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Consolidated Statements of Earnings - USD ($)
shares in Thousands, $ in Millions
12 Months Ended
Dec. 31, 2016
Dec. 31, 2015
Dec. 31, 2014
Revenues:      
Net premiums, principally supplemental health insurance $ 19,225 $ 17,570 $ 19,072
Net investment income 3,278 3,135 3,319
Realized investment gains (losses):      
Other-than-temporary impairment losses realized (83) (153) (31)
Sales and redemptions 215 303 215
Derivative and other gains (losses) (255) (10) 31
Total realized investment gains (losses) (123) 140 215
Other income (loss) 179 27 122
Total revenues 22,559 20,872 22,728
Benefits and expenses:      
Benefits and claims, net 12,919 11,746 12,937
Acquisition and operating expenses:      
Amortization of deferred policy acquisition costs 1,141 1,066 1,108
Insurance commissions 1,368 1,303 1,436
Insurance expenses 2,452 2,214 2,261
Interest expense 268 289 317
Other operating expenses 344 [1] 392 [1] 178
Total acquisition and operating expenses 5,573 5,264 5,300
Total benefits and expenses 18,492 17,010 18,237
Earnings before income taxes 4,067 3,862 4,491
Income Tax Expense:      
Current 884 1,288 1,079
Deferred 524 41 461
Total income tax expense 1,408 1,329 1,540
Net earnings $ 2,659 $ 2,533 $ 2,951
Net earnings per share:      
Basic (in dollars per share) $ 6.46 $ 5.88 $ 6.54
Diluted (in dollars per share) $ 6.42 $ 5.85 $ 6.50
Weighted-average outstanding common shares used in computing earnings per share (In thousands):      
Basic (in shares) 411,471 430,654 451,204
Diluted (in shares) 413,921 433,172 454,000
Senior Notes due 2039 and 2040      
Expense on extinguishment of debt $ 137    
8.50% senior notes due May 2019      
Expense on extinguishment of debt   $ 230  
[1] Includes expense of $137 in 2016 and $230 in 2015 for the payments associated with the early extinguishment of debt