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BENEFITS PAYABLE (Tables)

12 Months Ended

Dec. 31, 2020

Schedule of Activity in Benefits Payable

On a consolidated basis, activity in benefits payable was as follows for the years ended December 31, 2020, 2019 and 2018:


	2020		2019		2018
	(in millions)
Balances at January 1	$	6,004	$	4,862	$	4,668

Less: Reinsurance recoverables	(68)		(95)		(70)
Balances at January 1, net	5,936		4,767		4,598

Incurred related to:
Current year	61,941		54,193		46,385
Prior years	(313)		(336)		(503)
Total incurred	61,628		53,857		45,882
Paid related to:
Current year	(54,003)		(48,421)		(41,736)
Prior years	(5,418)		(4,267)		(3,977)
Total paid	(59,421)		(52,688)		(45,713)

Reinsurance recoverable	—		68		95
Balances at December 31	$	8,143	$	6,004	$	4,862

Activity in benefits payable for our Retail segment was as follows for the years ended December 31, 2020, 2019 and 2018:


	2020		2019		2018
	(in millions)
Balances at January 1	$	5,363	$	4,338	$	3,963

Less: Reinsurance recoverables	(68)		(95)		(70)
Balances at January 1, net	5,295		4,243		3,893

Incurred related to:
Current year	56,821		48,983		41,323
Prior years	(266)		(386)		(398)
Total incurred	56,555		48,597		40,925
Paid related to:
Current year	(49,586)		(43,831)		(37,189)
Prior years	(4,836)		(3,714)		(3,386)
Total paid	(54,422)		(47,545)		(40,575)

Reinsurance recoverable	—		68		95
Balances at December 31	$	7,428	$	5,363	$	4,338

Activity in benefits payable for our Group and Specialty segment, excluding military services, was as follows for the years ended December 31, 2020, 2019 and 2018:


	2020		2019		2018
	(in millions)
Balances at January 1	$	641	$	517	$	568



Incurred related to:
Current year	5,576		5,708		5,466
Prior years	(47)		50		(46)
Total incurred	5,529		5,758		5,420
Paid related to:
Current year	(4,873)		(5,081)		(4,957)
Prior years	(582)		(553)		(514)
Total paid	(5,455)		(5,634)		(5,471)


Balances at December 31	$	715	$	641	$	517

Schedule of Favorable Medical Claims Reserve Development Related to Prior Fiscal Years by Segment

The table below details our favorable medical claims reserve development related to prior fiscal years by segment for 2020, 2019, and 2018.


	(Favorable) Unfavorable Medical Claims Reserve Development
	2020		2019		2018

Retail Segment	$	(266)	$	(386)	$	(398)
Group and Specialty Segment	(47)		50		(46)
Individual Commercial Segment	—		—		(57)
Other Businesses	—		—		(2)
Total	$	(313)	$	(336)	$	(503)

Schedule of Incurred and Paid Claims Development

The following tables provide information about incurred and paid claims development for the Retail segment as of December 31, 2020, net of reinsurance.


	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2018 Unaudited		2019 Unaudited		2020
	(in millions)
2018	$	41,323	$	40,984	$	40,946
2019			48,983		48,820
2020					56,821
Total					$	146,587


	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2018 Unaudited		2019 Unaudited		2020
	(in millions)
2018	$	37,189	$	40,841	$	40,946
2019			43,831		48,627
2020					49,586
Total					139,159
All outstanding benefit liabilities before 2018, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	7,428

The following tables provide information about incurred and paid claims development for the Group and Specialty segment as of December 31, 2020, net of reinsurance.


	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2018 Unaudited		2019 Unaudited		2020
	(in millions)
2018	$	5,466	$	5,501	$	5,505
2019			5,708		5,657
2020					5,576
Total					$	16,738


	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2018 Unaudited		2019 Unaudited		2020
	(in millions)
2018	$	4,957	$	5,487	$	5,505
2019			5,081		5,645
2020					4,873
Total					16,023
All outstanding benefit liabilities before 2018, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	715

Schedule of Reconciliation of Net Incurred and Paid Claims to Benefits Payable

The reconciliation of the net incurred and paid claims development tables to benefits payable in the consolidated statement of financial position is as follows:


	December 31, 2020
Net outstanding liabilities
Retail	$	7,428
Group and Specialty	715
Benefits payable, net of reinsurance	8,143
Reinsurance recoverable on unpaid claims
Retail	—


Total benefits payable, gross	$	8,143