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Segment Information (Tables)
12 Months Ended
Dec. 31, 2013
Segment Reporting [Abstract]  
Financial Data By Reportable Segment
Financial data by reportable segment for the years ended December 31 is as follows:
 
Commercial and Specialty Business
 
Government Business
 
Other
 
Total
Year ended December 31, 2013
 
 
 
 
 
 
 
Operating revenue
$
38,790.1

 
$
31,366.7

 
$
34.6

 
$
70,191.4

Operating gain (loss)
3,093.3

 
927.1

 
(19.0
)
 
4,001.4

Depreciation and amortization of property and equipment

 

 
457.1

 
457.1

Year ended December 31, 2012
 
 
 
 
 
 
 
Operating revenue
$
38,852.9

 
$
21,625.7

 
$
35.4

 
$
60,514.0

Operating gain (loss)
3,339.7

 
341.8

 
(61.6
)
 
3,619.9

Depreciation and amortization of property and equipment

 

 
363.5

 
363.5

Year ended December 31, 2011
 
 
 
 
 
 
 
Operating revenue
$
39,961.2

 
$
19,874.0

 
$
30.0

 
$
59,865.2

Operating gain (loss)
3,344.5

 
461.6

 
(24.0
)
 
3,782.1

Depreciation and amortization of property and equipment

 

 
300.3

 
300.3

Major Product Revenues From External Customers
The major product revenues for each of the reportable segments for the years ended December 31, are as follows:
 
2013
 
2012
 
2011
Commercial and Specialty Business
 
 
 
 
 
Managed care products
$
33,903.6

 
$
34,091.5

 
$
35,387.8

Managed care services
3,472.1

 
3,444.8

 
3,374.5

Dental/Vision products and services
952.5

 
903.9

 
826.8

Other
461.9

 
412.7

 
372.1

Total Commercial and Specialty Business
38,790.1

 
38,852.9

 
39,961.2

Government Business
 
 
 
 
 
Managed care products
30,959.3

 
21,244.7

 
19,533.0

Managed care services
407.4

 
381.0

 
341.0

Total Government Business
31,366.7

 
21,625.7

 
19,874.0

Other
 
 
 
 
 
Other
34.6

 
35.4

 
30.0

Total product revenues
$
70,191.4

 
$
60,514.0

 
$
59,865.2

Reconciliation Of Revenue From Reportable Segments To The Consolidated Statements Of Income
A reconciliation of reportable segment operating revenues to the amounts of total revenues included in the consolidated statements of income for the years ended December 31 is as follows:
 
2013
 
2012
 
2011
Reportable segments operating revenues
$
70,191.4

 
$
60,514.0

 
$
59,865.2

Net investment income
659.1

 
686.1

 
703.7

Net realized gains on investments
271.9

 
334.9

 
235.1

Other-than-temporary impairment losses recognized in income
(98.9
)
 
(37.8
)
 
(93.3
)
Total revenues
$
71,023.5

 
$
61,497.2

 
$
60,710.7

Reconciliation Of Operating Gain To Income From Reportable Segments To The Consolidated Statements Of Income
A reconciliation of reportable segment operating gain to income from continuing operations before income taxes included in the consolidated statements of income for the years ended December 31 is as follows:
 
2013
 
2012
 
2011
Reportable segments operating gain
$
4,001.4

 
$
3,619.9

 
$
3,782.1

Net investment income
659.1

 
686.1

 
703.7

Net realized gains on investments
271.9

 
334.9

 
235.1

Other-than-temporary impairment losses recognized in income
(98.9
)
 
(37.8
)
 
(93.3
)
Interest expense
(602.7
)
 
(511.8
)
 
(430.3
)
Amortization of other intangible assets
(245.3
)
 
(233.0
)
 
(239.4
)
Loss on extinguishment of debt
(145.3
)
 

 

Income from continuing operations before income tax expense
$
3,840.2

 
$
3,858.3

 
$
3,957.9