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Consolidated Statements of Income (USD $)
In Millions, except Per Share data, unless otherwise specified
12 Months Ended
Dec. 31, 2014
Dec. 31, 2013
Dec. 31, 2012
Revenues      
Premiums $ 68,389.8us-gaap_PremiumsEarnedNet $ 66,119.1us-gaap_PremiumsEarnedNet $ 56,496.7us-gaap_PremiumsEarnedNet
Administrative fees 4,590.6us-gaap_SalesRevenueServicesNet 4,031.9us-gaap_SalesRevenueServicesNet 3,934.1us-gaap_SalesRevenueServicesNet
Other revenue 41.3us-gaap_OtherIncome 40.4us-gaap_OtherIncome 83.2us-gaap_OtherIncome
Total operating revenue 73,021.7us-gaap_InsuranceServicesRevenue 70,191.4us-gaap_InsuranceServicesRevenue 60,514.0us-gaap_InsuranceServicesRevenue
Net investment income 724.4us-gaap_NetInvestmentIncome 659.1us-gaap_NetInvestmentIncome 686.1us-gaap_NetInvestmentIncome
Net realized gains on investments 177.0us-gaap_RealizedInvestmentGainsLosses 271.9us-gaap_RealizedInvestmentGainsLosses 334.9us-gaap_RealizedInvestmentGainsLosses
Other than temporary impairment losses on investments:      
Total other-than-temporary impairment losses on investments (56.2)us-gaap_OtherThanTemporaryImpairmentLossesInvestmentsAvailableforsaleSecurities (100.6)us-gaap_OtherThanTemporaryImpairmentLossesInvestmentsAvailableforsaleSecurities (41.2)us-gaap_OtherThanTemporaryImpairmentLossesInvestmentsAvailableforsaleSecurities
Portion of other-than-temporary impairment losses recognized in other comprehensive income 7.2us-gaap_OtherThanTemporaryImpairmentLossesInvestmentsPortionInOtherComprehensiveIncomeLossBeforeTaxIncludingPortionAttributableToNoncontrollingInterestAvailableforsaleSecurities 1.7us-gaap_OtherThanTemporaryImpairmentLossesInvestmentsPortionInOtherComprehensiveIncomeLossBeforeTaxIncludingPortionAttributableToNoncontrollingInterestAvailableforsaleSecurities 3.4us-gaap_OtherThanTemporaryImpairmentLossesInvestmentsPortionInOtherComprehensiveIncomeLossBeforeTaxIncludingPortionAttributableToNoncontrollingInterestAvailableforsaleSecurities
Other-than-temporary impairment losses recognized in income (49.0)us-gaap_OtherThanTemporaryImpairmentLossesInvestmentsPortionRecognizedInEarningsNet (98.9)us-gaap_OtherThanTemporaryImpairmentLossesInvestmentsPortionRecognizedInEarningsNet (37.8)us-gaap_OtherThanTemporaryImpairmentLossesInvestmentsPortionRecognizedInEarningsNet
Total revenues 73,874.1us-gaap_Revenues 71,023.5us-gaap_Revenues 61,497.2us-gaap_Revenues
Expenses      
Benefit expense 56,854.9us-gaap_PolicyholderBenefitsAndClaimsIncurredNet 56,237.1us-gaap_PolicyholderBenefitsAndClaimsIncurredNet 48,213.6us-gaap_PolicyholderBenefitsAndClaimsIncurredNet
Selling, general and administrative expense:      
Selling expense 1,490.1us-gaap_SellingExpense 1,526.9us-gaap_SellingExpense 1,586.9us-gaap_SellingExpense
General and administrative expense 10,258.3us-gaap_GeneralAndAdministrativeExpense 8,426.0us-gaap_GeneralAndAdministrativeExpense 7,093.6us-gaap_GeneralAndAdministrativeExpense
Total selling, general and administrative expense 11,748.4us-gaap_SellingGeneralAndAdministrativeExpense 9,952.9us-gaap_SellingGeneralAndAdministrativeExpense 8,680.5us-gaap_SellingGeneralAndAdministrativeExpense
Interest expense 600.7us-gaap_InterestExpense 602.7us-gaap_InterestExpense 511.8us-gaap_InterestExpense
Amortization of other intangible assets 220.9us-gaap_AmortizationOfIntangibleAssets 245.3us-gaap_AmortizationOfIntangibleAssets 233.0us-gaap_AmortizationOfIntangibleAssets
Loss on extinguishment of debt 81.1us-gaap_GainsLossesOnExtinguishmentOfDebt 145.3us-gaap_GainsLossesOnExtinguishmentOfDebt 0us-gaap_GainsLossesOnExtinguishmentOfDebt
Total expenses 69,506.0us-gaap_BenefitsLossesAndExpenses 67,183.3us-gaap_BenefitsLossesAndExpenses 57,638.9us-gaap_BenefitsLossesAndExpenses
Income from continuing operations before income tax expense 4,368.1us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest 3,840.2us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest 3,858.3us-gaap_IncomeLossFromContinuingOperationsBeforeIncomeTaxesExtraordinaryItemsNoncontrollingInterest
Income tax expense 1,808.0us-gaap_IncomeTaxExpenseBenefit 1,205.9us-gaap_IncomeTaxExpenseBenefit 1,207.3us-gaap_IncomeTaxExpenseBenefit
Income from continuing operations 2,560.1us-gaap_IncomeLossFromContinuingOperations 2,634.3us-gaap_IncomeLossFromContinuingOperations 2,651.0us-gaap_IncomeLossFromContinuingOperations
Income (loss) from discontinued operations, net of tax 9.6us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax (144.6)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax 4.5us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTax
Net income $ 2,569.7us-gaap_NetIncomeLoss $ 2,489.7us-gaap_NetIncomeLoss $ 2,655.5us-gaap_NetIncomeLoss
Basic net income (loss) per share:      
Basic - continuing operations (in dollars per share) $ 9.28us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 8.83us-gaap_IncomeLossFromContinuingOperationsPerBasicShare $ 8.25us-gaap_IncomeLossFromContinuingOperationsPerBasicShare
Basic - discontinued operations (in dollars per share) $ 0.03us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ (0.49)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare $ 0.01us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerBasicShare
Basic net income per share $ 9.31us-gaap_EarningsPerShareBasic $ 8.34us-gaap_EarningsPerShareBasic $ 8.26us-gaap_EarningsPerShareBasic
Diluted net income (loss) per share:      
Diluted - continuing operations (in dollars per share) $ 8.96us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 8.67us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare $ 8.17us-gaap_IncomeLossFromContinuingOperationsPerDilutedShare
Diluted - discontinued operations (in dollars per share) $ 0.03us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ (0.47)us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare $ 0.01us-gaap_IncomeLossFromDiscontinuedOperationsNetOfTaxPerDilutedShare
Diluted net income per share $ 8.99us-gaap_EarningsPerShareDiluted $ 8.20us-gaap_EarningsPerShareDiluted $ 8.18us-gaap_EarningsPerShareDiluted
Dividends per share $ 1.75us-gaap_CommonStockDividendsPerShareDeclared $ 1.50us-gaap_CommonStockDividendsPerShareDeclared $ 1.15us-gaap_CommonStockDividendsPerShareDeclared