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Consolidated Statements of Earnings - USD ($)
shares in Thousands, $ in Millions
3 Months Ended
Mar. 31, 2020
Mar. 31, 2019
Revenues:    
Net premiums, principally supplemental health insurance $ 4,681 $ 4,691
Net investment income 904 878
Net investment gains (losses) (463) 71
Other income (loss) 40 17
Total revenues 5,162 5,657
Benefits and expenses:    
Benefits and claims, net 2,939 2,967
Acquisition and operating expenses:    
Amortization of deferred policy acquisition costs 333 340
Insurance commissions 336 331
Insurance and other expenses 779 [1] 719
Interest expense 55 58
Total acquisition and operating expenses 1,503 1,448
Total benefits and expenses 4,442 4,415
Earnings before income taxes 720 1,242
Income taxes 154 314
Net earnings $ 566 $ 928
Net earnings per share:    
Basic (in dollars per share) $ 0.78 $ 1.23
Diluted (in dollars per share) $ 0.78 $ 1.23
Weighted-average outstanding common shares used in computing earnings per share (In thousands):    
Basic (in shares) 724,366 751,423
Diluted (in shares) 727,512 755,790
Cash dividends per share $ 0.28 $ 0.27
4.00% senior notes paid January 2020    
Expense on extinguishment of debt $ 15  
[1] Includes expense of $15 in 2020 for the early extinguishment of debt