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Segment Information (Tables)
9 Months Ended
Sep. 30, 2017
Segment Information [Abstract]  
Special item charges
Three Months Ended
September 30, 2017September 30, 2016
(In millions)Before-taxAfter-taxBefore-taxAfter-tax
Debt extinguishment costs - see Note 5$321 $ 209 $ -$-
Merger-related transaction costs - see Note 3964946
Charges associated with litigation matters - see Note 16(E)--4025
Total impact from special items$330$215$89$71
Nine Months Ended
September 30, 2017September 30, 2016
Before-taxAfter-taxBefore-taxAfter-tax
Debt extinguishment costs - see Note 5$321$209$-$-
Merger-related transaction costs - see Note 3888123108
Long-term care guaranty fund assessment - see Note 16(D)12983--
Charges associated with litigation matters - see Note 16(E)--4025
Total impact from special items$538$300$163$133
Summarized segment financial information
(In millions)Global Health CareGlobal Supplemental BenefitsGroup Disability and LifeOther OperationsCorporateTotal
Three Months Ended September 30, 2017
Premiums, fees and other revenues and mail order pharmacy revenues$7,980$954$1,015$29$(11)$9,967
Net investment income893184868298
Operating revenues$8,069$985$1,099$115$(3)$10,265
Total revenues$8,144$985$1,136$120$(3)$10,382
Shareholders' net income (loss)$610$105$97$18$(270)$560
After-tax adjustments to reconcile to adjusted income from operations:
Net realized investment (gains)(47)-(24)(4)-(75)
Amortization of other acquired intangible assets, net124---16
Special items:
Debt extinguishment costs----209209
Merger-related transaction costs----66
Total special items----215215
Adjusted income (loss) from operations$575$109$73$14$(55)$716
(In millions)Global Health CareGlobal Supplemental BenefitsGroup Disability and LifeOther OperationsCorporateTotal
Three Months Ended September 30, 2016
Premiums, fees and other revenues and mail order pharmacy revenues$7,636$837$1,026$28$(4)$9,523
Net investment income772985874282
Operating revenues$7,713$866$1,111$115$-$9,805
Total revenues$7,775$868$1,128$109$-$9,880
Shareholders' net income (loss)$413$77$65$9$(108)$456
After-tax adjustments to reconcile to adjusted income from operations:
Net realized investment (gains) losses(42)-(12)51(48)
Amortization of other acquired intangible assets, net204---24
Special items:
Merger-related transaction costs----4646
Charges associated with litigation matters25----25
Total special items25---4671
Adjusted income (loss) from operations$416$81$53$14$(61)$503

Nine Months Ended September 30, 2017
Premiums, fees and other revenues and mail order pharmacy revenues$24,079$2,759$3,070$89$(35)$29,962
Net investment income2739026226024909
Operating revenues$24,352$2,849$3,332$349$(11)$30,871
Total revenues$24,485$2,861$3,399$351$(11)$31,085
Shareholders' net income (loss)$1,753$283$253$55$(373)$1,971
After-tax adjustments to reconcile to adjusted income from operations:
Net realized investment (gains)(85)(9)(44)(2)-(140)
Amortization of other acquired intangible assets, net4014---54
Special items:
Debt extinguishment costs----209209
Merger-related transaction costs----88
Long-term care guaranty fund assessment68-15--83
Total special items68-15-217300
Adjusted income (loss) from operations$1,776$288$224$53$(156)$2,185
(In millions)Global Health CareGlobal Supplemental BenefitsGroup Disability and LifeOther OperationsCorporateTotal
Nine Months Ended September 30, 2016
Premiums, fees and other revenues and mail order pharmacy revenues$23,207$2,425$3,065$83$(14)$28,766
Net investment income2308225327013848
Operating revenues$23,437$2,507$3,318$353$(1)$29,614
Total revenues$23,510$2,507$3,356$352$(1)$29,724
Shareholders' net income (loss)$1,414$214$81$53$(277)$1,485
After-tax adjustments to reconcile to adjusted income from operations:
Net realized investment (gains) losses(49)1(25)11(71)
Amortization of other acquired intangible assets, net5616---72
Special items:
Merger-related transaction costs----108108
Charges associated with litigation matters25----25
Total special items25---108133
Adjusted income (loss) from operations$1,446$231$56$54$(168)$1,619