XML 184 R96.htm IDEA: XBRL DOCUMENT v3.10.0.1
SEGMENT INFORMATION - Information by Segment (Detail) - USD ($)
$ in Millions
3 Months Ended 12 Months Ended
Dec. 31, 2018
Sep. 30, 2018
Jun. 30, 2018
Mar. 31, 2018
Dec. 31, 2017
Sep. 30, 2017
Jun. 30, 2017
Mar. 31, 2017
Dec. 31, 2018
Dec. 31, 2017
Dec. 31, 2016
Segment Reporting Information [Line Items]                      
Premiums                 $ 54,941 $ 52,380 $ 53,021
Services                 1,457 982 969
Investment income                 514 405 389
Total revenues $ 14,168 $ 14,206 $ 14,259 $ 14,279 $ 13,189 $ 13,282 $ 13,534 $ 13,762 56,912 53,767 54,379
Benefits                 45,882 43,496 45,007
Operating costs                 7,525 6,567 7,173
Merger termination fee and related costs, net                 0 (936) 104
Depreciation and amortization                 405 378 354
Total operating expenses                 53,812 49,505 52,638
Income from operations                 3,100 4,262 1,741
Loss on sale of business                 786 0 0
Interest expense                 218 242 189
Other expense, net                 33 0 0
Income (loss) before income taxes and equity in net earnings $ 436 $ 901 $ 19 $ 707 $ 490 $ 799 $ 1,042 $ 1,689 2,063 4,020 1,552
Equity in net earnings of Kindred at Home                 11 0 0
Segment earnings (losses)                 2,074 4,020 1,552
Individual Medicare Advantage                      
Segment Reporting Information [Line Items]                      
Premiums                 35,656 32,720 31,863
Group Medicare Advantage                      
Segment Reporting Information [Line Items]                      
Premiums                 6,103 5,155 4,283
Medicare stand-alone PDP                      
Segment Reporting Information [Line Items]                      
Premiums                 3,584 3,702 4,009
Total Medicare                      
Segment Reporting Information [Line Items]                      
Premiums                 45,343 41,577 40,155
Fully-insured                      
Segment Reporting Information [Line Items]                      
Premiums                 5,962 6,887 8,897
Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 1,359 1,310 1,279
Medicaid and other                      
Segment Reporting Information [Line Items]                      
Premiums                 2,277 2,606 2,690
Provider                      
Segment Reporting Information [Line Items]                      
Services                 404 258 278
ASO and other                      
Segment Reporting Information [Line Items]                      
Services                 850 644 660
Pharmacy                      
Segment Reporting Information [Line Items]                      
Services                 203 80 31
External Customers                      
Segment Reporting Information [Line Items]                      
Total revenues                 56,398 53,362 53,990
Operating Segments | Retail                      
Segment Reporting Information [Line Items]                      
Premiums                 48,108 44,626 43,223
Services                 11 10 6
Investment income                 136 90 90
Total revenues                 48,255 44,726 43,319
Benefits                 40,925 38,218 36,783
Operating costs                 5,327 4,292 4,650
Merger termination fee and related costs, net                   0 0
Depreciation and amortization                 270 238 196
Total operating expenses                 46,522 42,748 41,629
Income from operations                 1,733 1,978 1,690
Loss on sale of business                 0   0
Interest expense                 0 0 0
Other expense, net                 0    
Income (loss) before income taxes and equity in net earnings                 1,733 1,978 1,690
Equity in net earnings of Kindred at Home                 0 0 0
Segment earnings (losses)                 1,733 1,978 1,690
Operating Segments | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 6,803 6,772 6,696
Services                 835 626 643
Investment income                 23 31 25
Total revenues                 7,679 7,449 7,386
Benefits                 5,420 5,363 5,233
Operating costs                 1,810 1,590 1,727
Merger termination fee and related costs, net                   0 0
Depreciation and amortization                 88 84 82
Total operating expenses                 7,318 7,037 7,042
Income from operations                 361 412 344
Loss on sale of business                 0   0
Interest expense                 0 0 0
Other expense, net                 0    
Income (loss) before income taxes and equity in net earnings                 361 412 344
Equity in net earnings of Kindred at Home                 0 0 0
Segment earnings (losses)                 361 412 344
Operating Segments | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Services                 607 338 310
Investment income                 34 35 30
Total revenues                 23,811 23,958 25,312
Benefits                 0 0 0
Operating costs                 22,905 22,848 24,073
Merger termination fee and related costs, net                   0 0
Depreciation and amortization                 163 143 143
Total operating expenses                 23,068 22,991 24,216
Income from operations                 743 967 1,096
Loss on sale of business                 0   0
Interest expense                 0 0 0
Other expense, net                 0    
Income (loss) before income taxes and equity in net earnings                 743 967 1,096
Equity in net earnings of Kindred at Home                 11 0 0
Segment earnings (losses)                 754 967 1,096
Operating Segments | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Premiums                 8 947 3,064
Services                 0 0 0
Investment income                 0 4 5
Total revenues                 8 951 3,069
Benefits                 (70) 544 3,301
Operating costs                 4 201 601
Merger termination fee and related costs, net                   0 0
Depreciation and amortization                 0 13 36
Total operating expenses                 (66) 758 3,938
Income from operations                 74 193 (869)
Loss on sale of business                 0   0
Interest expense                 0 0 0
Other expense, net                 0    
Income (loss) before income taxes and equity in net earnings                 74 193 (869)
Equity in net earnings of Kindred at Home                 0 0 0
Segment earnings (losses)                 74 193 (869)
Operating Segments | Individual Medicare Advantage | Retail                      
Segment Reporting Information [Line Items]                      
Premiums                 35,656 32,720 31,863
Operating Segments | Individual Medicare Advantage | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Individual Medicare Advantage | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Individual Medicare Advantage | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Group Medicare Advantage | Retail                      
Segment Reporting Information [Line Items]                      
Premiums                 6,103 5,155 4,283
Operating Segments | Group Medicare Advantage | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Group Medicare Advantage | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Group Medicare Advantage | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Medicare stand-alone PDP | Retail                      
Segment Reporting Information [Line Items]                      
Premiums                 3,584 3,702 4,009
Operating Segments | Medicare stand-alone PDP | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Medicare stand-alone PDP | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Medicare stand-alone PDP | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Total Medicare | Retail                      
Segment Reporting Information [Line Items]                      
Premiums                 45,343 41,577 40,155
Operating Segments | Total Medicare | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Total Medicare | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Total Medicare | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Fully-insured | Retail                      
Segment Reporting Information [Line Items]                      
Premiums                 510 478 428
Operating Segments | Fully-insured | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 5,444 5,462 5,405
Operating Segments | Fully-insured | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Fully-insured | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Premiums                 8 947 3,064
Operating Segments | Specialty | Retail                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Specialty | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 1,359 1,310 1,279
Operating Segments | Specialty | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Specialty | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Medicaid and other | Retail                      
Segment Reporting Information [Line Items]                      
Premiums                 2,255 2,571 2,640
Operating Segments | Medicaid and other | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 12
Operating Segments | Medicaid and other | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Medicaid and other | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Operating Segments | Provider | Retail                      
Segment Reporting Information [Line Items]                      
Services                 0 0 0
Operating Segments | Provider | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Services                 0 0 0
Operating Segments | Provider | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Services                 404 258 278
Operating Segments | Provider | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Services                 0 0 0
Operating Segments | ASO and other | Retail                      
Segment Reporting Information [Line Items]                      
Services                 11 10 6
Operating Segments | ASO and other | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Services                 835 626 643
Operating Segments | ASO and other | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Services                 0 0 1
Operating Segments | ASO and other | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Services                 0 0 0
Operating Segments | Pharmacy | Retail                      
Segment Reporting Information [Line Items]                      
Services                 0 0 0
Operating Segments | Pharmacy | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Services                 0 0 0
Operating Segments | Pharmacy | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Services                 203 80 31
Operating Segments | Pharmacy | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Services                 0 0 0
Operating Segments | External Customers | Retail                      
Segment Reporting Information [Line Items]                      
Total revenues                 48,119 44,636 43,229
Operating Segments | External Customers | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Total revenues                 7,638 7,398 7,339
Operating Segments | External Customers | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Total revenues                 607 338 310
Operating Segments | External Customers | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Total revenues                 8 947 3,064
Other Businesses                      
Segment Reporting Information [Line Items]                      
Premiums                 22 35 38
Services                 4 8 10
Investment income                 110 87 66
Total revenues                 136 130 114
Benefits                 77 131 617
Operating costs                 6 12 16
Merger termination fee and related costs, net                   0 0
Depreciation and amortization                 0 0 1
Total operating expenses                 83 143 634
Income from operations                 53 (13) (520)
Loss on sale of business                 0   0
Interest expense                 0 0 0
Other expense, net                 0    
Income (loss) before income taxes and equity in net earnings                 53 (13) (520)
Equity in net earnings of Kindred at Home                 0 0 0
Segment earnings (losses)                 53 (13) (520)
Other Businesses | Individual Medicare Advantage                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Other Businesses | Group Medicare Advantage                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Other Businesses | Medicare stand-alone PDP                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Other Businesses | Total Medicare                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Other Businesses | Fully-insured                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Other Businesses | Specialty                      
Segment Reporting Information [Line Items]                      
Premiums                 0 0 0
Other Businesses | Medicaid and other                      
Segment Reporting Information [Line Items]                      
Premiums                 22 35 38
Other Businesses | Provider                      
Segment Reporting Information [Line Items]                      
Services                 0 0 0
Other Businesses | ASO and other                      
Segment Reporting Information [Line Items]                      
Services                 4 8 10
Other Businesses | Pharmacy                      
Segment Reporting Information [Line Items]                      
Services                 0 0 0
Other Businesses | External Customers                      
Segment Reporting Information [Line Items]                      
Total revenues                 26 43 48
Corporate/Eliminations                      
Segment Reporting Information [Line Items]                      
Services                   0  
Investment income                 211 158 173
Total revenues                 (22,977) (23,447) (24,821)
Benefits                 (470) (760) (927)
Operating costs                 (22,527) (22,376) (23,894)
Merger termination fee and related costs, net                   (936) 104
Depreciation and amortization                 (116) (100) (104)
Total operating expenses                 (23,113) (24,172) (24,821)
Income from operations                 136 725 0
Loss on sale of business                 (786)   0
Interest expense                 218 242 189
Other expense, net                 (33)    
Income (loss) before income taxes and equity in net earnings                 (901) 483 (189)
Equity in net earnings of Kindred at Home                 0 0 0
Segment earnings (losses)                 (901) 483 (189)
Corporate/Eliminations | Provider                      
Segment Reporting Information [Line Items]                      
Services                   0  
Corporate/Eliminations | ASO and other                      
Segment Reporting Information [Line Items]                      
Services                   0  
Corporate/Eliminations | Pharmacy                      
Segment Reporting Information [Line Items]                      
Services                   0  
Corporate/Eliminations | External Customers                      
Segment Reporting Information [Line Items]                      
Total revenues                   0  
Intersegment revenues                      
Segment Reporting Information [Line Items]                      
Total revenues                 (23,188) (23,605) (24,994)
Intersegment revenues | Retail                      
Segment Reporting Information [Line Items]                      
Total revenues                 0 0 0
Intersegment revenues | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Total revenues                 18 20 22
Intersegment revenues | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Total revenues                 23,170 23,585 24,972
Intersegment revenues | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Total revenues                 0 0 0
Intersegment revenues | Services                      
Segment Reporting Information [Line Items]                      
Total revenues                 (16,858) (17,313) (19,001)
Intersegment revenues | Services | Retail                      
Segment Reporting Information [Line Items]                      
Total revenues                 0 0 0
Intersegment revenues | Services | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Total revenues                 18 20 22
Intersegment revenues | Services | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Total revenues                 16,840 17,293 18,979
Intersegment revenues | Services | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Total revenues                 0 0 0
Intersegment revenues | Products                      
Segment Reporting Information [Line Items]                      
Total revenues                 (6,330) (6,292) (5,993)
Intersegment revenues | Products | Retail                      
Segment Reporting Information [Line Items]                      
Total revenues                 0 0 0
Intersegment revenues | Products | Group and Specialty                      
Segment Reporting Information [Line Items]                      
Total revenues                 0 0 0
Intersegment revenues | Products | Healthcare Services                      
Segment Reporting Information [Line Items]                      
Total revenues                 6,330 6,292 5,993
Intersegment revenues | Products | Individual Commercial                      
Segment Reporting Information [Line Items]                      
Total revenues                 $ 0 $ 0 $ 0