Consolidated Statements Of Income - USD ($) $ in Millions	3 Months Ended		9 Months Ended
	Sep. 30, 2022	Sep. 30, 2021	Sep. 30, 2022	Sep. 30, 2021
Revenues
Premiums	$ 33,722	$ 30,395	$ 99,583	$ 86,604
Product revenue	3,972	3,353	10,841	9,132
Administrative fees and other revenue	1,931	1,800	5,569	5,189
Total operating revenue	39,625	35,548	115,993	100,925
Net investment income	371	335	1,112	1,026
Net (losses) gains on financial instruments	(57)	(61)	(439)	107
Total revenues	39,939	35,822	116,666	102,058
Expenses
Benefit expense	29,404	26,645	86,396	75,107
Cost of products sold	3,437	2,898	9,389	7,825
Selling, general and administrative expense	4,514	3,946	13,124	11,692
Interest expense	213	201	622	598
Amortization of other intangible assets	225	136	520	306
Loss on extinguishment of debt	0	0	0	5
Total expenses	37,793	33,826	110,051	95,533
Income before income tax expense	2,146	1,996	6,615	6,525
Income tax expense	533	494	1,557	1,555
Net income	1,613	1,502	5,058	4,970
Net loss (income) attributable to noncontrolling interests	5	7	18	(3)
Shareholders’ net income	$ 1,618	$ 1,509	$ 5,076	$ 4,967
Shareholders’ net income per share
Basic net income per share	$ 6.75	$ 6.20	$ 21.11	$ 20.33
Diluted net income per share	6.68	6.13	20.86	20.09
Dividends per share	$ 1.28	$ 1.13	$ 3.84	$ 3.39