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Condensed Consolidated Statements Of Cash Flows - USD ($)
$ in Millions
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Cash flows from operating activities    
Net income $ 473 $ 566
Adjustments to reconcile net income to net cash provided by operating activities:    
Net realized capital (gains) losses (49) 2
Equity in net earnings (8) (3)
Stock-based compensation 36 33
Depreciation 124 118
Amortization 21 18
Benefit for deferred income taxes (3) (21)
Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:    
Receivables (953) (940)
Other assets (1,470) (102)
Benefits payable 1,086 1,162
Other liabilities 1,203 16
Unearned revenues 27 29
Other (13) 18
Net cash provided by operating activities 474 896
Cash flows from investing activities    
Acquisitions, net of cash acquired (709) 0
Purchases of property and equipment (192) (139)
Purchases of investment securities (2,459) (2,175)
Maturities of investment securities 735 397
Proceeds from sales of investment securities 1,415 2,062
Net cash (used in) provided by investing activities (1,210) 145
Cash flows from financing activities    
Receipts from contract deposits, net 574 554
Proceeds from issuance of senior notes, net 1,090 0
Proceeds from issuance of commercial paper, net 198 17
Proceeds from term loan 1,000 0
Change in book overdraft (55) (17)
Common stock repurchases (17) (10)
Dividends paid (73) (68)
Proceeds from stock option exercises and other, net 19 17
Net cash provided by financing activities 2,736 493
Increase in cash and cash equivalents 2,000 1,534
Cash and cash equivalents at beginning of period 4,054 2,343
Cash and cash equivalents at end of period 6,054 3,877
Supplemental cash flow disclosures:    
Interest payments 40 29
Income tax refunds, net $ (6) $ (22)