Segment Information (Tables)

6 Months Ended

Jun. 30, 2019

Segment Information [Abstract]

Special item charges

	Three Months Ended
(In millions)	June 30, 2019				June 30, 2018
Description of Special Item Charges (Benefits) and Financial Statement Line Item(s)		After-tax		Before-tax		After-tax		Before-tax
Integration and transaction-related costs (selling, general and administrative expenses) (See Note 4)	$	115	$	155	$	109	$	130
Charge associated with a litigation matter (selling, general and administrative expenses) (1)		64		81		-		-
Total impact from special items	$	179	$	236	$	109	$	130
	Six Months Ended
(In millions)	June 30, 2019				June 30, 2018
Description of Special Item Charges (Benefits) and Financial Statement Line Item(s)		After-tax		Before-tax		After-tax		Before-tax
Integration and transaction-related costs (selling, general and administrative expenses) (See Note 4)	$	223	$	291	$	159	$	190
Charge associated with a litigation matter (selling, general and administrative expenses) (1)		64		81		-		-
Total impact from special items	$	287	$	372	$	159	$	190
(1)The Company recorded a charge in the second quarter of 2019 related to the sale of a subsidiary and is appealing.

Summarized segment financial information

(In millions)	Health Services		Integrated Medical		International Markets		Group Disability and Other		Corporate and Eliminations		Total
Three months ended June 30, 2019
Revenues from external customers (1)	$	27,337	$	8,668	$	1,343	$	1,131	$	-	$	38,479
Inter-segment revenues		633		189		-		7		(829)		-
Net investment income		17		111		40		171		1		340
Total revenues		27,987		8,968		1,383		1,309		(828)		38,819
Revenue contributions from transitioning clients		(4,450)		-		-		-		-		(4,450)
Net realized investment results from equity method subsidiaries (2)		-		-		6		-		-		6
Adjusted revenues	$	23,537	$	8,968	$	1,389	$	1,309	$	(828)	$	34,375
Income (loss) before taxes	$	1,108	$	989	$	195	$	155	$	(689)	$	1,758
Pre-tax adjustments to reconcile to adjusted income from operations
Adjustment for transitioning clients		(655)		-		-		-		-		(655)
(Income) loss attributable to noncontrolling interests		-		-		(4)		-		-		(4)
Net realized investment (gains) losses (2)		-		(17)		8		(8)		-		(17)
Amortization of acquired intangible assets		709		18		8		2		-		737
Special items
Integrated and transaction-related costs		-		-		-		-		155		155
Charges associated with litigation matters		-		-		-		-		81		81
Pre-tax adjusted income (loss) from operations	$	1,162	$	990	$	207	$	149	$	(453)	$	2,055
(In millions)	Health Services		Integrated Medical		International Markets		Group Disability and Other		Corporate and Eliminations		Total
Three months ended June 30, 2018
Revenues from external customers (1)	$	833	$	7,915	$	1,288	$	1,092	$	-	$	11,128
Inter-segment revenues		278		135		-		3		(416)		-
Net investment income		2		120		36		187		7		352
Total revenues		1,113		8,170		1,324		1,282		(409)		11,480
Less: net realized investment results from equity method subsidiaries (2)		-		-		20		-		-		20
Adjusted revenues	$	1,113	$	8,170	$	1,344	$	1,282	$	(409)	$	11,500
Income (loss) before taxes	$	77	$	900	$	173	$	162	$	(210)	$	1,102
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) loss attributable to noncontrolling interests		-		-		(3)		-		-		(3)
Net realized investment (gains) losses		-		(3)		29		(3)		-		23
Amortization of acquired intangible assets		-		18		4		2		-		24
Special items
Integrated and transaction-related costs		-		-		-		-		130		130
Pre-tax adjusted income (loss) from operations	$	77	$	915	$	203	$	161	$	(80)	$	1,276
(1) Includes the Company’s share of the earnings of its joint ventures reported in the International Markets segment using the equity method of accounting.
(2) Includes the Company’s share of certain realized investment gains (losses) of its joint ventures reported in the International Markets segment using the equity method of accounting.

(In millions)		Health Services	Integrated Medical		International Markets		Group Disability and Other		Corporate and Eliminations		Total
Six Months Ended June 30, 2019
Revenues from external customers (1)	$	53,534	$	17,578	$	2,727	$	2,240	$	-	$	76,079
Inter-segment revenues		1,370		351		-		14		(1,735)		-
Net investment income (loss)		32		234		78		351		(9)		686
Total revenues		54,936		18,163		2,805		2,605		(1,744)		76,765
Revenue contributions from transitioning clients		(8,939)		-		-		-		-		(8,939)
Net realized investment results from equity method subsidiaries (2)		-		-		(22)		-		-		(22)
Adjusted revenues	$	45,997	$	18,163	$	2,783	$	2,605	$	(1,744)	$	67,804
Income (loss) before taxes	$	2,050	$	2,146	$	417	$	248	$	(1,315)	$	3,546
Pre-tax adjustments to reconcile to adjusted income from operations
Adjustment for transitioning clients		(1,315)		-		-		-		-		(1,315)
(Income) attributable to noncontrolling interests		(1)		-		(8)		-		-		(9)
Net realized investment (gains) (2)		-		(22)		(15)		(18)		-		(55)
Amortization of acquired intangible assets		1,422		36		19		3		-		1,480
Special items
Integration and transaction-related costs		-		-		-		-		291		291
Charges associated with litigation matters		-		-		-		-		81		81
Pre-tax adjusted income (loss) from operations	$	2,156	$	2,160	$	413	$	233	$	(943)	$	4,019
(In millions)		Health Services	Integrated Medical		International Markets		Group Disability and Other		Corporate and Eliminations		Total
Six Months Ended June 30, 2018
Revenues from external customers (1)	$	1,619	$	15,818	$	2,590	$	2,185	$	-	$	22,212
Inter-segment revenues		562		271		-		6		(839)		-
Net investment income		3		231		73		362		12		681
Total revenues		2,184		16,320		2,663		2,553		(827)		22,893
Net realized investment results from equity method subsidiaries (2)		-		-		22		-		-		22
Adjusted revenues	$	2,184	$	16,320	$	2,685	$	2,553	$	(827)	$	22,915
Income (loss) before taxes	$	160	$	1,872	$	386	$	265	$	(363)	$	2,320
Pre-tax adjustments to reconcile to adjusted income from operations
(Income) attributable to noncontrolling interests		-		-		(7)		-		-		(7)
Net realized investment losses (2)		-		15		33		9		1		58
Amortization of acquired intangible assets		-		40		8		3		-		51
Special items
Integration and transaction-related costs		-		-		-		-		190		190
Pre-tax adjusted income (loss) from operations	$	160	$	1,927	$	420	$	277	$	(172)	$	2,612
(1) Includes the Company’s share of the earnings of its joint ventures reported in the International Markets segment using the equity method of accounting.
(2) Includes the Company’s share of certain realized investment gains (losses) of its joint ventures reported in the International Markets segment using the equity method of accounting.

Revenue from external customers

	Three Months Ended					Six Months Ended
	June 30,					June 30,
(In millions)	2019			2018		2019		2018
Products (Pharmacy revenues) (ASC 606)
Home delivery and specialty revenues	$	12,272	$		758	$	24,056	$	1,475
Network revenues		12,758			-		25,031		-
Other		1,258			-		2,380		-
Total pharmacy revenues		26,288			758		51,467		1,475
Insurance premiums
Integrated Medical premiums (ASC 944)
Commercial
Risk		3,065			2,643		6,104		5,254
Stop loss		1,067			993		2,136		1,973
Other		241			259		519		517
Government
Medicare Advantage		1,610			1,461		3,217		2,959
Medicare Part D		400			189		925		417
Other		1,013			1,140		2,078		2,241
Total Integrated Medical premiums		7,396			6,685		14,979		13,361
International Markets premiums		1,301			1,262		2,605		2,522
Domestic disability, life and accident premiums		1,069			1,009		2,116		2,007
Other premiums		37			56		74		121
Total premiums		9,803			9,012		19,774		18,011
Services (ASC 606)
Fees		2,376			1,362		4,766		2,714
Other external revenues		12			(4)		72		12
Total services		2,388			1,358		4,838		2,726
Total revenues from external customers	$	38,479		$	11,128	$	76,079	$	22,212

Revenues from major customers

	Six Months Ended
	June 30, 2019
Anthem	12%
Department of Defense	8%