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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2014
Income Tax Contingency [Line Items]  
Schedule of Components of Income Tax Expense (Benefit) [Table Text Block]
:
(in millions)
 
2014
 
2013
 
2012
Current Provision:
 
 
 
 
 
 
Federal
 
$
3,883

 
$
3,004

 
$
2,638

State and local
 
271

 
237

 
150

Total current provision
 
4,154

 
3,241

 
2,788

Deferred provision
 
(117
)
 
1

 
308

Total provision for income taxes
 
$
4,037

 
$
3,242

 
$
3,096

Schedule of Effective Income Tax Rate Reconciliation [Table Text Block]
(in millions, except percentages)
 
2014
 
2013
 
2012
Tax provision at the U.S. federal statutory rate
 
$
3,380

 
35.0
 %
 
$
3,120

 
35.0
 %
 
$
3,018

 
35.0
 %
Industry tax
 
469

 
4.8

 

 

 

 

State income taxes, net of federal benefit
 
154

 
1.6

 
126

 
1.4

 
143

 
1.7

Tax-exempt investment income
 
(49
)
 
(0.5
)
 
(53
)
 
(0.6
)
 
(59
)
 
(0.7
)
Non-deductible compensation
 
96

 
1.0

 
39

 
0.5

 
22

 
0.2

Other, net
 
(13
)
 
(0.1
)
 
10

 
0.1

 
(28
)
 
(0.3
)
Provision for income taxes
 
$
4,037

 
41.8
 %
 
$
3,242

 
36.4
 %
 
$
3,096

 
35.9
 %
Schedule of Deferred Tax Assets and Liabilities [Table Text Block]
(in millions)
 
2014
 
2013
Deferred income tax assets:
 
 
 
 
Accrued expenses and allowances
 
$
313

 
$
284

U.S. federal and state net operating loss carryforwards
 
172

 
257

Share-based compensation
 
141

 
200

Long-term liabilities
 
222

 
170

Medical costs payable and other policy liabilities
 
120

 
155

Non-U.S. tax loss carryforwards
 
257

 
110

Unearned revenues
 
90

 
65

Unrecognized tax benefits
 
38

 
38

Other-domestic
 
36

 
57

Other-non-U.S.
 
141

 
89

Subtotal
 
1,530

 
1,425

Less: valuation allowances
 
(119
)
 
(207
)
Total deferred income tax assets
 
1,411

 
1,218

Deferred income tax liabilities:
 
 
 
 
U.S. federal and state intangible assets
 
(1,275
)
 
(1,207
)
Non-U.S. goodwill and intangible assets
 
(496
)
 
(453
)
Capitalized software
 
(506
)
 
(481
)
Net unrealized gains on investments
 
(129
)
 
(31
)
Depreciation and amortization
 
(272
)
 
(268
)
Prepaid expenses
 
(140
)
 
(137
)
Other-non-U.S.
 
(102
)
 
(7
)
Total deferred income tax liabilities
 
(2,920
)
 
(2,584
)
Net deferred income tax liabilities
 
$
(1,509
)
 
$
(1,366
)
Summary of Positions for which Significant Change in Unrecognized Tax Benefits is Reasonably Possible [Table Text Block]
A reconciliation of the beginning and ending amount of unrecognized tax benefits as of December 31 is as follows:
(in millions)
 
2014
 
2013
 
2012
Gross unrecognized tax benefits, beginning of period
 
$
89

 
$
81

 
$
129

Gross increases:
 
 

 
 

 
 

Current year tax positions
 

 
8

 
6

Prior year tax positions
 
4

 
5

 
18

Gross decreases:
 
 

 
 

 
 

Prior year tax positions
 

 

 
(48
)
Settlements
 

 

 
(10
)
Statute of limitations lapses
 
(1
)
 
(5
)
 
(14
)
Gross unrecognized tax benefits, end of period
 
$
92

 
$
89

 
$
81

A reconciliation of the beginning and ending amount of unrecognized tax benefits as of December 31 is as follows:
(in millions)
 
2014
 
2013
 
2012
Gross unrecognized tax benefits, beginning of period
 
$
89

 
$
81

 
$
129

Gross increases:
 
 

 
 

 
 

Current year tax positions
 

 
8

 
6

Prior year tax positions
 
4

 
5

 
18

Gross decreases:
 
 

 
 

 
 

Prior year tax positions
 

 

 
(48
)
Settlements
 

 

 
(10
)
Statute of limitations lapses
 
(1
)
 
(5
)
 
(14
)
Gross unrecognized tax benefits, end of period
 
$
92

 
$
89

 
$
81