Segment Information (Tables)

6 Months Ended

Jun. 30, 2011

Segment Information

Schedule of Segment Reporting Information, By Segment

	Retail		Employer Group		Health and Well-Being Services		Other Businesses		Eliminations/ Corporate			Consolidated
	(in thousands)
Three months ended June 30, 2011
Revenues - external customers
Premiums:
Medicare Advantage	$	4,555,163	$	764,595	$	0	$	0	$	0		$	5,319,758
Medicare stand-alone PDP		601,345		1,911		0		77,184		0			680,440
Total Medicare		5,156,508		766,506		0		77,184		0			6,000,198
Fully-insured		206,291		1,216,601		0		0		0			1,422,892
Specialty		29,580		233,233		0		0		0			262,813
Military services		0		0		0		934,738		0			934,738
Medicaid and other		0		0		0		228,735		0			228,735
Total premiums		5,392,379		2,216,340		0		1,240,657		0			8,849,376
Services revenue:
Provider		0		0		222,401		0		0			222,401
ASO and other		3,894		86,657		0		27,945		0			118,496
Pharmacy		0		0		2,612		0		0			2,612
Total services revenue		3,894		86,657		225,013		27,945		0			343,509
Total revenues - external customers		5,396,273		2,302,997		225,013		1,268,602		0			9,192,885
Intersegment revenues
Services		0		3,317		2,073,686		0		(2,077,003	)		0
Products		0		0		433,869		0		(433,869	)		0
Total intersegment revenues		0		3,317		2,507,555		0		(2,510,872	)		0
Investment income		18,949		11,793		0		13,371		47,133			91,246
Total revenues		5,415,222		2,318,107		2,732,568		1,281,973		(2,463,739	)		9,284,131
Operating expenses:
Benefits		4,390,146		1,799,711		0		1,149,320		(69,409	)		7,269,768
Operating costs		490,133		386,925		2,625,168		110,617		(2,420,438	)		1,192,405
Depreciation and amortization		31,875		23,062		19,597		2,644		(9,397	)		67,781
Total operating expenses		4,912,154		2,209,698		2,644,765		1,262,581		(2,499,244	)		8,529,954
Income from operations		503,068		108,409		87,803		19,392		35,505			754,177
Interest expense		0		0		0		0		27,663			27,663
Income before income taxes	$	503,068	$	108,409	$	87,803	$	19,392	$	7,842		$	726,514

	Retail		Employer Group		Health and Well-Being Services		Other Businesses		Eliminations/ Corporate			Consolidated
	(in thousands)
Three months ended June 30, 2010
Revenues - external customers
Premiums:
Medicare Advantage	$	4,106,667	$	778,542	$	0	$	0	$	0		$	4,885,209
Medicare stand-alone PDP		504,296		1,154		0		194,772		0			700,222
Total Medicare		4,610,963		779,696		0		194,772		0			5,585,431
Fully-insured		183,261		1,300,759		0		0		0			1,484,020
Specialty		19,668		224,093		0		0		0			243,761
Military services		0		0		0		885,368		0			885,368
Medicaid and other		0		0		0		178,171		0			178,171
Total premiums		4,813,892		2,304,548		0		1,258,311		0			8,376,751
Services revenue:
Provider		0		0		2,891		0		0			2,891
ASO and other		2,540		100,234		0		27,037		0			129,811
Pharmacy		0		0		0		0		0			0
Total services revenue		2,540		100,234		2,891		27,037		0			132,702
Total revenues - external customers		4,816,432		2,404,782		2,891		1,285,348		0			8,509,453
Intersegment revenues
Services		0		3,279		1,923,802		0		(1,927,081	)		0
Products		0		0		306,983		0		(306,983	)		0
Total intersegment revenues		0		3,279		2,230,785		0		(2,234,064	)		0
Investment income		19,529		10,207		0		10,027		40,027			79,790
Total revenues		4,835,961		2,418,268		2,233,676		1,295,375		(2,194,037	)		8,589,243
Operating expenses:
Benefits		3,923,278		1,870,910		0		1,127,876		(52,968	)		6,869,096
Operating costs		555,035		414,505		2,176,392		115,248		(2,167,490	)		1,093,690
Depreciation and amortization		31,710		25,097		6,411		3,129		(1,966	)		64,381
Total operating expenses		4,510,023		2,310,512		2,182,803		1,246,253		(2,222,424	)		8,027,167
Income from operations		325,938		107,756		50,873		49,122		28,387			562,076
Interest expense		0		0		0		0		26,222			26,222
Income before income taxes	$	325,938	$	107,756	$	50,873	$	49,122	$	2,165		$	535,854

	Retail		Employer Group		Health and Well-Being Services		Other Businesses		Eliminations/ Corporate			Consolidated
	(in thousands)
Six months ended June 30, 2011
Revenues - external customers
Premiums:
Medicare Advantage	$	9,079,789	$	1,561,349	$	0	$	0	$	0		$	10,641,138
Medicare stand-alone PDP		1,158,817		3,728		0		153,080		0			1,315,625
Total Medicare		10,238,606		1,565,077		0		153,080		0			11,956,763
Fully-insured		407,179		2,415,191		0		0		0			2,822,370
Specialty		55,355		462,884		0		0		0			518,239
Military services		0		0		0		1,858,015		0			1,858,015
Medicaid and other		0		0		0		460,280		0			460,280
Total premiums		10,701,140		4,443,152		0		2,471,375		0			17,615,667
Services revenue:
Provider		0		0		437,447		0		0			437,447
ASO and other		6,767		179,203		0		50,215		0			236,185
Pharmacy		0		0		4,819		0		0			4,819
Total services revenue		6,767		179,203		442,266		50,215		0			678,451
Total revenues - external customers		10,707,907		4,622,355		442,266		2,521,590		0			18,294,118
Intersegment revenues
Services		0		6,598		4,195,077		0		(4,201,675	)		0
Products		0		0		868,509		0		(868,509	)		0
Total intersegment revenues		0		6,598		5,063,586		0		(5,070,184	)		0
Investment income		37,945		23,408		0		25,675		93,703			180,731
Total revenues		10,745,852		4,652,361		5,505,852		2,547,265		(4,976,481	)		18,474,849
Operating expenses:
Benefits		8,944,389		3,551,115		0		2,258,759		(139,741	)		14,614,522
Operating costs		1,022,545		810,832		5,281,450		229,571		(4,896,150	)		2,448,248
Depreciation and amortization		58,860		43,250		40,226		4,352		(12,798	)		133,890
Total operating expenses		10,025,794		4,405,197		5,321,676		2,492,682		(5,048,689	)		17,196,660
Income from operations		720,058		247,164		184,176		54,583		72,208			1,278,189
Interest expense		0		0		0		0		54,891			54,891
Income before income taxes	$	720,058	$	247,164	$	184,176	$	54,583	$	17,317		$	1,223,298

	Retail		Employer Group		Health and Well-Being Services		Other Businesses		Eliminations/ Corporate			Consolidated
	(in thousands)
Six months ended June 30, 2010
Revenues - external customers
Premiums:
Medicare Advantage	$	8,165,834	$	1,536,355	$	0	$	0	$	0		$	9,702,189
Medicare stand-alone PDP		1,007,809		2,290		0		269,148		0			1,279,247
Total Medicare		9,173,643		1,538,645		0		269,148		0			10,981,436
Fully-insured		362,078		2,628,760		0		0		0			2,990,838
Specialty		37,190		446,241		0		0		0			483,431
Military services		0		0		0		1,730,362		0			1,730,362
Medicaid and other		0		0		0		352,547		0			352,547
Total premiums		9,572,911		4,613,646		0		2,352,057		0			16,538,614
Services revenue:
Provider		0		0		6,054		0		0			6,054
ASO and other		5,341		199,357		0		54,970		0			259,668
Pharmacy		0		0		0		0		0			0
Total services revenue		5,341		199,357		6,054		54,970		0			265,722
Total revenues - external customers		9,578,252		4,813,003		6,054		2,407,027		0			16,804,336
Intersegment revenues
Services		0		6,668		3,831,730		0		(3,838,398	)		0
Products		0		0		593,896		0		(593,896	)		0
Total intersegment revenues		0		6,668		4,425,626		0		(4,432,294	)		0
Investment income		40,737		21,247		0		19,881		83,380			165,245
Total revenues		9,618,989		4,840,918		4,431,680		2,426,908		(4,348,914	)		16,969,581
Operating expenses:
Benefits		7,917,327		3,767,841		0		2,104,482		(103,172	)		13,686,478
Operating costs		1,051,741		843,329		4,321,088		230,060		(4,291,671	)		2,154,547
Depreciation and amortization		59,201		48,515		11,492		6,020		(1,988	)		123,240
Total operating expenses		9,028,269		4,659,685		4,332,580		2,340,562		(4,396,831	)		15,964,265
Income from operations		590,720		181,233		99,100		86,346		47,917			1,005,316
Interest expense		0		0		0		0		52,536			52,536
Income before income taxes	$	590,720	$	181,233	$	99,100	$	86,346	$	(4,619	)	$	952,780