefits
36,783

 
5,233

 

 
3,301

 
617

 
(927
)
 
45,007

Operating costs
4,650

 
1,727

 
24,073

 
601

 
16

 
(23,894
)
 
7,173

Merger termination fee and related costs, net

 

 

 

 

 
104

 
104

Depreciation and amortization
196

 
82

 
143

 
36

 
1

 
(104
)
 
354

Total operating expenses
41,629

 
7,042

 
24,216

 
3,938

 
634

 
(24,821
)
 
52,638

Income (loss) from operations
1,690

 
344

 
1,096

 
(869
)
 
(520
)
 

 
1,741

Interest expense

 

 

 

 

 
189

 
189

Income (loss) before income taxes
$
1,690

 
$
344

 
$
1,096

 
$
(869
)
 
$
(520
)
 
$
(189
)
 
$
1,552

Premiums revenue for our Individual Commercial segment for 2016 includes a reduction of $583 million associated with the write-off of commercial risk corridor receivables as discussed more fully in Note 7.
Benefits expense for Other Businesses for 2016 includes $505 million for reserve strengthening associated with our closed block of long-term care insurance policies as discussed more fully in Note 18.
 
Retail
 
Group and Specialty
 
Healthcare Services
 
Individual Commercial
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2015
 
 
 
 
 
 
 
 
 
 
 
 
 
Revenues—external customers
Premiums:
 
 
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
29,526

 
$

 
$

 
$

 
$

 
$

 
$
29,526

Group Medicare Advantage
5,588

 

 

 

 

 

 
5,588

Medicare stand-alone PDP
3,846

 

 

 

 

 

 
3,846

Total Medicare
38,960

 

 

 

 

 

 
38,960

Fully-insured
304

 
5,493

 

 
3,939

 

 

 
9,736

Specialty

 
1,316

 

 

 

 

 
1,316

Medicaid and other
2,341

 
21

 

 

 
35

 

 
2,397

Total premiums
41,605

 
6,830

 

 
3,939

 
35

 

 
52,409

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
 
 
Provider

 

 
695

 

 

 

 
695

ASO and other
8

 
658

 
1

 

 
14

 

 
681

Pharmacy

 

 
30

 

 

 

 
30

Total services revenue
8

 
658

 
726

 

 
14

 

 
1,406

Total revenues—external customers
41,613

 
7,488

 
726

 
3,939

 
49

 

 
53,815

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
 
 
Services

 
20

 
18,127

 

 

 
(18,147
)
 

Products

 

 
4,923

 

 

 
(4,923
)
 

Total intersegment revenues

 
20

 
23,050

 

 

 
(23,070
)
 

Investment income
122

 
34

 

 
4

 
76

 
238

 
474

Total revenues
41,735

 
7,542

 
23,776

 
3,943

 
125

 
(22,832
)
 
54,289

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
 
 
Benefits
36,052

 
5,382

 

 
3,589

 
87

 
(841
)
 
44,269

Operating costs
4,267

 
1,755

 
22,598

 
756

 
14

 
(22,095
)
 
7,295

Merger termination fee and related costs, net

 

 

 

 

 
23

 
23

Depreciation and amortization
157

 
84

 
156

 
31

 

 
(73
)
 
355

Total operating expenses
40,476

 
7,221

 
22,754

 
4,376

 
101

 
(22,986
)
 
51,942

Income (loss) from operations
1,259

 
321

 
1,022

 
(433
)
 
24

 
154

 
2,347

Gain on sale of business

 

 

 

 

 
270

 
270

Interest expense

 

 

 

 

 
186

 
186

Income (loss) before income taxes
$
1,259

 
$
321

 
$
1,022

 
$
(433
)
 
$
24

 
$
238

 
$
2,431