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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Millions
6 Months Ended
Jun. 30, 2018
Jun. 30, 2017
Cash flows from operating activities    
Net income $ 684 $ 1,765
Adjustments to reconcile net income to net cash provided by operating activities:    
Loss on business held-for-sale 790 0
Net realized capital gains (82) (28)
Stock-based compensation 69 83
Depreciation 218 201
Other intangible amortization 51 36
(Benefit) provision for deferred income taxes (304) 2
Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:    
Receivables (619) (1,150)
Other assets (1,658) (545)
Benefits payable 410 275
Other liabilities 680 317
Unearned revenues 3,252 3,076
Other, net 70 67
Net cash provided by operating activities 3,561 4,099
Cash flows from investing activities    
Acquisitions, net of cash acquired (354) (9)
Purchases of property and equipment, net (272) (233)
Purchases of investment securities (2,624) (3,208)
Maturities of investment securities 555 649
Proceeds from sales of investment securities 2,408 1,723
Net cash used in investing activities (287) (1,078)
Cash flows from financing activities    
Receipts from contract deposits, net 1,515 2,081
Proceeds from issuance of senior notes, net 0 985
Proceeds (repayment) from issuance of commercial paper, net 243 (102)
Change in book overdraft (67) (95)
Common stock repurchases (93) (1,578)
Dividends paid (126) (104)
Proceeds from stock option exercises and other 43 54
Net cash provided by financing activities 1,515 1,241
Increase in cash and cash equivalents 4,789 4,262
Cash and cash equivalents at beginning of period 4,042 3,877
Cash and cash equivalents at end of period [1] 8,831 8,139
Supplemental cash flow disclosures:    
Interest payments 98 92
Income tax payments, net $ 405 $ 694
[1] Includes $779 million of cash and cash equivalents classified as held-for-sale at June 30, 2018.