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BENEFITS PAYABLE (Tables)

12 Months Ended

Dec. 31, 2021

Schedule of Activity in Benefits Payable

On a consolidated basis, activity in benefits payable was as follows for the years ended December 31, 2021, 2020 and 2019:


	2021		2020		2019
	(in millions)
Balances at January 1	$	8,143	$	6,004	$	4,862

Less: Reinsurance recoverables	—		(68)		(95)
Balances at January 1, net	8,143		5,936		4,767
Acquisitions	42		—		—
Incurred related to:
Current year	70,024		61,941		54,193
Prior years	(825)		(313)		(336)
Total incurred	69,199		61,628		53,857
Paid related to:
Current year	(62,149)		(54,003)		(48,421)
Prior years	(6,946)		(5,418)		(4,267)
Total paid	(69,095)		(59,421)		(52,688)

Reinsurance recoverable	—		—		68
Balances at December 31	$	8,289	$	8,143	$	6,004

Activity in benefits payable for our Retail segment was as follows for the years ended December 31, 2021, 2020 and 2019:


	2021		2020		2019
	(in millions)
Balances at January 1	$	7,428	$	5,363	$	4,338

Less: Reinsurance recoverables	—		(68)		(95)
Balances at January 1, net	7,428		5,295		4,243
Acquisitions	42		—		—
Incurred related to:
Current year	65,636		56,821		48,983
Prior years	(729)		(266)		(386)
Total incurred	64,907		56,555		48,597
Paid related to:
Current year	(58,363)		(49,586)		(43,831)
Prior years	(6,339)		(4,836)		(3,714)
Total paid	(64,702)		(54,422)		(47,545)

Reinsurance recoverable	—		—		68
Balances at December 31	$	7,675	$	7,428	$	5,363

Activity in benefits payable for our Group and Specialty segment, excluding military services, was as follows for the years ended December 31, 2021, 2020 and 2019:


	2021		2020		2019
	(in millions)
Balances at January 1	$	715	$	641	$	517



Incurred related to:
Current year	5,047		5,576		5,708
Prior years	(96)		(47)		50
Total incurred	4,951		5,529		5,758
Paid related to:
Current year	(4,445)		(4,873)		(5,081)
Prior years	(607)		(582)		(553)
Total paid	(5,052)		(5,455)		(5,634)


Balances at December 31	$	614	$	715	$	641

Schedule of Favorable Medical Claims Reserve Development Related to Prior Fiscal Years by Segment

The table below details our favorable medical claims reserve development related to prior fiscal years by segment for 2021, 2020, and 2019.


	(Favorable) Unfavorable Medical Claims Reserve Development
	2021		2020		2019
	(in millions)
Retail Segment	$	(729)	$	(266)	$	(386)
Group and Specialty Segment	(96)		(47)		50


Total	$	(825)	$	(313)	$	(336)

Schedule of Incurred and Paid Claims Development

The following tables provide information about incurred and paid claims development for the Retail segment as of December 31, 2021, net of reinsurance.


	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2019 Unaudited		2020 Unaudited		2021
	(in millions)
2019	$	48,983	$	48,820	$	48,713
2020			56,821		56,223
2021					65,678
Total					$	170,614


	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2019 Unaudited		2020 Unaudited		2021
	(in millions)
2019	$	43,831	$	48,627	$	48,713
2020			49,586		55,863
2021					58,363
Total					162,939
All outstanding benefit liabilities before 2019, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	7,675

The following tables provide information about incurred and paid claims development for the Group and Specialty segment as of December 31, 2021, net of reinsurance.


	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2019 Unaudited		2020 Unaudited		2021
	(in millions)
2019	$	5,708	$	5,657	$	5,652
2020			5,576		5,491
2021					5,047
Total					$	16,190


	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2019 Unaudited		2020 Unaudited		2021
	(in millions)
2019	$	5,081	$	5,465	$	5,652
2020			4,873		5,479
2021					4,445
Total					15,576
All outstanding benefit liabilities before 2019, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	614