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FORM 10-Q
|
ý
|
QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE
SECURITIES EXCHANGE ACT OF 1934
|
¨
|
TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE
SECURITIES EXCHANGE ACT OF 1934
|
HUMANA INC.
(Exact name of registrant as specified in its charter)
|
|
Delaware
|
|
61-0647538
|
(State or other jurisdiction of
incorporation or organization)
|
|
(I.R.S. Employer
Identification Number)
|
|
Large accelerated filer
|
ý
|
|
Accelerated filer
|
¨
|
|
|
|
|
|
Non-accelerated filer
|
¨
|
|
Smaller reporting company
|
¨
|
|
|
|
|
|
Emerging growth company
|
¨
|
|
|
|
Class of Common Stock
|
Outstanding at
June 30, 2017 |
$0.16 2/3 par value
|
144,517,202 shares
|
|
|
Page
|
Part I: Financial Information
|
|
|
Item 1.
|
Financial Statements (Unaudited)
|
|
|
|
|
|
||
|
|
|
|
||
|
|
|
|
||
|
|
|
|
||
|
|
|
|
||
|
|
|
Item 2.
|
||
|
|
|
Item 3.
|
||
|
|
|
Item 4.
|
||
|
|
|
|
||
|
|
|
Item 1.
|
||
|
|
|
Item 1A.
|
||
|
|
|
Item 2.
|
||
|
|
|
Item 3.
|
||
|
|
|
Item 4.
|
||
|
|
|
Item 5.
|
||
|
|
|
Item 6.
|
||
|
|
|
|
||
|
|
|
|
Certifications
|
|
|
June 30,
2017 |
|
December 31,
2016 |
||||
|
(in millions, except share amounts)
|
||||||
A
SSETS
|
|
|
|
||||
Current assets:
|
|
|
|
||||
Cash and cash equivalents
|
$
|
8,139
|
|
|
$
|
3,877
|
|
Investment securities
|
8,115
|
|
|
7,595
|
|
||
Receivables, less allowance for doubtful accounts of $92 in 2017
and $118 in 2016 |
2,430
|
|
|
1,280
|
|
||
Other current assets
|
3,884
|
|
|
3,438
|
|
||
Total current assets
|
22,568
|
|
|
16,190
|
|
||
Property and equipment, net
|
1,543
|
|
|
1,505
|
|
||
Long-term investment securities
|
2,670
|
|
|
2,203
|
|
||
Goodwill
|
3,280
|
|
|
3,272
|
|
||
Other long-term assets
|
2,192
|
|
|
2,226
|
|
||
Total assets
|
$
|
32,253
|
|
|
$
|
25,396
|
|
L
IABILITIES
AND
S
TOCKHOLDERS
’ E
QUITY
|
|
|
|
||||
Current liabilities:
|
|
|
|
||||
Benefits payable
|
$
|
4,838
|
|
|
$
|
4,563
|
|
Trade accounts payable and accrued expenses
|
4,693
|
|
|
2,467
|
|
||
Book overdraft
|
117
|
|
|
212
|
|
||
Unearned revenues
|
3,356
|
|
|
280
|
|
||
Short-term debt
|
701
|
|
|
300
|
|
||
Total current liabilities
|
13,705
|
|
|
7,822
|
|
||
Long-term debt
|
4,279
|
|
|
3,792
|
|
||
Future policy benefits payable
|
2,899
|
|
|
2,834
|
|
||
Other long-term liabilities
|
417
|
|
|
263
|
|
||
Total liabilities
|
21,300
|
|
|
14,711
|
|
||
Commitments and contingencies
|
|
|
|
||||
Stockholders’ equity:
|
|
|
|
||||
Preferred stock, $1 par; 10,000,000 shares authorized; none issued
|
—
|
|
|
—
|
|
||
Common stock, $0.16 2/3 par; 300,000,000 shares authorized;
198,569,658 shares issued at June 30, 2017 and 198,495,007 shares issued at December 31, 2016 |
33
|
|
|
33
|
|
||
Capital in excess of par value
|
2,306
|
|
|
2,562
|
|
||
Retained earnings
|
13,101
|
|
|
11,454
|
|
||
Accumulated other comprehensive loss
|
(5
|
)
|
|
(66
|
)
|
||
Treasury stock, at cost, 54,052,456 shares at June 30, 2017 and
49,189,811 shares at December 31, 2016 |
(4,482
|
)
|
|
(3,298
|
)
|
||
Total stockholders’ equity
|
10,953
|
|
|
10,685
|
|
||
Total liabilities and stockholders’ equity
|
$
|
32,253
|
|
|
$
|
25,396
|
|
|
Three months ended
June 30, |
|
Six months ended
June 30, |
||||||||||||
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
(in millions, except per share results)
|
||||||||||||||
Revenues:
|
|
|
|
|
|
|
|
||||||||
Premiums
|
$
|
13,203
|
|
|
$
|
13,650
|
|
|
$
|
26,601
|
|
|
$
|
27,090
|
|
Services
|
230
|
|
|
262
|
|
|
483
|
|
|
522
|
|
||||
Investment income
|
101
|
|
|
95
|
|
|
212
|
|
|
195
|
|
||||
Total revenues
|
13,534
|
|
|
14,007
|
|
|
27,296
|
|
|
27,807
|
|
||||
Operating expenses:
|
|
|
|
|
|
|
|
||||||||
Benefits
|
10,889
|
|
|
11,509
|
|
|
22,215
|
|
|
22,906
|
|
||||
Operating costs
|
1,453
|
|
|
1,699
|
|
|
3,006
|
|
|
3,433
|
|
||||
Merger termination fee and related costs, net
|
—
|
|
|
27
|
|
|
(947
|
)
|
|
61
|
|
||||
Depreciation and amortization
|
92
|
|
|
89
|
|
|
184
|
|
|
177
|
|
||||
Total operating expenses
|
12,434
|
|
|
13,324
|
|
|
24,458
|
|
|
26,577
|
|
||||
Income from operations
|
1,100
|
|
|
683
|
|
|
2,838
|
|
|
1,230
|
|
||||
Interest expense
|
58
|
|
|
47
|
|
|
107
|
|
|
94
|
|
||||
Income before income taxes
|
1,042
|
|
|
636
|
|
|
2,731
|
|
|
1,136
|
|
||||
Provision for income taxes
|
392
|
|
|
325
|
|
|
966
|
|
|
571
|
|
||||
Net income
|
$
|
650
|
|
|
$
|
311
|
|
|
$
|
1,765
|
|
|
$
|
565
|
|
Basic earnings per common share
|
$
|
4.49
|
|
|
$
|
2.08
|
|
|
$
|
12.07
|
|
|
$
|
3.79
|
|
Diluted earnings per common share
|
$
|
4.46
|
|
|
$
|
2.06
|
|
|
$
|
11.98
|
|
|
$
|
3.75
|
|
Dividends declared per common share
|
$
|
0.40
|
|
|
$
|
0.29
|
|
|
$
|
0.80
|
|
|
$
|
0.58
|
|
|
Three months ended
June 30, |
|
Six months ended
June 30, |
||||||||||||
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
(in millions)
|
||||||||||||||
Net income
|
$
|
650
|
|
|
$
|
311
|
|
|
$
|
1,765
|
|
|
$
|
565
|
|
Other comprehensive income:
|
|
|
|
|
|
|
|
||||||||
Change in gross unrealized investment
gains/losses |
88
|
|
|
111
|
|
|
126
|
|
|
159
|
|
||||
Effect of income taxes
|
(33
|
)
|
|
(41
|
)
|
|
(47
|
)
|
|
(58
|
)
|
||||
Total change in unrealized
investment gains/losses, net of tax |
55
|
|
|
70
|
|
|
79
|
|
|
101
|
|
||||
Reclassification adjustment for net
realized gains included in investment income |
(2
|
)
|
|
(19
|
)
|
|
(28
|
)
|
|
(39
|
)
|
||||
Effect of income taxes
|
—
|
|
|
7
|
|
|
10
|
|
|
14
|
|
||||
Total reclassification adjustment, net
of tax |
(2
|
)
|
|
(12
|
)
|
|
(18
|
)
|
|
(25
|
)
|
||||
Other comprehensive income, net
of tax |
53
|
|
|
58
|
|
|
61
|
|
|
76
|
|
||||
Comprehensive income
|
$
|
703
|
|
|
$
|
369
|
|
|
$
|
1,826
|
|
|
$
|
641
|
|
|
For the six months ended
June 30, |
||||||
|
2017
|
|
2016
|
||||
|
(in millions)
|
||||||
Cash flows from operating activities
|
|
|
|
||||
Net income
|
$
|
1,765
|
|
|
$
|
565
|
|
Adjustments to reconcile net income to net cash provided by
operating activities: |
|
|
|
||||
Net realized capital gains
|
(28
|
)
|
|
(39
|
)
|
||
Stock-based compensation
|
83
|
|
|
48
|
|
||
Depreciation
|
201
|
|
|
190
|
|
||
Other intangible amortization
|
36
|
|
|
41
|
|
||
Provision (benefit) for deferred income taxes
|
2
|
|
|
(24
|
)
|
||
Changes in operating assets and liabilities, net of effect of
businesses acquired and dispositions: |
|
|
|
||||
Receivables
|
(1,150
|
)
|
|
(1,392
|
)
|
||
Other assets
|
(545
|
)
|
|
(678
|
)
|
||
Benefits payable
|
275
|
|
|
282
|
|
||
Other liabilities
|
317
|
|
|
1,198
|
|
||
Unearned revenues
|
3,076
|
|
|
(53
|
)
|
||
Other, net
|
67
|
|
|
68
|
|
||
Net cash provided by operating activities
|
4,099
|
|
|
206
|
|
||
Cash flows from investing activities
|
|
|
|
||||
Acquisitions, net of cash acquired
|
(9
|
)
|
|
(1
|
)
|
||
Purchases of property and equipment
|
(233
|
)
|
|
(256
|
)
|
||
Purchases of investment securities
|
(3,208
|
)
|
|
(2,528
|
)
|
||
Maturities of investment securities
|
649
|
|
|
635
|
|
||
Proceeds from sales of investment securities
|
1,723
|
|
|
1,853
|
|
||
Net cash used in investing activities
|
(1,078
|
)
|
|
(297
|
)
|
||
Cash flows from financing activities
|
|
|
|
||||
Receipts from contract deposits, net
|
2,081
|
|
|
221
|
|
||
Proceeds from issuance of senior notes, net
|
985
|
|
|
—
|
|
||
Repayment of commercial paper, net
|
(102
|
)
|
|
—
|
|
||
Change in book overdraft
|
(95
|
)
|
|
(109
|
)
|
||
Common stock repurchases
|
(1,578
|
)
|
|
(73
|
)
|
||
Dividends paid
|
(104
|
)
|
|
(90
|
)
|
||
Proceeds from stock option exercises and other
|
54
|
|
|
—
|
|
||
Net cash provided by (used in) financing activities
|
1,241
|
|
|
(51
|
)
|
||
Increase (decrease) in cash and cash equivalents
|
4,262
|
|
|
(142
|
)
|
||
Cash and cash equivalents at beginning of period
|
3,877
|
|
|
2,571
|
|
||
Cash and cash equivalents at end of period
|
$
|
8,139
|
|
|
$
|
2,429
|
|
Supplemental cash flow disclosures:
|
|
|
|
||||
Interest payments
|
$
|
92
|
|
|
$
|
92
|
|
Income tax payments, net
|
$
|
694
|
|
|
$
|
536
|
|
|
Amortized
Cost
|
|
Gross
Unrealized
Gains
|
|
Gross
Unrealized
Losses
|
|
Fair
Value
|
||||||||
|
(in millions)
|
||||||||||||||
June 30, 2017
|
|
|
|
|
|
|
|
||||||||
U.S. Treasury and other U.S. government
corporations and agencies: |
|
|
|
|
|
|
|
||||||||
U.S. Treasury and agency obligations
|
$
|
724
|
|
|
$
|
1
|
|
|
$
|
(9
|
)
|
|
$
|
716
|
|
Mortgage-backed securities
|
1,567
|
|
|
4
|
|
|
(25
|
)
|
|
1,546
|
|
||||
Tax-exempt municipal securities
|
3,304
|
|
|
23
|
|
|
(21
|
)
|
|
3,306
|
|
||||
Mortgage-backed securities:
|
|
|
|
|
|
|
|
||||||||
Residential
|
8
|
|
|
—
|
|
|
—
|
|
|
8
|
|
||||
Commercial
|
394
|
|
|
2
|
|
|
(2
|
)
|
|
394
|
|
||||
Asset-backed securities
|
135
|
|
|
—
|
|
|
—
|
|
|
135
|
|
||||
Corporate debt securities
|
4,514
|
|
|
206
|
|
|
(40
|
)
|
|
4,680
|
|
||||
Total debt securities
|
$
|
10,646
|
|
|
$
|
236
|
|
|
$
|
(97
|
)
|
|
$
|
10,785
|
|
|
|
|
|
|
|
|
|
||||||||
December 31, 2016
|
|
|
|
|
|
|
|
||||||||
U.S. Treasury and other U.S. government
corporations and agencies: |
|
|
|
|
|
|
|
||||||||
U.S. Treasury and agency obligations
|
$
|
800
|
|
|
$
|
1
|
|
|
$
|
(15
|
)
|
|
$
|
786
|
|
Mortgage-backed securities
|
1,662
|
|
|
6
|
|
|
(31
|
)
|
|
1,637
|
|
||||
Tax-exempt municipal securities
|
3,358
|
|
|
15
|
|
|
(68
|
)
|
|
3,305
|
|
||||
Mortgage-backed securities:
|
|
|
|
|
|
|
|
||||||||
Residential
|
9
|
|
|
—
|
|
|
—
|
|
|
9
|
|
||||
Commercial
|
307
|
|
|
1
|
|
|
(4
|
)
|
|
304
|
|
||||
Asset-backed securities
|
160
|
|
|
—
|
|
|
—
|
|
|
160
|
|
||||
Corporate debt securities
|
3,530
|
|
|
145
|
|
|
(78
|
)
|
|
3,597
|
|
||||
Total debt securities
|
$
|
9,826
|
|
|
$
|
168
|
|
|
$
|
(196
|
)
|
|
$
|
9,798
|
|
|
Less than 12 months
|
|
12 months or more
|
|
Total
|
||||||||||||||||||
|
Fair
Value |
|
Gross
Unrealized Losses |
|
Fair
Value |
|
Gross
Unrealized Losses |
|
Fair
Value |
|
Gross
Unrealized Losses |
||||||||||||
|
(in millions)
|
||||||||||||||||||||||
June 30, 2017
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
U.S. Treasury and other U.S.
government corporations and agencies: |
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
U.S. Treasury and agency
obligations |
$
|
645
|
|
|
$
|
(9
|
)
|
|
$
|
3
|
|
|
$
|
—
|
|
|
$
|
648
|
|
|
$
|
(9
|
)
|
Mortgage-backed
securities |
1,310
|
|
|
(25
|
)
|
|
3
|
|
|
—
|
|
|
1,313
|
|
|
(25
|
)
|
||||||
Tax-exempt municipal
securities |
1,898
|
|
|
(20
|
)
|
|
39
|
|
|
(1
|
)
|
|
1,937
|
|
|
(21
|
)
|
||||||
Mortgage-backed securities:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
Residential
|
—
|
|
|
—
|
|
|
4
|
|
|
—
|
|
|
4
|
|
|
—
|
|
||||||
Commercial
|
99
|
|
|
(2
|
)
|
|
1
|
|
|
—
|
|
|
100
|
|
|
(2
|
)
|
||||||
Asset-backed securities
|
92
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
92
|
|
|
—
|
|
||||||
Corporate debt securities
|
1,200
|
|
|
(37
|
)
|
|
64
|
|
|
(3
|
)
|
|
1,264
|
|
|
(40
|
)
|
||||||
Total debt securities
|
$
|
5,244
|
|
|
$
|
(93
|
)
|
|
$
|
114
|
|
|
$
|
(4
|
)
|
|
$
|
5,358
|
|
|
$
|
(97
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
December 31, 2016
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
U.S. Treasury and other U.S.
government corporations and agencies: |
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
U.S. Treasury and agency
obligations |
$
|
697
|
|
|
$
|
(15
|
)
|
|
$
|
3
|
|
|
$
|
—
|
|
|
$
|
700
|
|
|
$
|
(15
|
)
|
Mortgage-backed
securities |
1,528
|
|
|
(31
|
)
|
|
3
|
|
|
—
|
|
|
1,531
|
|
|
(31
|
)
|
||||||
Tax-exempt municipal
securities |
2,756
|
|
|
(67
|
)
|
|
43
|
|
|
(1
|
)
|
|
2,799
|
|
|
(68
|
)
|
||||||
Mortgage-backed securities:
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
Residential
|
—
|
|
|
—
|
|
|
4
|
|
|
—
|
|
|
4
|
|
|
—
|
|
||||||
Commercial
|
182
|
|
|
(3
|
)
|
|
24
|
|
|
(1
|
)
|
|
206
|
|
|
(4
|
)
|
||||||
Asset-backed securities
|
51
|
|
|
—
|
|
|
63
|
|
|
—
|
|
|
114
|
|
|
—
|
|
||||||
Corporate debt securities
|
1,544
|
|
|
(71
|
)
|
|
69
|
|
|
(7
|
)
|
|
1,613
|
|
|
(78
|
)
|
||||||
Total debt securities
|
$
|
6,758
|
|
|
$
|
(187
|
)
|
|
$
|
209
|
|
|
$
|
(9
|
)
|
|
$
|
6,967
|
|
|
$
|
(196
|
)
|
|
Three months ended
June 30, |
|
Six months ended
June 30, |
||||||||||||
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
(in millions)
|
||||||||||||||
Gross realized gains
|
$
|
4
|
|
|
$
|
20
|
|
|
$
|
31
|
|
|
$
|
51
|
|
Gross realized losses
|
(2
|
)
|
|
(1
|
)
|
|
(3
|
)
|
|
(12
|
)
|
||||
Net realized capital gains
|
$
|
2
|
|
|
$
|
19
|
|
|
$
|
28
|
|
|
$
|
39
|
|
|
Amortized
Cost |
|
Fair
Value |
||||
|
(in millions)
|
||||||
Due within one year
|
$
|
538
|
|
|
$
|
539
|
|
Due after one year through five years
|
2,666
|
|
|
2,680
|
|
||
Due after five years through ten years
|
2,237
|
|
|
2,235
|
|
||
Due after ten years
|
3,101
|
|
|
3,248
|
|
||
Mortgage and asset-backed securities
|
2,104
|
|
|
2,083
|
|
||
Total debt securities
|
$
|
10,646
|
|
|
$
|
10,785
|
|
|
Fair Value Measurements Using
|
||||||||||||||
|
Fair
Value |
|
Quoted Prices
in Active Markets (Level 1) |
|
Other
Observable Inputs (Level 2) |
|
Unobservable
Inputs (Level 3) |
||||||||
|
(in millions)
|
||||||||||||||
June 30, 2017
|
|
|
|
|
|
|
|
||||||||
Cash equivalents
|
$
|
7,786
|
|
|
$
|
7,786
|
|
|
$
|
—
|
|
|
$
|
—
|
|
Debt securities:
|
|
|
|
|
|
|
|
||||||||
U.S. Treasury and other U.S. government
corporations and agencies: |
|
|
|
|
|
|
|
||||||||
U.S. Treasury and agency obligations
|
716
|
|
|
—
|
|
|
716
|
|
|
—
|
|
||||
Mortgage-backed securities
|
1,546
|
|
|
—
|
|
|
1,546
|
|
|
—
|
|
||||
Tax-exempt municipal securities
|
3,306
|
|
|
—
|
|
|
3,306
|
|
|
—
|
|
||||
Mortgage-backed securities:
|
|
|
|
|
|
|
|
||||||||
Residential
|
8
|
|
|
—
|
|
|
8
|
|
|
—
|
|
||||
Commercial
|
394
|
|
|
—
|
|
|
394
|
|
|
—
|
|
||||
Asset-backed securities
|
135
|
|
|
—
|
|
|
135
|
|
|
—
|
|
||||
Corporate debt securities
|
4,680
|
|
|
—
|
|
|
4,676
|
|
|
4
|
|
||||
Total debt securities
|
10,785
|
|
|
—
|
|
|
10,781
|
|
|
4
|
|
||||
Total invested assets
|
$
|
18,571
|
|
|
$
|
7,786
|
|
|
$
|
10,781
|
|
|
$
|
4
|
|
|
|
|
|
|
|
|
|
||||||||
December 31, 2016
|
|
|
|
|
|
|
|
||||||||
Cash equivalents
|
$
|
3,654
|
|
|
$
|
3,654
|
|
|
$
|
—
|
|
|
$
|
—
|
|
Debt securities:
|
|
|
|
|
|
|
|
||||||||
U.S. Treasury and other U.S. government
corporations and agencies: |
|
|
|
|
|
|
|
||||||||
U.S. Treasury and agency obligations
|
786
|
|
|
—
|
|
|
786
|
|
|
—
|
|
||||
Mortgage-backed securities
|
1,637
|
|
|
—
|
|
|
1,637
|
|
|
—
|
|
||||
Tax-exempt municipal securities
|
3,305
|
|
|
—
|
|
|
3,302
|
|
|
3
|
|
||||
Mortgage-backed securities:
|
|
|
|
|
|
|
|
||||||||
Residential
|
9
|
|
|
—
|
|
|
9
|
|
|
—
|
|
||||
Commercial
|
304
|
|
|
—
|
|
|
304
|
|
|
—
|
|
||||
Asset-backed securities
|
160
|
|
|
—
|
|
|
160
|
|
|
—
|
|
||||
Corporate debt securities
|
3,597
|
|
|
—
|
|
|
3,593
|
|
|
4
|
|
||||
Total debt securities
|
9,798
|
|
|
—
|
|
|
9,791
|
|
|
7
|
|
||||
Total invested assets
|
$
|
13,452
|
|
|
$
|
3,654
|
|
|
$
|
9,791
|
|
|
$
|
7
|
|
|
For the three months ended June 30,
|
||||||||||||||||||||||
|
2017
|
|
2016
|
||||||||||||||||||||
|
Private
Placements |
|
Auction
Rate Securities |
|
Total
|
|
Private
Placements |
|
Auction
Rate Securities |
|
Total
|
||||||||||||
|
(in millions)
|
||||||||||||||||||||||
Beginning balance at April 1
|
$
|
4
|
|
|
$
|
3
|
|
|
$
|
7
|
|
|
$
|
6
|
|
|
$
|
3
|
|
|
$
|
9
|
|
Settlements
|
—
|
|
|
(3
|
)
|
|
(3
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||
Balance at June 30
|
$
|
4
|
|
|
$
|
—
|
|
|
$
|
4
|
|
|
$
|
6
|
|
|
$
|
3
|
|
|
$
|
9
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
|
For the six months ended June 30,
|
||||||||||||||||||||||
|
2017
|
|
2016
|
||||||||||||||||||||
|
Private
Placements |
|
Auction
Rate Securities |
|
Total
|
|
Private
Placements |
|
Auction
Rate Securities |
|
Total
|
||||||||||||
|
(in millions)
|
||||||||||||||||||||||
Beginning balance at January 1
|
$
|
4
|
|
|
$
|
3
|
|
|
$
|
7
|
|
|
$
|
6
|
|
|
$
|
5
|
|
|
$
|
11
|
|
Settlements
|
—
|
|
|
(3
|
)
|
|
(3
|
)
|
|
—
|
|
|
(2
|
)
|
|
(2
|
)
|
||||||
Balance at June 30
|
$
|
4
|
|
|
$
|
—
|
|
|
$
|
4
|
|
|
$
|
6
|
|
|
$
|
3
|
|
|
$
|
9
|
|
|
June 30, 2017
|
|
December 31, 2016
|
||||||||||||
Risk
Corridor Settlement |
|
CMS
Subsidies/ Discounts |
|
Risk
Corridor Settlement |
|
CMS
Subsidies/ Discounts |
|||||||||
|
(in millions)
|
||||||||||||||
Other current assets
|
$
|
9
|
|
|
$
|
1,003
|
|
|
$
|
8
|
|
|
$
|
1,001
|
|
Trade accounts payable and accrued expenses
|
(130
|
)
|
|
(2,201
|
)
|
|
(158
|
)
|
|
(128
|
)
|
||||
Net current (liability) asset
|
(121
|
)
|
|
(1,198
|
)
|
|
(150
|
)
|
|
873
|
|
||||
Other long-term assets
|
29
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
Other long-term liabilities
|
(110
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
Net long-term liability
|
(81
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
||||
Total net (liability) asset
|
$
|
(202
|
)
|
|
$
|
(1,198
|
)
|
|
$
|
(150
|
)
|
|
$
|
873
|
|
|
June 30, 2017
|
|
December 31, 2016
|
||||||||||||||||
|
Risk Adjustment
Settlement |
|
Reinsurance
Recoverables |
|
Risk Adjustment
Settlement |
|
Reinsurance
Recoverables |
||||||||||||
|
(in millions)
|
||||||||||||||||||
Prior Coverage Years
|
|
|
|
|
|
|
|
||||||||||||
Premiums receivable
|
$
|
291
|
|
|
$
|
—
|
|
|
$
|
307
|
|
|
$
|
—
|
|
||||
Other current assets
|
—
|
|
|
268
|
|
|
—
|
|
|
260
|
|
||||||||
Trade accounts payable and
accrued expenses |
(150
|
)
|
|
—
|
|
|
(117
|
)
|
|
—
|
|
||||||||
Net current asset
|
141
|
|
|
268
|
|
|
190
|
|
|
260
|
|
||||||||
Other long-term assets
|
—
|
|
|
—
|
|
|
6
|
|
|
—
|
|
||||||||
Total prior coverage years' net
asset |
141
|
|
|
268
|
|
|
196
|
|
|
260
|
|
||||||||
Current Coverage Year
|
|
|
|
|
|
|
|
||||||||||||
Premiums receivable
|
12
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Net current asset
|
12
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Other long-term assets
|
30
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Other long-term liabilities
|
(40
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Net long-term liability
|
(10
|
)
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Total 2017 coverage year net
asset |
2
|
|
|
—
|
|
|
—
|
|
|
—
|
|
||||||||
Total net asset
|
$
|
143
|
|
|
$
|
268
|
|
|
$
|
196
|
|
|
$
|
260
|
|
|
Retail
|
|
Group and Specialty
|
|
Healthcare
Services |
|
Total
|
||||||||
|
(in millions)
|
||||||||||||||
Balance at January 1, 2017
|
$
|
1,059
|
|
|
$
|
261
|
|
|
$
|
1,952
|
|
|
$
|
3,272
|
|
Acquisitions
|
—
|
|
|
—
|
|
|
8
|
|
|
8
|
|
||||
Balance at June 30, 2017
|
$
|
1,059
|
|
|
$
|
261
|
|
|
$
|
1,960
|
|
|
$
|
3,280
|
|
|
|
|
June 30, 2017
|
|
December 31, 2016
|
||||||||||||||||||||
|
Weighted
Average Life |
|
Cost
|
|
Accumulated
Amortization |
|
Net
|
|
Cost
|
|
Accumulated
Amortization |
|
Net
|
||||||||||||
|
|
|
($ in millions)
|
||||||||||||||||||||||
Other intangible assets:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||
Customer contracts/
relationships |
9.8 years
|
|
$
|
566
|
|
|
$
|
374
|
|
|
$
|
192
|
|
|
$
|
566
|
|
|
$
|
347
|
|
|
$
|
219
|
|
Trade names and
technology |
8.2 years
|
|
104
|
|
|
75
|
|
|
29
|
|
|
104
|
|
|
69
|
|
|
35
|
|
||||||
Provider contracts
|
14.1 years
|
|
51
|
|
|
31
|
|
|
20
|
|
|
51
|
|
|
29
|
|
|
22
|
|
||||||
Noncompetes and
other |
8.1 years
|
|
33
|
|
|
29
|
|
|
4
|
|
|
32
|
|
|
28
|
|
|
4
|
|
||||||
Total other intangible
assets |
8.9 years
|
|
$
|
754
|
|
|
$
|
509
|
|
|
$
|
245
|
|
|
$
|
753
|
|
|
$
|
473
|
|
|
$
|
280
|
|
|
(in millions)
|
||
For the years ending December 31,:
|
|
||
2017
|
$
|
71
|
|
2018
|
63
|
|
|
2019
|
52
|
|
|
2020
|
48
|
|
|
2021
|
14
|
|
|
2022
|
11
|
|
|
|
For the six months ended June 30,
|
||||||
|
|
2017
|
|
2016
|
||||
|
|
(in millions)
|
||||||
Balances, beginning of period
|
|
$
|
4,563
|
|
|
$
|
4,976
|
|
Less: Premium deficiency reserve
|
|
—
|
|
|
(176
|
)
|
||
Less: Reinsurance recoverables
|
|
(76
|
)
|
|
(85
|
)
|
||
Balances, beginning of period, net
|
|
4,487
|
|
|
4,715
|
|
||
Incurred related to:
|
|
|
|
|
||||
Current year
|
|
22,576
|
|
|
23,211
|
|
||
Prior years
|
|
(345
|
)
|
|
(435
|
)
|
||
Total incurred
|
|
22,231
|
|
|
22,776
|
|
||
Paid related to:
|
|
|
|
|
||||
Current year
|
|
(18,332
|
)
|
|
(18,720
|
)
|
||
Prior years
|
|
(3,626
|
)
|
|
(3,925
|
)
|
||
Total paid
|
|
(21,958
|
)
|
|
(22,645
|
)
|
||
Premium deficiency reserve
|
|
—
|
|
|
337
|
|
||
Reinsurance recoverable
|
|
78
|
|
|
75
|
|
||
Balances, end of period
|
|
$
|
4,838
|
|
|
$
|
5,258
|
|
|
|
For the six months ended June 30,
|
||||||
|
|
2017
|
|
2016
|
||||
|
|
(in millions)
|
||||||
Premium deficiency reserve - Individual Commercial
|
|
$
|
—
|
|
|
$
|
161
|
|
Military services
|
|
—
|
|
|
6
|
|
||
Future policy benefits:
|
|
|
|
|
||||
Individual Commercial
|
|
(36
|
)
|
|
(62
|
)
|
||
Other Businesses
|
|
20
|
|
|
25
|
|
||
Total future policy benefits
|
|
(16
|
)
|
|
(37
|
)
|
||
Total
|
|
$
|
(16
|
)
|
|
$
|
130
|
|
|
|
For the six months ended June 30,
|
||||||
|
|
2017
|
|
2016
|
||||
|
|
(in millions)
|
||||||
Balances, beginning of period
|
|
$
|
3,507
|
|
|
$
|
3,600
|
|
Less: Reinsurance recoverables
|
|
(76
|
)
|
|
(85
|
)
|
||
Balances, beginning of period, net
|
|
3,431
|
|
|
3,515
|
|
||
Incurred related to:
|
|
|
|
|
||||
Current year
|
|
20,010
|
|
|
19,259
|
|
||
Prior years
|
|
(287
|
)
|
|
(299
|
)
|
||
Total incurred
|
|
19,723
|
|
|
18,960
|
|
||
Paid related to:
|
|
|
|
|
||||
Current year
|
|
(16,385
|
)
|
|
(15,766
|
)
|
||
Prior years
|
|
(2,707
|
)
|
|
(2,946
|
)
|
||
Total paid
|
|
(19,092
|
)
|
|
(18,712
|
)
|
||
Reinsurance recoverable
|
|
78
|
|
|
75
|
|
||
Balances, end of period
|
|
$
|
4,140
|
|
|
$
|
3,838
|
|
|
|
For the six months ended June 30,
|
||||||
|
|
2017
|
|
2016
|
||||
|
|
(in millions)
|
||||||
Balances, beginning of period
|
|
$
|
578
|
|
|
$
|
616
|
|
Incurred related to:
|
|
|
|
|
||||
Current year
|
|
2,629
|
|
|
2,556
|
|
||
Prior years
|
|
(31
|
)
|
|
(38
|
)
|
||
Total incurred
|
|
2,598
|
|
|
2,518
|
|
||
Paid related to:
|
|
|
|
|
||||
Current year
|
|
(2,117
|
)
|
|
(2,000
|
)
|
||
Prior years
|
|
(518
|
)
|
|
(543
|
)
|
||
Total paid
|
|
(2,635
|
)
|
|
(2,543
|
)
|
||
Balances, end of period
|
|
$
|
541
|
|
|
$
|
591
|
|
|
|
For the six months ended June 30,
|
||||||
|
|
2017
|
|
2016
|
||||
|
|
(in millions)
|
||||||
Balances, beginning of period
|
|
$
|
454
|
|
|
$
|
740
|
|
Less: Premium deficiency reserve
|
|
—
|
|
|
(176
|
)
|
||
Balances, beginning of period, net
|
|
454
|
|
|
564
|
|
||
Incurred related to:
|
|
|
|
|
||||
Current year
|
|
304
|
|
|
1,816
|
|
||
Prior years
|
|
(26
|
)
|
|
(97
|
)
|
||
Total incurred
|
|
278
|
|
|
1,719
|
|
||
Paid related to:
|
|
|
|
|
||||
Current year
|
|
(223
|
)
|
|
(1,396
|
)
|
||
Prior years
|
|
(378
|
)
|
|
(417
|
)
|
||
Total paid
|
|
(601
|
)
|
|
(1,813
|
)
|
||
Premium deficiency reserve
|
|
—
|
|
|
337
|
|
||
Balance, end of period
|
|
$
|
131
|
|
|
$
|
807
|
|
Reconciliation of the Disclosure of Incurred and Paid Claims Development to Benefits Payable, net of reinsurance
|
||||
|
June 30,
|
|||
|
2017
|
|||
Net outstanding liabilities
|
|
|||
Retail
|
$
|
4,062
|
|
|
Group and Specialty
|
541
|
|
||
Individual Commercial
|
131
|
|
||
Other Businesses
|
26
|
|
||
Benefits payable, net of reinsurance
|
4,760
|
|
||
|
|
|||
Reinsurance recoverable on unpaid claims
|
|
|||
Retail
|
78
|
|
||
Total reinsurance recoverable on unpaid claims
|
78
|
|
||
|
|
|||
Total benefits payable, gross
|
$
|
4,838
|
|
|
Three months ended June 30,
|
|
Six months ended June 30,
|
||||||||||||
|
2017
|
|
2016
|
|
2017
|
|
2016
|
||||||||
|
(dollars in millions, except per common share results; number of shares in thousands)
|
||||||||||||||
Net income available for common stockholders
|
$
|
650
|
|
|
$
|
311
|
|
|
$
|
1,765
|
|
|
$
|
565
|
|
Weighted average outstanding shares of common stock
used to compute basic earnings per common share |
144,600
|
|
|
149,386
|
|
|
146,212
|
|
|
149,273
|
|
||||
Dilutive effect of:
|
|
|
|
|
|
|
|
||||||||
Employee stock options
|
158
|
|
|
218
|
|
|
179
|
|
|
218
|
|
||||
Restricted stock
|
876
|
|
|
1,202
|
|
|
862
|
|
|
1,360
|
|
||||
Shares used to compute diluted earnings per common share
|
145,634
|
|
|
150,806
|
|
|
147,253
|
|
|
150,851
|
|
||||
Basic earnings per common share
|
$
|
4.49
|
|
|
$
|
2.08
|
|
|
$
|
12.07
|
|
|
$
|
3.79
|
|
Diluted earnings per common share
|
$
|
4.46
|
|
|
$
|
2.06
|
|
|
$
|
11.98
|
|
|
$
|
3.75
|
|
Number of antidilutive stock options and restricted stock
excluded from computation |
449
|
|
|
676
|
|
|
693
|
|
|
980
|
|
Record
Date |
|
Payment
Date |
|
Amount
per Share |
|
Total
Amount |
||||
|
|
|
|
|
|
(in millions)
|
||||
2016 payments
|
|
|
|
|
|
|
||||
12/30/2015
|
|
1/29/2016
|
|
$
|
0.29
|
|
|
$
|
43
|
|
3/31/2016
|
|
4/29/2016
|
|
$
|
0.29
|
|
|
$
|
43
|
|
6/30/2016
|
|
7/29/2016
|
|
$
|
0.29
|
|
|
$
|
43
|
|
10/13/2016
|
|
10/28/2016
|
|
$
|
0.29
|
|
|
$
|
43
|
|
2017 payments
|
|
|
|
|
|
|
||||
1/12/2017
|
|
1/27/2017
|
|
$
|
0.29
|
|
|
$
|
43
|
|
3/31/2017
|
|
4/28/2017
|
|
$
|
0.40
|
|
|
$
|
58
|
|
6/30/2017
|
|
7/31/2017
|
|
$
|
0.40
|
|
|
$
|
58
|
|
|
June 30, 2017
|
|
December 31, 2016
|
||||
|
(in millions)
|
||||||
Short-term:
|
|
|
|
||||
Commercial paper
|
$
|
200
|
|
|
$
|
300
|
|
$500 million, 7.20% Senior notes due June 15, 2018
|
501
|
|
|
—
|
|
||
Total short-term debt
|
701
|
|
|
300
|
|
||
|
|
|
|
||||
Long-term:
|
|
|
|
||||
Senior notes:
|
|
|
|
||||
$500 million, 7.20% due June 15, 2018
|
—
|
|
|
501
|
|
||
$300 million, 6.30% due August 1, 2018
|
303
|
|
|
304
|
|
||
$400 million, 2.625% due October 1, 2019
|
398
|
|
|
398
|
|
||
$600 million, 3.15% due December 1, 2022
|
596
|
|
|
595
|
|
||
$600 million, 3.85% due October 1, 2024
|
595
|
|
|
595
|
|
||
$600 million, 3.95% due March 15, 2027
|
594
|
|
|
—
|
|
||
$250 million, 8.15% due June 15, 2038
|
263
|
|
|
264
|
|
||
$400 million, 4.625% due December 1, 2042
|
396
|
|
|
396
|
|
||
$750 million, 4.95% due October 1, 2044
|
739
|
|
|
739
|
|
||
$400 million, 4.80% due March 15, 2047
|
395
|
|
|
—
|
|
||
Total long-term debt
|
4,279
|
|
|
3,792
|
|
||
|
|
|
|
||||
Total debt
|
$
|
4,980
|
|
|
$
|
4,092
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
Retail
|
|
Group and Specialty
|
|
Healthcare
Services |
|
Individual Commercial
|
|
Other
Businesses |
|
Eliminations/
Corporate |
|
Consolidated
|
||||||||||||||
|
(in millions)
|
||||||||||||||||||||||||||
Three months ended June 30, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
Revenues - external customers
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Individual Medicare Advantage
|
$
|
8,282
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
8,282
|
|
Group Medicare Advantage
|
1,277
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1,277
|
|
|||||||
Medicare stand-alone PDP
|
925
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
925
|
|
|||||||
Total Medicare
|
10,484
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
10,484
|
|
|||||||
Fully-insured
|
118
|
|
|
1,350
|
|
|
—
|
|
|
247
|
|
|
—
|
|
|
—
|
|
|
1,715
|
|
|||||||
Specialty
|
—
|
|
|
323
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
323
|
|
|||||||
Medicaid and other
|
671
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
10
|
|
|
—
|
|
|
681
|
|
|||||||
Total premiums
|
11,273
|
|
|
1,673
|
|
|
—
|
|
|
247
|
|
|
10
|
|
|
—
|
|
|
13,203
|
|
|||||||
Services revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Provider
|
—
|
|
|
—
|
|
|
63
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
63
|
|
|||||||
ASO and other
|
2
|
|
|
143
|
|
|
—
|
|
|
—
|
|
|
2
|
|
|
—
|
|
|
147
|
|
|||||||
Pharmacy
|
—
|
|
|
—
|
|
|
20
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
20
|
|
|||||||
Total services revenue
|
2
|
|
|
143
|
|
|
83
|
|
|
—
|
|
|
2
|
|
|
—
|
|
|
230
|
|
|||||||
Total revenues - external customers
|
11,275
|
|
|
1,816
|
|
|
83
|
|
|
247
|
|
|
12
|
|
|
—
|
|
|
13,433
|
|
|||||||
Intersegment revenues
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Services
|
—
|
|
|
5
|
|
|
4,309
|
|
|
—
|
|
|
—
|
|
|
(4,314
|
)
|
|
—
|
|
|||||||
Products
|
—
|
|
|
—
|
|
|
1,582
|
|
|
—
|
|
|
—
|
|
|
(1,582
|
)
|
|
—
|
|
|||||||
Total intersegment revenues
|
—
|
|
|
5
|
|
|
5,891
|
|
|
—
|
|
|
—
|
|
|
(5,896
|
)
|
|
—
|
|
|||||||
Investment income
|
24
|
|
|
7
|
|
|
8
|
|
|
1
|
|
|
21
|
|
|
40
|
|
|
101
|
|
|||||||
Total revenues
|
11,299
|
|
|
1,828
|
|
|
5,982
|
|
|
248
|
|
|
33
|
|
|
(5,856
|
)
|
|
13,534
|
|
|||||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Benefits
|
9,672
|
|
|
1,312
|
|
|
—
|
|
|
86
|
|
|
32
|
|
|
(213
|
)
|
|
10,889
|
|
|||||||
Operating costs
|
963
|
|
|
394
|
|
|
5,677
|
|
|
40
|
|
|
2
|
|
|
(5,623
|
)
|
|
1,453
|
|
|||||||
Depreciation and amortization
|
57
|
|
|
21
|
|
|
35
|
|
|
4
|
|
|
—
|
|
|
(25
|
)
|
|
92
|
|
|||||||
Total operating expenses
|
10,692
|
|
|
1,727
|
|
|
5,712
|
|
|
130
|
|
|
34
|
|
|
(5,861
|
)
|
|
12,434
|
|
|||||||
Income (loss) from operations
|
607
|
|
|
101
|
|
|
270
|
|
|
118
|
|
|
(1
|
)
|
|
5
|
|
|
1,100
|
|
|||||||
Interest expense
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
58
|
|
|
58
|
|
|||||||
Income (loss) before income taxes
|
$
|
607
|
|
|
$
|
101
|
|
|
$
|
270
|
|
|
$
|
118
|
|
|
$
|
(1
|
)
|
|
$
|
(53
|
)
|
|
$
|
1,042
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
Retail
|
|
Group and Specialty
|
|
Healthcare
Services |
|
Individual Commercial
|
|
Other
Businesses |
|
Eliminations/
Corporate |
|
Consolidated
|
||||||||||||||
|
(in millions)
|
||||||||||||||||||||||||||
Three months ended June 30, 2016
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
Revenues - external customers
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Individual Medicare Advantage
|
$
|
8,050
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
8,050
|
|
Group Medicare Advantage
|
1,085
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1,085
|
|
|||||||
Medicare stand-alone PDP
|
1,015
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1,015
|
|
|||||||
Total Medicare
|
10,150
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
10,150
|
|
|||||||
Fully-insured
|
106
|
|
|
1,357
|
|
|
—
|
|
|
1,024
|
|
|
—
|
|
|
—
|
|
|
2,487
|
|
|||||||
Specialty
|
—
|
|
|
321
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
321
|
|
|||||||
Medicaid and other
|
678
|
|
|
5
|
|
|
—
|
|
|
—
|
|
|
9
|
|
|
—
|
|
|
692
|
|
|||||||
Total premiums
|
10,934
|
|
|
1,683
|
|
|
—
|
|
|
1,024
|
|
|
9
|
|
|
—
|
|
|
13,650
|
|
|||||||
Services revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Provider
|
—
|
|
|
—
|
|
|
74
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
74
|
|
|||||||
ASO and other
|
2
|
|
|
176
|
|
|
—
|
|
|
—
|
|
|
3
|
|
|
—
|
|
|
181
|
|
|||||||
Pharmacy
|
—
|
|
|
—
|
|
|
7
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
7
|
|
|||||||
Total services revenue
|
2
|
|
|
176
|
|
|
81
|
|
|
—
|
|
|
3
|
|
|
—
|
|
|
262
|
|
|||||||
Total revenues - external customers
|
10,936
|
|
|
1,859
|
|
|
81
|
|
|
1,024
|
|
|
12
|
|
|
—
|
|
|
13,912
|
|
|||||||
Intersegment revenues
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Services
|
—
|
|
|
6
|
|
|
4,767
|
|
|
—
|
|
|
—
|
|
|
(4,773
|
)
|
|
—
|
|
|||||||
Products
|
—
|
|
|
—
|
|
|
1,433
|
|
|
—
|
|
|
—
|
|
|
(1,433
|
)
|
|
—
|
|
|||||||
Total intersegment revenues
|
—
|
|
|
6
|
|
|
6,200
|
|
|
—
|
|
|
—
|
|
|
(6,206
|
)
|
|
—
|
|
|||||||
Investment income
|
22
|
|
|
6
|
|
|
7
|
|
|
1
|
|
|
16
|
|
|
43
|
|
|
95
|
|
|||||||
Total revenues
|
10,958
|
|
|
1,871
|
|
|
6,288
|
|
|
1,025
|
|
|
28
|
|
|
(6,163
|
)
|
|
14,007
|
|
|||||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Benefits
|
9,327
|
|
|
1,302
|
|
|
—
|
|
|
1,089
|
|
|
31
|
|
|
(240
|
)
|
|
11,509
|
|
|||||||
Operating costs
|
1,069
|
|
|
423
|
|
|
5,974
|
|
|
152
|
|
|
4
|
|
|
(5,923
|
)
|
|
1,699
|
|
|||||||
Merger termination fee and related costs, net
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
27
|
|
|
27
|
|
|||||||
Depreciation and amortization
|
48
|
|
|
22
|
|
|
35
|
|
|
9
|
|
|
—
|
|
|
(25
|
)
|
|
89
|
|
|||||||
Total operating expenses
|
10,444
|
|
|
1,747
|
|
|
6,009
|
|
|
1,250
|
|
|
35
|
|
|
(6,161
|
)
|
|
13,324
|
|
|||||||
Income (loss) from operations
|
514
|
|
|
124
|
|
|
279
|
|
|
(225
|
)
|
|
(7
|
)
|
|
(2
|
)
|
|
683
|
|
|||||||
Interest expense
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
47
|
|
|
47
|
|
|||||||
Income (loss) before income taxes
|
$
|
514
|
|
|
$
|
124
|
|
|
$
|
279
|
|
|
$
|
(225
|
)
|
|
$
|
(7
|
)
|
|
$
|
(49
|
)
|
|
$
|
636
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
Retail
|
|
Group and Specialty
|
|
Healthcare
Services |
|
Individual Commercial
|
|
Other
Businesses |
|
Eliminations/
Corporate |
|
Consolidated
|
||||||||||||||
|
(in millions)
|
||||||||||||||||||||||||||
Six months ended June 30, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
Revenues - external customers
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Individual Medicare Advantage
|
$
|
16,658
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
16,658
|
|
Group Medicare Advantage
|
2,595
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
2,595
|
|
|||||||
Medicare stand-alone PDP
|
1,866
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
1,866
|
|
|||||||
Total Medicare
|
21,119
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
21,119
|
|
|||||||
Fully-insured
|
236
|
|
|
2,728
|
|
|
—
|
|
|
530
|
|
|
—
|
|
|
—
|
|
|
3,494
|
|
|||||||
Specialty
|
—
|
|
|
645
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
645
|
|
|||||||
Medicaid and other
|
1,324
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
19
|
|
|
—
|
|
|
1,343
|
|
|||||||
Total premiums
|
22,679
|
|
|
3,373
|
|
|
—
|
|
|
530
|
|
|
19
|
|
|
—
|
|
|
26,601
|
|
|||||||
Services revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Provider
|
—
|
|
|
—
|
|
|
133
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
133
|
|
|||||||
ASO and other
|
4
|
|
|
304
|
|
|
—
|
|
|
—
|
|
|
4
|
|
|
—
|
|
|
312
|
|
|||||||
Pharmacy
|
—
|
|
|
—
|
|
|
38
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
38
|
|
|||||||
Total services revenue
|
4
|
|
|
304
|
|
|
171
|
|
|
—
|
|
|
4
|
|
|
—
|
|
|
483
|
|
|||||||
Total revenues - external customers
|
22,683
|
|
|
3,677
|
|
|
171
|
|
|
530
|
|
|
23
|
|
|
—
|
|
|
27,084
|
|
|||||||
Intersegment revenues
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Services
|
—
|
|
|
10
|
|
|
8,619
|
|
|
—
|
|
|
—
|
|
|
(8,629
|
)
|
|
—
|
|
|||||||
Products
|
—
|
|
|
—
|
|
|
3,134
|
|
|
—
|
|
|
—
|
|
|
(3,134
|
)
|
|
—
|
|
|||||||
Total intersegment revenues
|
—
|
|
|
10
|
|
|
11,753
|
|
|
—
|
|
|
—
|
|
|
(11,763
|
)
|
|
—
|
|
|||||||
Investment income
|
49
|
|
|
18
|
|
|
16
|
|
|
2
|
|
|
42
|
|
|
85
|
|
|
212
|
|
|||||||
Total revenues
|
22,732
|
|
|
3,705
|
|
|
11,940
|
|
|
532
|
|
|
65
|
|
|
(11,678
|
)
|
|
27,296
|
|
|||||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Benefits
|
19,723
|
|
|
2,598
|
|
|
—
|
|
|
242
|
|
|
61
|
|
|
(409
|
)
|
|
22,215
|
|
|||||||
Operating costs
|
1,917
|
|
|
793
|
|
|
11,357
|
|
|
102
|
|
|
6
|
|
|
(11,169
|
)
|
|
3,006
|
|
|||||||
Merger termination fee and related costs, net
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
(947
|
)
|
|
(947
|
)
|
|||||||
Depreciation and amortization
|
115
|
|
|
42
|
|
|
69
|
|
|
7
|
|
|
—
|
|
|
(49
|
)
|
|
184
|
|
|||||||
Total operating expenses
|
21,755
|
|
|
3,433
|
|
|
11,426
|
|
|
351
|
|
|
67
|
|
|
(12,574
|
)
|
|
24,458
|
|
|||||||
Income (loss) from operations
|
977
|
|
|
272
|
|
|
514
|
|
|
181
|
|
|
(2
|
)
|
|
896
|
|
|
2,838
|
|
|||||||
Interest expense
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
107
|
|
|
107
|
|
|||||||
Income (loss) before income taxes
|
$
|
977
|
|
|
$
|
272
|
|
|
$
|
514
|
|
|
$
|
181
|
|
|
$
|
(2
|
)
|
|
$
|
789
|
|
|
$
|
2,731
|
|
|
Retail
|
|
Group and Specialty
|
|
Healthcare
Services |
|
Individual Commercial
|
|
Other
Businesses |
|
Eliminations/
Corporate |
|
Consolidated
|
||||||||||||||
|
(in millions)
|
||||||||||||||||||||||||||
Six months ended June 30, 2016
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||||
Revenues - external customers
|
|
|
|
|
|
|
|
|
|
|
|
|
|||||||||||||||
Premiums:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Individual Medicare Advantage
|
$
|
16,077
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
—
|
|
|
$
|
16,077
|
|
Group Medicare Advantage
|
2,162
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
2,162
|
|
|||||||
Medicare stand-alone PDP
|
2,054
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
2,054
|
|
|||||||
Total Medicare
|
20,293
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
20,293
|
|
|||||||
Fully-insured
|
210
|
|
|
2,694
|
|
|
—
|
|
|
1,917
|
|
|
—
|
|
|
—
|
|
|
4,821
|
|
|||||||
Specialty
|
—
|
|
|
639
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
639
|
|
|||||||
Medicaid and other
|
1,308
|
|
|
10
|
|
|
—
|
|
|
—
|
|
|
19
|
|
|
—
|
|
|
1,337
|
|
|||||||
Total premiums
|
21,811
|
|
|
3,343
|
|
|
—
|
|
|
1,917
|
|
|
19
|
|
|
—
|
|
|
27,090
|
|
|||||||
Services revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Provider
|
—
|
|
|
—
|
|
|
145
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
145
|
|
|||||||
ASO and other
|
3
|
|
|
353
|
|
|
1
|
|
|
—
|
|
|
6
|
|
|
—
|
|
|
363
|
|
|||||||
Pharmacy
|
—
|
|
|
—
|
|
|
14
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
14
|
|
|||||||
Total services revenue
|
3
|
|
|
353
|
|
|
160
|
|
|
—
|
|
|
6
|
|
|
—
|
|
|
522
|
|
|||||||
Total revenues - external customers
|
21,814
|
|
|
3,696
|
|
|
160
|
|
|
1,917
|
|
|
25
|
|
|
—
|
|
|
27,612
|
|
|||||||
Intersegment revenues
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Services
|
—
|
|
|
12
|
|
|
9,551
|
|
|
—
|
|
|
—
|
|
|
(9,563
|
)
|
|
—
|
|
|||||||
Products
|
—
|
|
|
—
|
|
|
2,793
|
|
|
—
|
|
|
—
|
|
|
(2,793
|
)
|
|
—
|
|
|||||||
Total intersegment revenues
|
—
|
|
|
12
|
|
|
12,344
|
|
|
—
|
|
|
—
|
|
|
(12,356
|
)
|
|
—
|
|
|||||||
Investment income
|
46
|
|
|
12
|
|
|
14
|
|
|
3
|
|
|
31
|
|
|
89
|
|
|
195
|
|
|||||||
Total revenues
|
21,860
|
|
|
3,720
|
|
|
12,518
|
|
|
1,920
|
|
|
56
|
|
|
(12,267
|
)
|
|
27,807
|
|
|||||||
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
Benefits
|
18,960
|
|
|
2,524
|
|
|
—
|
|
|
1,818
|
|
|
56
|
|
|
(452
|
)
|
|
22,906
|
|
|||||||
Operating costs
|
2,151
|
|
|
857
|
|
|
11,916
|
|
|
321
|
|
|
8
|
|
|
(11,820
|
)
|
|
3,433
|
|
|||||||
Merger termination fee and related costs, net
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
61
|
|
|
61
|
|
|||||||
Depreciation and amortization
|
94
|
|
|
43
|
|
|
71
|
|
|
18
|
|
|
—
|
|
|
(49
|
)
|
|
177
|
|
|||||||
Total operating expenses
|
21,205
|
|
|
3,424
|
|
|
11,987
|
|
|
2,157
|
|
|
64
|
|
|
(12,260
|
)
|
|
26,577
|
|
|||||||
Income (loss) from operations
|
655
|
|
|
296
|
|
|
531
|
|
|
(237
|
)
|
|
(8
|
)
|
|
(7
|
)
|
|
1,230
|
|
|||||||
Interest expense
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
—
|
|
|
94
|
|
|
94
|
|
|||||||
Income (loss) before income taxes
|
$
|
655
|
|
|
$
|
296
|
|
|
$
|
531
|
|
|
$
|
(237
|
)
|
|
$
|
(8
|
)
|
|
$
|
(101
|
)
|
|
$
|
1,136
|
|
•
|
Our consolidated pretax results for the
three and six months ended June 30, 2017
as compared to the
three and six months ended June 30, 2016
, were primarily impacted by higher year-over-year earnings for our individual Medicare Advantage and Individual Commercial businesses, partially offset by lower earnings in the Group and Specialty and Healthcare Services segments. Our consolidated pretax results for the six months ended June 30, 2017 as compared to the six months ended June 30, 2016, were also significantly impacted by the net gain associated with the terminated Merger Agreement, mainly the break-up fee.
|
•
|
Year-over-year comparisons of diluted earnings per common share reflect the same factors impacting our consolidated pretax income comparisons year-over-year as well as the beneficial effect of the lower effective tax rate in light of pricing and benefit design assumptions associated with the 2017 temporary suspension of the health insurance industry fee. In addition the year-over-year comparisons were favorably impacted by lower number of shares, primarily reflecting share repurchases.
|
•
|
Our
2017
results through
June 30, 2017
reflect the continued implementation of our strategy to offer our members affordable health care combined with a positive consumer experience in growing markets. At the core of this strategy is our integrated care delivery model, which unites quality care, high member engagement, and sophisticated data analytics. Our approach to primary, physician-directed care for our members aims to provide quality care that is consistent, integrated, cost-effective, and member-focused, provided by both employed physicians and physicians with network contract arrangements. The model is designed to improve health outcomes and affordability for individuals and for the health system as a whole, while offering our members a simple, seamless healthcare experience. We believe this strategy is positioning us for long-term growth in both membership and earnings. We offer providers a continuum of opportunities to increase the integration of care and offer assistance to providers in transitioning from a fee-for-service to a value-based arrangement. These include performance bonuses, shared savings and shared risk relationships. At
June 30, 2017
, approximately
1,840,100
members, or
64.8%
, of our individual Medicare Advantage members were in value-based relationships under our integrated care delivery model, as compared to
1,816,300
members, or
64.0%
, at
December 31, 2016
and
1,726,800
members, or
61.3%
, at
June 30, 2016
.
|
•
|
We recorded
a net gain associated with the terminated Merger Agreement
,
consisting primarily of the break-up
fee, of approximately
$947 million
, or
$4.31
per diluted common share during the
six months ended June 30, 2017
. We recorded transaction costs in connection with the Merger of approximately
$27 million
, or
$0.16
per diluted common share, and
$61 million
, or
$0.37
per diluted common share, during the
three and six months ended June 30, 2016
, respectively. Certain costs associated with the Merger were previously not deductible for tax purposes, but became deductible, and were recorded as such in the three months ended March 31, 2017 as a result of the termination of the Merger Agreement.
|
•
|
Year-over-year comparisons of results are also impacted by the recognition of a premium deficiency reserve for our Individual Commercial segment related to certain of our 2016 policies as discussed in the Individual Commercial segment highlights that follow. During the
three months ended June 30, 2016
, we increased the premium deficiency reserve
$208 million
, or
$0.86
per diluted common share.
|
•
|
Likewise, year-over-year comparisons of the benefit ratio are impacted by the seasonal impact of a leap day in the
six months ended June 30, 2016
.
|
•
|
The annual health insurance industry fee has been suspended for calendar year 2017, but is scheduled to resume in calendar year 2018. Operating cost associated with the health insurer fee attributable to the
three and six months ended June 30, 2016
was
$229 million
and
$456 million
, respectively. This fee is not deductible for tax purposes, which significantly increased our effective income tax rate. The one-year suspension in 2017 of the health insurer fee has significantly reduced our operating costs and effective tax rate during the
three and six months ended June 30, 2017
.
|
•
|
On February 14, 2017, we announced we are exiting our Individual Commercial medical business commencing January 1, 2018. As discussed previously, we have worked over the past several years to address market and programmatic challenges in order to keep coverage options available wherever we could offer a viable product. This has included pursuing business changes, such as modifying networks, restructuring product offerings, reducing the company’s geographic footprint and increasing premiums. All of these actions were taken with the expectation that our Individual Commercial medical business would stabilize to the point where we could continue to participate in the program. However, based on our analysis of data associated with our healthcare exchange membership following the 2017 open enrollment period, we saw further signs of an unbalanced risk pool. Therefore, we decided that we cannot continue to offer this coverage and plan to exit this business commencing January 1, 2018.
The
three and six months ended June 30, 2017
includes pretax income from our Individual Commercial business of
$118 million
, or
$0.51
per diluted common share, and
$181 million
, or
$0.77
per diluted common share, respectively.
|
•
|
On March 1, 2017, a court ordered the liquidation of Penn Treaty (an unaffiliated long-term care insurance company) which triggered assessments from state guaranty associations that resulted in our recording a
$54 million
, or
$0.23
per diluted common share,
estimate in operating costs in the three months ended March 31, 2017.
|
•
|
During the
six months ended June 30, 2017
, cash flow provided by operations was
$4.1 billion
as compared to
$206 million
for the
six months ended June 30, 2016
. Our operating cash flows for the
six months ended June 30, 2017
were significantly impacted by the early receipt of the Medicare premium remittance for July 2017 of $3.1 billion in June 2017 because the payment date of July 1, 2017 fell on a weekend.
Our operating cash flows were also significantly impacted by the
$1 billion
receipt of the Merger termination fee, net of related expenses and the portion of taxes paid to date
.
Excluding the timing of the Medicare premium remittance and the Merger termination fee, our operating cash flows were negatively impacted by the timing of working capital items partially offset by higher earnings.
See further discussion under the section titled "Liquidity" in this report.
|
•
|
On April 3, 2017 CMS issued its announcement of 2018 Medicare Advantage Capitation Rates and Medicare Advantage and Part D payment policies and Final Call Letter, which we refer to collectively as the Final Rate
|
•
|
We now expect 74% of our June 30, 2017 Medicare Advantage membership to be in 4-Star plans or higher for bonus year 2018. As previously disclosed, in October 2016, CMS published its Star quality ratings (which we refer to as Star Ratings) showing that the percentage of our July 31, 2016 Medicare Advantage membership in 4-Star plans or higher declined to approximately 37% for bonus year 2018 from approximately 78% of our July 31, 2015 Medicare Advantage membership for bonus year 2017. While Star Ratings are based on a number of plan performance measures that are evaluated each year, the projected Star Ratings for our plans for the 2018 bonus year included certain reductions that were primarily attributable to our 2015 comprehensive program audit by CMS. We filed a reconsideration request with CMS, which was denied. We subsequently decided not to appeal the denial further, and worked through existing CMS processes to rationalize contract structures, resulting in final Star ratings for bonus year 2018 that reflect our commitment to quality products and services for our members. We remain committed to our partnership with CMS and to delivering quality products and services to our members.
|
•
|
On March 2, 2017, we received notice that the Defense Health Agency, or DHA, had exercised its option to extend the TRICARE South Region contract
through March 31, 2018.
On July 21, 2016, we were notified by the DHA that we were awarded the contract for the new TRICARE East Region, which is a consolidation of the former North and South Regions, with delivery of health care services expected to commence on October 1, 2017. On March 30, 2017, we received notice that the DHA is moving the date upon which delivery of health care services is expected to commence under the new TRICARE East Region contract from October 1, 2017, to January 1, 2018.
|
•
|
At
June 30, 2017
, approximately
50,700
primary care providers were in value-based relationships, an
increase
of
5.2%
from
48,200
at
June 30, 2016
and an
increase
of
0.6%
from
50,400
at
December 31, 2016
. At
June 30, 2017
,
64.8%
of our individual Medicare Advantage members were in value-based relationships compared to
61.3%
at
June 30, 2016
and
64.0%
at
December 31, 2016
.
|
•
|
Medicare Advantage and dual demonstration program membership enrolled in a Humana chronic care management program was
981,600
at
June 30, 2017
, a
decrease
of
2.6%
from
1,008,100
at
June 30, 2016
, and
10.7%
from
1,099,200
at
December 31, 2016
. We have undergone an optimization process that ensures the appropriate level of member interaction with clinicians to drive quality outcomes, which has resulted in reduced segment earnings but higher returns on investment.
|
|
|
|
|
|
|
|
|
|||||||
|
For the three months ended June 30,
|
|
Change
|
|||||||||||
|
2017
|
|
2016
|
|
Dollars
|
|
Percentage
|
|||||||
|
(dollars in millions, except per common share results)
|
|
|
|||||||||||
Revenues:
|
|
|
|
|
|
|
|
|||||||
Premiums:
|
|
|
|
|
|
|
|
|||||||
Retail
|
$
|
11,273
|
|
|
$
|
10,934
|
|
|
$
|
339
|
|
|
3.1
|
%
|
Group and Specialty
|
1,673
|
|
|
1,683
|
|
|
(10
|
)
|
|
(0.6
|
)%
|
|||
Individual Commercial
|
247
|
|
|
1,024
|
|
|
(777
|
)
|
|
(75.9
|
)%
|
|||
Other Businesses
|
10
|
|
|
9
|
|
|
1
|
|
|
11.1
|
%
|
|||
Total premiums
|
13,203
|
|
|
13,650
|
|
|
(447
|
)
|
|
(3.3
|
)%
|
|||
Services:
|
|
|
|
|
|
|
|
|||||||
Retail
|
2
|
|
|
2
|
|
|
—
|
|
|
—
|
%
|
|||
Group and Specialty
|
143
|
|
|
176
|
|
|
(33
|
)
|
|
(18.8
|
)%
|
|||
Healthcare Services
|
83
|
|
|
81
|
|
|
2
|
|
|
2.5
|
%
|
|||
Other Businesses
|
2
|
|
|
3
|
|
|
(1
|
)
|
|
(33.3
|
)%
|
|||
Total services
|
230
|
|
|
262
|
|
|
(32
|
)
|
|
(12.2
|
)%
|
|||
Investment income
|
101
|
|
|
95
|
|
|
6
|
|
|
6.3
|
%
|
|||
Total revenues
|
13,534
|
|
|
14,007
|
|
|
(473
|
)
|
|
(3.4
|
)%
|
|||
Operating expenses:
|
|
|
|
|
|
|
|
|||||||
Benefits
|
10,889
|
|
|
11,509
|
|
|
(620
|
)
|
|
(5.4
|
)%
|
|||
Operating costs
|
1,453
|
|
|
1,699
|
|
|
(246
|
)
|
|
(14.5
|
)%
|
|||
Merger termination fee and related costs, net
|
—
|
|
|
27
|
|
|
(27
|
)
|
|
(100.0
|
)%
|
|||
Depreciation and amortization
|
92
|
|
|
89
|
|
|
3
|
|
|
3.4
|
%
|
|||
Total operating expenses
|
12,434
|
|
|
13,324
|
|
|
(890
|
)
|
|
(6.7
|
)%
|
|||
Income from operations
|
1,100
|
|
|
683
|
|
|
417
|
|
|
61.1
|
%
|
|||
Interest expense
|
58
|
|
|
47
|
|
|
11
|
|
|
23.4
|
%
|
|||
Income before income taxes
|
1,042
|
|
|
636
|
|
|
406
|
|
|
63.8
|
%
|
|||
Provision for income taxes
|
392
|
|
|
325
|
|
|
67
|
|
|
20.6
|
%
|
|||
Net income
|
$
|
650
|
|
|
$
|
311
|
|
|
$
|
339
|
|
|
109.0
|
%
|
Diluted earnings per common share
|
$
|
4.46
|
|
|
$
|
2.06
|
|
|
$
|
2.40
|
|
|
116.5
|
%
|
Benefit ratio
(a)
|
82.5
|
%
|
|
84.3
|
%
|
|
|
|
(1.8
|
)%
|
||||
Operating cost ratio
(b)
|
10.8
|
%
|
|
12.2
|
%
|
|
|
|
(1.4
|
)%
|
||||
Effective tax rate
|
37.6
|
%
|
|
51.1
|
%
|
|
|
|
(13.5
|
)%
|
|
|
|
|
|
|
|
|
|||||||
|
For the six months ended
June 30, |
|
Change
|
|||||||||||
|
2017
|
|
2016
|
|
Dollars
|
|
Percentage
|
|||||||
|
(dollars in millions, except per common share results)
|
|
|
|||||||||||
Revenues:
|
|
|
|
|
|
|
|
|||||||
Premiums:
|
|
|
|
|
|
|
|
|||||||
Retail
|
$
|
22,679
|
|
|
$
|
21,811
|
|
|
$
|
868
|
|
|
4.0
|
%
|
Group and Specialty
|
3,373
|
|
|
3,343
|
|
|
30
|
|
|
0.9
|
%
|
|||
Individual Commercial
|
530
|
|
|
1,917
|
|
|
(1,387
|
)
|
|
(72.4
|
)%
|
|||
Other Businesses
|
19
|
|
|
19
|
|
|
—
|
|
|
—
|
%
|
|||
Total premiums
|
26,601
|
|
|
27,090
|
|
|
(489
|
)
|
|
(1.8
|
)%
|
|||
Services:
|
|
|
|
|
|
|
|
|||||||
Retail
|
4
|
|
|
3
|
|
|
1
|
|
|
33.3
|
%
|
|||
Group and Specialty
|
304
|
|
|
353
|
|
|
(49
|
)
|
|
(13.9
|
)%
|
|||
Healthcare Services
|
171
|
|
|
160
|
|
|
11
|
|
|
6.9
|
%
|
|||
Other Businesses
|
4
|
|
|
6
|
|
|
(2
|
)
|
|
(33.3
|
)%
|
|||
Total services
|
483
|
|
|
522
|
|
|
(39
|
)
|
|
(7.5
|
)%
|
|||
Investment income
|
212
|
|
|
195
|
|
|
17
|
|
|
8.7
|
%
|
|||
Total revenues
|
27,296
|
|
|
27,807
|
|
|
(511
|
)
|
|
(1.8
|
)%
|
|||
Operating expenses:
|
|
|
|
|
|
|
|
|||||||
Benefits
|
22,215
|
|
|
22,906
|
|
|
(691
|
)
|
|
(3.0
|
)%
|
|||
Operating costs
|
3,006
|
|
|
3,433
|
|
|
(427
|
)
|
|
(12.4
|
)%
|
|||
Merger termination fee and related costs, net
|
(947
|
)
|
|
61
|
|
|
(1,008
|
)
|
|
(1,652.5
|
)%
|
|||
Depreciation and amortization
|
184
|
|
|
177
|
|
|
7
|
|
|
4.0
|
%
|
|||
Total operating expenses
|
24,458
|
|
|
26,577
|
|
|
(2,119
|
)
|
|
(8.0
|
)%
|
|||
Income from operations
|
2,838
|
|
|
1,230
|
|
|
1,608
|
|
|
130.7
|
%
|
|||
Interest expense
|
107
|
|
|
94
|
|
|
13
|
|
|
13.8
|
%
|
|||
Income before income taxes
|
2,731
|
|
|
1,136
|
|
|
1,595
|
|
|
140.4
|
%
|
|||
Provision for income taxes
|
966
|
|
|
571
|
|
|
395
|
|
|
69.2
|
%
|
|||
Net income
|
$
|
1,765
|
|
|
$
|
565
|
|
|
$
|
1,200
|
|
|
212.4
|
%
|
Diluted earnings per common share
|
$
|
11.98
|
|
|
$
|
3.75
|
|
|
$
|
8.23
|
|
|
219.5
|
%
|
Benefit ratio
(a)
|
83.5
|
%
|
|
84.6
|
%
|
|
|
|
(1.1
|
)%
|
||||
Operating cost ratio
(b)
|
11.1
|
%
|
|
12.4
|
%
|
|
|
|
(1.3
|
)%
|
||||
Effective tax rate
|
35.4
|
%
|
|
50.3
|
%
|
|
|
|
(14.9
|
)%
|
(a)
|
Represents total benefits expense as a percentage of premiums revenue.
|
(b)
|
Represents total operating costs, excluding
Merger termination fee and related costs, net,
and depreciation and amortization, as a percentage of total revenues less investment income.
|
|
June 30,
|
|
Change
|
||||||||
|
2017
|
|
2016
|
|
Members
|
|
Percentage
|
||||
Membership:
|
|
|
|
|
|
|
|
||||
Medical membership:
|
|
|
|
|
|
|
|
||||
Individual Medicare Advantage
|
2,840,100
|
|
|
2,816,500
|
|
|
23,600
|
|
|
0.8
|
%
|
Group Medicare Advantage
|
433,400
|
|
|
351,700
|
|
|
81,700
|
|
|
23.2
|
%
|
Medicare stand-alone PDP
|
5,236,400
|
|
|
4,856,300
|
|
|
380,100
|
|
|
7.8
|
%
|
Total Retail Medicare
|
8,509,900
|
|
|
8,024,500
|
|
|
485,400
|
|
|
6.0
|
%
|
State-based Medicaid
|
374,900
|
|
|
391,600
|
|
|
(16,700
|
)
|
|
(4.3
|
)%
|
Medicare Supplement
|
232,700
|
|
|
212,300
|
|
|
20,400
|
|
|
9.6
|
%
|
Total Retail medical members
|
9,117,500
|
|
|
8,628,400
|
|
|
489,100
|
|
|
5.7
|
%
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|||||||
|
For the three months ended June 30,
|
|
Change
|
|||||||||||
|
2017
|
|
2016
|
|
Dollars
|
|
Percentage
|
|||||||
|
(in millions)
|
|
|
|||||||||||
Premiums and Services Revenue:
|
|
|
|
|
|
|
|
|||||||
Premiums:
|
|
|
|
|
|
|
|
|||||||
Individual Medicare Advantage
|
$
|
8,282
|
|
|
$
|
8,050
|
|
|
$
|
232
|
|
|
2.9
|
%
|
Group Medicare Advantage
|
1,277
|
|
|
1,085
|
|
|
192
|
|
|
17.7
|
%
|
|||
Medicare stand-alone PDP
|
925
|
|
|
1,015
|
|
|
(90
|
)
|
|
(8.9
|
)%
|
|||
Total Retail Medicare
|
10,484
|
|
|
10,150
|
|
|
334
|
|
|
3.3
|
%
|
|||
State-based Medicaid
|
671
|
|
|
678
|
|
|
(7
|
)
|
|
(1.0
|
)%
|
|||
Medicare Supplement
|
118
|
|
|
106
|
|
|
12
|
|
|
11.3
|
%
|
|||
Total premiums
|
11,273
|
|
|
10,934
|
|
|
339
|
|
|
3.1
|
%
|
|||
Services
|
2
|
|
|
2
|
|
|
—
|
|
|
—
|
%
|
|||
Total premiums and services revenue
|
$
|
11,275
|
|
|
$
|
10,936
|
|
|
$
|
339
|
|
|
3.1
|
%
|
Income before income taxes
|
$
|
607
|
|
|
$
|
514
|
|
|
$
|
93
|
|
|
18.1
|
%
|
Benefit ratio
|
85.8
|
%
|
|
85.3
|
%
|
|
|
|
0.5
|
%
|
||||
Operating cost ratio
|
8.5
|
%
|
|
9.8
|
%
|
|
|
|
(1.3
|
)%
|
|
For the six months ended
June 30, |
|
Change
|
|||||||||||
|
2017
|
|
2016
|
|
Dollars
|
|
Percentage
|
|||||||
|
(in millions)
|
|
|
|||||||||||
Premiums and Services Revenue:
|
|
|
|
|
|
|
|
|||||||
Premiums:
|
|
|
|
|
|
|
|
|||||||
Individual Medicare Advantage
|
$
|
16,658
|
|
|
$
|
16,077
|
|
|
$
|
581
|
|
|
3.6
|
%
|
Group Medicare Advantage
|
2,595
|
|
|
2,162
|
|
|
433
|
|
|
20.0
|
%
|
|||
Medicare stand-alone PDP
|
1,866
|
|
|
2,054
|
|
|
(188
|
)
|
|
(9.2
|
)%
|
|||
Total Retail Medicare
|
21,119
|
|
|
20,293
|
|
|
826
|
|
|
4.1
|
%
|
|||
State-based Medicaid
|
1,324
|
|
|
1,308
|
|
|
16
|
|
|
1.2
|
%
|
|||
Medicare Supplement
|
236
|
|
|
210
|
|
|
26
|
|
|
12.4
|
%
|
|||
Total premiums
|
22,679
|
|
|
21,811
|
|
|
868
|
|
|
4.0
|
%
|
|||
Services
|
4
|
|
|
3
|
|
|
1
|
|
|
33.3
|
%
|
|||
Total premiums and services revenue
|
$
|
22,683
|
|
|
$
|
21,814
|
|
|
$
|
869
|
|
|
4.0
|
%
|
Income before income taxes
|
$
|
977
|
|
|
$
|
655
|
|
|
$
|
322
|
|
|
49.2
|
%
|
Benefit ratio
|
87.0
|
%
|
|
86.9
|
%
|
|
|
|
0.1
|
%
|
||||
Operating cost ratio
|
8.5
|
%
|
|
9.9
|
%
|
|
|
|
(1.4
|
)%
|
•
|
Retail segment pretax income was
$607 million
in the
2017 quarter
, an
increase
of
$93 million
, or
18.1%
, compared to
$514 million
in the
2016 quarter
and was
$977 million
in the
2017 period
, an
increase
of
$322 million
, or
49.2%
, compared to
$655 million
in the
2016 period
. These increases primarily were due to the year-over-year improvement in earnings for our individual Medicare Advantage business.
|
•
|
Individual Medicare Advantage membership
increased
23,600
members, or
0.8%
, from
June 30, 2016
to
June 30, 2017
reflecting net membership additions for Medicare beneficiaries including the effect of market and product exits in 2017. We decided certain markets and/or products were not meeting long term strategic and financial objectives. Additionally, membership growth was muted due to competitive actions including the uncertainty associated with the then-pending Merger transaction.
|
•
|
Group Medicare Advantage membership
increased
81,700
, or
23.2%
, from
June 30, 2016
to
June 30, 2017
reflecting the addition of a large account in January 2017.
|
•
|
Medicare stand-alone PDP membership
increased
380,100
members, or
7.8%
, from
June 30, 2016
to
June 30, 2017
reflecting net membership additions, primarily for our Humana-Walmart plan offering, for the 2017 plan year
.
|
•
|
State-based Medicaid membership
decreased
16,700
members, or
4.3%
, from
June 30, 2016
to
June 30, 2017
, primarily driven by lower membership associated with our Florida contracts resulting from network realignments.
|
•
|
Retail segment premiums increased
$339 million
, or
3.1%
, from the
2016 quarter
to the
2017 quarter
and increased
$868 million
, or
4.0%
, from the
2016 period
to the
2017 period
. These increases primarily were due
to group and individual Medicare Advantage membership growth and increased per-member premiums for the individual Medicare Advantage business. Average group and individual Medicare Advantage membership increased
3.4%
for the
2017 quarter
and
3.6%
for the
2017 period
. Average membership is calculated by summing the ending membership for each month in a period and dividing the result by the number of months
|
•
|
The Retail segment benefit ratio
increased
50
basis points from
85.3%
in the
2016 quarter
to
85.8%
in the
2017 quarter
, primarily due to the impact of the temporary suspension of the health insurance industry fee for calendar year 2017 which was contemplated in the pricing and benefit design of our products and margin compression associated with the competitive environment in the group Medicare Advantage business. This increase was partially offset by the impact of planned exits from certain Medicare Advantage markets that carried a higher benefit ratio than other markets. The Retail segment benefit ratio
increased
10
basis points from
86.9%
in the
2016 period
to
87.0%
in the
2017 period
primarily due to the same factors impacting the year-over-year comparison for the quarter, as well as the seasonal impact of a leap day in the
2016 period
versus none in the
2017 period
.
|
•
|
The Retail segment’s benefits expense for the
2017 quarter
included
$83 million
in favorable prior-period medical claims reserve development versus
$81 million
in favorable prior-period medical claims reserve development in the
2016 quarter
. For the
2017 period
, the Retail segment's benefit expense include the beneficial effect of
$287 million
in favorable prior-period reserve development versus
$299 million
in the
2016 period
. Prior-period medical claims reserve development decreased the Retail segment benefit ratio by approximately
70
basis points in each of the
2017 quarter
and the
2016 quarter
. Favorable prior-period reserve development decreased the benefit ratio by approximately
130
basis points in the
2017 period
versus approximately
140
basis points in the
2016 period
.
|
•
|
The Retail segment operating cost ratio of
8.5%
for the
2017 quarter
decreased
130
basis points from
9.8%
for the
2016 quarter
. The Retail segment operating cost ratio of
8.5%
for
2017 period
decreased
140
basis points from
9.9%
for the
2016 period
. These decreases primarily were due to the temporary suspension of the health insurance industry fee for calendar year 2017. The non-deductible health insurance industry fee impacted the operating cost ratio by
170
basis points in each of the
2016 quarter
and the
2016 period
.
|
|
June 30,
|
|
Change
|
||||||||
|
2017
|
|
2016
|
|
Members
|
|
Percentage
|
||||
Membership:
|
|
|
|
|
|
|
|
||||
Medical membership:
|
|
|
|
|
|
|
|
||||
Fully-insured commercial group
|
1,107,500
|
|
|
1,140,100
|
|
|
(32,600
|
)
|
|
(2.9
|
)%
|
ASO
|
446,800
|
|
|
578,400
|
|
|
(131,600
|
)
|
|
(22.8
|
)%
|
Military services
|
3,088,600
|
|
|
3,074,800
|
|
|
13,800
|
|
|
0.4
|
%
|
Total group and specialty medical members
|
4,642,900
|
|
|
4,793,300
|
|
|
(150,400
|
)
|
|
(3.1
|
)%
|
Specialty membership (a)
|
6,917,800
|
|
|
7,002,300
|
|
|
(84,500
|
)
|
|
(1.2
|
)%
|
(a)
|
Specialty products include dental, vision, voluntary benefit products and other supplemental health and financial protection products. Members included in these products may not be unique to each product since members have the ability to enroll in multiple products.
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|||||||
|
For the three months ended June 30,
|
|
Change
|
|||||||||||
|
2017
|
|
2016
|
|
Dollars
|
|
Percentage
|
|||||||
|
(in millions)
|
|
|
|||||||||||
Premiums and Services Revenue:
|
|
|
|
|
|
|
|
|||||||
Premiums:
|
|
|
|
|
|
|
|
|||||||
Fully-insured commercial group
|
$
|
1,350
|
|
|
$
|
1,357
|
|
|
$
|
(7
|
)
|
|
(0.5
|
)%
|
Group specialty
|
323
|
|
|
321
|
|
|
2
|
|
|
0.6
|
%
|
|||
Military services
|
—
|
|
|
5
|
|
|
(5
|
)
|
|
(100.0
|
)%
|
|||
Total premiums
|
1,673
|
|
|
1,683
|
|
|
(10
|
)
|
|
(0.6
|
)%
|
|||
Services
|
143
|
|
|
176
|
|
|
(33
|
)
|
|
(18.8
|
)%
|
|||
Total premiums and services revenue
|
$
|
1,816
|
|
|
$
|
1,859
|
|
|
$
|
(43
|
)
|
|
(2.3
|
)%
|
Income before income taxes
|
$
|
101
|
|
|
$
|
124
|
|
|
$
|
(23
|
)
|
|
(18.5
|
)%
|
Benefit ratio
|
78.4
|
%
|
|
77.4
|
%
|
|
|
|
1.0
|
%
|
||||
Operating cost ratio
|
21.6
|
%
|
|
22.7
|
%
|
|
|
|
(1.1
|
)%
|
|
For the six months ended
June 30, |
|
Change
|
|||||||||||
|
2017
|
|
2016
|
|
Dollars
|
|
Percentage
|
|||||||
|
(in millions)
|
|
|
|||||||||||
Premiums and Services Revenue:
|
|
|
|
|
|
|
|
|||||||
Premiums:
|
|
|
|
|
|
|
|
|||||||
Fully-insured commercial group
|
$
|
2,728
|
|
|
$
|
2,694
|
|
|
$
|
34
|
|
|
1.3
|
%
|
Group specialty
|
645
|
|
|
639
|
|
|
6
|
|
|
0.9
|
%
|
|||
Military services
|
—
|
|
|
10
|
|
|
(10
|
)
|
|
(100.0
|
)%
|
|||
Total premiums
|
3,373
|
|
|
3,343
|
|
|
30
|
|
|
0.9
|
%
|
|||
Services
|
304
|
|
|
353
|
|
|
(49
|
)
|
|
(13.9
|
)%
|
|||
Total premiums and services revenue
|
$
|
3,677
|
|
|
$
|
3,696
|
|
|
$
|
(19
|
)
|
|
(0.5
|
)%
|
Income before income taxes
|
$
|
272
|
|
|
$
|
296
|
|
|
$
|
(24
|
)
|
|
(8.1
|
)%
|
Benefit ratio
|
77.0
|
%
|
|
75.5
|
%
|
|
|
|
1.5
|
%
|
||||
Operating cost ratio
|
21.5
|
%
|
|
23.1
|
%
|
|
|
|
(1.6
|
)%
|
•
|
Group and Specialty segment pretax income was
$101 million
in the
2017 quarter
, a decrease of
$23 million
, or
18.5%
, from
$124 million
in the
2016 quarter
, and was
$272 million
in the
2017 period
, a decrease of
$24 million
from
$296 million
in the
2016 period
. These decreases primarily reflect the timing of revenues under our TRICARE contract primarily related to medical cost trend incentives and amounts for additional services requested under the contract.
|
•
|
Fully-insured commercial group medical membership
decreased
32,600
members, or
2.9%
, from
June 30, 2016
to
June 30, 2017
reflecting lower membership in small group accounts, due in part to more small group accounts selecting ASO products in 2017.
|
•
|
Group ASO commercial medical membership
decreased
131,600
members, or
22.8%
, from
June 30, 2016
to
June 30, 2017
primarily due to the loss of certain large group accounts as a result of continued discipline in pricing of services for self-funded accounts amid a highly competitive environment, partially offset by more small group accounts selecting ASO products in 2017.
|
•
|
Specialty membership
decreased
84,500
members, or
1.2%
, from
June 30, 2016
to
June 30, 2017
primarily due to declines in other supplemental benefits membership, as well as declines in individual dental membership following our exit from certain individual commercial medical markets in 2017. Other supplemental benefits include life, disability, and fixed benefits products including cancer and critical illness policies.
|
•
|
Group and Specialty segment premiums
decreased
$10 million
, or
0.6%
, from the
2016 quarter
to
$1.7 billion
for the
2017 quarter
primarily due to a decrease in average group fully-insured commercial medical membership, partially offset by an increase in group fully-insured commercial medical per-member premiums. Group and Specialty segment premiums
increased
$30 million
, or
0.9%
, from the
2016 period
to
$3.4 billion
for the
2017 period
primarily due to an increase in fully-insured commercial medical per-member premiums, partially offset by a decline in average fully-insured commercial medical membership.
|
•
|
Group and Specialty segment services revenue
decreased
$33 million
, or
18.8%
, from the
2016 quarter
to
$143 million
for the
2017 quarter
and
decreased
$49 million
, or
13.9%
, from the
2016 period
to
$304 million
for the
2017 period
primarily due to a decline in revenue in our group ASO commercial medical business mainly due to membership declines.
|
•
|
The Group and Specialty segment benefit ratio
increased
100
basis points from
77.4%
in the
2016 quarter
to
78.4%
in the
2017 quarter
primarily due to the impact of the temporary suspension of the health insurance industry fee for calendar year 2017 which was contemplated in the pricing of our products, as well as an increased proportion of small group members in community rated plans that carry a higher benefit ratio. These increases were partially offset by higher favorable prior-period medical claims reserve development in the
2017 quarter
. The Group and Specialty segment benefit ratio
increased
150
basis points from
75.5%
in the
2016 period
to
77.0%
in the
2017 period
primarily due to the same factors impacting the year-over-year comparisons for the
2017 quarter
, as well as the impact of lower year-over-year favorable prior-period medical claims reserve development in the
2017 period
.
|
•
|
The Group and Specialty segment’s benefits expense included
$11 million
in favorable prior-period medical claims reserve development in the
2017 quarter
and unfavorable prior-period medical claims reserve development of
$3 million
in the
2016 quarter
. This favorable prior-period medical claims reserve development decreased the Group and Specialty segment benefit ratio by approximately
70
basis points in the
2017 quarter
and increased the benefit ratio by
20
basis points in the
2016 quarter
. The Group and Specialty segment’s benefits expense included the beneficial effect of a favorable prior-period medical claims reserve development of
$31 million
in the
2017 period
versus
$38 million
in the
2016 period
. This favorable prior-period medical claims reserve development decreased the Group and Specialty segment benefit ratio by approximately
90
basis points in the
2017 period
and
110
basis points in the
2016 period
.
|
•
|
The Group and Specialty segment operating cost ratio of
21.6%
for the
2017 quarter
decreased
110
basis points from
22.7%
for the
2016 quarter
. For the
2017 period
, the Group segment operating cost ratio of
21.5%
decreased
160
basis points from
23.1%
for the
2016 period
. These decreases primarily were due to the temporary suspension of the health insurance industry fee for calendar year 2017, partially offset by the impact of the timing of revenues under our TRICARE contract primarily related to medical cost trend incentives and amounts for additional services requested under the contract. The non-deductible health insurance industry fee impacted the operating cost ratio by
140
basis points in the
2016 quarter
and by
150
basis points in the
2016 period
.
|
|
|
|
|
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|||||||
|
For the three months ended June 30,
|
|
Change
|
|||||||||||
|
2017
|
|
2016
|
|
Dollars
|
|
Percentage
|
|||||||
|
(in millions)
|
|
|
|||||||||||
Revenues:
|
|
|
|
|
|
|
|
|||||||
Services:
|
|
|
|
|
|
|
|
|||||||
Clinical care services
|
$
|
46
|
|
|
$
|
55
|
|
|
$
|
(9
|
)
|
|
(16.4
|
)%
|
Pharmacy solutions
|
20
|
|
|
7
|
|
|
13
|
|
|
185.7
|
%
|
|||
Provider services
|
17
|
|
|
19
|
|
|
(2
|
)
|
|
(10.5
|
)%
|
|||
Total services revenues
|
83
|
|
|
81
|
|
|
2
|
|
|
2.5
|
%
|
|||
Intersegment revenues:
|
|
|
|
|
|
|
|
|||||||
Pharmacy solutions
|
5,194
|
|
|
5,435
|
|
|
(241
|
)
|
|
(4.4
|
)%
|
|||
Provider services
|
397
|
|
|
427
|
|
|
(30
|
)
|
|
(7.0
|
)%
|
|||
Clinical care services
|
300
|
|
|
338
|
|
|
(38
|
)
|
|
(11.2
|
)%
|
|||
Total intersegment revenues
|
5,891
|
|
|
6,200
|
|
|
(309
|
)
|
|
(5.0
|
)%
|
|||
Total services and intersegment revenues
|
$
|
5,974
|
|
|
$
|
6,281
|
|
|
$
|
(307
|
)
|
|
(4.9
|
)%
|
Income before income taxes
|
$
|
270
|
|
|
$
|
279
|
|
|
$
|
(9
|
)
|
|
(3.2
|
)%
|
Operating cost ratio
|
95.0
|
%
|
|
95.1
|
%
|
|
|
|
(0.1
|
)%
|
|
For the six months ended
June 30, |
|
Change
|
|||||||||||
|
2017
|
|
2016
|
|
Dollars
|
|
Percentage
|
|||||||
|
(in millions)
|
|
|
|||||||||||
Revenues:
|
|
|
|
|
|
|
|
|||||||
Services:
|
|
|
|
|
|
|
|
|||||||
Clinical care services
|
$
|
96
|
|
|
$
|
107
|
|
|
$
|
(11
|
)
|
|
(10.3
|
)%
|
Pharmacy solutions
|
38
|
|
|
14
|
|
|
24
|
|
|
171.4
|
%
|
|||
Provider services
|
37
|
|
|
39
|
|
|
(2
|
)
|
|
(5.1
|
)%
|
|||
Total services revenues
|
171
|
|
|
160
|
|
|
11
|
|
|
6.9
|
%
|
|||
Intersegment revenues:
|
|
|
|
|
|
|
|
|
||||||
Pharmacy solutions
|
10,335
|
|
|
10,842
|
|
|
(507
|
)
|
|
(4.7
|
)%
|
|||
Provider services
|
815
|
|
|
845
|
|
|
(30
|
)
|
|
(3.6
|
)%
|
|||
Clinical care services
|
603
|
|
|
657
|
|
|
(54
|
)
|
|
(8.2
|
)%
|
|||
Total intersegment revenues
|
11,753
|
|
|
12,344
|
|
|
(591
|
)
|
|
(4.8
|
)%
|
|||
Total services and intersegment revenues
|
$
|
11,924
|
|
|
$
|
12,504
|
|
|
$
|
(580
|
)
|
|
(4.6
|
)%
|
Income before income taxes
|
$
|
514
|
|
|
$
|
531
|
|
|
$
|
(17
|
)
|
|
(3.2
|
)%
|
Operating cost ratio
|
95.2
|
%
|
|
95.3
|
%
|
|
|
|
(0.1
|
)%
|
•
|
Healthcare Services segment pretax income of
$270 million
for the
2017 quarter
decreased slightly by
$9 million
, or
3.2%
, from
$279 million
in the
2016 quarter
. For the
2017 period
, the Healthcare Services segment pretax income of
$514 million
decreased
$17 million
, or
3.2%
, from
$531 million
in the
2016 period
. These decreases primarily were due to ongoing pressures in our provider services business reflecting lower Medicare
|
•
|
Humana Pharmacy Solutions
®
script volumes on an adjusted 30-day equivalent basis for Retail, Group and Specialty, and Individual Commercial segment membership increased to approximately
108 million
in the
2017 quarter
, up
2.9%
, versus scripts of approximately
105 million
in the
2016 quarter
. For the
2017 period
, script volumes for Retail, Group and Specialty, and Individual Commercial segment membership increased to approximately
215 million
, up
2.9%
, versus scripts of approximately
209 million
in the
2016 period
. These increases primarily reflecting growth associated with higher average Medicare membership for the
2017 quarter
and
2017 period
compared to the
2016 quarter
and
2016 period
, partially offset by the decline in Individual Commercial membership.
|
•
|
Services revenues
increased
$2 million
, or
2.5%
, from the
2016 quarter
to
$83 million
for the
2017 quarter
and
increased
$11 million
, or
6.9%
, from the
2016 period
to
$171 million
for the
2017 period
primarily due to service revenue growth from our pharmacy solutions business.
|
•
|
Intersegment revenues
decreased
$309 million
, or
5.0%
, from the
2016 quarter
to
$5.9 billion
for the
2017 quarter
and
decreased
$591 million
, or
4.8%
, from the
2016 period
to
$11.8 billion
for the
2017 period
primarily due to our pharmacy solutions business as well as the result of the optimization process associated with our chronic care management programs discussed previously, as well as ongoing pressures in our provider services business reflecting lower Medicare rates year-over-year in geographies where our provider assets are primarily located. Our pharmacy solutions business revenues were impacted by improvements in net pharmacy costs driven by our pharmacy benefit manager and an increase in the generic dispensing rate. These items were partially offset by higher year-over-year script volume from growth in our Medicare Advantage and stand-alone PDP membership and the impact of lower Individual Commercial membership. Our generic dispensing rate improved to
91.1%
and
91.2%
during the
2017 quarter
and
2017 period
, respectively, compared to
90.2%
during each the
2016 quarter
and the
2016 period
. The higher generic dispensing rate reduced revenues (and operating costs) for our pharmacy solutions business as generic drugs are generally priced lower than branded drugs.
|
•
|
The Healthcare Services segment operating cost ratio was relatively unchanged from the
2016 quarter
to the
2017 quarter
and from the
2016 period
to the
2017 period
.
|
•
|
As announced on February 14, 2017, we are exiting our Individual Commercial medical business commencing January 1, 2018.
|
•
|
Individual Commercial segment pretax income of
$118 million
for the
2017 quarter
increased
$343 million
from the
2016 quarter
. For the
2017 period
, the Individual Commercial segment pretax income of
$181 million
increased
$418 million
from the
2016 period
. These increases were primarily due to the impact of the $208 million increase in the premium deficiency reserve recorded in the second quarter of 2016 related to certain of our 2016 policies, as well as the exit of certain markets in 2017, and per-member premium increases.
|
•
|
Individual commercial medical membership
decreased
610,900
members, or
77.1%
, from
June 30, 2016
to
June 30, 2017
reflecting the decline in the number of counties we offered on-exchange coverage and the discontinuance of offering off-exchange products.
|
•
|
The benefit ratio for the Individual Commercial segment was
34.8%
and
45.7%
for the
2017 quarter
and
2017 period
, respectively, a significant decrease from
106.3%
and
94.8%
for the
2016 quarter
and
2016 period
, respectively. The year-over-year declines primarily resulted from the effect of the $208 million increase in the 2016 premium deficiency reserve recorded in the second quarter of 2016 related to certain of our 2016 policies, the impact from planned exits in 2017 in certain markets that carried a higher benefit ratio, and per-member premium increases.
|
•
|
The operating cost ratio for the Individual Commercial segment was
16.2%
in the
2017 quarter
, an
increase
of
140
basis points from
14.8%
in the
2016 quarter
. The Individual Commercial segment operating cost ratio of
19.2%
for the
2017 period
increased
250
basis points from
16.7%
in the
2016 period
. These increases are primarily due to the loss of scale efficiency from market exits in 2017 partially offset by the temporary suspension of the health insurance industry fee for calendar year 2017.
|
|
Six Months Ended
|
||||||
|
2017
|
|
2016
|
||||
|
(in millions)
|
||||||
Net cash provided by operating activities
|
$
|
4,099
|
|
|
$
|
206
|
|
Net cash used in investing activities
|
(1,078
|
)
|
|
(297
|
)
|
||
Net cash provided by (used in) financing activities
|
1,241
|
|
|
(51
|
)
|
||
Increase (decrease) in cash and cash equivalents
|
$
|
4,262
|
|
|
$
|
(142
|
)
|
|
June 30, 2017
|
|
December 31, 2016
|
|
2017
Period Change |
|
2016
Period Change |
||||||||
|
(in millions)
|
||||||||||||||
IBNR (1)
|
$
|
3,305
|
|
|
$
|
3,422
|
|
|
$
|
(117
|
)
|
|
$
|
(191
|
)
|
Reported claims in process (2)
|
581
|
|
|
654
|
|
|
(73
|
)
|
|
70
|
|
||||
Premium deficiency reserve (3)
|
—
|
|
|
—
|
|
|
—
|
|
|
161
|
|
||||
Other benefits payable (4)
|
952
|
|
|
487
|
|
|
465
|
|
|
242
|
|
||||
Total benefits payable
|
$
|
4,838
|
|
|
$
|
4,563
|
|
|
$
|
275
|
|
|
$
|
282
|
|
(1)
|
IBNR represents an estimate of benefits payable for claims incurred but not reported (IBNR) at the balance sheet date and includes unprocessed claim inventories. The level of IBNR is primarily impacted by membership levels, medical claim trends and the receipt cycle time, which represents the length of time between when a claim is initially incurred and when the claim form is received and processed (i.e. a shorter time span results in a lower IBNR).
|
(2)
|
Reported claims in process represents the estimated valuation of processed claims that are in the post claim adjudication process, which consists of administrative functions such as audit and check batching and handling, as well as amounts owed to our pharmacy benefit administrator which fluctuate due to bi-weekly payments and the month-end cutoff.
|
(3)
|
Premium deficiency reserve for our Individual Commercial medical business compliant with the Health Care Reform Law associated with the 2016 coverage year.
|
(4)
|
Other benefits payable primarily include amounts owed to providers under capitated and risk sharing arrangements.
|
|
June 30, 2017
|
|
December 31, 2016
|
|
2017
Period Change |
|
2016
Period Change |
||||||||
|
(in millions)
|
||||||||||||||
Medicare
|
$
|
1,739
|
|
|
$
|
787
|
|
|
$
|
952
|
|
|
$
|
1,285
|
|
Commercial and other
|
718
|
|
|
579
|
|
|
139
|
|
|
125
|
|
||||
Military services
|
65
|
|
|
32
|
|
|
33
|
|
|
—
|
|
||||
Allowance for doubtful accounts
|
(92
|
)
|
|
(118
|
)
|
|
26
|
|
|
(18
|
)
|
||||
Total net receivables
|
$
|
2,430
|
|
|
$
|
1,280
|
|
|
$
|
1,150
|
|
|
$
|
1,392
|
|
Item 2:
|
Unregistered Sales of Equity Securities and Use of Proceeds
|
(a)
|
None.
|
(b)
|
N/A
|
(c)
|
The following table provides information about our purchases of equity securities that are registered by us pursuant to Section 12 of the Securities Exchange Act of 1934, as amended, during the
three months ended June 30, 2017
:
|
Period
|
Total Number
of Shares Purchased (1)(2) |
|
Average
Price Paid per Share |
|
Total Number of
Shares Purchased as Part of Publicly Announced Plans or Programs (1)(2) |
|
Dollar Value of
Shares that May Yet Be Purchased Under the Plans or Programs (1) |
||||||
April 2017
|
—
|
|
|
$
|
—
|
|
|
—
|
|
|
$
|
1,050,000,093
|
|
May 2017
|
—
|
|
|
—
|
|
|
—
|
|
|
1,050,000,093
|
|
||
June 2017
|
—
|
|
|
—
|
|
|
—
|
|
|
1,050,000,093
|
|
||
Total
|
—
|
|
|
$
|
—
|
|
|
—
|
|
|
|
(1)
|
On February 14, 2017, we announced that the Board had approved a new authorization for share repurchases of up to
$2.25 billion
of our common stock exclusive of shares repurchased in connection with employee stock plans, expiring on December 31, 2017. Under this new authorization, we entered into a
$1.5 billion
accelerated share repurchase program in the first quarter of 2017, $300 million of which reflects the value of stock held back pending final settlement.
|
(2)
|
Excludes
0.37 million
shares repurchased in connection with employee stock plans.
|
Item 3:
|
Defaults Upon Senior Securities
|
Item 4:
|
Mine Safety Disclosures
|
Item 5:
|
Other Information
|
Item 6:
|
Exhibits
|
3(i)
|
Restated Certificate of Incorporation of Humana Inc. filed with the Secretary of State of Delaware on November 9, 1989, as restated to incorporate the amendment of January 9, 1992, and the correction of March 23, 1992 (incorporated herein by reference to Exhibit 4
|
101
|
The following materials from Humana Inc.'s Quarterly Report on Form 10-Q formatted in XBRL (Extensible Business Reporting Language): (i) the Condensed Consolidated Balance Sheets at
June 30, 2017
and
December 31, 2016
; (ii) the Condensed Consolidated Statements of Income for the
three and six
months ended
June 30, 2017
and
2016
; (iii) the Condensed Consolidated Statements of Comprehensive Income for the
three and six
months ended
June 30, 2017
and
2016
; (iv) the Condensed Consolidated Statements of Cash Flows for the
six
months ended
June 30, 2017
and
2016
; and (v) Notes to Condensed Consolidated Financial Statements.
|
|
|
HUMANA INC.
|
|
|
|
(Registrant)
|
|
|
|
|
|
Date:
|
August 2, 2017
|
By:
|
/s/ CYNTHIA H. ZIPPERLE
|
|
|
|
Cynthia H. Zipperle
|
|
|
|
Vice President, Chief Accounting Officer and Controller (Principal Accounting Officer)
|
|
|
|
|
No information found
* THE VALUE IS THE MARKET VALUE AS OF THE LAST DAY OF THE QUARTER FOR WHICH THE 13F WAS FILED.
FUND | NUMBER OF SHARES | VALUE ($) | PUT OR CALL |
---|
DIRECTORS | AGE | BIO | OTHER DIRECTOR MEMBERSHIPS |
---|
No information found
No Customers Found
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Price
Yield
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---|