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Segment Information (Tables)
3 Months Ended
Mar. 31, 2018
Segment Information [Abstract]  
Special item charges
Three Months Ended
March 31, 2018March 31, 2017
Before-taxAfter-taxBefore-taxAfter-tax
Transaction-related costs - see Note 3$60$50$63$49
Long-term care guaranty fund assessment - see Note 16(D)--12983
Total impact from special items$60$50$192$132
Summarized segment financial information
(In millions)Global Health CareGlobal Supplemental BenefitsGroup Disability and LifeOther OperationsCorporateTotal
Three Months Ended March 31, 2018
Premiums, fees and other revenues and mail order pharmacy revenues(1)$8,974$1,066$1,026$31$(13)$11,084
Net investment income1153490855329
Less net realized investment (losses) on equity method subsidiaries-(2)---(2)
Operating revenues$9,089$1,102$1,116$116$(8)$11,415
Total revenues$9,069$1,100$1,100$120$(9)$11,380
Shareholders' net income (loss)$842$105$54$29$(115)$915
After-tax adjustments to reconcile to adjusted income from operations
Net realized investment (gains) losses(2)15113(5)125
Amortization of other acquired intangible assets146---20
Special items
Transaction-related costs----5050
Adjusted income (loss) from operations$871$112$67$24$(64)$1,010
(1) Includes the Company's share of the earnings of its joint ventures in China and India in the Global Supplemental Benefits segment.
(2) Beginning in 2018, includes net realized investment results from the Company's equity method joint ventures in the Global Supplemental Benefits segment.
(In millions)Global Health CareGlobal Supplemental BenefitsGroup Disability and LifeOther OperationsCorporateTotal
Three Months Ended March 31, 2017
Premiums, fees and other revenues and mail order pharmacy revenues (1)$8,195$881$1,032$30$(13)$10,125
Net investment income922889868303
Operating revenues$8,287$909$1,121$116$(5)$10,428
Total revenues$8,313$922$1,129$115$(5)$10,474
Shareholders' net income (loss)$544$77$59$20$(102)$598
After-tax adjustments to reconcile to adjusted income from operations
Net realized investment (gains)(16)(9)(6)--(31)
Amortization of other acquired intangible assets146---20
Special items
Transaction-related costs----4949
Long-term care guaranty fund assessment68-15--83
Total special items68-15-49132
Adjusted income (loss) from operations$610$74$68$20$(53)$719
(1) Includes the Company's share of the earnings of its joint ventures in China and India in the Global Supplemental Benefits segment.
Revenue from external customers
(In millions)Three Months Ended
March 31,
20182017
Premiums by product (ASC 944 - insurance activities)
Global Health Care
Commercial
Guaranteed cost$1,999$1,543
Experience-rated739727
Stop loss980852
International health care513475
Dental479441
Other258246
Government
Medicare1,4981,461
Medicaid235280
Medicare Part D228234
Total Global Health Care6,9296,259
Disability505501
Life, Accident and Supplemental Health1,5391,367
Total premiums from ongoing operations8,9738,127
Fees (ASC 606 - service activities)
Global Health Care1,3261,220
Global Supplemental Benefits 75
Group Disability and Life2527
Total fees from ongoing operations1,3581,252
Mail order pharmacy (ASC 606 - service activities)717710
Other 3636
Total revenues from external customers$11,084$10,125