XML 26 R16.htm IDEA: XBRL DOCUMENT v3.22.2
BENEFITS PAYABLE
6 Months Ended
Jun. 30, 2022
Insurance [Abstract]  
BENEFITS PAYABLE BENEFITS PAYABLE
On a consolidated basis, activity in benefits payable was as follows for the six months ended June 30, 2022 and 2021:
For the six months ended June 30,
20222021
 (in millions)
Balances, beginning of period$8,289 $8,143 
Acquisitions— 42 
Incurred related to:
Current year39,121 35,164 
Prior years(397)(719)
Total incurred38,724 34,445 
Paid related to:
Current year(30,356)(27,556)
Prior years(7,007)(6,589)
Total paid(37,363)(34,145)
Balances, end of period $9,650 $8,485 
Amounts incurred related to prior periods vary from previously estimated liabilities as the claims ultimately are settled. Negative amounts reported for incurred related to prior years result from claims being ultimately settled for amounts less than originally estimated (favorable development).
Our reserving practice is to consistently recognize the actuarial best estimate of our ultimate liability for claims. Actuarial standards require the use of assumptions based on moderately adverse experience, which generally results in favorable reserve development, or reserves that are considered redundant.
Incurred and Paid Claims Development
The following discussion provides information about incurred and paid claims development for our Retail and Group and Specialty segments as of June 30, 2022 and 2021, net of reinsurance, and the total estimate of benefits payable for claims incurred but not reported, or IBNR, included within the net incurred claims amounts.
Retail Segment
Activity in benefits payable for our Retail segment was as follows for the six months ended June 30, 2022 and 2021:
For the six months ended June 30,
20222021
 (in millions)
Balances, beginning of period$7,675 $7,428 
Acquisitions— 42 
Incurred related to:
Current year37,299 32,986 
Prior years(367)(619)
Total incurred36,932 32,367 
Paid related to:
Current year(29,061)(25,953)
Prior years(6,459)(5,990)
Total paid(35,520)(31,943)
Balances, end of period$9,087 $7,894 
At June 30, 2022, benefits payable for our Retail segment included IBNR of approximately $5.5 billion, primarily associated with claims incurred in 2022.
Group and Specialty Segment
Activity in benefits payable for our Group and Specialty segment was as follows for the six months ended June 30, 2022 and 2021:
For the six months ended June 30,
20222021
 (in millions)
Balances, beginning of period$614 $715 
Incurred related to:
Current year2,121 2,492 
Prior years(30)(100)
Total incurred2,091 2,392 
Paid related to:
Current year(1,594)(1,917)
Prior years(548)(599)
Total paid(2,142)(2,516)
Balances, end of period$563 $591 
At June 30, 2022, benefits payable for our Group and Specialty segment included IBNR of approximately $488 million, primarily associated with claims incurred in 2022.