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Health Care Costs Payable (Tables)
3 Months Ended
Mar. 31, 2019
Health Care Benefits Segment [Member]  
Schedule of Liability for Unpaid Claims and Claims Adjustment Expense [Table Text Block]
The following table shows the components of the change in health care costs payable during the three months ended March 31, 2019:
In millions
 
 
Health care costs payable, beginning of the period
 
$
6,147

Less: Reinsurance recoverables
 
4

Health care costs payable, beginning of the period, net
 
6,143

Add: Components of incurred health care costs
 
 
  Current year
 
13,804

  Prior years
 
(446
)
Total incurred health care costs (1)
 
13,358

Less: Claims paid
 
 
  Current year
 
8,004

  Prior years
 
4,812

Total claims paid
 
12,816

Add: Premium deficiency reserve
 
11

Health care costs payable, end of period, net
 
6,696

Add: Reinsurance recoverables
 
5

Health care costs payable, end of period
 
$
6,701

 
 
 
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(1)
Total incurred health care costs during the three months ended March 31, 2019 in the table above exclude (i) $11 million related to a premium deficiency reserve for the 2019 coverage year related to the Company’s Medicaid products, (ii) $10 million of benefit costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheet and (iii) $80 million of benefit costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheet.