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Consolidated Statements of Earnings - USD ($)
shares in Thousands, $ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2018
Sep. 30, 2017
Sep. 30, 2018
Sep. 30, 2017
Revenues:        
Net premiums, principally supplemental health insurance $ 4,636 $ 4,648 $ 14,086 $ 13,951
Net investment income 870 811 2,569 2,408
Realized investment gains (losses):        
Other-than-temporary impairment losses realized (5)   (17)  
Other-than-temporary impairment losses   (8)   (27)
Other gains (losses) [1] 61 38 (59) (139)
Total realized investment gains (losses) 56 30 (76) (166)
Other income (loss) 15 17 53 50
Total revenues 5,577 5,506 16,632 16,243
Benefits and expenses:        
Benefits and claims, net 3,002 3,083 9,075 9,174
Acquisition and operating expenses:        
Amortization of deferred policy acquisition costs 315 271 932 848
Insurance commissions 331 332 1,007 996
Insurance and other expenses 730 686 2,193 2,025
Interest expense 53 59 164 181
Total acquisition and operating expenses 1,429 1,348 4,296 4,050
Total benefits and expenses 4,431 4,431 13,371 13,224
Earnings before income taxes 1,146 1,075 3,261 3,019
Income taxes 301 359 866 998
Net earnings $ 845 $ 716 $ 2,395 $ 2,021
Net earnings per share:        
Basic (in dollars per share) $ 1.10 $ 0.91 $ 3.10 $ 2.54
Diluted (in dollars per share) $ 1.09 $ 0.90 $ 3.08 $ 2.52
Weighted-average outstanding common shares used in computing earnings per share (In thousands):        
Basic (in shares) 767,049 788,958 772,807 794,645
Diluted (in shares) 772,070 794,762 777,867 800,483
Cash dividends per share $ 0.26 $ 0.22 $ 0.78 $ 0.65
[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.