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Segment Information (Tables)
12 Months Ended
Dec. 31, 2016
Segment Information [Abstract]  
Special item charges
(In millions)     
Year (1)Description and Financial Statement Line Item(s) After-tax Before-tax 
       
2016Risk corridor allowance (Other operating expenses, see page 148 in this Note for details)$ 80$ 124 
       
2016Merger related transaction costs (Other operating expenses, see Note 3 for details)$ 147$ 166 
       
2016Charges associated with litigation matters (Other operating expenses, see Note 21 for a description of litigation charges)$ 25$ 40 
       
2015Debt extinguishment costs (Other operating expenses, see Note 5 for details)$ 65$ 100 
       
2015Merger related transaction costs (Other operating expenses, see Note 3 for details)$ 57$ 66 
       
 
Summarized segment financial information
(In millions)Global Health CareGlobal Supplemental BenefitsGroup Disability and LifeOther OperationsCorporateTotal
2016            
Premiums$ 23,295$ 3,226$ 4,002$ 103$ -$ 30,626
Fees and other revenues  4,623  49  98  11  (21)  4,760
Net investment income  315  110  343  358  21  1,147
Mail order pharmacy revenues  2,966  -  -  -  -  2,966
Total operating revenues  31,199  3,385  4,443  472  -  39,499
Net realized investment gains (losses)  119  (5)  59  (5)  1  169
Total revenues  31,318  3,380  4,502  467  1  39,668
Depreciation and amortization  526  54  28  1  1  610
Total benefits and expenses  28,467  3,052  4,273  369  528  36,689
Income before taxes  2,851  328  229  98  (527)  2,979
Income taxes and net loss attributable to noncontrolling interests  1,100  60  65  30  (143)  1,112
Shareholders' net income by segment  1,751  268  164  68  (384)  1,867
After-tax adjustments to reconcile to adjusted income from operations:            
Net realized investment (gains) losses  (78)  6  (39)  2  -  (109)
Amortization of other acquired intangible assets, net  74  20  -  -  -  94
Special items:            
Risk corridor allowance  80  -  -  -  -  80
Merger-related transaction costs  -  -  -  -  147  147
Charges associated with litigation matters  25  -  -  -  -  25
Adjusted income from operations$ 1,852$ 294$ 125$ 70$ (237)$ 2,104
             
2015            
Premiums$ 22,696$ 3,000$ 3,843$ 103$ -$ 29,642
Fees and other revenues  4,357  46  91  13  (19)  4,488
Net investment income  340  103  337  369  4  1,153
Mail order pharmacy revenues  2,536  -  -  -  -  2,536
Total operating revenues  29,929  3,149  4,271  485  (15)  37,819
Net realized investment gains  43  -  5  9  -  57
Total revenues  29,972  3,149  4,276  494  (15)  37,876
Depreciation and amortization  526  31  26  1  1  585
Total benefits and expenses  27,028  2,849  3,796  374  502  34,549
Income before taxes  2,944  300  480  120  (517)  3,327
Income taxes and net loss attributable to noncontrolling interests  1,150  33  152  40  (142)  1,233
Shareholders' net income by segment  1,794  267  328  80  (375)  2,094
After-tax adjustments to reconcile to adjusted income from operations:            
Net realized investment (gains)  (30)  (1)  (4)  (5)  -  (40)
Amortization of other acquired intangible assets, net (1)  84  (4)  -  -  -  80
Special items:            
Debt extinguishment costs  -  -  -  -  65  65
Merger-related transaction costs  -  -  -  -  57  57
Adjusted income from operations$ 1,848$ 262$ 324$ 75$ (253)$ 2,256
             
(1) Includes a $23 million bargain purchase gain for a 2015 acquisition.
             
             
             
             
             
             
             
             
             
             
(In millions)Global Health CareGlobal Supplemental BenefitsGroup Disability and LifeOther OperationsCorporateTotal
2014            
Premiums$ 20,709$ 2,844$ 3,549$ 112$ -$ 27,214
Fees and other revenues  4,005  52  86  14  (16)  4,141
Net investment income  337  109  335  384  1  1,166
Mail order pharmacy revenues  2,239  -  -  -  -  2,239
Total operating revenues  27,290  3,005  3,970  510  (15)  34,760
Net realized investment gains  79  3  22  15  35  154
Total revenues  27,369  3,008  3,992  525  20  34,914
Depreciation and amortization  513  50  22  2  1  588
Total benefits and expenses  24,610  2,734  3,513  413  340  31,610
Income before taxes  2,759  274  479  112  (320)  3,304
Income taxes and net income attributable to noncontrolling interests  1,059  41  148  33  (79)  1,202
Shareholders' net income by segment  1,700  233  331  79  (241)  2,102
After-tax adjustments to reconcile to adjusted income from operations:            
Net realized investment (gains)  (54)  (3)  (14)  (11)  (24)  (106)
Amortization of other acquired intangible assets, net  106  13  -  -  -  119
Adjusted income from operations$ 1,752$ 243$ 317$ 68$ (265)$ 2,115
             
Revenue from external customers
(In millions)2016 2015 2014
Global Health Care premiums by product:         
Guaranteed cost$  4,610 $ 4,761 $ 4,600
Experience-rated   2,383   2,329   2,322
Stop loss   3,082   2,701   2,318
International health care   1,859   1,834   1,827
Dental   1,586   1,392   1,257
Medicare   6,621   6,142   5,660
Medicaid   1,146   1,102   515
Medicare Part D   1,122   1,589   1,405
Other   886   846   805
Total premiums   23,295   22,696   20,709
Fees   4,368   4,107   3,767
Total Global Health Care premiums and fees   27,663   26,803   24,476
Disability   2,045   1,899   1,767
Life, Accident and Supplemental Health   5,300   5,054   4,739
Mail order pharmacy    2,966   2,536   2,239
Other   378   374   373
Total$  38,352 $ 36,666 $ 33,594
Foreign and U.S. revenues from external customers
(In millions) 2016 2015 2014
U.S. $ 34,672 $ 33,185 $ 30,070
Foreign   3,680   3,481   3,524
Total $ 38,352 $ 36,666 $ 33,594