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Consolidated Balance Sheets - USD ($)
$ in Millions
Dec. 31, 2017
Dec. 31, 2016
Current assets:    
Cash and cash equivalents $ 3,608.9 $ 4,075.3
Investments available-for-sale, at fair value:    
Fixed maturity securities (amortized cost of $17,054.5 and $16,991.8) 17,377.3 17,163.1
Equity securities (cost of $3,098.1 and $1,076.1) 3,599.2 1,468.5
Other invested assets, current 17.2 15.8
Accrued investment income 162.5 164.5
Premium and self-funded receivables 6,184.9 5,860.8
Other receivables 2,266.5 2,536.6
Income taxes receivable 341.9 168.7
Securities lending collateral 455.1 1,079.8
Other current assets 2,249.3 1,781.8
Total current assets 36,262.8 34,314.9
Long-term investments available-for-sale, at fair value:    
Fixed maturity securities (amortized cost of $556.0 and $524.6) 560.8 524.4
Equity securities (cost of $26.7 and $27.2) 32.8 31.4
Other invested assets, long-term 3,343.8 2,240.5
Property and equipment, net 2,174.9 1,977.9
Goodwill 19,231.2 17,561.2
Other intangible assets 8,368.4 7,964.9
Other noncurrent assets 565.3 467.9
Total assets 70,540.0 65,083.1
Liabilities and shareholders' equity    
Medical claims payable 7,991.5 7,892.6
Reserves for future policy benefits 69.9 71.8
Other policyholder liabilities 2,950.3 2,221.1
Total policy liabilities 11,011.7 10,185.5
Unearned income 860.3 971.9
Accounts payable and accrued expenses 5,024.4 4,014.9
Security trades pending payable 112.6 93.5
Securities lending payable 454.4 1,078.9
Short-term borrowings 1,275.0 440.0
Current portion of long-term debt 1,274.6 928.4
Other current liabilities 3,343.0 3,581.3
Total current liabilities 23,356.0 21,294.4
Long-term debt, less current portion 17,382.2 14,358.5
Reserves for future policy benefits, noncurrent 647.3 666.1
Deferred tax liabilities, net 1,726.5 2,779.9
Other noncurrent liabilities 925.1 883.8
Total liabilities 44,037.1 39,982.7
Commitments and contingencies-Note 13
Shareholders' equity    
Preferred stock, without par value, shares authorized - 100,000,000; shares issued and outstanding - none 0.0 0.0
Common stock, par value $0.01, shares authorized - 900,000,000; shares issued and outstanding - 256,084,913 and 263,747,395 2.6 2.6
Additional paid-in capital 8,547.4 8,805.1
Retained earnings 18,054.4 16,560.6
Accumulated other comprehensive loss (101.5) (267.9)
Total shareholders' equity 26,502.9 25,100.4
Total liabilities and shareholders' equity $ 70,540.0 $ 65,083.1