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Condensed Consolidated Statements Of Cash Flows (USD $)
In Millions, unless otherwise specified
6 Months Ended
Jun. 30, 2013
Jun. 30, 2012
Cash flows from operating activities    
Net income $ 893 $ 604
Adjustments to reconcile net income to net cash provided by operating activities:    
Net realized capital gains (10) (14)
Stock-based compensation 51 54
Depreciation and amortization 206 160
Benefit for deferred income taxes (8) (9)
Changes in operating assets and liabilities, net of effect of businesses acquired:    
Receivables (860) 177
Other assets (108) (250)
Benefits payable 378 170
Other liabilities 52 51
Unearned revenues (37) 2,077
Other, net 28 32
Net cash provided by operating activities 585 3,052
Cash flows from investing activities    
Acquisitions, net of cash acquired (12) (76)
Proceeds from sale of business 33 0
Purchases of property and equipment (187) (185)
Purchases of investment securities (1,385) (1,364)
Maturities of investment securities 549 757
Proceeds from sales of investment securities 854 529
Net cash used in investing activities (148) (339)
Cash flows from financing activities    
Receipts (withdrawals) from contract deposits, net 132 152
Repayment of long-term debt 0 (36)
Change in book overdraft (78) (46)
Common stock repurchases (231) (278)
Dividends paid (83) (82)
Excess tax benefit from stock-based compensation 0 21
Proceeds from stock option exercises and other 36 48
Net cash used in financing activities (224) (221)
Increase in cash and cash equivalents 213 2,492
Cash and cash equivalents at beginning of period 1,306 1,377
Cash and cash equivalents at end of period 1,519 3,869
Supplemental cash flow disclosures:    
Interest payments 72 55
Income tax payments, net $ 511 $ 293