Consolidated Statements of Income - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2025	Dec. 31, 2024	Dec. 31, 2023
Revenues
Premiums	$ 164,639	$ 144,166	$ 142,854
Total operating revenue	197,584	175,204	170,209
Net investment income	2,194	2,051	1,825
Net losses on financial instruments	(653)	(445)	(694)
Gain on sale of business	0	201	0
Total revenues	199,125	177,011	171,340
Expenses
Benefit expense	148,223	127,567	124,330
Cost of products sold	21,178	19,750	17,293
Operating expense	20,984	20,025	20,087
Interest expense	1,402	1,185	1,030
Amortization of other intangible assets	628	580	885
Total expenses	192,415	169,107	163,625
Income before income tax expense	6,710	7,904	7,715
Income tax expense	1,049	1,933	1,724
Net income	5,661	5,971	5,991
Net loss (gain) attributable to noncontrolling interests	1	9	(4)
Shareholders’ net income	$ 5,662	$ 5,980	$ 5,987
Shareholders’ earnings per share
Basic (in dollars per share)	$ 25.28	$ 25.81	$ 25.38
Diluted (in dollars per share)	$ 25.21	$ 25.68	$ 25.22
Product revenue
Revenues
Product and service revenue	$ 24,470	$ 22,630	$ 19,452
Service fees
Revenues
Product and service revenue	$ 8,475	$ 8,408	$ 7,903