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Consolidated Statements of Earnings - USD ($)
shares in Thousands, $ in Millions
3 Months Ended
Mar. 31, 2018
Mar. 31, 2017
Revenues:    
Net premiums, principally supplemental health insurance $ 4,745 $ 4,638
Net investment income 837 794
Realized investment gains (losses):    
Other-than-temporary impairment losses realized (7) (10)
Other gains (losses) [1] (127) (130)
Total realized investment gains (losses) (134) (140)
Other income (loss) 16 17
Total revenues 5,464 5,309
Benefits and expenses:    
Benefits and claims, net 3,042 3,052
Acquisition and operating expenses:    
Amortization of deferred policy acquisition costs 314 294
Insurance commissions 337 328
Insurance and other expenses 733 675
Interest expense 56 62
Total acquisition and operating expenses 1,440 1,359
Total benefits and expenses 4,482 4,411
Earnings before income taxes 982 898
Income taxes 265 306
Net earnings $ 717 $ 592
Net earnings per share:    
Basic (in dollars per share) $ 0.92 $ 0.74
Diluted (in dollars per share) $ 0.91 $ 0.73
Weighted-average outstanding common shares used in computing earnings per share (In thousands):    
Basic (in shares) 778,550 802,259
Diluted (in shares) 783,852 808,138
Cash dividends per share $ 0.26 $ 0.22
[1] See Note 1 of the Notes to the Consolidated Financial Statements for the adoption of accounting guidance on January 1, 2018 related to financial instruments.