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Condensed Consolidated Statements Of Cash Flows (USD $)
In Millions, unless otherwise specified
6 Months Ended
Jun. 30, 2014
Jun. 30, 2013
Cash flows from operating activities    
Net income $ 712 $ 893
Adjustments to reconcile net income to net cash provided by operating activities:    
Net realized capital gains (3) (10)
Stock-based compensation 55 51
Depreciation and amortization 213 206
Benefit for deferred income taxes (39) (8)
Changes in operating assets and liabilities, net of effect of businesses acquired:    
Receivables (1,137) (860)
Other assets (914) (108)
Benefits payable 885 378
Other liabilities 641 52
Unearned revenues 42 (37)
Other, net 16 28
Net cash provided by operating activities 471 585
Cash flows from investing activities    
Acquisitions, net of cash acquired (3) (12)
Proceeds from sale of business 72 33
Purchases of property and equipment (216) (187)
Purchases of investment securities (968) (1,385)
Maturities of investment securities 512 549
Proceeds from sales of investment securities 1,007 854
Net cash provided by (used in) investing activities 404 (148)
Cash flows from financing activities    
Receipts (withdrawals) from contract deposits, net (127) 132
Change in book overdraft (109) (78)
Common stock repurchases (152) (231)
Dividends paid (86) (83)
Excess tax benefit from stock-based compensation 9  
Proceeds from stock option exercises and other 45 36
Net cash used in financing activities (420) (224)
Increase in cash and cash equivalents 455 213
Cash and cash equivalents at beginning of period 1,138 1,306
Cash and cash equivalents at end of period 1,593 1,519
Supplemental cash flow disclosures:    
Interest payments 73 72
Income tax payments, net $ 601 $ 511