XML 36 R86.htm IDEA: XBRL DOCUMENT v2.4.0.6
Segment Information (Schedule Of Segment Reporting Information, By Segment) (Details) (USD $)
In Millions, unless otherwise specified
3 Months Ended 12 Months Ended
Dec. 31, 2011
Sep. 30, 2011
Jun. 30, 2011
Mar. 31, 2011
Dec. 31, 2010
Sep. 30, 2010
Jun. 30, 2010
Mar. 31, 2010
Dec. 31, 2011
Dec. 31, 2010
Dec. 31, 2009
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 $ 35,106 $ 32,712 $ 29,927
Total services revenue                 1,360 555 520
Total revenues - external customers                 36,466 33,267 30,447
Total intersegment revenues                 0 0 0
Investment income                 366 329 296
Total revenues 9,056.0 9,301.0 9,284.0 9,191.0 8,276.0 [1] 8,351.0 8,589.0 [2] 8,380.0 36,832.0 33,596.0 30,743.0
Operating expenses, Benefits                 28,823 27,117 24,784
Operating expenses, Operating costs                 5,395 4,380 4,014
Operating expenses, Depreciation and amortization                 270 245 237
Total operating expenses                 34,488 31,742 29,035
Income (loss) from operations                 2,344 1,854 1,708
Interest expense                 109 105 106
Income (loss) before income taxes 313 699 726 497 174 [1] 622 536 [2] 417 2,235 1,749 1,602
Medicare Advantage [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 21,252 19,286 16,413
Medicare Stand-Alone PDP [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 2,578 2,319 2,328
Medicare [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 23,830 21,605 18,741
Fully-Insured [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 5,643 5,915 6,185
Specialty [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 1,059 967 889
Military Services [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 3,616 3,462 3,427
Medicaid And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 958 763 685
Provider [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 892 34 17
ASO And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 457 521 503
Pharmacy [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 11 0 0
Services [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 0 0 0
Retail [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 21,402 19,052 18,349
Total services revenue                 16 11 10
Total revenues - external customers                 21,418 19,063 18,359
Total intersegment revenues                 0 0 0
Investment income                 76 80 88
Total revenues                 21,494.0 19,143.0 18,447.0
Operating expenses, Benefits                 17,383 15,624 14,988
Operating expenses, Operating costs                 2,405 2,113 1,985
Operating expenses, Depreciation and amortization                 119 117 115
Total operating expenses                 19,907 17,854 17,088
Income (loss) from operations                 1,587 1,289 1,359
Interest expense                 0 0 0
Income (loss) before income taxes                 1,587 1,289 1,359
Retail [Member] | Medicare Advantage [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 18,100 16,265 15,333
Retail [Member] | Medicare Stand-Alone PDP [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 2,317 1,959 2,323
Retail [Member] | Medicare [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 20,417 18,224 17,656
Retail [Member] | Fully-Insured [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 861 746 638
Retail [Member] | Specialty [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 124 82 55
Retail [Member] | Military Services [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Retail [Member] | Medicaid And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Retail [Member] | Provider [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Retail [Member] | ASO And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 16 11 10
Retail [Member] | Pharmacy [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Retail [Member] | Services [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 0 0 0
Employer Group [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 8,877 9,080 7,466
Total services revenue                 356 395 370
Total revenues - external customers                 9,233 9,475 7,836
Total intersegment revenues                 14 12 14
Investment income                 48 42 48
Total revenues                 9,295.0 9,529.0 7,898.0
Operating expenses, Benefits                 7,318 7,486 6,289
Operating expenses, Operating costs                 1,650 1,662 1,533
Operating expenses, Depreciation and amortization                 85 93 89
Total operating expenses                 9,053 9,241 7,911
Income (loss) from operations                 242 288 (13)
Interest expense                 0 0 0
Income (loss) before income taxes                 242 288 (13)
Employer Group [Member] | Medicare Advantage [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 3,152 3,021 1,080
Employer Group [Member] | Medicare Stand-Alone PDP [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 8 5 5
Employer Group [Member] | Medicare [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 3,160 3,026 1,085
Employer Group [Member] | Fully-Insured [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 4,782 5,169 5,547
Employer Group [Member] | Specialty [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 935 885 834
Employer Group [Member] | Military Services [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Employer Group [Member] | Medicaid And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Employer Group [Member] | Provider [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Employer Group [Member] | ASO And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 356 395 370
Employer Group [Member] | Pharmacy [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Employer Group [Member] | Services [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 14 12 14
Health And Well-Being Services [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Total services revenue                 903 34 17
Total revenues - external customers                 903 34 17
Total intersegment revenues                 10,330 8,786 8,952
Investment income                 0 0 0
Total revenues                 11,233.0 8,820.0 8,969.0
Operating expenses, Benefits                 0 0 0
Operating expenses, Operating costs                 10,798 8,575 8,768
Operating expenses, Depreciation and amortization                 82 26 18
Total operating expenses                 10,880 8,601 8,786
Income (loss) from operations                 353 219 183
Interest expense                 0 0 0
Income (loss) before income taxes                 353 219 183
Health And Well-Being Services [Member] | Medicare Advantage [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Health And Well-Being Services [Member] | Medicare Stand-Alone PDP [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Health And Well-Being Services [Member] | Medicare [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Health And Well-Being Services [Member] | Fully-Insured [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Health And Well-Being Services [Member] | Specialty [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Health And Well-Being Services [Member] | Military Services [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Health And Well-Being Services [Member] | Medicaid And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Health And Well-Being Services [Member] | Provider [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 892 34 17
Health And Well-Being Services [Member] | ASO And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Health And Well-Being Services [Member] | Pharmacy [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 11 0 0
Health And Well-Being Services [Member] | Services [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 8,510 7,494 8,003
Other Businesses [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 4,827 4,580 4,112
Total services revenue                 85 115 123
Total revenues - external customers                 4,912 4,695 4,235
Total intersegment revenues                 0 0 0
Investment income                 54 43 23
Total revenues                 4,966.0 4,738.0 4,258.0
Operating expenses, Benefits                 4,411 4,253 3,705
Operating expenses, Operating costs                 461 475 431
Operating expenses, Depreciation and amortization                 10 12 25
Total operating expenses                 4,882 4,740 4,161
Income (loss) from operations                 84 (2) 97
Interest expense                 0 0 0
Income (loss) before income taxes                 84 (2) 97
Other Businesses [Member] | Medicare Advantage [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Other Businesses [Member] | Medicare Stand-Alone PDP [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 253 355 0
Other Businesses [Member] | Medicare [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 253 355 0
Other Businesses [Member] | Fully-Insured [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Other Businesses [Member] | Specialty [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Other Businesses [Member] | Military Services [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 3,616 3,462 3,427
Other Businesses [Member] | Medicaid And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 958 763 685
Other Businesses [Member] | Provider [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Other Businesses [Member] | ASO And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 85 115 123
Other Businesses [Member] | Pharmacy [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Other Businesses [Member] | Services [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 0 0 0
Eliminations/Corporate [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Total services revenue                 0 0 0
Total revenues - external customers                 0 0 0
Total intersegment revenues                 (10,344) (8,798) (8,966)
Investment income                 188 164 137
Total revenues                 (10,156.0) (8,634.0) (8,829.0)
Operating expenses, Benefits                 (289) (246) (198)
Operating expenses, Operating costs                 (9,919) (8,445) (8,703)
Operating expenses, Depreciation and amortization                 (26) (3) (10)
Total operating expenses                 (10,234) (8,694) (8,911)
Income (loss) from operations                 78 60 82
Interest expense                 109 105 106
Income (loss) before income taxes                 (31) (45) (24)
Eliminations/Corporate [Member] | Medicare Advantage [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Eliminations/Corporate [Member] | Medicare Stand-Alone PDP [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Eliminations/Corporate [Member] | Medicare [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Eliminations/Corporate [Member] | Fully-Insured [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Eliminations/Corporate [Member] | Specialty [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Eliminations/Corporate [Member] | Military Services [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Eliminations/Corporate [Member] | Medicaid And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Revenues - external customers, Premiums                 0 0 0
Eliminations/Corporate [Member] | Provider [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Eliminations/Corporate [Member] | ASO And Other [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Eliminations/Corporate [Member] | Pharmacy [Member]
                     
Segment Reporting Information [Line Items]                      
Total services revenue                 0 0 0
Eliminations/Corporate [Member] | Services [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 (8,524) (7,506) (8,017)
Products [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 0 0 0
Products [Member] | Retail [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 0 0 0
Products [Member] | Employer Group [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 0 0 0
Products [Member] | Health And Well-Being Services [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 1,820 1,292 949
Products [Member] | Other Businesses [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 0 0 0
Products [Member] | Eliminations/Corporate [Member]
                     
Segment Reporting Information [Line Items]                      
Total intersegment revenues                 $ (1,820) $ (1,292) $ (949)
[1] Includes an expense of $139 million ($88 million after tax, or $0.52 per diluted common share) associated with reserve strengthening for our closed block of long-term care policies acquired in connection with the 2007 acquisition of KMG America Corporation as more fully described in Note 17 to the consolidated financial statements.
[2] Includes an expense of $147 million ($93 million after tax, or $0.55 per diluted common share) for the write-down of deferred acquisition costs associated with our individual commercial medical policies as more fully described in Note 17 to the consolidated financial statements.