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Global Health Care Medical Costs Payable (Tables) - Global Health Benefits Segment [Member]
6 Months Ended
Jun. 30, 2017
Liability For Unpaid Claims And Claims Adjustment Expense [Line Items]  
Activity in medical costs payable
Three Months EndedSix Months Ended
June 30,June 30,June 30,June 30,
(In millions)2017201620172016
Beginning balance$2,770$2,646$2,532$2,355
Less: Reinsurance and other amounts recoverable256207275243
Beginning balance, net2,5142,4392,2572,112
Incurred costs related to:
Current year4,9864,79610,1479,621
Prior years(62)(19)(238)(83)
Total incurred4,9244,7779,9099,538
Paid costs related to:
Current year4,6744,5957,8937,580
Prior years1752521,6841,701
Total paid4,8494,8479,5779,281
Ending balance, net2,5892,3692,5892,369
Add: Reinsurance and other amounts recoverable259208259208
Ending balance$2,848$2,577$2,848$2,577
Variances in incurred costs related to prior years' medical costs payable
Three Months Ended
(Dollars in millions)June 30, 2017June 30, 2016
$%(1)$%(2)
Actual completion factors$300.2%$120.1%
Medical cost trend230.1--
Other (3)9-7-
Total favorable (unfavorable) variance$620.3%$190.1%
Six Months Ended
(Dollars in millions)June 30, 2017June 30, 2016
$%(1)$%(2)
Actual completion factors$1080.6%$630.3%
Medical cost trend1210.6280.1
Other (3)9-(8)-
Total favorable (unfavorable) variance$2381.2%$830.4%
(1) Percentage of current year incurred costs as reported for the year ended December 31, 2016.
(2) Percentage of current year incurred costs as reported for the year ended December 31, 2015.
(3) Other amounts in 2017 primarily related to an increase in the 2016 reinsurance reimbursement rate from the Centers for Medicare and Medicaid Services ("CMS") under the Patient Protection and Affordable Care Act (the "Health Care Reform Act”). Other amounts in 2016 primarily related to increased medical costs in the Government segment resulting from additional provider risk sharing.