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SEGMENT INFORMATION (Tables)
12 Months Ended
Dec. 31, 2016
Segment Reporting [Abstract]  
Schedule of Segment Reporting Information, By Segment
Our segment results were as follows for the years ended December 31, 2016, 2015, and 2014:
 
Retail
 
Group
 
Healthcare Services
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2016
 
 
 
 
 
 
 
 
 
 
 
Revenues—external customers
 
 
 
 
 
 
 
 
 
 
 
Premiums:
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
31,863

 
$

 
$

 
$

 
$

 
$
31,863

Group Medicare Advantage
4,283

 

 

 

 

 
4,283

Medicare stand-alone PDP
4,009

 

 

 

 

 
4,009

Total Medicare
40,155

 

 

 

 

 
40,155

Fully-insured
3,492

 
5,405

 

 

 

 
8,897

Specialty
259

 
1,020

 

 

 

 
1,279

Medicaid and other
2,640

 
12

 

 
38

 

 
2,690

Total premiums
46,546

 
6,437

 

 
38

 

 
53,021

Services revenue:
 
 
 
 
 
 
 
Provider

 
52

 
226

 

 

 
278

ASO and other
8

 
642

 

 
10

 

 
660

Pharmacy

 

 
31

 

 

 
31

Total services revenue
8

 
694

 
257

 
10

 

 
969

Total revenues—external customers
46,554

 
7,131

 
257

 
48

 

 
53,990

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
Services

 
99

 
18,842

 

 
(18,941
)
 

Products

 

 
5,993

 

 
(5,993
)
 

Total intersegment revenues

 
99

 
24,835

 

 
(24,934
)
 

Investment income
101

 
19

 
30

 
66

 
173

 
389

Total revenues
46,655

 
7,249

 
25,122

 
114

 
(24,761
)
 
54,379

Operating expenses:
 
 
 
 
 
 
 
Benefits
40,143

 
5,122

 

 
617

 
(875
)
 
45,007

Operating costs
5,339

 
1,778

 
23,926

 
16

 
(23,782
)
 
7,277

Depreciation and amortization
236

 
92

 
129

 
1

 
(104
)
 
354

Total operating expenses
45,718

 
6,992

 
24,055

 
634

 
(24,761
)
 
52,638

Income (loss) from operations
937

 
257

 
1,067

 
(520
)
 

 
1,741

Interest expense

 

 

 

 
189

 
189

Income (loss) before income taxes
$
937

 
$
257

 
$
1,067

 
$
(520
)
 
$
(189
)
 
$
1,552


Premium and services revenues derived from our contracts with the federal government, as a percentage of our total premium and services revenues, was approximately 75% for 2016, compared to 73% for 2015, and 73% for 2014.
Premiums revenue for our Retail segment for 2016 includes a reduction of $583 million associated with the write-off of commercial risk corridor receivables as discussed more fully in Note 7.
Benefits expense for Other Businesses for 2016 includes $505 million for reserve strengthening associated with our closed block of long-term care insurance policies as discussed more fully in Note 18.


 
Retail
 
Group
 
Healthcare Services
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2015
 
 
 
 
 
 
 
 
 
 
 
Revenues—external customers
 
 
 
 
 
 
 
 
 
 
 
Premiums:
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
29,526

 
$

 
$

 
$

 
$

 
$
29,526

Group Medicare Advantage
5,588

 

 

 

 

 
5,588

Medicare stand-alone PDP
3,846

 

 

 

 

 
3,846

Total Medicare
38,960

 

 

 

 

 
38,960

Fully-insured
4,243

 
5,493

 

 

 

 
9,736

Specialty
261

 
1,055

 

 

 

 
1,316

Medicaid and other
2,341

 
21

 

 
35

 

 
2,397

Total premiums
45,805

 
6,569

 

 
35

 

 
52,409

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
Provider

 
40

 
655

 

 

 
695

ASO and other
9

 
658

 

 
14

 

 
681

Pharmacy

 

 
30

 

 

 
30

Total services revenue
9

 
698

 
685

 
14

 

 
1,406

Total revenues—external customers
45,814

 
7,267

 
685

 
49

 

 
53,815

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
Services

 
93

 
17,997

 

 
(18,090
)
 

Products

 

 
4,923

 

 
(4,923
)
 

Total intersegment revenues

 
93

 
22,920

 

 
(23,013
)
 

Investment income
134

 
26

 

 
76

 
238

 
474

Total revenues
45,948

 
7,386

 
23,605

 
125

 
(22,775
)
 
54,289

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
39,708

 
5,266

 

 
87

 
(792
)
 
44,269

Operating costs
5,118

 
1,769

 
22,481

 
14

 
(22,064
)
 
7,318

Depreciation and amortization
192

 
93

 
143

 

 
(73
)
 
355

Total operating expenses
45,018

 
7,128

 
22,624

 
101

 
(22,929
)
 
51,942

Income from operations
930

 
258

 
981

 
24

 
154

 
2,347

Gain on sale of business

 

 

 

 
270

 
270

Interest expense

 

 

 

 
186

 
186

Income before income taxes
$
930

 
$
258

 
$
981

 
$
24

 
$
238

 
$
2,431

Benefits expense for the Retail segment for 2015 includes $176 million for a provision for probable future losses (premium deficiency) for individual commercial medical business compliant with the Health Care Reform Law for the 2016 coverage year as discussed more fully in Note 7.



 
Retail
 
Group
 
Healthcare Services
 
Other Businesses
 
Eliminations/
Corporate
 
Consolidated
 
(in millions)
2014
 
 
 
 
 
 
 
 
 
 
 
Revenues—external customers
 
 
 
 
 
 
 
 
 
 
 
Premiums:
 
 
 
 
 
 
 
 
 
 
 
Individual Medicare Advantage
$
25,782

 
$

 
$

 
$

 
$

 
$
25,782

Group Medicare Advantage
5,490

 

 

 

 

 
5,490

Medicare stand-alone PDP
3,404

 

 

 

 

 
3,404

Total Medicare
34,676

 

 

 

 

 
34,676

Fully-insured
3,265

 
5,339

 

 

 

 
8,604

Specialty
256

 
1,098

 

 

 

 
1,354

Medicaid and other
1,255

 
19

 

 
51

 

 
1,325

Total premiums
39,452

 
6,456

 

 
51

 

 
45,959

Services revenue:
 
 
 
 
 
 
 
 
 
 
 
Provider

 
23

 
1,254

 

 

 
1,277

ASO and other
39

 
740

 

 
9

 

 
788

Pharmacy

 

 
99

 

 

 
99

Total services revenue
39

 
763

 
1,353

 
9

 

 
2,164

Total revenues—external customers
39,491

 
7,219

 
1,353

 
60

 

 
48,123

Intersegment revenues
 
 
 
 
 
 
 
 
 
 
 
Services

 
78

 
15,098

 

 
(15,176
)
 

Products

 

 
3,749

 

 
(3,749
)
 

Total intersegment revenues

 
78

 
18,847

 

 
(18,925
)
 

Investment income
97

 
23

 

 
60

 
197

 
377

Total revenues
39,588

 
7,320

 
20,200

 
120

 
(18,728
)
 
48,500

Operating expenses:
 
 
 
 
 
 
 
 
 
 
 
Benefits
33,508

 
5,130

 

 
102

 
(574
)
 
38,166

Operating costs
4,576

 
1,936

 
19,307

 
17

 
(18,197
)
 
7,639

Depreciation and amortization
165

 
103

 
155

 

 
(90
)
 
333

Total operating expenses
38,249

 
7,169

 
19,462

 
119

 
(18,861
)
 
46,138

Income from operations
1,339

 
151

 
738

 
1

 
133

 
2,362

Interest expense

 

 

 

 
192

 
192

Income (loss) before income taxes
$
1,339

 
$
151

 
$
738

 
$
1

 
$
(59
)
 
$
2,170