Segment Information (Tables)

12 Months Ended

Dec. 31, 2015

(In millions)
Year⁽¹⁾	Description and Financial Statement Line Item(s)		After-tax		Before-tax

2015	Debt extinguishment costs (Other operating expenses, see Note 15 for details)	$	65	$	100

2015	Merger related transaction costs (Other operating expenses, see Note 3 for details)	$	57	$	66

2013	Charge related to a reinsurance transaction (see Note 7 for details)	$	507	$	781
	- Other benefit expenses				727
	- Other operating expenses				54

2013	Charge for a disability claims regulatory matter (see Note 23 for details)	$	51	$	77
	- Other benefit expenses				75
	- Other operating expenses				2

2013	Charge for an organizational efficiency plan (Other operating expenses, see Note 6 for details)	$	40	$	60

2013	Costs associated with a pharmacy benefit management (“PBM”) services agreement (Other operating expenses) ⁽²⁾	$	24	$	37

(1) There were no special items recorded in 2014.
(2) Under this agreement, the Company utilizes a vendor's technology and service platforms, retail network contracting and claims processing services.

Summarized segment financial information

(In millions)	Global Health Care		Global Supplemental Benefits		Group Disability and Life		Other Operations		Corporate		Total
2015
Premiums	$	22,696	$	3,000	$	3,843	$	103	$	-	$	29,642
Fees and other revenues		4,357		46		91		13		(19)		4,488
Net investment income		340		103		337		369		4		1,153
Mail order pharmacy revenues		2,536		-		-		-		-		2,536
Total operating revenues		29,929		3,149		4,271		485		(15)		37,819
Net realized investment gains		43		-		5		9		-		57
Total revenues		29,972		3,149		4,276		494		(15)		37,876
Depreciation and amortization		526		31		26		1		1		585
Total benefits and expenses		27,028		2,849		3,796		374		502		34,549
Income before taxes		2,944		300		480		120		(517)		3,327
Income taxes and net loss attributable to noncontrolling interests		1,150		33		152		40		(142)		1,233
Shareholders' net income by segment		1,794		267		328		80		(375)		2,094
After-tax adjustments to reconcile to adjusted income from operations:
Net realized investment (gains)		(30)		(1)		(4)		(5)		-		(40)
Amortization of other acquired intangible assets, net⁽¹⁾		84		(4)		-		-		-		80
Special items (see summary on Page 129):
Debt extinguishment costs		-		-		-		-		65		65
Merger-related transaction costs		-		-		-		-		57		57
Adjusted income from operations	$	1,848	$	262	$	324	$	75	$	(253)	$	2,256

(1) As disclosed in Note 8, includes a one-time $23 million benefit.


(In millions)	Global Health Care		Global Supplemental Benefits		Group Disability and Life		Other Operations		Corporate		Total
2014
Premiums	$	20,709	$	2,844	$	3,549	$	112	$	-	$	27,214
Fees and other revenues		4,005		52		86		14		(16)		4,141
Net investment income		337		109		335		384		1		1,166
Mail order pharmacy revenues		2,239		-		-		-		-		2,239
Total operating revenues		27,290		3,005		3,970		510		(15)		34,760
Net realized investment gains		79		3		22		15		35		154
Total revenues		27,369		3,008		3,992		525		20		34,914
Depreciation and amortization		513		50		22		2		1		588
Total benefits and expenses		24,610		2,734		3,513		413		340		31,610
Income before taxes		2,759		274		479		112		(320)		3,304
Income taxes and net loss attributable to noncontrolling interests		1,059		41		148		33		(79)		1,202
Shareholders' net income by segment		1,700		233		331		79		(241)		2,102
After-tax adjustments to reconcile to adjusted income from operations:
Net realized investment (gains)		(54)		(3)		(14)		(11)		(24)		(106)
Amortization of other acquired intangible assets, net		106		13		-		-		-		119
Adjusted income from operations	$	1,752	$	243	$	317	$	68	$	(265)	$	2,115












(In millions)	Global Health Care		Global Supplemental Benefits		Group Disability and Life		Other Operations		Corporate		Total
2013
Premiums	$	19,626	$	2,496	$	3,348	$	105	$	-	$	25,575
Fees and other revenues		3,518		43		78		(24)		(14)		3,601
Net investment income		325		100		321		408		10		1,164
Mail order pharmacy revenues		1,827		-		-		-		-		1,827
Total operating revenues		25,296		2,639		3,747		489		(4)		32,167
Net realized investment gains		113		3		62		35		-		213
Total revenues		25,409		2,642		3,809		524		(4)		32,380
Depreciation and amortization		529		50		14		1		3		597
Total benefits and expenses		22,957		2,412		3,387		1,120		328		30,204
Income before taxes		2,452		230		422		(596)		(332)		2,176
Income taxes and net income attributable to noncontrolling interests		862		50		123		(225)		(110)		700
Shareholders' net income by segment		1,590		180		299		(371)		(222)		1,476
After-tax adjustments to reconcile to adjusted income from operations:
Net realized investment (gains)		(73)		(5)		(40)		(23)		-		(141)
Amortization of other acquired intangible assets, net		127		17		-		-		-		144
Results of GMIB business		-		-		-		(25)		-		(25)
Special items (see summary on Page 129):
Costs associated with PBM service agreement		24		-		-		-		-		24
Charge related to reinsurance transaction		-		-		-		507		-		507
Charge for disability claims regulatory matter		-		-		51		-		-		51
Charge for organizational efficiency plan		31		8		1		-		-		40
Adjusted income from operations	$	1,699	$	200	$	311	$	88	$	(222)	$	2,076

Revenue from external customers

(In millions)	2015		2014		2013
Medical
Premiums by product:
Guaranteed cost	$	4,761	$	4,600	$	4,463
Experience-rated		2,329		2,322		2,292
Stop loss		2,701		2,318		1,907
International health care		1,834		1,827		1,752
Dental		1,392		1,257		1,139
Medicare		6,142		5,660		5,639
Medicaid		1,102		515		317
Medicare Part D		1,589		1,405		1,387
Other medical premiums		846		805		730
Total medical premiums		22,696		20,709		19,626
Medical fees		4,107		3,767		3,307
Total medical premiums and fees		26,803		24,476		22,933
Disability		1,899		1,767		1,616
Life, Accident and Supplemental Health		5,054		4,739		4,322
Mail order pharmacy		2,536		2,239		1,827
Other		374		373		305
Total	$	36,666	$	33,594	$	31,003

Foreign and U.S. revenues from external customers

(In millions)	2015		2014		2013

U.S.	$	33,185	$	30,070	$	27,868
Foreign		3,481		3,524		3,135

Total	$	36,666	$	33,594	$	31,003