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Income Taxes (Tables)
12 Months Ended
Dec. 31, 2013
Income Tax Disclosure [Abstract]  
Components Of Deferred Income Taxes
The components of deferred income taxes at December 31 are as follows:
 
2013
 
2012
Deferred tax assets relating to:
 
 
 
Retirement benefits
$
287.8

 
$
405.3

Accrued expenses
342.8

 
431.2

Insurance reserves
213.1

 
221.2

Net operating loss carryforwards
17.2

 
19.2

Bad debt reserves
124.8

 
108.2

State income tax
32.9

 
79.3

Deferred compensation
52.0

 
55.7

Investment basis difference
166.3

 
138.2

Other
84.0

 
47.0

Total deferred tax assets
1,320.9

 
1,505.3

Valuation allowance
(24.1
)
 
(18.1
)
Total deferred tax assets, net of valuation allowance
1,296.8

 
1,487.2

Deferred tax liabilities relating to:
 
 
 
Unrealized gains on securities
266.5

 
431.0

Acquisition related:
 
 
 
Trademarks and other non-amortizable intangible assets
2,200.5

 
2,200.5

Subscriber base, provider and hospital networks
370.9

 
447.7

Internally developed software and other amortization differences
703.9

 
599.3

Retirement benefits
231.5

 
214.1

Debt discount
186.9

 
189.7

State deferred tax
55.3

 
165.9

Depreciation and amortization
33.1

 
73.9

Other
190.4

 
151.6

Total deferred tax liabilities
4,239.0

 
4,473.7

Net deferred tax liability
$
(2,942.2
)
 
$
(2,986.5
)
Deferred tax asset-current
$
383.0

 
$
236.4

Deferred tax liability-noncurrent
(3,325.2
)
 
(3,222.9
)
Net deferred tax liability
$
(2,942.2
)
 
$
(2,986.5
)
Components Of Provision For Income Taxes
Significant components of the provision for income taxes for the years ended December 31 consist of the following:
 
2013
 
2012
 
2011
Current tax expense (benefit):
 
 
 
 
 
Federal
$
1,226.4

 
$
1,060.2

 
$
1,150.4

State and local
(42.6
)
 
95.7

 
21.6

Total current tax expense
1,183.8

 
1,155.9

 
1,172.0

Deferred tax expense
22.1

 
51.4

 
139.2

Total income tax expense
$
1,205.9

 
$
1,207.3

 
$
1,311.2

Reconciliation Of Income Tax Expense Computed At The Statutory Federal Income Tax Rate
A reconciliation of income tax expense recorded in the consolidated statements of income and amounts computed at the statutory federal income tax rate for the years ended December 31, is as follows:
 
2013
 
2012
 
2011
 
Amount
 
Percent
 
Amount
 
Percent
 
Amount
 
Percent
Amount at statutory rate
$
1,344.1

 
35.0
 %
 
$
1,350.4

 
35.0
 %
 
$
1,385.3

 
35.0
 %
State and local income taxes net of federal tax benefit
24.4

 
0.6

 
25.5

 
0.6

 
42.3

 
1.1

Tax exempt interest and dividends received deduction
(64.9
)
 
(1.7
)
 
(59.3
)
 
(1.5
)
 
(58.6
)
 
(1.5
)
Audit settlements

 

 
(200.5
)
 
(5.2
)
 
(49.7
)
 
(1.3
)
Other, net
(97.7
)
 
(2.5
)
 
91.2

 
2.4

 
(8.1
)
 
(0.2
)
Total income tax expense
$
1,205.9

 
31.4
 %
 
$
1,207.3

 
31.3
 %
 
$
1,311.2

 
33.1
 %
Change In The Carrying Amount Of Gross Unrecognized Tax Benefits From Uncertain Tax Positions
The change in the carrying amount of gross unrecognized tax benefits from uncertain tax positions for the years ended December 31, is as follows:
 
2013
 
2012
Balance at January 1
$
143.5

 
$
229.1

Additions for tax positions related to:
 
 
 
Current year
5.0

 
50.1

Prior years

 
13.0

Reductions related to:
 
 
 
Tax positions of prior years
(45.3
)
 

Settlements with taxing authorities

 
(148.7
)
Balance at December 31
$
103.2

 
$
143.5