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Document and Entity Information - USD ($)	12 Months Ended
Document and Entity Information - USD ($)	Dec. 31, 2018	Jan. 31, 2019	Jun. 30, 2018
Document And Entity Information [Abstract]
Entity Registrant Name	HUMANA INC
Trading Symbol	HUM
Entity Central Index Key	0000049071
Current Fiscal Year End Date	--12-31
Entity Filer Category	Large Accelerated Filer
Document Type	10-K
Document Period End Date	Dec. 31, 2018
Document Fiscal Year Focus	2018
Document Fiscal Period Focus	FY
Amendment Flag	false
Entity Common Stock, Shares Outstanding		135,566,909
Entity Well-known Seasoned Issuer	Yes
Entity Voluntary Filers	No
Entity Current Reporting Status	Yes
Entity Shell Company	false
Entity Emerging Growth Company	false
Entity Small Business	false
Entity Public Float			$ 41,129,697,151

Consolidated Balance Sheets - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Current assets:
Cash and cash equivalents	$ 2,343	$ 4,042
Investment securities	10,026	9,557
Receivables, less allowance for doubtful accounts of $79 in 2018 and $96 in 2017	1,015	854
Other current assets	3,564	2,949
Total current assets	16,948	17,402
Property and equipment, net	1,735	1,584
Long-term investment securities	411	2,745
Equity method investment in Kindred at Home	1,047	0
Goodwill	3,897	3,281
Other long-term assets	1,375	2,166
Total assets	25,413	27,178
Current liabilities:
Benefits payable	4,862	4,668
Trade accounts payable and accrued expenses	3,067	4,069
Book overdraft	171	141
Unearned revenues	283	378
Short-term debt	1,694	150
Total current liabilities	10,077	9,406
Long-term debt	4,375	4,770
Future policy benefits payable	219	2,923
Other long-term liabilities	581	237
Total liabilities	15,252	17,336
Commitments and contingencies (Note 16)
Stockholders’ equity:
Preferred stock, $1 par; 10,000,000 shares authorized; none issued	0	0
Common stock, $0.16 2/3 par; 300,000,000 shares authorized; 198,594,841 shares issued at December 31, 2018 and 198,572,458 shares issued at December 31, 2017	33	33
Capital in excess of par value	2,535	2,445
Retained earnings	15,072	13,670
Accumulated other comprehensive (loss) income	(159)	19
Treasury stock, at cost, 63,028,169 shares at December 31, 2018 and 60,893,762 shares at December 31, 2017	(7,320)	(6,325)
Total stockholders’ equity	10,161	9,842
Total liabilities and stockholders’ equity	$ 25,413	$ 27,178

Consolidated Balance Sheets (Parenthetical) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Statement of Financial Position [Abstract]
Receivables, allowance for doubtful accounts	$ 79	$ 96
Preferred stock, par (in USD per share)	$ 1	$ 1
Preferred stock, shares authorized (in shares)	10,000,000	10,000,000
Preferred stock, issued (in shares)	0	0
Common stock, par (in USD per share)	$ 0.1667	$ 0.1667
Common stock, shares authorized (in shares)	300,000,000	300,000,000
Common stock, shares issued (in shares)	198,594,841	198,572,458
Treasury stock (in shares)	63,028,169	60,893,762

Consolidated Statements Of Income - USD ($) $ in Millions	3 Months Ended								12 Months Ended
Consolidated Statements Of Income - USD ($) $ in Millions	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Revenues:
Premiums									$ 54,941	$ 52,380	$ 53,021
Services									1,457	982	969
Investment income									514	405	389
Total revenues	$ 14,168	$ 14,206	$ 14,259	$ 14,279	$ 13,189	$ 13,282	$ 13,534	$ 13,762	56,912	53,767	54,379
Operating expenses:
Benefits									45,882	43,496	45,007
Operating costs									7,525	6,567	7,173
Merger termination fee and related costs, net									0	(936)	104
Depreciation and amortization									405	378	354
Total operating expenses									53,812	49,505	52,638
Income from operations									3,100	4,262	1,741
Loss on sale of business									786	0	0
Interest expense									218	242	189
Other expense, net									33	0	0
Income (loss) before income taxes and equity in net earnings	436	901	19	707	490	799	1,042	1,689	2,063	4,020	1,552
Provision for income taxes									391	1,572	938
Equity in net earnings of Kindred at Home									11	0	0
Net income	$ 355	$ 644	$ 193	$ 491	$ 184	$ 499	$ 650	$ 1,115	$ 1,683	$ 2,448	$ 614
Basic earnings per common share (in USD per share)	$ 2.60	$ 4.68	$ 1.40	$ 3.56	$ 1.30	$ 3.46	$ 4.49	$ 7.54	$ 12.24	$ 16.94	$ 4.11
Diluted earnings per common share (in USD per share)	$ 2.58	$ 4.65	$ 1.39	$ 3.53	$ 1.29	$ 3.44	$ 4.46	$ 7.49	$ 12.16	$ 16.81	$ 4.07

Consolidated Statements Of Comprehensive Income - USD ($) $ in Millions	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Statement of Comprehensive Income [Abstract]
Net income	$ 355	$ 644	$ 193	$ 491	$ 184	$ 499	$ 650	$ 1,115	$ 1,683	$ 2,448	$ 614
Other comprehensive income (loss):
Change in gross unrealized investment losses/gains									(189)	149	(101)
Effect of income taxes									51	(55)	38
Total change in unrealized investment gains/losses, net of tax									(138)	94	(63)
Reclassification adjustment for net realized gains included in investment income									(53)	(14)	(96)
Effect of income taxes									17	5	35
Total reclassification adjustment, net of tax									(36)	(9)	(61)
Other comprehensive (loss) income, net of tax									(174)	85	(124)
Comprehensive income attributable to our equity method investment in Kindred at Home									(4)	0	0
Comprehensive income									$ 1,505	$ 2,533	$ 490

Consolidated Statements Of Stockholders' Equity - USD ($) shares in Thousands, $ in Millions	Total	Common Stock	Capital In Excess of Par Value	Retained Earnings	Accumulated Other Comprehensive Income (Loss)	Treasury Stock
Balances at Dec. 31, 2015	$ 10,346	$ 33	$ 2,530	$ 11,017	$ 58	$ (3,292)
Balances (in shares) at Dec. 31, 2015		198,372
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	614			614
Other comprehensive income (loss)	(124)				(124)
Common stock repurchases	(104)					(104)
Dividends and dividend equivalents	(177)			(177)
Stock-based compensation	115		115
Restricted stock unit vesting	0		(98)			98
Restricted stock unit vesting (in shares)		13
Stock option exercises	13		13
Stock option exercises (in shares)		110
Stock option and restricted stock tax benefit	2		2
Balances at Dec. 31, 2016	10,685	$ 33	2,562	11,454	(66)	(3,298)
Balances (in shares) at Dec. 31, 2016		198,495
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	2,448			2,448
Other comprehensive income (loss)	85				85
Common stock repurchases	(3,365)		(200)			(3,165)
Dividends and dividend equivalents	(232)			(232)
Stock-based compensation	157		157
Restricted stock unit vesting	0		(138)			138
Restricted stock unit vesting (in shares)		0
Stock option exercises	64		64
Stock option exercises (in shares)		77
Balances at Dec. 31, 2017	9,842	$ 33	2,445	13,670	19	(6,325)
Balances (in shares) at Dec. 31, 2017		198,572
Increase (Decrease) in Stockholders' Equity [Roll Forward]
Net income	1,683			1,683
Other comprehensive income (loss)	(174)
Other comprehensive loss	(182)			(4)	(178)
Common stock repurchases	(1,090)		50			(1,140)
Dividends and dividend equivalents	(277)			(277)
Stock-based compensation	137		137
Restricted stock unit vesting	0		(145)			145
Stock option exercises	$ 48		48
Stock option exercises (in shares)	320	23
Balances at Dec. 31, 2018	$ 10,161	$ 33	$ 2,535	$ 15,072	$ (159)	$ (7,320)
Balances (in shares) at Dec. 31, 2018		198,595

Consolidated Statements Of Cash Flows - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Cash flows from operating activities
Net income	$ 1,683	$ 2,448	$ 614
Adjustments to reconcile net income to net cash provided by operating activities:
Loss on sale of business	786	0	0
Net realized capital gains	(90)	(14)	(96)
Equity in net earnings of Kindred at Home	(11)	0	0
Stock-based compensation	137	157	115
Depreciation	444	410	388
Amortization	90	75	77
Provision (benefit) for deferred income taxes	194	132	(71)
Provision for doubtful accounts	36	20	39
Changes in operating assets and liabilities, net of effect of businesses acquired and dispositions:
Receivables	(200)	406	(158)
Other assets	(484)	(582)	426
Benefits payable	252	105	(413)
Other liabilities	(676)	641	937
Unearned revenues	(95)	98	(84)
Other	107	155	162
Net cash provided by operating activities	2,173	4,051	1,936
Cash flows from investing activities
Acquisitions, net of cash acquired	(354)	(31)	(7)
Acquisition, equity method investment in Kindred at Home	(1,095)	0	0
Cash transferred in sale of business	(805)	0	0
Purchases of property and equipment	(612)	(524)	(527)
Purchases of investment securities	(4,687)	(6,265)	(6,566)
Maturities of investment securities	972	1,111	1,426
Proceeds from sales of investment securities	3,494	2,768	4,312
Net cash used in investing activities	(3,087)	(2,941)	(1,362)
Cash flows from financing activities
(Withdrawals) receipts from contract deposits, net	(640)	1,823	1,093
Proceeds from issuance of senior notes, net	0	1,779	0
Proceeds from issuance (repayments) of commercial paper, net	485	(153)	(2)
Proceeds from term loan	1,000	0	0
Repayment of term loan	(350)	0	0
Repayment of long-term debt	0	(800)	0
Common stock repurchases	(1,090)	(3,365)	(104)
Dividends paid	(265)	(220)	(177)
Change in book overdraft	30	(71)	(89)
Proceeds from stock option exercises and other, net	45	62	11
Net cash (used in) provided by financing activities	(785)	(945)	732
(Decrease) increase in cash and cash equivalents	(1,699)	165	1,306
Cash and cash equivalents at beginning of year	4,042	3,877	2,571
Cash and cash equivalents at end of year	2,343	4,042	3,877
Supplemental cash flow disclosures:
Interest payments	195	216	185
Income tax payments, net	631	1,498	916
Details of businesses acquired in purchase transactions:
Fair value of assets acquired, net of cash acquired	392	31	7
Less: Fair value of liabilities assumed	(38)	0	0
Cash paid for acquired businesses, net of cash acquired	$ 354	$ 31	$ 7

REPORTING ENTITY	12 Months Ended
REPORTING ENTITY	Dec. 31, 2018
Organization, Consolidation and Presentation of Financial Statements [Abstract]
REPORTING ENTITY	REPORTING ENTITY Nature of Operations Humana Inc., headquartered in Louisville, Kentucky, is a leading health and well-being company committed to helping our millions of medical and specialty members achieve their best health. Our successful history in care delivery and health plan administration is helping us create a new kind of integrated care with the power to improve health and well‐being and lower costs. Our efforts are leading to a better quality of life for people with Medicare, families, individuals, military service personnel, and communities at large. To accomplish that, we support physicians and other health care professionals as they work to deliver the right care in the right place for their patients, our members. Our range of clinical capabilities, resources and tools, such as in‐home care, behavioral health, pharmacy services, data analytics and wellness solutions, combine to produce a simplified experience that makes health care easier to navigate and more effective. References throughout these notes to consolidated financial statements to “we,” “us,” “our,” “Company,” and “Humana,” mean Humana Inc. and its subsidiaries. We derived approximately 81% of our total premiums and services revenue from contracts with the federal government in 2018, including 15% related to our federal government contracts with the Centers for Medicare and Medicaid Services, or CMS, to provide health insurance coverage for individual Medicare Advantage members in Florida. CMS is the federal government’s agency responsible for administering the Medicare program.

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES	12 Months Ended
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES	Dec. 31, 2018
Accounting Policies [Abstract]
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES	SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES Basis of Presentation Our financial statements and accompanying notes are prepared in accordance with accounting principles generally accepted in the United States of America. Our consolidated financial statements include the accounts of Humana Inc. and subsidiaries that the Company controls, including variable interest entities associated with medical practices for which we are the primary beneficiary. We do not own many of our medical practices but instead enter into exclusive management agreements with the affiliated Professional Associations, or P.A.s, that operate these medical practices. Based upon the provisions of these agreements, these affiliated P.A.s are variable interest entities and we are the primary beneficiary, and accordingly we consolidate the affiliated P.A.s. All significant intercompany balances and transactions have been eliminated. The preparation of financial statements in accordance with accounting principles generally accepted in the United States of America requires us to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. The areas involving the most significant use of estimates are the estimation of benefits payable, the impact of risk adjustment provisions related to our Medicare contracts, the valuation and related impairment recognition of investment securities, and the valuation and related impairment recognition of long-lived assets, including goodwill. These estimates are based on knowledge of current events and anticipated future events, and accordingly, actual results may ultimately differ materially from those estimates. Workforce Optimization During the third quarter of 2017, we initiated a voluntary early retirement program and an involuntary workforce reduction program. These programs impacted approximately 3,600 associates, or 7.8% of our workforce. As a result, in 2017 we recorded charges of $148 million, or $0.64 per diluted common share. At December 31, 2017, $140 million was classified as a current liability, included in our consolidated balance sheet in the trade accounts payable and accrued expenses line. Payments under these programs are being made upon termination during the early retirement or severance pay period. The remaining workforce optimization liability at December 31, 2018, was $12 million and is expected to be paid in 2019. Aetna Merger On February 16, 2017, under the terms of the Agreement and Plan of Merger, or Merger Agreement, with Aetna Inc., and certain wholly owned subsidiaries of Aetna Inc., which we collectively refer to as Aetna, we received a breakup fee of $1 billion from Aetna, which is included in our consolidated statement of income in the line captioned "Merger termination fee and related costs, net." Health Care Reform The Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010 (which we collectively refer to as the Health Care Reform Law) enacted significant reforms to various aspects of the U.S. health insurance industry. Certain of these reforms became effective January 1, 2014, including an annual insurance industry premium-based fee and the establishment of federally-facilitated or state-based exchanges. Operating results for our individual commercial medical business compliant with the Health Care Reform Law were challenged primarily due to unanticipated modifications in the program subsequent to the passing of the Health Care Reform Law, resulting in higher covered population morbidity and the ensuing enrollment and claims issues causing volatility in claims experience. As a result of these and other factors, we exited our individual commercial medical business effective January 1, 2018. The annual premium-based fee on health insurers is not deductible for tax purposes. We estimate a liability for the health insurance industry fee and record it in full once qualifying insurance coverage is provided in the applicable calendar year in which the fee is payable with a corresponding deferred cost that is amortized ratably to expense over the same calendar year. We record the liability for the health insurance industry fee in trade accounts payable and accrued expenses and record the deferred cost in other current assets in our consolidated financial statements. We pay the health insurance industry fee in September or October of each year. The Consolidated Appropriations Act enacted on December 18, 2015, included a one-time one year suspension in 2017 of the health insurance industry fee. In 2018, we paid the federal government $1.04 billion for the annual health insurance industry fee attributed to calendar year 2018. In 2016, we paid the federal government $916 million for the annual health insurance industry fee attributed to calendar year 2016. The Continuing Resolution bill, H.R. 195, enacted on January 22, 2018, included a one year suspension in 2019 of the health insurance industry fee, but under current law, the fee is scheduled to resume in calendar year 2020. Cash and Cash Equivalents Cash and cash equivalents include cash, time deposits, money market funds, commercial paper, other money market instruments, and certain U.S. Government securities with an original maturity of three months or less. Carrying value approximates fair value due to the short-term maturity of the investments. Investment Securities Investment securities, which consist entirely of debt securities, have been categorized as available for sale and, as a result, are stated at fair value. Investment securities available for current operations are classified as current assets. Investment securities available for our long-term insurance products and professional liability funding requirements, as well as restricted statutory deposits, are classified as long-term assets. For the purpose of determining gross realized gains and losses, which are included as a component of investment income in the consolidated statements of income, the cost of investment securities sold is based upon specific identification. Unrealized holding gains and losses, net of applicable deferred taxes, are included as a component of stockholders’ equity and comprehensive income until realized from a sale or other-than-temporary impairment. Under the other-than-temporary impairment model for debt securities held, we recognize an impairment loss in income in an amount equal to the full difference between the amortized cost basis and the fair value when we have the intent to sell the debt security or it is more likely than not we will be required to sell the debt security before recovery of our amortized cost basis. However, if we do not intend to sell the debt security, we evaluate the expected cash flows to be received as compared to amortized cost and determine if a credit loss has occurred. In the event of a credit loss, only the amount of the impairment associated with the credit loss is recognized currently in income with the remainder of the loss recognized in other comprehensive income. When we do not intend to sell a security in an unrealized loss position, potential other-than-temporary impairment is considered using a variety of factors, including the length of time and extent to which the fair value has been less than cost; adverse conditions specifically related to the industry, geographic area or financial condition of the issuer or underlying collateral of a security; payment structure of the security; changes in credit rating of the security by the rating agencies; the volatility of the fair value changes; and changes in fair value of the security after the balance sheet date. For debt securities, we take into account expectations of relevant market and economic data. For example, with respect to mortgage and asset-backed securities, such data includes underlying loan level data and structural features such as seniority and other forms of credit enhancements. A decline in fair value is considered other-than-temporary when we do not expect to recover the entire amortized cost basis of the security. We estimate the amount of the credit loss component of a debt security as the difference between the amortized cost and the present value of the expected cash flows of the security. The present value is determined using the best estimate of future cash flows discounted at the implicit interest rate at the date of purchase. Receivables and Revenue Recognition We generally establish one-year commercial membership contracts with employer groups, subject to cancellation by the employer group on 30-day written notice. Our Medicare contracts with CMS renew annually. Our military services contracts with the federal government and certain contracts with various state Medicaid programs generally are multi-year contracts subject to annual renewal provisions. Premiums Revenue We receive monthly premiums from the federal government and various states according to government specified payment rates and various contractual terms. We bill and collect premium from employer groups and members in our Medicare and other individual products monthly. Changes in premium revenues resulting from the periodic changes in risk-adjustment scores derived from medical diagnoses for our membership are estimated by projecting the ultimate annual premium and are recognized ratably during the year, with adjustments each period to reflect changes in the ultimate premium. Receivables or payables are classified as current or long-term in our consolidated balance sheet based on the timing of the expected settlement. Premiums revenue is estimated by multiplying the membership covered under the various contracts by the contractual rates. Premiums revenue is recognized as income in the period members are entitled to receive services, and is net of estimated uncollectible amounts, retroactive membership adjustments, and adjustments to recognize rebates under the minimum benefit ratios required under the Health Care Reform Law. We estimate policyholder rebates by projecting calendar year minimum benefit ratios for the small group and large group markets, as defined by the Health Care Reform Law using a methodology prescribed by HHS, separately by state and legal entity. Medicare Advantage products are also subject to minimum benefit ratio requirements under the Health Care Reform Law. Estimated calendar year rebates recognized ratably during the year are revised each period to reflect current experience. Retroactive membership adjustments result from enrollment changes not yet processed, or not yet reported by an employer group or the government. We routinely monitor the collectibility of specific accounts, the aging of receivables, historical retroactivity trends, estimated rebates, as well as prevailing and anticipated economic conditions, and reflect any required adjustments in current operations. Premiums received prior to the service period are recorded as unearned revenues. Medicare Part D We cover prescription drug benefits in accordance with Medicare Part D under multiple contracts with CMS. The payments we receive monthly from CMS and members, which are determined from our annual bid, represent amounts for providing prescription drug insurance coverage. We recognize premiums revenue for providing this insurance coverage ratably over the term of our annual contract. Our CMS payment is subject to risk sharing through the Medicare Part D risk corridor provisions. In addition, receipts for reinsurance and low-income cost subsidies as well as receipts for certain discounts on brand name prescription drugs in the coverage gap represent payments for prescription drug costs for which we are not at risk. The risk corridor provisions compare costs targeted in our bids to actual prescription drug costs, limited to actual costs that would have been incurred under the standard coverage as defined by CMS. Variances exceeding certain thresholds may result in CMS making additional payments to us or require us to refund to CMS a portion of the premiums we received. As risk corridor provisions are considered in our overall annual bid process, we estimate and recognize an adjustment to premiums revenue related to these provisions based upon pharmacy claims experience. We record a receivable or payable at the contract level and classify the amount as current or long-term in our consolidated balance sheets based on the timing of expected settlement. Reinsurance and low-income cost subsidies represent funding from CMS in connection with the Medicare Part D program for which we assume no risk. Reinsurance subsidies represent funding from CMS for its portion of prescription drug costs which exceed the member’s out-of-pocket threshold, or the catastrophic coverage level. Low-income cost subsidies represent funding from CMS for all or a portion of the deductible, the coinsurance and co-payment amounts above the out-of-pocket threshold for low-income beneficiaries. Monthly prospective payments from CMS for reinsurance and low-income cost subsidies are based on assumptions submitted with our annual bid. A reconciliation and related settlement of CMS’s prospective subsidies against actual prescription drug costs we paid is made after the end of the year. The Health Care Reform Law mandates consumer discounts of 50% on brand name prescription drugs for Part D plan participants in the coverage gap. These discounts are funded by CMS and pharmaceutical manufacturers while we administer the application of these funds. We account for these subsidies and discounts as a deposit in our consolidated balance sheets and as a financing activity under receipts (withdrawals) from contract deposits in our consolidated statements of cash flows. For 2018, subsidy and discount payments of $10.3 billion exceeded reimbursements of $9.6 billion by $0.7 billion. For 2017, subsidy and discount reimbursements of $12.1 billion exceeded payments of $10.2 billion by $1.9 billion. For 2016, subsidy and discount reimbursements of $11.1 billion exceeded payments of $10.0 billion by $1.1 billion. We do not recognize premiums revenue or benefit expenses for these subsidies or discounts. Receipt and payment activity is accumulated at the contract level and recorded in our consolidated balance sheets in other current assets or trade accounts payable and accrued expenses depending on the contract balance at the end of the reporting period. Settlement of the reinsurance and low-income cost subsidies as well as the risk corridor payment is based on a reconciliation made approximately 9 months after the close of each calendar year. Settlement with CMS for brand name prescription drug discounts is based on a reconciliation made approximately 14 to 18 months after the close of each calendar year. We continue to revise our estimates with respect to the risk corridor provisions based on subsequent period pharmacy claims data. See Note 7 for detail regarding amounts recorded to our consolidated balance sheets related to the risk corridor settlement and subsidies from CMS with respect to the Medicare Part D program. Services Revenue Patient services revenue Patient services include injury and illness care and related services as well as other healthcare services related to customer needs or as required by law. Patient services revenues are recognized in the period services are provided to the customer and are net of contractual allowances. Administrative services fees Administrative services fees cover the processing of claims, offering access to our provider networks and clinical programs, and responding to customer service inquiries from members of self-funded groups. Revenues from providing administration services, also known as administrative services only, or ASO, are recognized in the period services are performed and are net of estimated uncollectible amounts. ASO fees are estimated by multiplying the membership covered under the various contracts by the contractual rates. Under ASO contracts, self-funded employers retain the risk of financing substantially all of the cost of health benefits. However, many ASO customers purchase stop loss insurance coverage from us to cover catastrophic claims or to limit aggregate annual costs. Accordingly, we have recorded premiums revenue and benefits expense related to these stop loss insurance contracts. We routinely monitor the collectibility of specific accounts, the aging of receivables, as well as prevailing and anticipated economic conditions, and reflect any required adjustments in current operations. ASO fees received prior to the service period are recorded as unearned revenues. Under our TRICARE contracts with the Department of Defense (DoD) we provide administrative services, including offering access to our provider networks and clinical programs, claim processing, customer service, enrollment, and other services, while the federal government retains all of the risk of the cost of health benefits. We account for revenues under our contracts net of estimated health care costs similar to an administrative services fee only agreement. Our contracts include fixed administrative services fees and incentive fees and penalties. Administrative services fees are recognized as services are performed. Our TRICARE members are served by both in-network and out-of-network providers in accordance with our contracts. We pay health care costs related to these services to the providers and are subsequently reimbursed by the DoD for such payments. We account for the payments of the federal government’s claims and the related reimbursements under deposit accounting in our consolidated balance sheets and as a financing activity under receipts (withdrawals) from contract deposits in our consolidated statements of cash flows. For 2018, health care cost reimbursements and payments were each approximately $5.6 billion, with reimbursements exceeding payments by $38 million for the year. For 2017, health care cost reimbursements and payments were each approximately $3.4 billion, with reimbursements exceeding payments by $11 million for the year. For 2016, health care cost reimbursements and payments were each approximately $3.3 billion with payments exceeding reimbursements by $25 million for the year. Receivables Receivables, including premium receivables, patient services revenue receivables, and ASO fee receivables, are shown net of allowances for estimated uncollectible accounts, retroactive membership adjustments, and contractual allowances. At December 31, 2018 and 2017, accounts receivable related to services were $123 million and $180 million, respectively. For the year ended December 31, 2018, we had no material bad-debt expense and there were no material contract assets, contract liabilities or deferred contract costs recorded on the consolidated balance sheet at December 31, 2018. For the year ended December 31, 2018, revenue recognized from performance obligations related to prior periods (for example, due to changes in transaction price), was not material. Further, revenue expected to be recognized in any future year related to remaining performance obligations was not material. Other Current Assets Other current assets includes amounts associated with Medicare Part D as discussed above and in Note 7, rebates due from pharmaceutical manufacturers and other amounts due within one year. We accrue pharmaceutical rebates as they are earned based on contractual terms and usage of the product. The balance of pharmaceutical rebates receivable was $1.3 billion at December 31, 2018 and $1.2 billion at December 31, 2017. Policy Acquisition Costs Policy acquisition costs are those costs that relate directly to the successful acquisition of new and renewal insurance policies. Such costs include commissions, costs of policy issuance and underwriting, and other costs we incur to acquire new business or renew existing business. We expense policy acquisition costs related to our employer-group prepaid health services policies as incurred. These short-duration employer-group prepaid health services policies typically have a 1-year term and may be canceled upon 30 days notice by the employer group. Life insurance, annuities, certain health and other supplemental, and, prior to the sale of our KMG subsidiary in 2018, long term care policies sold to individuals are accounted for as long-duration insurance products because they are expected to remain in force for an extended period beyond one year and premium received in the earlier years is intended to pay anticipated benefits to be incurred in future years. As a result, we defer policy acquisition costs, primarily consisting of commissions, and amortize them over the estimated life of the policies in proportion to premiums earned. Deferred acquisition costs are reviewed to determine if they are recoverable from future income. See Note 18. Long-Lived Assets Property and equipment is recorded at cost. Gains and losses on sales or disposals of property and equipment are included in operating costs. Certain costs related to the development or purchase of internal-use software are capitalized. Depreciation is computed using the straight-line method over estimated useful lives ranging from 3 to 10 years for equipment, 3 to 5 years for computer software, and 10 to 20 years for buildings. Improvements to leased facilities are depreciated over the shorter of the remaining lease term or the anticipated life of the improvement. We periodically review long-lived assets, including property and equipment and definite-lived intangible assets, for impairment whenever adverse events or changes in circumstances indicate the carrying value of the asset may not be recoverable. Losses are recognized for a long-lived asset to be held and used in our operations when the undiscounted future cash flows expected to result from the use of the asset are less than its carrying value. We recognize an impairment loss based on the excess of the carrying value over the fair value of the asset. A long-lived asset held for sale is reported at the lower of the carrying amount or fair value less costs to sell. Depreciation expense is not recognized on assets held for sale. Losses are recognized for a long-lived asset to be abandoned when the asset ceases to be used. In addition, we periodically review the estimated lives of all long-lived assets for reasonableness. Equity Method Investments We use the equity method of accounting for equity investments in companies where we are able to exercise significant influence, but not control, over operating and financial policies of the investee. Judgment regarding the level of influence over each equity method investment includes considering key factors such as our ownership interest, representation on the board of directors, organizational structure, participation in policy-making decisions and material intra-entity transactions. Generally, under the equity method, original investments in these entities are recorded at cost and subsequently adjusted by our share of equity in income or losses after the date of acquisition as well as capital contributions to and distributions from these companies. Our proportionate share of the net income or loss of these companies is included in consolidated net income. Investment amounts in excess of our share of an investee's net assets are amortized over the life of the related asset creating the excess. Excess goodwill is not amortized. We evaluate equity method investments for impairment whenever events or changes in circumstances indicate that the carrying amount of the investment might not be recoverable. Factors considered by us when reviewing an equity method investment for impairment include the length of time (duration) and the extent (severity) to which the fair value of the equity method investment has been less than carrying value, the investee’s financial condition and near-term prospects and the intent and ability to hold the investment for a period of time sufficient to allow for anticipated recovery. An impairment that is other-than-temporary is recognized in the period identified. See Note 4 for further information. Goodwill and Definite-Lived Intangible Assets Goodwill represents the unamortized excess of cost over the fair value of the net tangible and other intangible assets acquired. We are required to test at least annually for impairment at a level of reporting referred to as the reporting unit, and more frequently if adverse events or changes in circumstances indicate that the asset may be impaired. A reporting unit either is our operating segments or one level below the operating segments, referred to as a component, which comprise our reportable segments. A component is considered a reporting unit if the component constitutes a business for which discrete financial information is available that is regularly reviewed by management. We aggregate the components of an operating segment into one reporting unit if they have similar economic characteristics. Goodwill is assigned to the reporting units that are expected to benefit from the specific synergies of the business combination. We use the one-step process to review goodwill for impairment to determine both the existence and amount of goodwill impairment, if any. Impairment tests are performed, at a minimum, in the fourth quarter of each year supported by our long-range business plan and annual planning process. We rely on an evaluation of future discounted cash flows to determine fair value of our reporting units. The fair value of our reporting units with significant goodwill exceeded carrying amounts by a substantial margin. A 100 basis point increase in the discount rate would not have a significant impact on the amount of margin for any of our reporting units with significant goodwill, with the exception of our clinical and provider reporting units in our Healthcare Services segment. The margin on the clinical reporting unit would decline to less than 10% after factoring in a 100 basis point increase in the discount rate. The provider reporting unit, while not falling beneath this threshold, was closer than any of our other reporting units. The clinical and provider reporting units account for $524 million and $730 million, respectively, of goodwill. Impairment tests completed for 2018, 2017, and 2016 did not result in an impairment loss. Definite-lived intangible assets primarily relate to acquired customer contracts/relationships and are included with other long-term assets in the consolidated balance sheets. Definite-lived intangible assets are amortized over the useful life generally using the straight-line method. We review definite-lived intangible assets for impairment under our long-lived asset policy. Benefits Payable and Benefits Expense Recognition Benefits expense includes claim payments, capitation payments, pharmacy costs net of rebates, allocations of certain centralized expenses and various other costs incurred to provide health insurance coverage to members, as well as estimates of future payments to hospitals and others for medical care and other supplemental benefits provided on or prior to the balance sheet date. Capitation payments represent monthly contractual fees disbursed to primary care and other providers who are responsible for providing medical care to members. Pharmacy costs represent payments for members’ prescription drug benefits, net of rebates from drug manufacturers. Receivables for such pharmacy rebates are included in other current assets in our consolidated balance sheets. Other supplemental benefits include dental, vision, and other supplemental health and financial protection products. We estimate the costs of our benefits expense payments using actuarial methods and assumptions based upon claim payment patterns, medical cost inflation, historical developments such as claim inventory levels and claim receipt patterns, and other relevant factors, and record benefit reserves for future payments. We continually review estimates of future payments relating to claims costs for services incurred in the current and prior periods and make necessary adjustments to our reserves. Benefits expense is recognized in the period in which services are provided and includes an estimate of the cost of services which have been incurred but not yet reported, or IBNR. Our reserving practice is to consistently recognize the actuarial best point estimate within a level of confidence required by actuarial standards. Actuarial standards of practice generally require a level of confidence such that the liabilities established for IBNR have a greater probability of being adequate versus being insufficient, or such that the liabilities established for IBNR are sufficient to cover obligations under an assumption of moderately adverse conditions. Adverse conditions are situations in which the actual claims are expected to be higher than the otherwise estimated value of such claims at the time of the estimate. Therefore, in many situations, the claim amounts ultimately settled will be less than the estimate that satisfies the actuarial standards of practice. We develop our estimate for IBNR using actuarial methodologies and assumptions, primarily based upon historical claim experience. Depending on the period for which incurred claims are estimated, we apply a different method in determining our estimate. For periods prior to the most recent two months, the key assumption used in estimating our IBNR is that the completion factor pattern remains consistent over a rolling 12-month period after adjusting for known changes in claim inventory levels and known changes in claim payment processes. Completion factors result from the calculation of the percentage of claims incurred during a given period that have historically been adjudicated as of the reporting period. For the most recent two months, the incurred claims are estimated primarily from a trend analysis based upon per member per month claims trends developed from our historical experience in the preceding months, adjusted for known changes in estimates of recent hospital and drug utilization data, provider contracting changes, changes in benefit levels, changes in member cost sharing, changes in medical management processes, product mix, and weekday seasonality. The completion factor method is used for the months of incurred claims prior to the most recent two months because the historical percentage of claims processed for those months is at a level sufficient to produce a consistently reliable result. Conversely, for the most recent two months of incurred claims, the volume of claims processed historically is not at a level sufficient to produce a reliable result, which therefore requires us to examine historical trend patterns as the primary method of evaluation. Changes in claim processes, including recoveries of overpayments, receipt cycle times, claim inventory levels, outsourcing, system conversions, and processing disruptions due to weather or other events affect views regarding the reasonable choice of completion factors. Claim payments to providers for services rendered are often net of overpayment recoveries for claims paid previously, as contractually allowed. Claim overpayment recoveries can result from many different factors, including retroactive enrollment activity, audits of provider billings, and/or payment errors. Changes in patterns of claim overpayment recoveries can be unpredictable and result in completion factor volatility, as they often impact older dates of service. The receipt cycle time measures the average length of time between when a medical claim was initially incurred and when the claim form was received. Increases in electronic claim submissions from providers decrease the receipt cycle time. If claims are submitted or processed on a faster (slower) pace than prior periods, the actual claim may be more (less) complete than originally estimated using our completion factors, which may result in reserves that are higher (lower) than required. Medical cost trends potentially are more volatile than other segments of the economy. The drivers of medical cost trends include increases in the utilization of hospital facilities, physician services, new higher priced technologies and medical procedures, and new prescription drugs and therapies, as well as the inflationary effect on the cost per unit of each of these expense components. Other external factors such as government-mandated benefits or other regulatory changes, the tort liability system, increases in medical services capacity, direct to consumer advertising for prescription drugs and medical services, an aging population, lifestyle changes including diet and smoking, catastrophes, and epidemics also may impact medical cost trends. Internal factors such as system conversions, claims processing cycle times, changes in medical management practices and changes in provider contracts also may impact our ability to accurately predict estimates of historical completion factors or medical cost trends. All of these factors are considered in estimating IBNR and in estimating the per member per month claims trend for purposes of determining the reserve for the most recent two months. Additionally, we continually prepare and review follow-up studies to assess the reasonableness of the estimates generated by our process and methods over time. The results of these studies are also considered in determining the reserve for the most recent two months. Each of these factors requires significant judgment by management. We reassess the profitability of our contracts for providing insurance coverage to our members when current operating results or forecasts indicate probable future losses. We establish a premium deficiency reserve in current operations to the extent that the sum of expected future costs, claim adjustment expenses, and maintenance costs exceeds related future premiums under contracts without consideration of investment income. For purposes of determining premium deficiencies, contracts are grouped in a manner consistent with our method of acquiring, servicing, and measuring the profitability of such contracts. Losses recognized as a premium deficiency result in a beneficial effect in subsequent periods as operating losses under these contracts are charged to the liability previously established. Because the majority of our member contracts renew annually, we would not record a material premium deficiency reserve, except when unanticipated adverse events or changes in circumstances indicate otherwise. In 2016, we increased our existing $176 million premium deficiency reserve for our individual commercial medical business compliant with the Health Care Reform Law associated with the 2016 coverage year by $208 million. During 2016, the $384 million current period losses were applied to the premium deficiency liability for the 2016 coverage year. We believe our benefits payable are adequate to cover future claims payments required. However, such estimates are based on knowledge of current events and anticipated future events. Therefore, the actual liability could differ materially from the amounts provided. Future policy benefits payable Future policy benefits payable include liabilities for long-duration insurance policies including life insurance, annuities, certain health and other supplemental, and prior to its sale in 2018, long-term care policies sold to individuals for which some of the premium received in the earlier years is intended to pay anticipated benefits to be incurred in future years. At policy issuance, these reserves are recognized on a net level premium method based on interest rates, mortality, morbidity, and maintenance expense assumptions. Interest rates are based on our expected net investment returns on the investment portfolio supporting the reserves for these blocks of business. Mortality, a measure of expected death, and morbidity, a measure of health status, assumptions are based on industry actuarial tables, modified based upon actual experience. Changes in estimates of these reserves are recognized as an adjustment to benefits expense in the period the changes occur. We perform loss recognition tests at least annually in the fourth quarter, and more frequently if adverse events or changes in circumstances indicate that the level of the liability, together with the present value of future gross premiums, may not be adequate to provide for future expected policy benefits and maintenance costs. During 2016, we recorded a loss for a premium deficiency as discussed further in Note 18. We adjust future policy benefits payable for the additional liability that would have been recorded if investment securities backing the liability had been sold at their stated aggregate fair value and the proceeds reinvested at current yields. We include the impact of this adjustment, if any, net of applicable deferred taxes, with the change in unrealized investment gain (loss) in accumulated other comprehensive income in stockholders’ equity. Health policies sold to individuals that conform to the Health Care Reform Law are accounted for under a short-duration model under which policy reserves are not established because premiums received in the current year are intended to pay anticipated benefits in that year. In addition, as previously underwritten members transition to plans compliant with the Health Care Reform Law, it results in policy lapses and the release of reserves for future policy benefits. Book Overdraft Under our cash management system, checks issued but not yet presented to banks that would result in negative bank balances when presented are classified as a current liability in the consolidated balance sheets. Changes in book overdrafts from period to period are reported in the consolidated statement of cash flows as a financing activity. Income Taxes We recognize an asset or liability for the deferred tax consequences of temporary differences between the tax bases of assets or liabilities and their reported amounts in the consolidated financial statements. These temporary differences will result in taxable or deductible amounts in future years when the reported amounts of the assets or liabilities are recovered or settled. We also recognize the future tax benefits such as net operating and capital loss carryforwards as deferred tax assets. A valuation allowance is provided against these deferred tax assets if it is more likely than not that some portion or all of the deferred tax assets will not be realized. Future years’ tax expense may be increased or decreased by adjustments to the valuation allowance or to the estimated accrual for income taxes. Deferred tax assets and deferred tax liabilities are further adjusted for changes in the enacted tax rates. We record tax benefits when it is more likely than not that the tax return position taken with respect to a particular transaction will be sustained. A liability, if recorded, is not considered resolved until the statute of limitations for the relevant taxing authority to examine and challenge the tax position has expired, or the tax position is ultimately settled through examination, negotiation, or litigation. We classify interest and penalties associated with uncertain tax positions in our provision for income taxes. Stock-Based Compensation We generally recognize stock-based compensation expense, as determined on the date of grant at fair value, on a straight-line basis over the period during which an employee is required to provide service in exchange for the award (the vesting period). In addition, for awards with both time and performance-based conditions, we generally recognize compensation expense on a straight line basis over the vesting period when it is probable that the performance condition will be achieved. We estimate expected forfeitures and recognize compensation expense only for those awards which are expected to vest. We estimate the grant-date fair value of stock options using the Black-Scholes option-pricing model. Additional detail regarding our stock-based compensation plans is included in Note 13. Earnings Per Common Share We compute basic earnings per common share on the basis of the weighted-average number of unrestricted common shares outstanding. Diluted earnings per common share is computed on the basis of the weighted-average number of unrestricted common shares outstanding plus the dilutive effect of outstanding employee stock options and restricted shares, or units, using the treasury stock method. Additional detail regarding earnings per common share is included in Note 14. Fair Value Assets and liabilities measured at fair value are categorized into a fair value hierarchy based on whether the inputs to valuation techniques are observable or unobservable. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect our own assumptions about the assumptions market participants would use. The fair value hierarchy includes three levels of inputs that may be used to measure fair value as described below. Level 1 – Quoted prices in active markets for identical assets or liabilities. Level 1 assets and liabilities include debt securities that are traded in an active exchange market. Level 2 – Observable inputs other than Level 1 prices such as quoted prices in active markets for similar assets or liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Level 2 assets and liabilities include debt securities with quoted prices that are traded less frequently than exchange-traded instruments as well as debt securities whose value is determined using a pricing model with inputs that are observable in the market or can be derived principally from or corroborated by observable market data. Level 3 – Unobservable inputs that are supported by little or no market activity and are significant to the fair value of the assets or liabilities. Level 3 includes assets and liabilities whose value is determined using pricing models, discounted cash flow methodologies, or similar techniques reflecting our own assumptions about the assumptions market participants would use as well as those requiring significant management judgment. Fair value of actively traded debt securities are based on quoted market prices. Fair value of other debt securities are based on quoted market prices of identical or similar securities or based on observable inputs like interest rates generally using a market valuation approach, or, less frequently, an income valuation approach and are generally classified as Level 2. We obtain at least one price for each security from a third party pricing service. These prices are generally derived from recently reported trades for identical or similar securities, including adjustments through the reporting date based upon observable market information. When quoted prices are not available, the third party pricing service may use quoted market prices of comparable securities or discounted cash flow analysis, incorporating inputs that are currently observable in the markets for similar securities. Inputs that are often used in the valuation methodologies include benchmark yields, reported trades, credit spreads, broker quotes, default rates, and prepayment speeds. We are responsible for the determination of fair value and as such we perform analysis on the prices received from the third party pricing service to determine whether the prices are reasonable estimates of fair value. Our analysis includes a review of monthly price fluctuations as well as a quarterly comparison of the prices received from the pricing service to prices reported by our third party investment adviser. In addition, on a quarterly basis we examine the underlying inputs and assumptions for a sample of individual securities across asset classes, credit rating levels, and various durations. Fair value of privately held debt securities are estimated using a variety of valuation methodologies, including both market and income approaches, where an observable quoted market does not exist and are generally classified as Level 3. For privately-held debt securities, such methodologies include reviewing the value ascribed to the most recent financing, comparing the security with securities of publicly-traded companies in similar lines of business, and reviewing the underlying financial performance including estimating discounted cash flows. Recently Issued Accounting Pronouncements Recently Adopted Accounting Pronouncements In May 2014, the Financial Accounting Standards Board, or FASB, issued new guidance that amends the accounting for revenue recognition. The amendments are intended to provide a more robust framework for addressing revenue issues, improve comparability of revenue recognition practices, and improve disclosure requirements. Insurance contracts are not included in the scope of this new guidance. Accordingly, our premiums revenue and investment income, collectively representing approximately 97% of our consolidated external revenues for the year ended December 31, 2018, are not included in the scope of the new guidance. We adopted the new standard effective January 1, 2018, using the modified retrospective approach. As the majority of our revenues are not subject to the new guidance and the remaining revenues’ accounting treatment did not materially differ from pre-existing accounting treatment, the adoption of the new standard did not have a material impact on our consolidated results of operations, financial condition, cash flows, or related disclosures. Accounting Pronouncements Effective in Future Periods In February 2016, the FASB issued new guidance related to accounting for leases which requires lessees to record assets and liabilities reflecting the leased assets and lease obligations, respectively, while following the dual model for recognition in statements of income requiring leases to be classified as either operating or finance. Operating leases will result in straight-line expense (similar to current operating leases) while finance leases will result in a front-loaded expense pattern (similar to current capital leases). We adopted the new standard effective January 1, 2019, as allowed, using the modified retrospective approach. We elected the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allows us to carryforward the historical lease classification without restating comparative prior periods. We made a permitted accounting policy election to not apply the new guidance to leases with an initial term of 12 months or less. We will recognize those lease payments in the Consolidated Statements of Operations on a straight-line basis over the lease term. The adoption of the standard resulted in recognition of additional lease assets and lease liabilities of approximately $470 million as of January 1, 2019. We believe the standard will not materially affect our consolidated net earnings, cash flows and liquidity. In June 2016, the FASB issued guidance introducing a new model for recognizing credit losses on financial instruments based on an estimate of current expected credit losses. The guidance is effective for us beginning January 1, 2020. The new current expected credit losses (CECL) model generally calls for the immediate recognition of all expected credit losses and applies to loans, accounts and trade receivables as well as other financial assets measured at amortized cost, loan commitments and off-balance sheet credit exposures, debt securities and other financial assets measured at fair value through other comprehensive income, and beneficial interests in securitized financial assets. The new guidance replaces the current incurred loss model for measuring expected credit losses, requires expected losses on available for sale debt securities to be recognized through an allowance for credit losses rather than as reductions in the amortized cost of the securities, and provides for additional disclosure requirements. Our investment portfolio consists of available for sale debt securities. We are currently evaluating the impact on our results of operations, financial condition, and cash flows. In March 2017, the FASB issued new guidance that amends the accounting for premium amortization on purchased callable debt securities by shortening the amortization period. This amended guidance requires the premium to be amortized to the earliest call date instead of maturity date. The new guidance is effective for us beginning with annual and interim periods in 2019. This guidance will not have a material impact on our results of operations, financial condition or cash flows. In February 2018, the FASB issued guidance which allows a reclassification from accumulated other comprehensive income to retained earnings for stranded tax effects resulting from the December 22, 2017 enactment of the Tax Cuts and Jobs Act. The new guidance is effective for us beginning January 1, 2019, with early adoption permitted. We early adopted this guidance in the first quarter of 2018 and it did not have a material impact on our results of operations, financial condition or cash flows. In September 2018, the FASB issued new guidance related to accounting for long-duration contracts of insurers which revises key elements of the measurement models and disclosure requirements for long-duration contracts issued by insurers and reinsurers. The new guidance is effective for us beginning with annual and interim periods in 2021, with earlier adoption permitted, and requires retrospective application to previously issued annual and interim financial statements. We are currently evaluating the impact on our results of operations, financial position and cash flows. There are no other recently issued accounting standards that apply to us or that are expected to have a material impact on our results of operations, financial condition, or cash flows.

ACQUISITIONS AND DIVESTITURES

12 Months Ended

Dec. 31, 2018

Business Combinations [Abstract]

ACQUISITIONS AND DIVESTITURES

Acquisition of a 40% Minority Interest in Kindred’s Homecare Business

On July 2, 2018, we completed the acquisition of a 40% minority interest in the Kindred at Home Division, or Kindred at Home, of Kindred Healthcare, Inc., or Kindred, for cash consideration of approximately $850 million. TPG Capital, or TPG, and Welsh, Carson, Anderson & Stowe, or WCAS, collectively, the Sponsors, along with us jointly created a consortium to purchase all of the outstanding and issued securities of Kindred. Immediately following the closing of that transaction, Kindred at Home and the Specialty Hospital company were separated, with the result being that the Long Term Acute Care and Rehabilitation businesses (the Specialty Hospital Company) are owned by the Sponsors and Kindred at Home is owned by a joint venture owned by the Sponsors and us.

On July 11, 2018, we, along with the same Kindred at Home Sponsors, TPG and WCAS completed the acquisition of privately-held Curo Health Services, or Curo, one of the nation's leading hospice operators providing care to patients at 245 locations in 22 states. The transaction was structured as a merger of Curo with the hospice business of Kindred at Home, and we thereby purchased a 40% minority interest in Curo for cash consideration of approximately $250 million.

We account for our 40% investment in Kindred at Home using the equity method of accounting. This investment is reflected as "Equity method investment in Kindred at Home" in our consolidated balance sheets, with our share of income or loss reported as "Equity in net earnings of Kindred at Home" in our consolidated statements of income.

We entered into a shareholders agreement with the Sponsors that provides for certain rights and obligations of each party. The shareholders agreement with the Sponsors includes a put option under which they have the right to require us to purchase their interest in the joint venture starting at the end of year three and ending at the end of year four following the closing. Likewise, we have a call option under which we have the right to require the Sponsors to sell their interest in the joint venture to Humana beginning at the end of 2022 and ending at the end of 2023 following the closing. The put and call options, which are exercisable at a fixed EBITDA multiple and provide a minimum return on the Sponsor's investment if exercised, are measured at fair value each period using a Monte Carlo simulation. The simulation relies on assumptions around Kindred at Home's equity value, risk free interest rates, volatility, and the details specific to the put and call options. The final purchase price allocation resulted in approximately $1 billion being allocated to the investment and $236 million and $291 million allocated to the put and call options, respectively. The fair values of the put option and call option were $224 million and $246 million, respectively, at December 31, 2018. The put option is included within other long-term liabilities and the call option is included within other long-term assets. The change in fair value of the put and call options is reflected as "Other expense, net" in our consolidated statements of income.

Sale of Closed Block of Commercial Long-Term Care Insurance Business

On August 9, 2018, we completed the sale of our wholly-owned subsidiary, KMG America Corporation, or KMG, to Continental General Insurance Company, or CGIC, a Texas-based insurance company wholly owned by HC2 Holdings, Inc., a diversified holding company. KMG's subsidiary, Kanawha Insurance Company, or KIC, includes our closed block of non-strategic commercial long-term care policies. Upon closing, we funded the transaction with approximately $190 million of parent company cash contributed into KMG, subject to customary adjustments, in addition to the transfer of approximately $160 million of statutory capital with the sale. In connection with the sale of KMG, we recognized a pretax loss, including transaction costs, of $786 million and a corresponding $452 million tax benefit.

Prior to the sale of KMG, we entered into reinsurance contracts to transfer the risk associated with certain voluntary benefit and financial protection products previously issued primarily by KIC to a third party. We transferred approximately $245 million of cash to the third party and recorded a commensurate reinsurance recoverable as a result of these transactions. The reinsurance recoverable was included as part of the net assets disposed. There was no material impact to operating results from these reinsurance transactions.

KMG revenues and net income for the 2018 period prior to the date of sale was $182 million and $47 million, respectively. KMG revenues and net loss were $261 million and $117 million, respectively, for the year ended December 31, 2017 and $249 million and $336 million, respectively, for the year ended December 31, 2016.

The assets and liabilities of KMG that were disposed of on August 9, 2018 were as follows:



	August 9, 2018
Assets	(in millions)
Cash and cash equivalents	$	805
Receivables, net	3
Investment securities	1,576
Other assets	1,085
Total assets disposed	$	3,469
Liabilities
Benefits payable	$	58
Trade accounts payable and accrued expenses	70
Future policy benefits payable	2,573
Total liabilities disposed	$	2,701

Other Acquisitions and Divestitures

On March 1, 2018, we acquired the remaining equity interest in MCCI Holdings, LLC, or MCCI, a privately held management service organization and healthcare provider headquartered in Miami, Florida, that primarily coordinates medical care for Medicare Advantage beneficiaries in Florida and Texas. The purchase price consisted primarily of $169 million cash, as well as our existing investment in MCCI and a note receivable and a revolving note with an aggregate balance of $383 million. This resulted in a preliminary purchase price allocation to goodwill of $483 million, definite-lived intangible assets of $80 million, and net tangible assets of $24 million. The goodwill was assigned to the Retail and Healthcare Services segments. The definite-lived intangible assets, which primarily consist of customer contracts, have an estimated weighted average useful life of 8 years.

On April 10, 2018, we acquired Family Physicians Group, or FPG, for cash consideration of approximately $185 million, net of cash received. FPG serves Medicare Advantage and Managed Medicaid HMO patients in Greater Orlando, Florida with a footprint that includes clinics located in Lake, Orange, Osceola and Seminole counties. This resulted in a preliminary purchase price allocation to goodwill of $133 million, definite-lived intangible assets of $38 million and net tangible assets of $14 million. The goodwill was assigned to the Retail and Healthcare Services segments. The other intangible assets, which primarily consist of customer contracts, have an estimated weighted average useful life of 5 years.

The purchase price allocations for MCCI and FPG are preliminary, subject to receipt and validation of certain tax related analyses.

During 2017 and 2016, we acquired certain other health and wellness related businesses which, individually or in the aggregate, have not had a material impact on our results of operations, financial condition, or cash flows. The results of operations and financial condition of these businesses have been included in our consolidated statements of income and consolidated balance sheets from the respective acquisition dates.

Acquisition-related costs recognized in each of 2018, 2017 and 2016 were not material to our results of operations. Goodwill and definite-lived intangible assets acquired are partially amortizable as deductible expenses for tax purposes. The pro forma financial information assuming the acquisitions had occurred as of the beginning of the calendar year prior to the year of acquisition, as well as the revenues and earnings generated during the year of acquisition, were not material for disclosure purposes.

EQUITY METHOD INVESTMENT

12 Months Ended

Dec. 31, 2018

Equity Method Investments and Joint Ventures [Abstract]

EQUITY METHOD INVESTMENT

The summarized balance sheet at December 31, 2018 and income statement for the period beginning July 2, 2018 through December 31, 2018 of Kindred at Home in which we hold a 40% equity interest was as follows:



Balance sheet	December 31, 2018
	(in millions)
Current assets	$	536
Non-current assets	4,955
Current liabilities	351
Non-current liabilities	2,708
Shareholders' equity	2,432

Statement of income
	July 2, 2018 through December 31, 2018
	(in millions)
Revenues	$	1,587
Expenses	1,451
Net income	27

INVESTMENT SECURITIES

12 Months Ended

Dec. 31, 2018

Investments, Debt and Equity Securities [Abstract]

INVESTMENT SECURITIES

Investment securities classified as current and long-term were as follows at December 31, 2018 and 2017, respectively:



	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
	(in millions)
December 31, 2018
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	$	419	$	1	$	(3	)	$	417
Mortgage-backed securities	2,595		3		(54		)	2,544
Tax-exempt municipal securities	2,805		3		(37		)	2,771
Mortgage-backed securities:
Residential	55		—		—			55
Commercial	537		—		(14		)	523
Asset-backed securities	991		1		(7		)	985
Corporate debt securities	3,239		1		(98		)	3,142
Total debt securities	$	10,641	$	9	$	(213	)	$	10,437
December 31, 2017
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	$	532	$	1	$	(2	)	$	531
Mortgage-backed securities	1,625		4		(19		)	1,610
Tax-exempt municipal securities	3,884		33		(28		)	3,889
Mortgage-backed securities:
Residential	26		—		—			26
Commercial	455		3		(2		)	456
Asset-backed securities	407		1		—			408
Corporate debt securities	5,175		244		(37		)	5,382
Total debt securities	$	12,104	$	286	$	(88	)	$	12,302

Gross unrealized losses and fair values aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position were as follows at December 31, 2018 and 2017, respectively:



	Less than 12 months					12 months or more					Total
	Fair Value		Gross Unrealized Losses			Fair Value		Gross Unrealized Losses			Fair Value		Gross Unrealized Losses
	Fair Value		Gross Unrealized Losses			Fair Value		Gross Unrealized Losses			Fair Value		Gross Unrealized Losses
	(in millions)
December 31, 2018
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	$	179	$	(1	)	$	153	$	(2	)	$	332	$	(3	)
Mortgage-backed securities	956		(16		)	1,019		(38		)	1,975		(54		)
Tax-exempt municipal securities	809		(9		)	1,648		(28		)	2,457		(37		)
Mortgage-backed securities:
Residential	—		—			15		—			15		—
Commercial	372		(8		)	133		(6		)	505		(14		)
Asset-backed securities	824		(7		)	40		—			864		(7		)
Corporate debt securities	1,434		(35		)	1,439		(63		)	2,873		(98		)
Total debt securities	$	4,574	$	(76	)	$	4,447	$	(137	)	$	9,021	$	(213	)
December 31, 2017
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	$	273	$	(1	)	$	130	$	(1	)	$	403	$	(2	)
Mortgage-backed securities	581		(2		)	672		(17		)	1,253		(19		)
Tax-exempt municipal securities	1,590		(16		)	661		(12		)	2,251		(28		)
Mortgage-backed securities:
Residential	20		—			3		—			23		—
Commercial	131		(1		)	28		(1		)	159		(2		)
Asset-backed securities	107		—			10		—			117		—
Corporate debt securities	1,297		(10		)	804		(27		)	2,101		(37		)
Total debt securities	$	3,999	$	(30	)	$	2,308	$	(58	)	$	6,307	$	(88	)

Approximately 97% of our debt securities were investment-grade quality, with a weighted average credit rating of AA by S&P at December 31, 2018. Most of the debt securities that were below investment-grade were rated BB, the higher end of the below investment-grade rating scale. Tax-exempt municipal securities were diversified among general obligation bonds of states and local municipalities in the United States as well as special revenue bonds issued by municipalities to finance specific public works projects such as utilities, water and sewer, transportation, or education. Our general obligation bonds are diversified across the United States with no individual state exceeding 9%. Our investment policy limits investments in a single issuer and requires diversification among various asset types.

Our unrealized loss from all securities was generated from approximately 1,210 positions out of a total of approximately 1,500 positions at December 31, 2018. All issuers of securities we own that were trading at an unrealized loss at December 31, 2018 remain current on all contractual payments. After taking into account these and other factors previously described, we believe these unrealized losses primarily were caused by an increase in market interest rates in the current markets since the time the securities were purchased. At December 31, 2018, we did not intend to sell the securities with an unrealized loss position in accumulated other comprehensive income, and it is not likely that we will be required to sell these securities before recovery of their amortized cost basis. As a result, we believe that the securities with an unrealized loss were not other-than-temporarily impaired at December 31, 2018.

The detail of realized gains (losses) related to investment securities and included within investment income was as follows for the years ended December 31, 2018, 2017, and 2016:



	2018			2017			2016
	(in millions)
Gross realized gains	$	106		$	35		$	120
Gross realized losses	(16		)	(21		)	(24		)
Net realized capital gains	$	90		$	14		$	96

There were no material other-than-temporary impairments in 2018, 2017, or 2016.

The contractual maturities of debt securities available for sale at December 31, 2018, regardless of their balance sheet classification, are shown below. Expected maturities may differ from contractual maturities because borrowers may have the right to call or prepay obligations with or without call or prepayment penalties.



	Amortized Cost		Fair Value
	(in millions)
Due within one year	$	943	$	941
Due after one year through five years	2,929		2,873
Due after five years through ten years	1,873		1,810
Due after ten years	718		706
Mortgage and asset-backed securities	4,178		4,107
Total debt securities	$	10,641	$	10,437

FAIR VALUE

12 Months Ended

Dec. 31, 2018

Fair Value Disclosures [Abstract]

FAIR VALUE

Financial Assets

The following table summarizes our fair value measurements at December 31, 2018 and 2017, respectively, for financial assets measured at fair value on a recurring basis:



			Fair Value Measurements Using
	Fair Value		Quoted Prices in Active Markets (Level 1)		Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
	(in millions)
December 31, 2018
Cash equivalents	$	2,024	$	2,024	$	—	$	—
Debt securities:
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	417		—		417		—
Mortgage-backed securities	2,544		—		2,544		—
Tax-exempt municipal securities	2,771		—		2,771		—
Mortgage-backed securities:
Residential	55		—		55		—
Commercial	523		—		523		—
Asset-backed securities	985		—		985		—
Corporate debt securities	3,142		—		3,142		—
Total debt securities	10,437		—		10,437		—
Total invested assets	$	12,461	$	2,024	$	10,437	$	—
December 31, 2017
Cash equivalents	$	4,564	$	4,564	$	—	$	—
Debt securities:
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	531		—		531		—
Mortgage-backed securities	1,610		—		1,610		—
Tax-exempt municipal securities	3,889		—		3,889		—
Mortgage-backed securities:
Residential	26		—		26		—
Commercial	456		—		456		—
Asset-backed securities	408		—		408		—
Corporate debt securities	5,382		—		5,381		1
Total debt securities	12,302		—		12,301		1
Total invested assets	$	16,866	$	4,564	$	12,301	$	1

The table above does not include the fair value of the put and call options associated with our equity investment in Kindred at Home. See Note 3 for further information.

Financial Liabilities

Our debt is recorded at carrying value in our consolidated balance sheets. The carrying value of our senior notes debt outstanding, net of unamortized debt issuance costs, was $4,774 million at December 31, 2018 and $4,770 million at December 31, 2017. The fair value of our senior note debt was $4,885 million at December 31, 2018 and $5,191 million at December 31, 2017. The fair value of our senior note debt is determined based on Level 2 inputs, including quoted market prices for the same or similar debt, or if no quoted market prices are available, on the current prices estimated to be available to us for debt with similar terms and remaining maturities. Due to the short-term nature, carrying value approximates fair value for our term note and commercial paper borrowings. The term loan outstanding and commercial paper borrowings were $1,295 million at December 31, 2018, compared to $150 million at December 31, 2017.

Assets and Liabilities Measured at Fair Value on a Nonrecurring Basis

As disclosed in Note 3, we acquired MCCI, FPG, and other health and wellness related businesses during 2018, 2017, and 2016. The values of net tangible assets acquired and the resulting goodwill and other intangible assets were recorded at fair value using Level 3 inputs. The majority of the tangible assets acquired and liabilities assumed were recorded at their carrying values as of the respective dates of acquisition, as their carrying values approximated their fair values due to their short-term nature. The fair values of goodwill and other intangible assets acquired in these acquisitions were internally estimated primarily based on the income approach. The income approach estimates fair value based on the present value of the cash flows that the assets are expected to generate in the future. We developed internal estimates for the expected future cash flows and discount rates used in the present value calculations. Other than assets acquired and liabilities assumed in these acquisitions, there were no material assets or liabilities measured at fair value on a nonrecurring basis during 2018, 2017, or 2016.

- Definition

The entire disclosure for the fair value of financial instruments (as defined), including financial assets and financial liabilities (collectively, as defined), and the measurements of those instruments as well as disclosures related to the fair value of non-financial assets and liabilities. Such disclosures about the financial instruments, assets, and liabilities would include: (1) the fair value of the required items together with their carrying amounts (as appropriate); (2) for items for which it is not practicable to estimate fair value, disclosure would include: (a) information pertinent to estimating fair value (including, carrying amount, effective interest rate, and maturity, and (b) the reasons why it is not practicable to estimate fair value; (3) significant concentrations of credit risk including: (a) information about the activity, region, or economic characteristics identifying a concentration, (b) the maximum amount of loss the entity is exposed to based on the gross fair value of the related item, (c) policy for requiring collateral or other security and information as to accessing such collateral or security, and (d) the nature and brief description of such collateral or security; (4) quantitative information about market risks and how such risks are managed; (5) for items measured on both a recurring and nonrecurring basis information regarding the inputs used to develop the fair value measurement; and (6) for items presented in the financial statement for which fair value measurement is elected: (a) information necessary to understand the reasons for the election, (b) discussion of the effect of fair value changes on earnings, (c) a description of [similar groups] items for which the election is made and the relation thereof to the balance sheet, the aggregate carrying value of items included in the balance sheet that are not eligible for the election; (7) all other required (as defined) and desired information.

+ References + Details

MEDICARE PART D

12 Months Ended

Dec. 31, 2018

Insurance [Abstract]

MEDICARE PART D

As discussed in Note 2, we cover prescription drug benefits in accordance with Medicare Part D under multiple contracts with CMS. The accompanying consolidated balance sheets include the following amounts associated with Medicare Part D as of December 31, 2018 and 2017. CMS subsidies/discounts in the table below include the reinsurance and low-income cost subsidies funded by CMS for which we assume no risk as well as brand name prescription drug discounts for Part D plan participants in the coverage gap funded by CMS and pharmaceutical manufacturers.



	2018						2017
	Risk Corridor Settlement			CMS Subsidies/ Discounts			Risk Corridor Settlement			CMS Subsidies/ Discounts
	(in millions)
Other current assets	$	15		$	172		$	4		$	101
Trade accounts payable and accrued expenses	(103		)	(503		)	(255		)	(1,085		)
Net current liability	(88		)	(331		)	(251		)	$	(984	)
Other long-term assets	7			—			—			—
Other long-term liabilities	(89		)	—			(28		)	—
Net long-term liability	(82		)	—			(28		)	—
Total net liability	$	(170	)	$	(331	)	$	(279	)	$	(984	)

PROPERTY AND EQUIPMENT, NET

12 Months Ended

Dec. 31, 2018

Property, Plant and Equipment [Abstract]

PROPERTY AND EQUIPMENT, NET

Property and equipment was comprised of the following at December 31, 2018 and 2017.



	2018			2017
	(in millions)
Land	$	20		$	20
Buildings and leasehold improvements	766			713
Equipment	890			824
Computer software	2,372			2,003
	4,048			3,560
Accumulated depreciation	(2,313		)	(1,976		)
Property and equipment, net	$	1,735		$	1,584

Depreciation expense was $444 million in 2018, $410 million in 2017, and $388 million in 2016, including amortization expense for capitalized internally developed and purchased software of $298 million in 2018, $287 million in 2017, and $255 million in 2016.

GOODWILL AND OTHER INTANGIBLE ASSETS

12 Months Ended

Dec. 31, 2018

Goodwill and Intangible Assets Disclosure [Abstract]

GOODWILL AND OTHER INTANGIBLE ASSETS

Changes in the carrying amount of goodwill for our reportable segments for the years ended December 31, 2018 and 2017 were as follows:



	Retail		Group and Specialty		Healthcare Services		Total
	(in millions)
Balance at January 1, 2017	$	1,059	$	261	$	1,952	$	3,272
Acquisitions	—		—		9		9
Balance at December 31, 2017	1,059		261		1,961		3,281
Acquisitions	476		—		140		616
Balance at December 31, 2018	$	1,535	$	261	$	2,101	$	3,897

The following table presents details of our other intangible assets included in other long-term assets in the accompanying consolidated balance sheets at December 31, 2018 and 2017.



	Weighted Average Life	2018						2017
	Weighted Average Life	Cost		Accumulated Amortization		Net		Cost		Accumulated Amortization		Net
		(in millions)
Other intangible assets:
Customer contracts/relationships	8.7 years	$	646	$	434	$	212	$	566	$	401	$	165
Trade names and technology	6.4 years	84		83		1		104		84		20
Provider contracts	11.8 years	68		37		31		68		30		38
Noncompetes and other	7.3 years	29		28		1		32		29		3
Total other intangible assets	8.7 years	$	827	$	582	$	245	$	770	$	544	$	226

Amortization expense for other intangible assets was approximately $90 million in 2018, $75 million in 2017, and $77 million in 2016. Amortization expense for 2018 included $12 million associated with the write-off of a trade name value reflecting the re-branding of certain provider assets.

The following table presents our estimate of amortization expense for each of the five next succeeding fiscal years:



	(in millions)
For the years ending December 31,
2019	$	70
2020	67
2021	34
2022	31
2023	18

BENEFITS PAYABLE

12 Months Ended

Dec. 31, 2018

Defined Benefit Plans and Other Postretirement Benefit Plans Disclosures [Abstract]

BENEFITS PAYABLE

On a consolidated basis, activity in benefits payable, excluding military services, was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Balances at January 1	$	4,668		$	4,563		$	4,976
Less: Premium deficiency reserve	—			—			(176		)
Less: Reinsurance recoverables	(70		)	(76		)	(85		)
Balances at January 1, net	4,598			4,487			4,715
Incurred related to:
Current year	46,385			44,001			45,318
Prior years	(503		)	(483		)	(582		)
Total incurred	45,882			43,518			44,736
Paid related to:
Current year	(41,736		)	(39,496		)	(40,852		)
Prior years	(3,977		)	(3,911		)	(4,112		)
Total paid	(45,713		)	(43,407		)	(44,964		)
Reinsurance recoverable	95			70			76
Balances at December 31	$	4,862		$	4,668		$	4,563

Amounts incurred related to prior years vary from previously estimated liabilities as the claims ultimately are settled. Negative amounts reported for incurred related to prior years result from claims being ultimately settled for amounts less than originally estimated (favorable development).

As previously discussed, our reserving practice is to consistently recognize the actuarial best estimate of our ultimate liability for claims. Actuarial standards require the use of assumptions based on moderately adverse experience, which generally results in favorable reserve development, or reserves that are considered redundant. We experienced favorable medical claims reserve development related to prior fiscal years of $503 million in 2018, $483 million in 2017, and $582 million in 2016. The table below details our favorable medical claims reserve development related to prior fiscal years by segment for 2018, 2017, and 2016.



	Favorable Medical Claims Reserve Development
	2018			2017			2016

Retail Segment	$	(398	)	$	(386	)	$	(429	)
Group and Specialty Segment	(46		)	(40		)	(46		)
Individual Commercial Segment	(57		)	(56		)	(106		)
Other Businesses	(2		)	(1		)	(1		)
Total	$	(503	)	$	(483	)	$	(582	)

The favorable medical claims reserve development for 2018, 2017, and 2016 primarily reflects the consistent application of trend and completion factors estimated using an assumption of moderately adverse conditions. Favorable prior period development primarily resulted from our Medicare Advantage and individual commercial medical businesses.

Benefits expense excluded from the previous table was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018		2017			2016
	(in millions)
Premium deficiency reserve for short-duration policies	$	—	$	—		$	(176	)
Military services	—		—			8
Future policy benefits	—		(22		)	439
Total	$	—	$	(22	)	$	271

Military services benefits expense for 2016 in the table above reflect expenses associated with our contracts with the Veterans Administration.

The higher benefits expense associated with future policy benefits payable during 2016 primarily relates to reserve strengthening for our closed block of long-term care insurance policies, which were sold in 2018, as more fully described in Note 18.

Incurred and Paid Claims Development

The following discussion provides information about incurred and paid claims development for our segments as of December 31, 2018, net of reinsurance, as well as cumulative claim frequency and the total of IBNR included within the net incurred claims amounts. The information about incurred and paid claims development for the years ended December 31, 2016 and 2017 is presented as supplementary information.

Claims frequency is measured as medical fee-for-service claims for each service encounter with a unique provider identification number. Our claims frequency measure includes claims covered by deductibles as well as claims under capitated arrangements. Claim counts may vary based on product mix and the percentage of delegated capitation arrangements.

Retail Segment

Activity in benefits payable for our Retail segment was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Balances at January 1	$	3,963		$	3,506		$	3,600
Less: Reinsurance recoverables	(70		)	(76		)	(85		)
Balances at January 1, net	3,893			3,430			3,515
Incurred related to:
Current year	41,323			38,604			37,212
Prior years	(398		)	(386		)	(429		)
Total incurred	40,925			38,218			36,783
Paid related to:
Current year	(37,189		)	(34,781		)	(33,784		)
Prior years	(3,386		)	(2,974		)	(3,084		)
Total paid	(40,575		)	(37,755		)	(36,868		)
Reinsurance recoverable	95			70			76
Balances at December 31	$	4,338		$	3,963		$	3,506

At December 31, 2018, benefits payable for our Retail segment included IBNR of approximately $2.9 billion, primarily associated with claims incurred in 2018. The cumulative number of reported claims as of December 31, 2018 was approximately 104.3 million for claims incurred in 2018, 102.1 million for claims incurred in 2017, and 96.2 million for claims incurred in 2016.

The following tables provide information about incurred and paid claims development for the Retail segment as of December 31, 2018, net of reinsurance.



	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	37,212	$	36,891	$	36,811
2017			38,604		38,341
2018					41,323
Total					$	116,475



	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	33,784	$	36,841	$	36,811
2017			34,781		38,232
2018					37,189
Total					$	112,232
All outstanding benefit liabilities before 2015, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	4,243

Group and Specialty Segment

Activity in benefits payable for our Group and Specialty segment, excluding military services, was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Balances at January 1	$	568		$	579		$	616
Less: Reinsurance recoverables	—			—			—
Balances at January 1, net	568			579			616
Incurred related to:
Current year	5,466			5,403			5,271
Prior years	(46		)	(40		)	(46		)
Total incurred	5,420			5,363			5,225
Paid related to:
Current year	(4,957		)	(4,843		)	(4,700		)
Prior years	(514		)	(531		)	(562		)
Total paid	(5,471		)	(5,374		)	(5,262		)
Balances at December 31	$	517		$	568		$	579

At December 31, 2018, benefits payable for our Group and Specialty segment included IBNR of approximately $448 million, primarily associated with claims incurred in 2018. The cumulative number of reported claims as of December 31, 2018 was approximately 10.4 million for claims incurred in 2018, 11.1 million for claims incurred in 2017, and 12.9 million for claims incurred in 2016.

The following tables provide information about incurred and paid claims development for the Group and Specialty segment as of December 31, 2018, net of reinsurance.



	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	5,271	$	5,234	$	5,235
2017			5,403		5,358
2018					5,466
Total					$	16,059



	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	4,700	$	5,226	$	5,234
2017			4,843		5,351
2018					4,957
Total					$	15,542
All outstanding benefit liabilities before 2015, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	517

Individual Commercial Segment

Activity in benefits payable for our Individual Commercial segment, was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Balances at January 1	$	101		$	454		$	741
Less: Premium deficiency reserve	—			—			(176		)
Balances at January 1, net	101			454			565
Incurred related to:
Current year	—			669			3,677
Prior years	(56		)	(56		)	(106		)
Total incurred	(56		)	613			3,571
Paid related to:
Current year	—			(583		)	(3,233		)
Prior years	(38		)	(383		)	(449		)
Total paid	(38		)	(966		)	(3,682		)
Balances at December 31	$	7		$	101		$	454

At December 31, 2018, benefits payable for our Individual Commercial segment included IBNR of approximately $1 million, associated with claims prior to 2018. The cumulative number of reported claims as of December 31, 2017 was approximately 2.2 million for claims incurred in 2017 and 9.5 million for claims incurred in 2016.

The following tables provide information about incurred and paid claims development for the Individual Commercial segment as of December 31, 2018, net of reinsurance.



	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	3,677	$	3,621	$	3,609
2017			669		627
2018					—
Total					$	4,236



	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	3,233	$	3,606	$	3,609
2017			583		620
2018					—
Total					$	4,229
All outstanding benefit liabilities before 2015, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	7

Reconciliation to Consolidated

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



	December 31, 2018
Net outstanding liabilities
Retail	$	4,243
Group and Specialty	517
Individual Commercial	7
Benefits payable, net of reinsurance	4,767
Reinsurance recoverable on unpaid claims
Retail	95
Total benefits payable, gross	$	4,862

INCOME TAXES

12 Months Ended

Dec. 31, 2018

Income Tax Disclosure [Abstract]

INCOME TAXES

The provision for income taxes consisted of the following for the years ended December 31, 2018, 2017 and 2016:



	2018		2017		2016
	(in millions)
Current provision:
Federal	$	139	$	1,324	$	921
States and Puerto Rico	58		116		88
Total current provision	197		1,440		1,009
Deferred expense (benefit)	194		132		(71		)
Provision for income taxes	$	391	$	1,572	$	938

The provision for income taxes was different from the amount computed using the federal statutory rate for the years ended December 31, 2018, 2017 and 2016 due to the following:



	2018			2017			2016
	(in millions)
Income tax provision at federal statutory rate	$	436		$	1,407		$	543
States, net of federal benefit, and Puerto Rico	42			80			41
Tax exempt investment income	(11		)	(22		)	(20		)
Health insurance industry fee	243			—			336
Nondeductible executive compensation	17			36			30
Tax reform	(39		)	133			—
KMG sale	(272		)	—			—
Other, net	(25		)	(62		)	8
Provision for income taxes	$	391		$	1,572		$	938

The tax reform law enacted on December 22, 2017 (the "Tax Reform Law") reduced the statutory federal corporate income tax rate to 21 percent from 35 percent, beginning in 2018, and required a mandatory deemed repatriation of undistributed foreign earnings. The rate reduction required a remeasurement of our net deferred tax asset. These items resulted in an estimated increase in our 2017 tax provision of approximately $133 million, including approximately $10 million for the deemed repatriation tax imposed on the undistributed earnings of our Puerto Rico operations. Revisions to our prior estimate for the income tax effects of the Tax Reform Law decreased our 2018 tax provision by approximately $39 million.

The incremental tax benefit on the sale of KMG of $272 million resulted from a tax loss higher than the loss recorded in the statement of income for the year ended December 31, 2018 due to a higher tax basis in KMG than book basis. In addition, the amount reflects our ability to carryback the capital loss to tax years 2015, 2016 and 2017 at the historical tax rate of 35 percent instead of the current tax rate of 21 percent.

Deferred income tax balances reflect the impact of temporary differences between the tax bases of assets or liabilities and their reported amounts in our consolidated financial statements, and are stated at enacted tax rates expected to be in effect when the reported amounts are actually recovered or settled.

Principal components of our net deferred tax balances at December 31, 2018 and 2017 were as follows:



	Assets (Liabilities)
	2018			2017
	(in millions)
Compensation and other accrued expense	$	89		$	138
Benefits payable	79			113
Investment securities	44			—
Net operating loss carryforward	38			53
Capital loss carryforward	15			—
Deferred acquisition costs	17			48
Unearned revenues	9			12
Other	8			1
Future policy benefits payable	—			231
Total deferred income tax assets	299			596
Valuation allowance	(54		)	(49		)
Total deferred income tax assets, net of valuation allowance	245			547
Depreciable property and intangible assets	(273		)	(237		)
Prepaid expenses	(52		)	(44		)
Future policy benefits payable	(5		)	—
Investment securities	—			(49		)
Total deferred income tax liabilities	(330		)	(330		)
Total net deferred income tax assets/(liabilities)	$	(85	)	$	217

All deferred tax liabilities and assets are classified as noncurrent in our consolidated balance sheets as other long-term liabilities at December 31, 2018 and as other long-term assets at December 31, 2017.

At December 31, 2018, we had approximately $104 million of net operating losses and $64 million of capital losses to carry forward. These loss carryforwards, if not used to offset future taxable income or capital gain, will expire from 2019 through 2037. Due to limitations and uncertainty regarding our ability to use some of the loss carryforwards and certain other deferred tax assets, a valuation allowance of $54 million was established. For the remainder of the net operating loss carryforwards and other cumulative temporary differences, based on our historical record of producing taxable income and profitability, we have concluded that future operating income will be sufficient to give rise to tax expense to recover these deferred tax assets.

We file income tax returns in the United States and Puerto Rico. The U.S. Internal Revenue Service, or IRS, has completed its examinations of our consolidated income tax returns for 2016 and prior years. Our 2017 tax return is in the post-filing review period under the Compliance Assurance Process, or CAP. Our 2018 tax return is under advance review by the IRS under CAP. With a few exceptions, which are immaterial in the aggregate, we no longer are subject to state, local and foreign tax examinations for years before 2015. We are not aware of any material adjustments that may be proposed as a result of any ongoing or future examinations. We do not have material uncertain tax positions reflected in our consolidated balance sheets.

DEBT

12 Months Ended

Dec. 31, 2018

Debt Disclosure [Abstract]

DEBT

The carrying value of debt outstanding was as follows at December 31, 2018 and 2017:



	2018		2017
	(in millions)
Short-term debt:
Commercial paper	$	645	150
Term note	650		—
Senior note:
$400 million, 2.625% due October 1, 2019	399		—
Total short-term debt	$	1,694	$	150

Long-term debt:
Senior notes:
$400 million, 2.625% due October 1, 2019	$	—	$	399
$400 million, 2.50% due December 15, 2020	398		397
$400 million, 2.90% due December 15, 2022	396		396
$600 million, 3.15% due December 1, 2022	596		595
$600 million, 3.85% due October 1, 2024	597		595
$600 million, 3.95% due March 15, 2027	594		594
$250 million, 8.15% due June 15, 2038	263		263
$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	396		396
Total long-term debt	$	4,375	$	4,770

Maturities of the short-term and long-term debt for the years ending December 31, are as follows:



For the years ending December 31,	(in millions)
2019	$	1,697
2020	400
2021	—
2022	1,000
2023	—
Thereafter	3,000

Senior Notes

Our senior notes, which are unsecured, may be redeemed at our option at any time at 100% of the principal amount plus accrued interest and a specified make-whole amount. The 8.15% senior notes are subject to an interest rate adjustment if the debt ratings assigned to the notes are downgraded (or subsequently upgraded). In addition, our senior notes contain a change of control provision that may require us to purchase the notes under certain circumstances. We recognized a loss on extinguishment of debt of approximately $17 million in 2017 for the early redemption of senior notes, which is included in interest expense in the consolidated statements of income.

Credit Agreement

Our 5-year, $2.0 billion unsecured revolving credit agreement expires May 2022. Under the credit agreement, at our option, we can borrow on either a competitive advance basis or a revolving credit basis. The revolving credit portion bears interest at either LIBOR plus a spread or the base rate plus a spread. The LIBOR spread, currently 110.0 basis points, varies depending on our credit ratings ranging from 91.0 to 150.0 basis points. We also pay an annual facility fee regardless of utilization. This facility fee, currently 15.0 basis points, may fluctuate between 9.0 and 25.0 basis points, depending upon our credit ratings. The competitive advance portion of any borrowings will bear interest at market rates prevailing at the time of borrowing on either a fixed rate or a floating rate based on LIBOR, at our option.

The terms of the credit agreement include standard provisions related to conditions of borrowing which could limit our ability to borrow additional funds. In addition, the credit agreement contains customary restrictive covenants and a financial covenant regarding maximum debt to capitalization of 50% as well as customary events of default. We are in compliance with this financial covenant, with an actual debt to capitalization of 37% as measured in accordance with the credit agreement as of December 31, 2018. Upon our agreement with one or more financial institutions, we may expand the aggregate commitments under the credit agreement to a maximum of $2.5 billion, through a $500 million incremental loan facility.

At December 31, 2018, we had no borrowings and no letters of credit outstanding under the credit agreement. Accordingly, as of December 31, 2018, we had $2 billion of remaining borrowing capacity (which excludes the uncommitted $500 million incremental loan facility under the credit agreement), none of which would be restricted by our financial covenant compliance requirement. We have other customary, arms-length relationships, including financial advisory and banking, with some parties to the credit agreement.

Commercial Paper

Under our commercial paper program we may issue short-term, unsecured commercial paper notes privately placed on a discount basis through certain broker dealers at any time not to exceed $2 billion. Amounts available under the program may be borrowed, repaid and re-borrowed from time to time. The net proceeds of issuances have been and are expected to be used for general corporate purposes. The maximum principal amount outstanding at any one time during the year ended December 31, 2018 was $923 million, with $645 million outstanding at December 31, 2018 compared to $150 million outstanding at December 31, 2017. The outstanding commercial paper at December 31, 2018 had a weighted average annual interest rate of 3.06%.

Term Note

In November 2018, we entered into a $1.0 billion term note agreement with a bank at a variable rate of interest due within one year. We may elect to incur interest at either the bank's base rate or LIBOR plus 115 basis points. The base rate is defined as the higher of the daily federal funds rate plus 50 basis points; or the bank's prime rate; or LIBOR plus 100 basis points. The interest rate in effect at December 31, 2018 was 3.67%. The note is prepayable without penalty. Proceeds were primarily used to fund the November 2018 accelerated stock repurchase agreement. We repaid $350 million prior to December 31, 2018. The term note shares the customary terms and provisions as well as financial covenants of our Credit Agreement, as discussed above.

EMPLOYEE BENEFIT PLANS

12 Months Ended

Dec. 31, 2018

Retirement Benefits [Abstract]

EMPLOYEE BENEFIT PLANS

Employee Savings Plan

We have defined contribution retirement savings plans covering eligible employees which include matching contributions based on the amount of our employees’ contributions to the plans. The cost of these plans amounted to approximately $197 million in 2018, $217 million in 2017, and $196 million in 2016. The Company’s cash match is invested pursuant to the participant’s contribution direction. Based on the closing price of our common stock of $286.48 on December 31, 2018, approximately 12% of the retirement and savings plan’s assets were invested in our common stock, or approximately 1.8 million shares, representing approximately 1.3% of the shares outstanding as of December 31, 2018. At December 31, 2018, approximately 2.0 million shares of our common stock were reserved for issuance under our defined contribution retirement savings plans.

Stock-Based Compensation

We have plans under which options to purchase our common stock and restricted stock units have been granted to executive officers, directors and key employees. Awards generally require both a change in control and termination of employment within 2 years of the date of the change in control to accelerate the vesting, including those granted to retirement-eligible participants.

The terms and vesting schedules for stock-based awards vary by type of grant. Generally, the awards vest upon time-based conditions. We have also granted awards to certain employees that vest upon a combination of time and performance-based conditions. The stock awards of retirement-eligible participants are generally earned ratably over the service period for each tranche. Accordingly, upon retirement the earned portion of the current tranche will continue to vest on the originally scheduled vest date and any remaining unearned portion of the award will be forfeited. Our equity award program includes a retirement provision that generally treats employees with a combination of age and years of services with the Company totaling 65 or greater, with a minimum required age of 55 and a minimum requirement of 5 years of service, as retirement-eligible. Upon exercise, stock-based compensation awards are settled with authorized but unissued company stock or treasury stock.

The compensation expense that has been charged against income for these plans was as follows for the years ended December 31, 2018, 2017, and 2016:



	2018			2017			2016
	(in millions)
Stock-based compensation expense by type:
Restricted stock	$	124		$	145		$	106
Stock options	13			12			9
Total stock-based compensation expense	137			157			115
Tax benefit recognized	(21		)	(32		)	(20		)
Stock-based compensation expense, net of tax	$	116		$	125		$	95

Stock-based compensation expense for certain restricted stock in 2017 included a $29 million modification expense for certain awards.

The tax benefit recognized in our consolidated financial statements is based on the amount of compensation expense recorded for book purposes, subject to limitations on the deductibility of annual compensation in excess of $500,000 per employee as mandated by the Health Care Reform Law. The actual tax benefit realized in our tax return is based on the intrinsic value, or the excess of the market value over the exercise or purchase price, of stock options exercised and restricted stock vested during the period, subject to limitations on the deductibility of annual compensation in excess of $500,000 per employee as mandated by the Health Care Reform Law. The actual tax benefit realized for the deductions taken on our tax returns from option exercises and restricted stock vesting totaled $49 million in 2018, $68 million in 2017, and $53 million in 2016. There was no capitalized stock-based compensation expense during these years.

At December 31, 2018, there were 13.1 million shares reserved for stock award plans. These reserved shares included giving effect to, under the 2011 Plan, 4.7 million shares of common stock available for future grants assuming all stock options were granted or 2.0 million shares available for future grants assuming all restricted stock were granted. Shares may be issued from authorized but unissued company stock or treasury stock.

Restricted Stock

Restricted stock is granted with a fair value equal to the market price of our common stock on the date of grant and generally vests in equal annual tranches over a three year period from the date of grant. Certain of our restricted stock grants also include performance-based conditions generally associated with return on invested capital and strategic membership growth. Restricted stock units have forfeitable dividend equivalent rights equal to the dividend paid on common stock. The weighted-average grant date fair value of our restricted stock was $276.62 in 2018, $222.35 in 2017, and $168.12 in 2016. Activity for our restricted stock was as follows for the year ended December 31, 2018:



	Shares		Weighted- Average Grant-Date Fair Value
	(shares in thousands)
Nonvested restricted stock at December 31, 2017	1,653		$	171.68
Granted	576		276.62
Vested	(1,045	)	185.82
Forfeited	(220	)	180.83
Nonvested restricted stock at December 31, 2018	964		$	213.99

Approximately 12% of the nonvested restricted stock at December 31, 2018 included performance-based conditions.

The fair value of shares vested was $298 million during 2018, $306 million during 2017, and $253 million during 2016. Total compensation expense not yet recognized related to nonvested restricted stock was $156 million at December 31, 2018. We expect to recognize this compensation expense over a weighted-average period of approximately 1.8 years. There are no other contractual terms covering restricted stock once vested.

Stock Options

Stock options are granted with an exercise price equal to the fair market value of the underlying common stock on the date of grant. Our stock plans, as approved by the Board of Directors and stockholders, define fair market value as the average of the highest and lowest stock prices reported on the composite tape by the New York Stock Exchange on a given date. Exercise provisions vary, but most options vest in whole or in part 1 to 3 years after grant and expire 7 years after grant.

The weighted-average fair value of each option granted during 2018, 2017, and 2016 is provided below. The fair value was estimated on the date of grant using the Black-Scholes pricing model with the weighted-average assumptions indicated below:



	2018			2017			2016
Weighted-average fair value at grant date	$	63.67		$	49.81		$	37.12
Expected option life (years)	4.1 years			4.1 years			4.2 years
Expected volatility	26.1		%	27.1		%	27.6		%
Risk-free interest rate at grant date	2.5		%	2.0		%	1.1		%
Dividend yield	0.7		%	0.7		%	0.7		%

When valuing employee stock options, we stratify the employee population into three homogeneous groups that historically have exhibited similar exercise behaviors. These groups are executive officers, directors, and all other employees. We value the stock options based on the unique assumptions for each of these employee groups.

We calculate the expected term for our employee stock options based on historical employee exercise behavior and base the risk-free interest rate on a traded zero-coupon U.S. Treasury bond with a term substantially equal to the option’s expected term.

The volatility used to value employee stock options is based on historical volatility. We calculate historical volatility using a simple-average calculation methodology based on daily price intervals as measured over the expected term of the option.

Activity for our option plans was as follows for the year ended December 31, 2018:



	Shares Under Option		Weighted-Average Exercise Price
	(shares in thousands)
Options outstanding at December 31, 2017	863		$	181.44
Granted	143		276.01
Exercised	(320	)	157.44
Forfeited	(9	)	150.59
Options outstanding at December 31, 2018	677		$	213.17
Options exercisable at December 31, 2018	178		$	180.76

As of December 31, 2018, outstanding stock options, substantially all of which are expected to vest, had an aggregate intrinsic value of $48 million, and a weighted-average remaining contractual term of 5 years. As of December 31, 2018, exercisable stock options had an aggregate intrinsic value of $19 million, and a weighted-average remaining contractual term of 4.1 years. The total intrinsic value of stock options exercised during 2018 was $43 million, compared with $44 million during 2017 and $18 million during 2016. Cash received from stock option exercises totaled $50 million in 2018, $63 million in 2017, and $14 million in 2016.

Total compensation expense not yet recognized related to nonvested options was $14 million at December 31, 2018. We expect to recognize this compensation expense over a weighted-average period of approximately 1.7 years.

EARNINGS PER COMMON SHARE COMPUTATION

12 Months Ended

Dec. 31, 2018

Earnings Per Share [Abstract]

EARNINGS PER COMMON SHARE COMPUTATION

Detail supporting the computation of basic and diluted earnings per common share was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018		2017		2016
	(dollars in millions, except per common share results, number of shares/options in thousands)
Net income available for common stockholders	$	1,683	$	2,448	$	614
Weighted-average outstanding shares of common stock used to compute basic earnings per common share	137,486		144,493		149,375
Dilutive effect of:
Employee stock options	194		172		219
Restricted stock	723		920		1,323
Shares used to compute diluted earnings per common share	138,403		145,585		150,917
Basic earnings per common share	$	12.24	$	16.94	$	4.11
Diluted earnings per common share	$	12.16	$	16.81	$	4.07
Number of antidilutive stock options and restricted stock awards excluded from computation	223		539		748

STOCKHOLDERS' EQUITY

12 Months Ended

Dec. 31, 2018

Equity [Abstract]

STOCKHOLDERS' EQUITY

STOCKHOLDERS’ EQUITY

Dividends

The following table provides details of dividend payments, excluding dividend equivalent rights, in 2016, 2017, and 2018 under our Board approved quarterly cash dividend policy:



Payment Date	Amount per Share	Total Amount
		(in millions)
2016	$1.16	$172
2017	$1.49	$216
2018	$1.90	$262

On November 2, 2018, the Board declared a cash dividend of $0.50 per share that was paid on January 25, 2019 to stockholders of record on December 31, 2018, for an aggregate amount of $68 million. Declaration and payment of future quarterly dividends is at the discretion of our Board and may be adjusted as business needs or market conditions change.

In February 2019, the Board declared a cash dividend of $0.55 per share payable on April 26, 2019 to stockholders of record on March 29, 2019.

Stock Repurchases

Our Board of Directors may authorize the purchase of our common shares. Under our share repurchase authorization, shares may have been purchased from time to time at prevailing prices in the open market, by block purchases, through plans designed to comply with Rule 10b5-1 under the Securities Exchange Act of 1934, as amended, or in privately-negotiated transactions (including pursuant to accelerated share repurchase agreements with investment banks), subject to certain regulatory restrictions on volume, pricing, and timing.

On February 14, 2017, our Board of Directors authorized the repurchase of up to $2.25 billion of our common shares expiring on December 31, 2017, exclusive of shares repurchased in connection with employee stock plans.

On February 16, 2017, we entered into an accelerated share repurchase agreement, the February 2017 ASR, with Goldman, Sachs & Co. LLC, or Goldman Sachs, to repurchase $1.5 billion of our common stock as part of the $2.25 billion share repurchase authorized on February 14, 2017. On February 22, 2017, we made a payment of $1.5 billion to Goldman Sachs from available cash on hand and received an initial delivery of 5.83 million shares of our common stock from Goldman Sachs based on the then current market price of Humana common stock. The payment to Goldman Sachs was recorded as a reduction to stockholders’ equity, consisting of a $1.2 billion increase in treasury stock, which reflected the value of the initial 5.83 million shares received upon initial settlement, and a $300 million decrease in capital in excess of par value, which reflected the value of stock held back by Goldman Sachs pending final settlement of the February 2017 ASR. Upon settlement of the February 2017 ASR on August 28, 2017, we received an additional 0.84 million shares as determined by the average daily volume weighted-average share price of our common stock during the term of the agreement of $224.81, less a discount and subject to adjustments pursuant to the terms and conditions of the February 2017 ASR, bringing the total shares received under this program to 6.67 million. In addition, upon settlement we reclassified the $300 million value of stock initially held back by Goldman Sachs from capital in excess of par value to treasury stock. Subsequent to settlement of the February 2017 ASR, we repurchased an additional 3.04 million shares in the open market, utilizing the remaining $750 million of the $2.25 billion authorization prior to expiration.

On December 14, 2017, our Board of Directors authorized the repurchase of up to $3.0 billion of our common shares expiring on December 31, 2020, exclusive of shares repurchased in connection with employee stock plans.

On December 21, 2017, we entered into an accelerated stock repurchase agreement, the December 2017 ASR, with Bank of America, N.A., or BofA, to repurchase $1.0 billion of our common stock as part of the $3.0 billion share repurchase program authorized on December 14, 2017. On December 22, 2017, we made a payment of $1.0 billion to BofA from available cash on hand and received an initial delivery of 3.28 million shares of our common stock from BofA based on the then current market price of Humana common stock. The payment to BofA was recorded as a reduction to stockholders’ equity, consisting of an $800 million increase in treasury stock, which reflected the value of the initial 3.28 million shares received upon initial settlement, and a $200 million decrease in capital in excess of par value, which reflected the value of stock held back by BofA pending final settlement of the December 2017 ASR. Upon settlement of the ASR on March 26, 2018, we received an additional 0.46 million shares as determined by the average daily volume weighted-average share price of our common stock during the term of the ASR Agreement of $267.55, bringing the total shares received under this program to 3.74 million. In addition, upon settlement we reclassified the $200 million value of stock initially held back by BofA from capital in excess of par value to treasury stock.

On November 28, 2018, we entered into an accelerated stock repurchase agreement, the November 2018 ASR, with Goldman Sachs to repurchase $750 million of our common stock as part of the $3.0 billion share repurchase program authorized by the Board of Directors on December 14, 2017. On November 29, 2018, we made a payment of $750 million to Goldman Sachs from available cash on hand and received an initial delivery of 1.94 million shares of our common stock from Goldman Sachs. The payment to Goldman Sachs was recorded as a reduction to stockholders’ equity, consisting of a $600 million increase in treasury stock, which reflects the value of the initial 1.94 million shares received upon initial settlement, and a $150 million decrease in capital in excess of par value, which reflected the value of stock held back by Goldman Sachs pending final settlement of the November 2018 ASR. The final number of shares that we may receive, or be required to remit, under the agreement will be determined based on the daily volume-weighted average share price of our common stock over the term of the agreement, less a discount and subject to adjustments pursuant to the terms and conditions of the agreement. Final settlement under the November 2018 ASR is expected to occur by the end of the first quarter of 2019. The agreement contains provisions customary for agreements of this type, including provisions for adjustments to the transaction terms upon certain specified events, the circumstances generally under which final settlement may be accelerated or extended or the agreement may be terminated early by Goldman Sachs or Humana, and various acknowledgments and representations made by the parties to each other. At final settlement, under certain circumstances, we may be entitled to receive additional shares of our common stock from Goldman Sachs or we may be required to make a payment. If we are obligated to make payment, we may elect to satisfy such obligation in cash or shares of our common stock.

Our remaining repurchase authorization was approximately $1,176 million as of February 21, 2019, excluding the $150 million pending final settlement of our November 28, 2018 ASR.

Excluding shares acquired in connection with employee stock plans, share repurchases were as follows during the years ended December 31, 2018, 2017 and 2016.




		2018			2017			2016
Authorization Date	Purchase Not to Exceed	Shares	Cost		Shares	Cost		Shares	Cost
	(in millions)
February 2017	2,250	—	—		9.71	2,250		—	—
December 2017	3,000	3.07	1,024		3.28	800		—	—
Total repurchases		3.07	$	1,024	12.99	$	3,050	—	$	—

In connection with employee stock plans, we acquired 0.4 million common shares for $116 million in 2018, 0.5 million common shares for $115 million in 2017, and 0.6 million common shares for $104 million in 2016.

Regulatory Requirements

Certain of our subsidiaries operate in states that regulate the payment of dividends, loans, or other cash transfers to Humana Inc., our parent company, and require minimum levels of equity as well as limit investments to approved securities. The amount of dividends that may be paid to Humana Inc. by these subsidiaries, without prior approval by state regulatory authorities, or ordinary dividends, is limited based on the entity’s level of statutory income and statutory capital and surplus. If the dividend, together with other dividends paid within the preceding twelve months, exceeds a specified statutory limit or is paid from sources other than earned surplus, it is generally considered an extraordinary dividend requiring prior regulatory approval. In most states, prior notification is provided before paying a dividend even if approval is not required.

Although minimum required levels of equity are largely based on premium volume, product mix, and the quality of assets held, minimum requirements vary significantly at the state level. Our state regulated insurances subsidiaries had aggregate statutory capital and surplus of approximately $7.6 billion and $8.0 billion as of December 31, 2018 and 2017, respectively, which exceeded aggregate minimum regulatory requirements of $5.2 billion and $4.8 billion, respectively. The amount of ordinary dividends that may be paid to our parent company in 2019 is approximately $1 billion in the aggregate. The amount, timing and mix of ordinary and extraordinary dividend payments will vary due to state regulatory requirements, the level of excess statutory capital and surplus and expected future surplus requirements related to, for example, premium volume and product mix. Actual dividends that were paid to our parent company were approximately $2.3 billion in 2018, $1.4 billion in 2017, and $0.8 billion in 2016.

COMMITMENTS, GUARANTEES AND CONTINGENCIES

12 Months Ended

Dec. 31, 2018

Commitments and Contingencies Disclosure [Abstract]

COMMITMENTS, GUARANTEES AND CONTINGENCIES

Leases

We lease facilities, computer hardware, and other furniture and equipment under long-term operating leases that are noncancelable and expire on various dates through 2046. We sublease facilities or partial facilities to third party tenants for space not used in our operations. Rent with scheduled escalation terms are accounted for on a straight-line basis over the lease term. Rent expense and sublease rental income, which are recorded net as an operating cost, for all operating leases were as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Rent expense	$	167		$	204		$	179
Sublease rental income	(32		)	(33		)	(26		)
Net rent expense	$	135		$	171		$	153

Future annual minimum payments due subsequent to December 31, 2018 under all of our noncancelable operating leases with initial terms in excess of one year are as follows:



	Minimum Lease Payments		Sublease Rental Receipts			Net Lease Commitments
	(in millions)
For the years ending December 31,:
2019	$	147	$	(13	)	$	134
2020	113		(12		)	101
2021	96		(10		)	86
2022	79		(9		)	70
2023	34		(9		)	25
Thereafter	50		(23		)	27
Total	$	519	$	(76	)	$	443

Purchase Obligations

We have agreements to purchase services, primarily information technology related services, or to make improvements to real estate, in each case that are enforceable and legally binding on us and that specify all significant terms, including: fixed or minimum levels of service to be purchased; fixed, minimum or variable price provisions; and the appropriate timing of the transaction. We have purchase obligation commitments of $240 million in 2019, $201 million in 2020, $136 million in 2021, $98 million in 2022, and $61 million in 2023. Purchase obligations exclude agreements that are cancelable without penalty.

Off-Balance Sheet Arrangements

As part of our ongoing business, we do not participate or knowingly seek to participate in transactions that generate relationships with unconsolidated entities or financial partnerships, such as entities often referred to as structured finance or special purpose entities, or SPEs, which would have been established for the purpose of facilitating off-balance sheet arrangements or other contractually narrow or limited purposes. As of December 31, 2018, we were not involved in any SPE transactions.

Guarantees and Indemnifications

Through indemnity agreements approved by the state regulatory authorities, certain of our regulated subsidiaries generally are guaranteed by Humana Inc., our parent company, in the event of insolvency for (1) member coverage for which premium payment has been made prior to insolvency; (2) benefits for members then hospitalized until discharged; and (3) payment to providers for services rendered prior to insolvency. Our parent also has guaranteed the obligations of our military services subsidiaries and funding to maintain required statutory capital levels of certain regulated subsidiaries.

In the ordinary course of business, we enter into contractual arrangements under which we may agree to indemnify a third party to such arrangement from any losses incurred relating to the services they perform on behalf of us, or for losses arising from certain events as defined within the particular contract, which may include, for example, litigation or claims relating to past performance. Such indemnification obligations may not be subject to maximum loss clauses. Historically, payments made related to these indemnifications have been immaterial.

Government Contracts

Our Medicare products, which accounted for approximately 80% of our total premiums and services revenue for the year ended December 31, 2018, primarily consisted of products covered under the Medicare Advantage and Medicare Part D Prescription Drug Plan contracts with the federal government. These contracts are renewed generally for a calendar year term unless CMS notifies us of its decision not to renew by May 1 of the calendar year in which the contract would end, or we notify CMS of our decision not to renew by the first Monday in June of the calendar year in which the contract would end. All material contracts between Humana and CMS relating to our Medicare products have been renewed for 2019, and all of our product offerings filed with CMS for 2019 have been approved.

CMS uses a risk-adjustment model which adjusts premiums paid to Medicare Advantage, or MA, plans according to health status of covered members. The risk-adjustment model, which CMS implemented pursuant to the Balanced Budget Act of 1997 (BBA) and the Benefits Improvement and Protection Act of 2000 (BIPA), generally pays more where a plan's membership has higher expected costs. Under this model, rates paid to MA plans are based on actuarially determined bids, which include a process whereby our prospective payments are based on our estimated cost of providing standard Medicare-covered benefits to an enrollee with a "national average risk profile." That baseline payment amount is adjusted to reflect the health status of our enrolled membership. Under the risk-adjustment methodology, all MA plans must collect and submit the necessary diagnosis code information from hospital inpatient, hospital outpatient, and physician providers to CMS within prescribed deadlines. The CMS risk-adjustment model uses the diagnosis data to calculate the risk-adjusted premium payment to MA plans, which CMS adjusts for coding pattern differences between the health plans and the government fee-for-service program. We generally rely on providers, including certain providers in our network who are our employees, to code their claim submissions with appropriate diagnoses, which we send to CMS as the basis for our payment received from CMS under the actuarial risk-adjustment model. We also rely on these providers to document appropriately all medical data, including the diagnosis data submitted with claims. In addition, we conduct medical record reviews as part of our data and payment accuracy compliance efforts, to more accurately reflect diagnosis conditions under the risk adjustment model. These compliance efforts include the internal contract level audits described in more detail below, as well as ordinary course reviews of our internal business processes.

CMS is phasing-in the process of calculating risk scores using diagnoses data from the Risk Adjustment Processing System, or RAPS, to diagnoses data from the Encounter Data System, or EDS. The RAPS process requires MA plans to apply a filter logic based on CMS guidelines and only submit diagnoses that satisfy those guidelines. For submissions through EDS, CMS requires MA plans to submit all the encounter data and CMS will apply the risk adjustment filtering logic to determine the risk scores. For 2018, 15% of the risk score was calculated from claims data submitted through EDS. In 2019 and 2020 CMS will increase that percentage to 25% and 50%, respectively. The phase-in from RAPS to EDS could result in different risk scores from each dataset as a result of plan processing issues, CMS processing issues, or filtering logic differences between RAPS and EDS, and could have a material adverse effect on our results of operations, financial position, or cash flows.

CMS and the Office of the Inspector General of Health and Human Services, or HHS-OIG, are continuing to perform audits of various companies’ selected MA contracts related to this risk adjustment diagnosis data. We refer to these audits as Risk-Adjustment Data Validation Audits, or RADV audits. RADV audits review medical records in an attempt to validate provider medical record documentation and coding practices which influence the calculation of premium payments to MA plans.

In 2012, CMS released a “Notice of Final Payment Error Calculation Methodology for Part C Medicare Advantage Risk Adjustment Data Validation (RADV) Contract-Level Audits.” The payment error calculation methodology provided that, in calculating the economic impact of audit results for an MA contract, if any, the results of the RADV audit sample would be extrapolated to the entire MA contract after a comparison of the audit results to a similar audit of Medicare FFS (we refer to the process of accounting for errors in FFS claims as the "FFS Adjuster"). This comparison of RADV audit results to the FFS error rate is necessary to determine the economic impact, if any, of RADV audit results because the government used the Medicare FFS program data set, including any attendant errors that are present in that data set, to estimate the costs of various health status conditions and to set the resulting adjustments to MA plans’ payment rates in order to establish actuarial equivalence in payment rates as required under the Medicare statute. CMS already makes other adjustments to payment rates based on a comparison of coding pattern differences between MA plans and Medicare FFS data (such as for frequency of coding for certain diagnoses in MA plan data versus the Medicare FFS program dataset).

The final RADV extrapolation methodology, including the first application of extrapolated audit results to determine audit settlements, is expected to be applied to CMS RADV contract level audits conducted for contract year 2011 and subsequent years. CMS is currently conducting RADV contract level audits for certain of our Medicare Advantage plans.

Estimated audit settlements are recorded as a reduction of premiums revenue in our consolidated statements of income, based upon available information. We perform internal contract level audits based on the RADV audit methodology prescribed by CMS. Included in these internal contract level audits is an audit of our Private Fee-For Service business which we used to represent a proxy of the FFS Adjuster which has not yet been finalized. We based our accrual of estimated audit settlements for each contract year on the results of these internal contract level audits and update our estimates as each audit is completed. Estimates derived from these results were not material to our results of operations, financial position, or cash flows. We report the results of these internal contract level audits to CMS, including identified overpayments, if any.

On October 26, 2018, CMS issued a proposed rule and accompanying materials (which we refer to as the “Proposed Rule”) related to, among other things, the RADV audit methodology described above. If implemented, the Proposed Rule would use extrapolation in RADV audits applicable to payment year 2011 contract-level audits and all subsequent audits, without the application of a FFS Adjuster to audit findings. We are studying the Proposed Rule and CMS’ underlying analysis contained therein. We believe, however, that the Proposed Rule fails to address adequately the statutory requirement of actuarial equivalence, and we expect to provide substantive comments to CMS on the Proposed Rule as part of the notice-and-comment rulemaking process. We are also evaluating the potential impact of the Proposed Rule, and any related regulatory, industry or company reactions, all or any of which could have a material adverse effect on our results of operations, financial position, or cash flows.

In addition, as part of our internal compliance efforts, we routinely perform ordinary course reviews of our internal business processes related to, among other things, our risk coding and data submissions in connection with the risk- adjustment model. These reviews may also result in the identification of errors and the submission of corrections to CMS, that may, either individually or in the aggregate, be material. As such, the result of these reviews may have a material adverse effect on our results of operations, financial position, or cash flows.

We believe that CMS' statements and policies regarding the requirement to report and return identified overpayments received by MA plans are inconsistent with CMS' 2012 RADV audit methodology, and the Medicare statute's requirements. These statements and policies, such as certain statements contained in the preamble to CMS’ final rule release regarding Medicare Advantage and Part D prescription drug benefit program regulations for Contract Year 2015 (which we refer to as the "Overpayment Rule"), and the Proposed Rule, appear to equate each Medicare Advantage risk adjustment data error with an “overpayment” without addressing the principles underlying the FFS Adjuster referenced above. On September 7, 2018, the Federal District Court for the District of Columbia vacated CMS's Overpayment Rule, concluding that it violated the Medicare statute, including the requirement for actuarial equivalence, and that the Overpayment Rule was also arbitrary and capricious in departing from CMS's RADV methodology without adequate explanation (among other reasons). CMS has filed a motion for reconsideration related to certain aspects of the Federal District Court's opinion and has simultaneously filed a notice to appeal the decision to the Circuit Court of Appeals.

We will continue to work with CMS to ensure that MA plans are paid accurately and that payment model principles are in accordance with the requirements of the Social Security Act, which, if not implemented correctly could have a material adverse effect on our results of operations, financial position, or cash flows.

At December 31, 2018, our military services business, which accounted for approximately 1% of our total premiums and services revenue for the year ended December 31, 2018, primarily consisted of the TRICARE T2017 East Region contract replacing the 5-year T3 South Region contract that expired on December 31, 2017. The T2017 East Region contract is a consolidation of the former T3 North and South Regions, comprising thirty-two states and approximately 6 million TRICARE beneficiaries, under which delivery of health care services commenced on January 1, 2018. The T2017 East Region contract is a 5-year contract set to expire on December 31, 2022 and is subject to renewals on January 1 of each year during its term at the government's option.

Our state-based Medicaid business accounted for approximately 4% of our total premiums and services revenue for the year ended December 31, 2018. In addition to our state-based Temporary Assistance for Needy Families, or TANF, Medicaid contracts in Florida and Kentucky, we have contracts in Florida for Long Term Support Services (LTSS), and in Illinois for stand-alone dual eligible demonstration programs serving individuals dually eligible for both the federal Medicare program and the applicable state-based Medicaid program.

The loss of any of the contracts above or significant changes in these programs as a result of legislative or regulatory action, including reductions in premium payments to us, regulatory restrictions on profitability, including reviews by regulatory bodies that may compare our Medicare Advantage profitability to our non-Medicare Advantage business profitability, or compare the profitability of various products within our Medicare Advantage business, and require that they remain within certain ranges of each other, or increases in member benefits without corresponding increases in premium payments to us, may have a material adverse effect on our results of operations, financial position, and cash flows.

Legal Proceedings and Certain Regulatory Matters

As previously disclosed, the Civil Division of the United States Department of Justice provided us with an information request in December 2014, concerning our Medicare Part C risk adjustment practices. The request relates to our oversight and submission of risk adjustment data generated by providers in our Medicare Advantage network, as well as to our business and compliance practices related to risk adjustment data generated by our providers and by us, including medical record reviews conducted as part of our data and payment accuracy compliance efforts, the use of health and well-being assessments, and our fraud detection efforts. We believe that this request for information is in connection with a wider review of Medicare Risk Adjustment generally that includes a number of Medicare Advantage plans, providers and vendors. We continue to cooperate with and voluntarily respond to the information requests from the Department of Justice. These matters are expected to result in additional qui tam litigation.

As previously disclosed, on January 19, 2016, an individual filed a qui tam suit captioned United States of America ex rel. Steven Scott v. Humana, Inc., in United States District Court, Central District of California, Western Division. The complaint alleges certain civil violations by us in connection with the actuarial equivalence of the plan benefits under Humana’s Basic PDP plan, a prescription drug plan offered by us under Medicare Part D. The action seeks damages and penalties on behalf of the United States under the False Claims Act. The court ordered the qui tam action unsealed on September 13, 2017, so that the relator could proceed, following notice from the U.S. Government that it was not intervening at that time. On January 29, 2018, the suit was transferred to the United States District Court, Western District of Kentucky, Louisville Division. We take seriously our obligations to comply with applicable CMS requirements and actuarial standards of practice, and continue to vigorously defend against these allegations since the transfer to the Western District of Kentucky. We have engaged in active discovery with the relator who has pursed the matter on behalf of the United States for the past year, and expect that discovery process to conclude in the near future and for the Court to consider our motion for summary judgment.

On November 2, 2017, we filed suit against the United States of America in the United States Court of Federal Claims, on behalf of our health plans seeking recovery from the federal government of approximately $611 million in payments under the risk corridor premium stabilization program established under Health Care Reform , for years 2014, 2015 and 2016. Our case has been stayed by the Court, pending resolution of similar cases filed by other insurers. We have not recognized revenue, nor have we recorded a receivable, for any amount due from the federal government for unpaid risk corridor payments as of December 31, 2018. We have fully recognized all liabilities due to the federal government that we have incurred under the risk corridor program, and have paid all amounts due to the federal government as required. There is no assurance that we will prevail in the lawsuit.

Other Lawsuits and Regulatory Matters

Our current and past business practices are subject to review or other investigations by various state insurance and health care regulatory authorities and other state and federal regulatory authorities. These authorities regularly scrutinize the business practices of health insurance, health care delivery and benefits companies. These reviews focus on numerous facets of our business, including claims payment practices, statutory capital requirements, provider contracting, risk adjustment, competitive practices, commission payments, privacy issues, utilization management practices, pharmacy benefits, access to care, and sales practices, among others. Some of these reviews have historically resulted in fines imposed on us and some have required changes to some of our practices. We continue to be subject to these reviews, which could result in additional fines or other sanctions being imposed on us or additional changes in some of our practices.

We also are involved in various other lawsuits that arise, for the most part, in the ordinary course of our business

operations, certain of which may be styled as class-action lawsuits. Among other matters, this litigation may include employment matters, claims of medical malpractice, bad faith, nonacceptance or termination of providers, anticompetitive practices, improper rate setting, provider contract rate and payment disputes, including disputes over reimbursement rates required by statute, general contractual matters, intellectual property matters, and challenges to subrogation practices. Under state guaranty assessment laws, including those related to state cooperative failures in the industry, we may be assessed (up to prescribed limits) for certain obligations to the policyholders and claimants of insolvent insurance companies that write the same line or lines of business as we do.

As a government contractor, we may also be subject to qui tam litigation brought by individuals who seek to sue on behalf of the government, alleging that the government contractor submitted false claims to the government including, among other allegations, those resulting from coding and review practices under the Medicare risk adjustment model. Qui tam litigation is filed under seal to allow the government an opportunity to investigate and to decide if it wishes to intervene and assume control of the litigation. If the government does not intervene, the individual may continue to prosecute the action on his or her own, on behalf of the government. We also are subject to other allegations of non-performance of contractual obligations to providers, members, and others, including failure to properly pay claims, improper policy terminations, challenges to our implementation of the Medicare Part D prescription drug program and other litigation.

A limited number of the claims asserted against us are subject to insurance coverage. Personal injury claims, claims for extra contractual damages, care delivery malpractice, and claims arising from medical benefit denials are covered by insurance from our wholly owned captive insurance subsidiary and excess carriers, except to the extent that claimants seek punitive damages, which may not be covered by insurance in certain states in which insurance coverage for punitive damages is not permitted. In addition, insurance coverage for all or certain forms of liability has become increasingly costly and may become unavailable or prohibitively expensive in the future.

We record accruals for the contingencies discussed in the sections above to the extent that we conclude it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated. No estimate of the possible loss or range of loss in excess of amounts accrued, if any, can be made at this time regarding the matters specifically described above because of the inherently unpredictable nature of legal proceedings, which also may be exacerbated by various factors, including: (i) the damages sought in the proceedings are unsubstantiated or indeterminate; (ii) discovery is not complete; (iii) the proceeding is in its early stages; (iv) the matters present legal uncertainties; (v) there are significant facts in dispute; (vi) there are a large number of parties (including where it is uncertain how liability, if any, will be shared among multiple defendants); or (vii) there is a wide range of potential outcomes.

The outcome of any current or future litigation or governmental or internal investigations, including the matters described above, cannot be accurately predicted, nor can we predict any resulting judgments, penalties, fines or other sanctions that may be imposed at the discretion of federal or state regulatory authorities or as a result of actions by third parties. Nevertheless, it is reasonably possible that any such outcome of litigation, judgments, penalties, fines or other sanctions could be substantial, and the outcome of these matters may have a material adverse effect on our results of operations, financial position, and cash flows, and may also affect our reputation.

SEGMENT INFORMATION

12 Months Ended

Dec. 31, 2018

Segment Reporting [Abstract]

SEGMENT INFORMATION

We manage our business with four reportable segments: Retail, Group and Specialty, Healthcare Services, and Individual Commercial. In addition, the Other Businesses category includes businesses that are not individually reportable because they do not meet the quantitative thresholds required by generally accepted accounting principles. These segments are based on a combination of the type of health plan customer and adjacent businesses centered on well-being solutions for our health plans and other customers, as described below. These segment groupings are consistent with information used by our Chief Executive Officer to assess performance and allocate resources.

The Retail segment consists of Medicare benefits, marketed to individuals or directly via group Medicare accounts. In addition, the Retail segment also includes our contract with CMS to administer the Limited Income Newly Eligible Transition, or LI-NET, prescription drug plan program and contracts with various states to provide Medicaid, dual eligible, and Long-Term Support Services benefits, which we refer to collectively as our state-based contracts. The Group and Specialty segment consists of employer group commercial fully-insured medical and specialty health insurance benefits marketed to individuals and employer groups, including dental, vision, and other supplemental health benefits, as well as administrative services only, or ASO products. In addition, our Group and Specialty segment includes military services business, primarily our TRICARE T2017 East Region contract. The Healthcare Services segment includes our services offered to our health plan members as well as to third parties, including pharmacy solutions, provider services, and clinical care service, such as home health and other services and capabilities to promote wellness and advance population health, including our investment in Kindred at Home. The Individual Commercial segment consisted of our individual commercial fully-insured medical health insurance business, which we exited beginning January 1, 2018. We report under the category of Other Businesses those businesses that do not align with the reportable segments described above, primarily our closed-block long-term care insurance policies, which were sold in 2018.

Our Healthcare Services intersegment revenues primarily relate to managing prescription drug coverage for members of our other segments through Humana Pharmacy Solutions®, or HPS, and includes the operations of Humana Pharmacy, Inc., our mail order pharmacy business. These revenues consist of the prescription price (ingredient cost plus dispensing fee), including the portion to be settled with the member (co-share) or with the government (subsidies), plus any associated administrative fees. Services revenues related to the distribution of prescriptions by third party retail pharmacies in our networks are recognized when the claim is processed and product revenues from dispensing prescriptions from our mail order pharmacies are recorded when the prescription or product is shipped. Our pharmacy operations, which are responsible for designing pharmacy benefits, including defining member co-share responsibilities, determining formulary listings, contracting with retail pharmacies, confirming member eligibility, reviewing drug utilization, and processing claims, act as a principal in the arrangement on behalf of members in our other segments. As principal, our Healthcare Services segment reports revenues on a gross basis, including co-share amounts from members collected by third party retail pharmacies at the point of service.

In addition, our Healthcare Services intersegment revenues include revenues earned by certain owned providers derived from risk-based and non-risk-based managed care agreements with our health plans. Under risk based agreements, the provider receives a monthly capitated fee that varies depending on the demographics and health status of the member, for each member assigned to these owned providers by our health plans. The owned provider assumes the economic risk of funding the assigned members’ healthcare services. Under non risk-based agreements, our health plans retain the economic risk of funding the assigned members' healthcare services. Our Healthcare Services segment reports provider services revenues associated with risk-based agreements on a gross basis, whereby capitation fee revenue is recognized in the period in which the assigned members are entitled to receive healthcare services. Provider services revenues associated with non-risk-based agreements are presented net of associated healthcare costs.

We present our consolidated results of operations from the perspective of the health plans. As a result, the cost of providing benefits to our members, whether provided via a third party provider or internally through a stand-alone subsidiary, is classified as benefits expense and excludes the portion of the cost for which the health plans do not bear responsibility, including member co-share amounts and government subsidies of $13.4 billion in 2018, $13.5 billion in 2017, and $13.4 billion in 2016. In addition, depreciation and amortization expense associated with certain businesses in our Healthcare Services segment delivering benefits to our members, primarily associated with our provider services and pharmacy operations, are included with benefits expense. The amount of this expense was $129 million in 2018, $107 million in 2017, and $111 million in 2016.

Other than those described previously, the accounting policies of each segment are the same and are described in Note 2. Transactions between reportable segments primarily consist of sales of services rendered by our Healthcare Services segment, primarily pharmacy, provider, and clinical care services, to our Retail and Group and Specialty segment customers. Intersegment sales and expenses are recorded at fair value and eliminated in consolidation. Members served by our segments often use the same provider networks, enabling us in some instances to obtain more favorable contract terms with providers. Our segments also share indirect costs and assets. As a result, the profitability of each segment is interdependent. We allocate most operating expenses to our segments. Assets and certain corporate income and expenses are not allocated to the segments, including the portion of investment income not supporting segment operations, interest expense on corporate debt, and certain other corporate expenses. These items are managed at a corporate level. These corporate amounts are reported separately from our reportable segments and are included with intersegment eliminations in the tables presenting segment results below.



	Retail		Group and Specialty		Healthcare Services		Individual Commercial			Other Businesses		Eliminations/ Corporate			Consolidated
	(in millions)
2018
External revenues
Premiums:
Individual Medicare Advantage	$	35,656	$	—	$	—	$	—		$	—	$	—		$	35,656
Group Medicare Advantage	6,103		—		—		—			—		—			6,103
Medicare stand-alone PDP	3,584		—		—		—			—		—			3,584
Total Medicare	45,343		—		—		—			—		—			45,343
Fully-insured	510		5,444		—		8			—		—			5,962
Specialty	—		1,359		—		—			—		—			1,359
Medicaid and other	2,255		—		—		—			22		—			2,277
Total premiums	48,108		6,803		—		8			22		—			54,941
Services revenue:
Provider	—		—		404		—			—		—			404
ASO and other	11		835		—		—			4		—			850
Pharmacy	—		—		203		—			—		—			203
Total services revenue	11		835		607		—			4		—			1,457
Total external revenues	48,119		7,638		607		8			26		—			56,398
Intersegment revenues
Services	—		18		16,840		—			—		(16,858		)	—
Products	—		—		6,330		—			—		(6,330		)	—
Total intersegment revenues	—		18		23,170		—			—		(23,188		)	—
Investment income	136		23		34		—			110		211			514
Total revenues	48,255		7,679		23,811		8			136		(22,977		)	56,912
Operating expenses:
Benefits	40,925		5,420		—		(70		)	77		(470		)	45,882
Operating costs	5,327		1,810		22,905		4			6		(22,527		)	7,525
Depreciation and amortization	270		88		163		—			—		(116		)	405
Total operating expenses	46,522		7,318		23,068		(66		)	83		(23,113		)	53,812
Income from operations	1,733		361		743		74			53		136			3,100
Loss on sale of business	—		—		—		—			—		786			786
Interest expense	—		—		—		—			—		218			218
Other expense, net	—		—		—		—			—		33			33
Income (loss) before income taxes and equity in earnings	1,733		361		743		74			53		(901		)	2,063
Equity in net earnings of Kindred at Home	—		—		11		—			—		—			11
Segment earnings (losses)	$	1,733	$	361	$	754	$	74		$	53	$	(901	)	$	2,074

Premium and services revenues derived from our contracts with the federal government, as a percentage of our total premium and services revenues, was approximately 81% for 2018, compared to 79% for 2017, and 75% for 2016.



	Retail		Group and Specialty		Healthcare Services		Individual Commercial		Other Businesses			Eliminations/ Corporate			Consolidated
	(in millions)
2017
Revenues—external customers
Premiums:
Individual Medicare Advantage	$	32,720	$	—	$	—	$	—	$	—		$	—		$	32,720
Group Medicare Advantage	5,155		—		—		—		—			—			5,155
Medicare stand-alone PDP	3,702		—		—		—		—			—			3,702
Total Medicare	41,577		—		—		—		—			—			41,577
Fully-insured	478		5,462		—		947		—			—			6,887
Specialty	—		1,310		—		—		—			—			1,310
Medicaid and other	2,571		—		—		—		35			—			2,606
Total premiums	44,626		6,772		—		947		35			—			52,380
Services revenue:
Provider	—		—		258		—		—			—			258
ASO and other	10		626		—		—		8			—			644
Pharmacy	—		—		80		—		—			—			80
Total services revenue	10		626		338		—		8			—			982
Total revenues—external customers	44,636		7,398		338		947		43			—			53,362
Intersegment revenues
Services	—		20		17,293		—		—			(17,313		)	—
Products	—		—		6,292		—		—			(6,292		)	—
Total intersegment revenues	—		20		23,585		—		—			(23,605		)	—
Investment income	90		31		35		4		87			158			405
Total revenues	44,726		7,449		23,958		951		130			(23,447		)	53,767
Operating expenses:
Benefits	38,218		5,363		—		544		131			(760		)	43,496
Operating costs	4,292		1,590		22,848		201		12			(22,376		)	6,567
Merger termination fee and related costs, net	—		—		—		—		—			(936		)	(936		)
Depreciation and amortization	238		84		143		13		—			(100		)	378
Total operating expenses	42,748		7,037		22,991		758		143			(24,172		)	49,505
Income (loss) from operations	1,978		412		967		193		(13		)	725			4,262
Interest expense	—		—		—		—		—			242			242
Income (loss) before income taxes and equity in earnings	1,978		412		967		193		(13		)	483			4,020
Equity in net earnings of Kindred at Home	—		—		—		—		—			—			—
Segment earnings (losses)	$	1,978	$	412	$	967	$	193	$	(13	)	$	483		$	4,020



	Retail		Group and Specialty		Healthcare Services		Individual Commercial			Other Businesses			Eliminations/ Corporate			Consolidated
	(in millions)
2016
Revenues—external customers
Premiums:
Individual Medicare Advantage	$	31,863	$	—	$	—	$	—		$	—		$	—		$	31,863
Group Medicare Advantage	4,283		—		—		—			—			—			4,283
Medicare stand-alone PDP	4,009		—		—		—			—			—			4,009
Total Medicare	40,155		—		—		—			—			—			40,155
Fully-insured	428		5,405		—		3,064			—			—			8,897
Specialty	—		1,279		—		—			—			—			1,279
Medicaid and other	2,640		12		—		—			38			—			2,690
Total premiums	43,223		6,696		—		3,064			38			—			53,021
Services revenue:
Provider	—		—		278		—			—			—			278
ASO and other	6		643		1		—			10			—			660
Pharmacy	—		—		31		—			—			—			31
Total services revenue	6		643		310		—			10			—			969
Total revenues—external customers	43,229		7,339		310		3,064			48			—			53,990
Intersegment revenues
Services	—		22		18,979		—			—			(19,001		)	—
Products	—		—		5,993		—			—			(5,993		)	—
Total intersegment revenues	—		22		24,972		—			—			(24,994		)	—
Investment income	90		25		30		5			66			173			389
Total revenues	43,319		7,386		25,312		3,069			114			(24,821		)	54,379
Operating expenses:
Benefits	36,783		5,233		—		3,301			617			(927		)	45,007
Operating costs	4,650		1,727		24,073		601			16			(23,894		)	7,173
Merger termination fee and related costs, net	—		—		—		—			—			104			104
Depreciation and amortization	196		82		143		36			1			(104		)	354
Total operating expenses	41,629		7,042		24,216		3,938			634			(24,821		)	52,638
Income (loss) from operations	1,690		344		1,096		(869		)	(520		)	—			1,741
Gain on sale of business	—		—		—		—			—			—			—
Interest expense	—		—		—		—			—			189			189
Income (loss) before income taxes and equity in earnings	1,690		344		1,096		(869		)	(520		)	(189		)	1,552
Equity in net earnings of Kindred at Home	—		—		—		—			—			—			—
Segment earnings (losses)	$	1,690	$	344	$	1,096	$	(869	)	$	(520	)	$	(189	)	$	1,552

Premiums revenue for our Individual Commercial segment for 2016 includes a reduction of $583 million associated with the write-off of commercial risk corridor receivables.

Benefits expense for Other Businesses for 2016 includes $505 million for reserve strengthening associated with our closed block of long-term care insurance policies as discussed more fully in Note 18.

EXPENSES ASSOCIATED WITH LONG-DURATION INSURANCE PRODUCTS

12 Months Ended

Dec. 31, 2018

Insurance [Abstract]

EXPENSES ASSOCIATED WITH LONG-DURATION INSURANCE PRODUCTS

Premiums associated with our long-duration insurance products accounted for less than 1% of our consolidated premiums and services revenue for the year ended December 31, 2018 and 2017. We use long-duration accounting for life insurance, annuities, certain health and other supplemental products and, prior to its sale in 2018, long-term care policies sold to individuals because they are expected to remain in force for an extended period beyond one year and because premium received in the earlier years is intended to pay anticipated benefits to be incurred in future years. As a result, we defer policy acquisition costs, primarily consisting of commissions, and amortize them over the estimated life of the policies in proportion to premiums earned.

In addition, we establish reserves for future policy benefits in recognition of the fact that some of the premium received in the earlier years is intended to pay anticipated benefits to be incurred in future years. At policy issuance, these reserves are recognized on a net level premium method based on premium rate increase, interest rate, mortality, morbidity, persistency (the percentage of policies remaining in-force), and maintenance expense assumptions. The assumptions used to determine the liability for future policy benefits are established and locked in at the time each contract is issued and only change if our expected future experience deteriorates to the point that the level of the liability, together with the present value of future gross premiums, are not adequate to provide for future expected policy benefits and maintenance costs (i.e. the loss recognition date). As discussed in Note 2, beginning in 2014, health policies sold to individuals that conform to the Health Care Reform Law are accounted for under a short-duration model because premiums received in the current year are intended to pay anticipated benefits in that year.

The table below presents deferred acquisition costs and future policy benefits payable associated with our long-duration insurance products for the years ended December 31, 2018 and 2017.



	2018					2017
	Deferred acquisition costs		Future policy benefits payable			Deferred acquisition costs		Future policy benefits payable
	(in millions)
Other long-term assets	$	36	$	—		$	103	$	—
Trade accounts payable and accrued expenses	—		—			—		(56		)
Long-term liabilities	—		(219		)	—		(2,923		)
Total asset (liability)	$	36	$	(219	)	$	103	$	(2,979	)

The decline in the balances of the deferred acquisition costs and future benefits payable reflects the sale of KMG on August 9, 2018. In addition, future policy benefits payable include amounts of $217 million at December 31, 2018 and $199 million at December 31, 2017 which are subject to 100% coinsurance agreements as more fully described in Note 19.

Benefit expense reflects no net increase in future policy benefit payable in 2018, a net reduction of $22 million in 2017 and a net increase of $439 million in 2016. The 2016 amount reflects the net change of $505 million associated with our closed block of long-term care insurance policies, which were sold in 2018 as discussed further below. Amortization of deferred acquisition costs included in operating costs was $48 million in 2018, $71 million in 2017, and $67 million in 2016.

All three years include the effect of the release of reserves and accelerating deferred acquisition amortization costs of existing previously underwritten individual commercial medical members transitioning to policies compliant with the Health Care Reform Law. Deferred acquisition costs included $3 million associated with our individual commercial medical policies at December 31, 2017. Future policy benefits payable associated with our individual commercial medical policies were $19 million at December 31, 2017. There were no remaining balances at December 31, 2018. We have exited our individual commercial medical business effective January 1, 2018.

Future policy benefits payable included $2.3 billion at December 31, 2017 associated with a non-strategic closed block of long-term care insurance policies acquired in connection with the 2007 acquisition of KMG. As described in Note 3, on August 9, 2018, we completed the sale of KMG. Future policy benefits payable included amounts charged to accumulated other comprehensive income for an additional liability that would exist on our closed-block of long-term care insurance policies if unrealized gains on the sale of the investments backing such products had been realized and the proceeds reinvested at then current yields. There was additional liability of $168 million at December 31, 2017. Amounts charged to accumulated other comprehensive income are net of applicable deferred taxes.

Long-term care insurance policies provided nursing home and home health coverage for which premiums are collected many years in advance of benefits paid, if any. Therefore, our actual claims experience will emerge many years after assumptions have been established. The risk of a deviation of the actual premium rate increase, interest, morbidity, mortality, persistency, and maintenance expense assumptions from those assumed in our reserves were particularly significant to our closed block of long-term care insurance policies. We monitored the loss experience of these long-term care insurance policies and, when necessary, applied for premium rate increases through a regulatory filing and approval process in the jurisdictions in which such products were sold. To the extent premium rate increases, interest rates, and/or loss experience varied from our loss recognition date assumptions, material adjustments to reserves were required.

During 2016, we recorded a loss for a premium deficiency. The premium deficiency was based on current and anticipated experience that had deteriorated from our locked-in assumptions from the previous December 31, 2013 loss recognition date, particularly as they related to emerging experience indicating longer claims duration, a prolonged lower interest rate environment, and an increase in policyholder life expectancies. Based on this deterioration, we determined that our existing future policy benefits payable, together with the present value of future gross premiums, associated with our closed block of long-term care insurance policies were not adequate to provide for future policy benefits and maintenance costs under these policies; therefore we unlocked and modified our assumptions based on current expectations. Accordingly, during 2016 we recorded $505 million of additional benefits expense, with a corresponding increase in future policy benefits payable of $659 million partially offset by a related reinsurance recoverable of $154 million included in other long-term assets. During 2017, we performed loss recognition testing comparing our existing future policy benefits payable with the present value of future gross premiums associated with our closed block of long-term care insurance policies and determined that no premium deficiency existed at December 31, 2017.

REINSURANCE	12 Months Ended
REINSURANCE	Dec. 31, 2018
Insurance [Abstract]
REINSURANCE	REINSURANCE Certain blocks of insurance assumed in acquisitions, primarily life, annuities in run-off status and, prior to its sale in 2018, long-term care, are subject to reinsurance where some or all of the underwriting risk related to these policies has been ceded to a third party. In addition, a large portion of our reinsurance takes the form of 100% coinsurance agreements where, in addition to all of the underwriting risk, all administrative responsibilities, including premium collections and claim payment, have also been ceded to a third party. We acquired these policies and related reinsurance agreements with the purchase of stock of companies in which the policies were originally written. We acquired these companies for business reasons unrelated to these particular policies, including the companies’ other products and licenses necessary to fulfill strategic plans. A reinsurance agreement between two entities transfers the underwriting risk of policyholder liabilities to a reinsurer while the primary insurer retains the contractual relationship with the ultimate insured. As such, these reinsurance agreements do not completely relieve us of our potential liability to the ultimate insured. However, given the transfer of underwriting risk, our potential liability is limited to the credit exposure which exists should the reinsurer be unable to meet its obligations assumed under these reinsurance agreements. Reinsurance recoverables represent the portion of future policy benefits payable and benefits payable that are covered by reinsurance. Amounts recoverable from reinsurers are estimated in a manner consistent with the methods used to determine future policy benefits payable as detailed in Note 2. Reinsurance recoverables, included in other current and long-term assets, were $314 million at December 31, 2018 and $824 million at December 31, 2017. The decline in the balances reflects the sale of KMG on August 9, 2018. The percentage of these reinsurance recoverables resulting from 100% coinsurance agreements was approximately 99% at December 31, 2018 and approximately 33% at December 31, 2017. Premiums ceded were $976 million in 2018, $969 million in 2017 and $842 million in 2016. Benefits ceded were $980 million in 2018, $844 million in 2017, and $767 million in 2016. Ceded premium and benefits reflect the activity associated with ceding all risk under a Medicaid contract to a third party reinsurer. We evaluate the financial condition of our reinsurers on a regular basis. Protective Life Insurance Company with $177 million in reinsurance recoverables is well-known and well-established with a AM Best rating of A+ (superior) at December 31, 2018 . The remaining reinsurance recoverables of $137 million are divided between 10 other reinsurers, with $110 million subject to funds withheld accounts or other financial guarantees supporting the repayment of these amounts.

QUARTERLY FINANCIAL INFORMATION (Unaudited)

12 Months Ended

Dec. 31, 2018

Quarterly Financial Information Disclosure [Abstract]

QUARTERLY FINANCIAL INFORMATION (Unaudited)

QUARTERLY FINANCIAL INFORMATION

(Unaudited)

A summary of our quarterly unaudited results of operations for the years ended December 31, 2018 and 2017 follows:



	2018
	First		Second		Third		Fourth
	(in millions, except per share results)
Total revenues	$	14,279	$	14,259	$	14,206	$	14,168
Income before income taxes and equity in net earnings	707		19		901		436
Net income	491		193		644		355
Basic earnings per common share	$	3.56	$	1.40	$	4.68	$	2.60
Diluted earnings per common share (1)	$	3.53	$	1.39	$	4.65	$	2.58

	2017
	First		Second		Third		Fourth
	(in millions, except per share results)
Total revenues	$	13,762	$	13,534	$	13,282	$	13,189
Income before income taxes	1,689		1,042		799		490
Net income	1,115		650		499		184
Basic earnings per common share (1)	$	7.54	$	4.49	$	3.46	$	1.30
Diluted earnings per common share (1)	$	7.49	$	4.46	$	3.44	$	1.29


(1)	The calculation of earnings per common share is based on the weighted average shares outstanding during each quarter and, accordingly, the sum may not equal the total for the year.

SCHEDULE I-PARENT COMPANY FINANCIAL INFORMATION

12 Months Ended

Dec. 31, 2018

Condensed Financial Information Disclosure [Abstract]

SCHEDULE I-PARENT COMPANY FINANCIAL INFORMATION

SCHEDULE I—PARENT COMPANY FINANCIAL INFORMATION

CONDENSED BALANCE SHEETS



	December 31,
	2018			2017
	(in millions, except share amounts)
ASSETS
Current assets:
Cash and cash equivalents	$	265		$	383
Investment securities	313			305
Receivable from operating subsidiaries	1,306			1,042
Other current assets	628			245
Total current assets	2,512			1,975
Property and equipment, net	1,209			1,091
Investments in subsidiaries	16,951			16,810
Equity method investment in Kindred at Home	1,047			—
Other long-term assets	359			426
Total assets	$	22,078		$	20,302
LIABILITIES AND STOCKHOLDERS’ EQUITY
Current liabilities:
Payable to operating subsidiaries	$	4,487		$	4,311
Current portion of notes payable to operating subsidiaries	28			28
Book overdraft	38			41
Short-term debt	1,694			150
Other current liabilities	791			896
Total current liabilities	7,038			5,426
Long-term debt	4,375			4,770
Other long-term liabilities	504			264
Total liabilities	11,917			10,460
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; 198,594,841 shares issued at December 31, 2018 and 198,572,458 shares issued at December 31, 2017	33			33
Capital in excess of par value	2,535			2,445
Retained earnings	15,072			13,670
Accumulated other comprehensive income (loss)	(159		)	19
Treasury stock, at cost, 63,028,169 shares at December 31, 2018 and 60,893,762 shares at December 31, 2017	(7,320		)	(6,325		)
Total stockholders’ equity	10,161			9,842
Total liabilities and stockholders’ equity	$	22,078		$	20,302

See accompanying notes to the parent company financial statements.

SCHEDULE I—PARENT COMPANY FINANCIAL INFORMATION

CONDENSED STATEMENTS OF INCOME



	For the year ended December 31,
	2018			2017			2016
	(in millions)
Revenues:
Management fees charged to operating subsidiaries	$	1,666		$	1,864		$	1,683
Investment and other income, net	30			57			42
	1,696			1,921			1,725
Expenses:
Operating costs	1,468			1,801			1,519
Merger termination fee and related costs, net	—			(936		)	104
Depreciation	342			332			302
Interest	218			243			189
	2,028			1,440			2,114
Other expense, net	33			—			—
Loss on sale of business	782			—			—
(Loss) income before income taxes and equity in net earnings of subsidiaries	(1,147		)	481			(389		)
(Benefit) provision for income taxes	(542		)	61			(107		)
(Loss) income before equity in net earnings of subsidiaries	(605		)	420			(282		)
Equity in net earnings of subsidiaries	2,277			2,028			896
Equity in net earnings of Kindred at Home	11			—			—
Net income	$	1,683		$	2,448		$	614

See accompanying notes to the parent company financial statements.

SCHEDULE I—PARENT COMPANY FINANCIAL INFORMATION

CONDENSED STATEMENTS OF COMPREHENSIVE INCOME



	For the year ended December 31,
	2018			2017			2016
	(in millions)
Net income	$	1,683		$	2,448		$	614
Other comprehensive income (loss):
Change in gross unrealized investment losses/gains	(189		)	149			(101		)
Effect of income taxes	51			(55		)	38
Total change in unrealized investment gains/losses, net of tax	(138		)	94			(63		)
Reclassification adjustment for net realized gains included in investment income	(53		)	(14		)	(96		)
Effect of income taxes	17			5			35
Total reclassification adjustment, net of tax	(36		)	(9		)	(61		)
Other comprehensive (loss) income, net of tax	(174		)	85			(124		)
Comprehensive income attributable to our equity method investment in Kindred at Home	(4		)	—			—
Comprehensive income	$	1,505		$	2,533		$	490

See accompanying notes to the parent company financial statements.

SCHEDULE I—PARENT COMPANY FINANCIAL INFORMATION

CONDENSED STATEMENTS OF CASH FLOWS



	For the year ended December 31,
	2018			2017			2016
	(in millions)
Net cash provided by operating activities	$	2,719		$	2,423		$	1,848
Cash flows from investing activities:
Acquisitions, net of cash acquired	(354		)	—			—
Acquisitions, equity method investment in Kindred at Home	(1,095		)	—			—
Capital contributions to operating subsidiaries	(697		)	(695		)	(895		)
Purchases of investment securities	(145		)	(53		)	(151		)
Proceeds from sale of investment securities	35			—			25
Maturities of investment securities	59			51			143
Purchases of property and equipment, net	(465		)	(359		)	(382		)
Net cash used in investing activities	(2,662		)	(1,056		)	(1,260		)
Cash flows from financing activities:
Proceeds from issuance of senior notes, net	—			1,779			—
Proceeds from issuance (repayments) of commercial paper, net	485			(153		)	(2		)
Proceeds from term loan	1,000			—			—
Repayment of term loan	(350		)	—			—
Repayment of long-term debt	—			(800		)	—
Change in book overdraft	(3		)	3			5
Common stock repurchases	(1,090		)	(3,365		)	(104		)
Dividends paid	(265		)	(220		)	(177		)
Proceeds from stock option exercises and other	48			62			11
Net cash used in financing activities	(175		)	(2,694		)	(267		)
(Decrease) increase in cash and cash equivalents	(118		)	(1,327		)	321
Cash and cash equivalents at beginning of year	383			1,710			1,389
Cash and cash equivalents at end of year	$	265		$	383		$	1,710

See accompanying notes to the parent company financial statements.

SCHEDULE I—PARENT COMPANY FINANCIAL INFORMATION

NOTES TO CONDENSED FINANCIAL STATEMENTS

BASIS OF PRESENTATION

Parent company financial information has been derived from our consolidated financial statements and excludes the accounts of all operating subsidiaries. This information should be read in conjunction with our consolidated financial statements.

TRANSACTIONS WITH SUBSIDIARIES

Management Fee

Through intercompany service agreements approved, if required, by state regulatory authorities, Humana Inc., our parent company, charges a management fee for reimbursement of certain centralized services provided to its subsidiaries including information systems, disbursement, investment and cash administration, marketing, legal, finance, and medical and executive management oversight.

Dividends

Cash dividends received from subsidiaries and included as a component of net cash provided by operating activities were $2.3 billion in 2018, $1.4 billion in 2017, and $0.8 billion in 2016.

Guarantee

Through indemnity agreements approved by state regulatory authorities, certain of our regulated subsidiaries generally are guaranteed by our parent company in the event of insolvency for: (1) member coverage for which premium payment has been made prior to insolvency; (2) benefits for members then hospitalized until discharged; and (3) payment to providers for services rendered prior to insolvency. Our parent has also guaranteed the obligations of our military services subsidiaries and funding to maintain required statutory capital levels of certain other regulated subsidiaries.

REGULATORY REQUIREMENTS

Our use of operating cash flows derived from our non-insurance subsidiaries, such as in our Healthcare Services segment, is generally not restricted by state departments of insurance (or comparable state regulators).

ACQUISITIONS AND DIVESTITURES

Refer to Note 3 of the notes to consolidated financial statements in this Annual Report on Form 10-K for a description of certain acquisitions and divestitures. During 2018, 2017 and 2016, we funded certain non-regulated subsidiary acquisitions with contributions from Humana Inc., our parent company, included in capital contributions in the condensed statement of cash flows.

INCOME TAXES

Refer to Note 11 of the notes to consolidated financial statements included in this Annual Report on Form 10-K for a description of income taxes.

DEBT

Refer to Note 12 of the notes to consolidated financial statements included in this Annual Report on Form 10-K for a description of debt.

STOCKHOLDER’S EQUITY

Refer to Note 15 of the notes to consolidated financial statements included in this Annual Report on Form 10-K for a description of stockholders’ equity, including stock repurchases and stockholder dividends.

SCHEDULE II-VALUATION AND QUALIFYING ACCOUNTS

12 Months Ended

Dec. 31, 2018

SEC Schedule, 12-09, Valuation and Qualifying Accounts [Abstract]

SCHEDULE II-VALUATION AND QUALIFYING ACCOUNTS

SCHEDULE II—VALUATION AND QUALIFYING ACCOUNTS

For the Years Ended December 31, 2018, 2017, and 2016

(in millions)



						Additions
	Balance at Beginning of Period			Acquired/(Disposed) Balances		Charged (Credited) to Costs and Expenses			Charged to Other Accounts (1)			Deductions or Write-offs			Balance at End of Period
Allowance for loss on receivables:
2018	$	96		$	—	$	36		$	(29	)	$	(24	)	$	79
2017	118			—		20			(10		)	(32		)	96
2016	101			—		39			19			(41		)	118
Deferred tax asset valuation allowance:
2018	(49		)	—		(5		)	—			—			(54		)
2017	(49		)	—		—			—			—			(49		)
2016	(42		)	—		(7		)	—			—			(49		)


(1)	Represents changes in retroactive membership adjustments to premiums revenue and contractual allowances adjustments to services revenue as more fully described in Note 2 to the consolidated financial statements included in this annual report on Form 10-K.

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)	12 Months Ended
SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES (Policies)	Dec. 31, 2018
Accounting Policies [Abstract]
Basis of Presentation	Basis of Presentation Our financial statements and accompanying notes are prepared in accordance with accounting principles generally accepted in the United States of America. Our consolidated financial statements include the accounts of Humana Inc. and subsidiaries that the Company controls, including variable interest entities associated with medical practices for which we are the primary beneficiary. We do not own many of our medical practices but instead enter into exclusive management agreements with the affiliated Professional Associations, or P.A.s, that operate these medical practices. Based upon the provisions of these agreements, these affiliated P.A.s are variable interest entities and we are the primary beneficiary, and accordingly we consolidate the affiliated P.A.s. All significant intercompany balances and transactions have been eliminated. The preparation of financial statements in accordance with accounting principles generally accepted in the United States of America requires us to make estimates and assumptions that affect the amounts reported in the consolidated financial statements and accompanying notes. The areas involving the most significant use of estimates are the estimation of benefits payable, the impact of risk adjustment provisions related to our Medicare contracts, the valuation and related impairment recognition of investment securities, and the valuation and related impairment recognition of long-lived assets, including goodwill. These estimates are based on knowledge of current events and anticipated future events, and accordingly, actual results may ultimately differ materially from those estimates.
Health Care Reform	Health Care Reform The Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010 (which we collectively refer to as the Health Care Reform Law) enacted significant reforms to various aspects of the U.S. health insurance industry. Certain of these reforms became effective January 1, 2014, including an annual insurance industry premium-based fee and the establishment of federally-facilitated or state-based exchanges. Operating results for our individual commercial medical business compliant with the Health Care Reform Law were challenged primarily due to unanticipated modifications in the program subsequent to the passing of the Health Care Reform Law, resulting in higher covered population morbidity and the ensuing enrollment and claims issues causing volatility in claims experience. As a result of these and other factors, we exited our individual commercial medical business effective January 1, 2018. The annual premium-based fee on health insurers is not deductible for tax purposes. We estimate a liability for the health insurance industry fee and record it in full once qualifying insurance coverage is provided in the applicable calendar year in which the fee is payable with a corresponding deferred cost that is amortized ratably to expense over the same calendar year. We record the liability for the health insurance industry fee in trade accounts payable and accrued expenses and record the deferred cost in other current assets in our consolidated financial statements. We pay the health insurance industry fee in September or October of each year. The Consolidated Appropriations Act enacted on December 18, 2015, included a one-time one year suspension in 2017 of the health insurance industry fee. In 2018, we paid the federal government $1.04 billion for the annual health insurance industry fee attributed to calendar year 2018. In 2016, we paid the federal government $916 million for the annual health insurance industry fee attributed to calendar year 2016. The Continuing Resolution bill, H.R. 195, enacted on January 22, 2018, included a one year suspension in 2019 of the health insurance industry fee, but under current law, the fee is scheduled to resume in calendar year 2020.
Cash and Cash Equivalents	Cash and Cash Equivalents Cash and cash equivalents include cash, time deposits, money market funds, commercial paper, other money market instruments, and certain U.S. Government securities with an original maturity of three months or less. Carrying value approximates fair value due to the short-term maturity of the investments.
Investment Securities	Investment Securities Investment securities, which consist entirely of debt securities, have been categorized as available for sale and, as a result, are stated at fair value. Investment securities available for current operations are classified as current assets. Investment securities available for our long-term insurance products and professional liability funding requirements, as well as restricted statutory deposits, are classified as long-term assets. For the purpose of determining gross realized gains and losses, which are included as a component of investment income in the consolidated statements of income, the cost of investment securities sold is based upon specific identification. Unrealized holding gains and losses, net of applicable deferred taxes, are included as a component of stockholders’ equity and comprehensive income until realized from a sale or other-than-temporary impairment. Under the other-than-temporary impairment model for debt securities held, we recognize an impairment loss in income in an amount equal to the full difference between the amortized cost basis and the fair value when we have the intent to sell the debt security or it is more likely than not we will be required to sell the debt security before recovery of our amortized cost basis. However, if we do not intend to sell the debt security, we evaluate the expected cash flows to be received as compared to amortized cost and determine if a credit loss has occurred. In the event of a credit loss, only the amount of the impairment associated with the credit loss is recognized currently in income with the remainder of the loss recognized in other comprehensive income. When we do not intend to sell a security in an unrealized loss position, potential other-than-temporary impairment is considered using a variety of factors, including the length of time and extent to which the fair value has been less than cost; adverse conditions specifically related to the industry, geographic area or financial condition of the issuer or underlying collateral of a security; payment structure of the security; changes in credit rating of the security by the rating agencies; the volatility of the fair value changes; and changes in fair value of the security after the balance sheet date. For debt securities, we take into account expectations of relevant market and economic data. For example, with respect to mortgage and asset-backed securities, such data includes underlying loan level data and structural features such as seniority and other forms of credit enhancements. A decline in fair value is considered other-than-temporary when we do not expect to recover the entire amortized cost basis of the security. We estimate the amount of the credit loss component of a debt security as the difference between the amortized cost and the present value of the expected cash flows of the security. The present value is determined using the best estimate of future cash flows discounted at the implicit interest rate at the date of purchase.
Receivables and Revenue Recognition	Receivables and Revenue Recognition We generally establish one-year commercial membership contracts with employer groups, subject to cancellation by the employer group on 30-day written notice. Our Medicare contracts with CMS renew annually. Our military services contracts with the federal government and certain contracts with various state Medicaid programs generally are multi-year contracts subject to annual renewal provisions. Premiums Revenue We receive monthly premiums from the federal government and various states according to government specified payment rates and various contractual terms. We bill and collect premium from employer groups and members in our Medicare and other individual products monthly. Changes in premium revenues resulting from the periodic changes in risk-adjustment scores derived from medical diagnoses for our membership are estimated by projecting the ultimate annual premium and are recognized ratably during the year, with adjustments each period to reflect changes in the ultimate premium. Receivables or payables are classified as current or long-term in our consolidated balance sheet based on the timing of the expected settlement. Premiums revenue is estimated by multiplying the membership covered under the various contracts by the contractual rates. Premiums revenue is recognized as income in the period members are entitled to receive services, and is net of estimated uncollectible amounts, retroactive membership adjustments, and adjustments to recognize rebates under the minimum benefit ratios required under the Health Care Reform Law. We estimate policyholder rebates by projecting calendar year minimum benefit ratios for the small group and large group markets, as defined by the Health Care Reform Law using a methodology prescribed by HHS, separately by state and legal entity. Medicare Advantage products are also subject to minimum benefit ratio requirements under the Health Care Reform Law. Estimated calendar year rebates recognized ratably during the year are revised each period to reflect current experience. Retroactive membership adjustments result from enrollment changes not yet processed, or not yet reported by an employer group or the government. We routinely monitor the collectibility of specific accounts, the aging of receivables, historical retroactivity trends, estimated rebates, as well as prevailing and anticipated economic conditions, and reflect any required adjustments in current operations. Premiums received prior to the service period are recorded as unearned revenues. Medicare Part D We cover prescription drug benefits in accordance with Medicare Part D under multiple contracts with CMS. The payments we receive monthly from CMS and members, which are determined from our annual bid, represent amounts for providing prescription drug insurance coverage. We recognize premiums revenue for providing this insurance coverage ratably over the term of our annual contract. Our CMS payment is subject to risk sharing through the Medicare Part D risk corridor provisions. In addition, receipts for reinsurance and low-income cost subsidies as well as receipts for certain discounts on brand name prescription drugs in the coverage gap represent payments for prescription drug costs for which we are not at risk. The risk corridor provisions compare costs targeted in our bids to actual prescription drug costs, limited to actual costs that would have been incurred under the standard coverage as defined by CMS. Variances exceeding certain thresholds may result in CMS making additional payments to us or require us to refund to CMS a portion of the premiums we received. As risk corridor provisions are considered in our overall annual bid process, we estimate and recognize an adjustment to premiums revenue related to these provisions based upon pharmacy claims experience. We record a receivable or payable at the contract level and classify the amount as current or long-term in our consolidated balance sheets based on the timing of expected settlement. Reinsurance and low-income cost subsidies represent funding from CMS in connection with the Medicare Part D program for which we assume no risk. Reinsurance subsidies represent funding from CMS for its portion of prescription drug costs which exceed the member’s out-of-pocket threshold, or the catastrophic coverage level. Low-income cost subsidies represent funding from CMS for all or a portion of the deductible, the coinsurance and co-payment amounts above the out-of-pocket threshold for low-income beneficiaries. Monthly prospective payments from CMS for reinsurance and low-income cost subsidies are based on assumptions submitted with our annual bid. A reconciliation and related settlement of CMS’s prospective subsidies against actual prescription drug costs we paid is made after the end of the year. The Health Care Reform Law mandates consumer discounts of 50% on brand name prescription drugs for Part D plan participants in the coverage gap. These discounts are funded by CMS and pharmaceutical manufacturers while we administer the application of these funds. We account for these subsidies and discounts as a deposit in our consolidated balance sheets and as a financing activity under receipts (withdrawals) from contract deposits in our consolidated statements of cash flows. For 2018, subsidy and discount payments of $10.3 billion exceeded reimbursements of $9.6 billion by $0.7 billion. For 2017, subsidy and discount reimbursements of $12.1 billion exceeded payments of $10.2 billion by $1.9 billion. For 2016, subsidy and discount reimbursements of $11.1 billion exceeded payments of $10.0 billion by $1.1 billion. We do not recognize premiums revenue or benefit expenses for these subsidies or discounts. Receipt and payment activity is accumulated at the contract level and recorded in our consolidated balance sheets in other current assets or trade accounts payable and accrued expenses depending on the contract balance at the end of the reporting period. Settlement of the reinsurance and low-income cost subsidies as well as the risk corridor payment is based on a reconciliation made approximately 9 months after the close of each calendar year. Settlement with CMS for brand name prescription drug discounts is based on a reconciliation made approximately 14 to 18 months after the close of each calendar year. We continue to revise our estimates with respect to the risk corridor provisions based on subsequent period pharmacy claims data. See Note 7 for detail regarding amounts recorded to our consolidated balance sheets related to the risk corridor settlement and subsidies from CMS with respect to the Medicare Part D program. Services Revenue Patient services revenue Patient services include injury and illness care and related services as well as other healthcare services related to customer needs or as required by law. Patient services revenues are recognized in the period services are provided to the customer and are net of contractual allowances. Administrative services fees Administrative services fees cover the processing of claims, offering access to our provider networks and clinical programs, and responding to customer service inquiries from members of self-funded groups. Revenues from providing administration services, also known as administrative services only, or ASO, are recognized in the period services are performed and are net of estimated uncollectible amounts. ASO fees are estimated by multiplying the membership covered under the various contracts by the contractual rates. Under ASO contracts, self-funded employers retain the risk of financing substantially all of the cost of health benefits. However, many ASO customers purchase stop loss insurance coverage from us to cover catastrophic claims or to limit aggregate annual costs. Accordingly, we have recorded premiums revenue and benefits expense related to these stop loss insurance contracts. We routinely monitor the collectibility of specific accounts, the aging of receivables, as well as prevailing and anticipated economic conditions, and reflect any required adjustments in current operations. ASO fees received prior to the service period are recorded as unearned revenues. Under our TRICARE contracts with the Department of Defense (DoD) we provide administrative services, including offering access to our provider networks and clinical programs, claim processing, customer service, enrollment, and other services, while the federal government retains all of the risk of the cost of health benefits. We account for revenues under our contracts net of estimated health care costs similar to an administrative services fee only agreement. Our contracts include fixed administrative services fees and incentive fees and penalties. Administrative services fees are recognized as services are performed. Our TRICARE members are served by both in-network and out-of-network providers in accordance with our contracts. We pay health care costs related to these services to the providers and are subsequently reimbursed by the DoD for such payments. We account for the payments of the federal government’s claims and the related reimbursements under deposit accounting in our consolidated balance sheets and as a financing activity under receipts (withdrawals) from contract deposits in our consolidated statements of cash flows. For 2018, health care cost reimbursements and payments were each approximately $5.6 billion, with reimbursements exceeding payments by $38 million for the year. For 2017, health care cost reimbursements and payments were each approximately $3.4 billion, with reimbursements exceeding payments by $11 million for the year. For 2016, health care cost reimbursements and payments were each approximately $3.3 billion with payments exceeding reimbursements by $25 million for the year. Receivables Receivables, including premium receivables, patient services revenue receivables, and ASO fee receivables, are shown net of allowances for estimated uncollectible accounts, retroactive membership adjustments, and contractual allowances.
Other Current Assets	Other Current Assets Other current assets includes amounts associated with Medicare Part D as discussed above and in Note 7, rebates due from pharmaceutical manufacturers and other amounts due within one year. We accrue pharmaceutical rebates as they are earned based on contractual terms and usage of the product.
Policy Acquisition Costs	Policy Acquisition Costs Policy acquisition costs are those costs that relate directly to the successful acquisition of new and renewal insurance policies. Such costs include commissions, costs of policy issuance and underwriting, and other costs we incur to acquire new business or renew existing business. We expense policy acquisition costs related to our employer-group prepaid health services policies as incurred. These short-duration employer-group prepaid health services policies typically have a 1-year term and may be canceled upon 30 days notice by the employer group. Life insurance, annuities, certain health and other supplemental, and, prior to the sale of our KMG subsidiary in 2018, long term care policies sold to individuals are accounted for as long-duration insurance products because they are expected to remain in force for an extended period beyond one year and premium received in the earlier years is intended to pay anticipated benefits to be incurred in future years. As a result, we defer policy acquisition costs, primarily consisting of commissions, and amortize them over the estimated life of the policies in proportion to premiums earned. Deferred acquisition costs are reviewed to determine if they are recoverable from future income.
Long-Lived Assets	Long-Lived Assets Property and equipment is recorded at cost. Gains and losses on sales or disposals of property and equipment are included in operating costs. Certain costs related to the development or purchase of internal-use software are capitalized. Depreciation is computed using the straight-line method over estimated useful lives ranging from 3 to 10 years for equipment, 3 to 5 years for computer software, and 10 to 20 years for buildings. Improvements to leased facilities are depreciated over the shorter of the remaining lease term or the anticipated life of the improvement. We periodically review long-lived assets, including property and equipment and definite-lived intangible assets, for impairment whenever adverse events or changes in circumstances indicate the carrying value of the asset may not be recoverable. Losses are recognized for a long-lived asset to be held and used in our operations when the undiscounted future cash flows expected to result from the use of the asset are less than its carrying value. We recognize an impairment loss based on the excess of the carrying value over the fair value of the asset. A long-lived asset held for sale is reported at the lower of the carrying amount or fair value less costs to sell. Depreciation expense is not recognized on assets held for sale. Losses are recognized for a long-lived asset to be abandoned when the asset ceases to be used. In addition, we periodically review the estimated lives of all long-lived assets for reasonableness.
Equity Method Investments	Equity Method Investments We use the equity method of accounting for equity investments in companies where we are able to exercise significant influence, but not control, over operating and financial policies of the investee. Judgment regarding the level of influence over each equity method investment includes considering key factors such as our ownership interest, representation on the board of directors, organizational structure, participation in policy-making decisions and material intra-entity transactions. Generally, under the equity method, original investments in these entities are recorded at cost and subsequently adjusted by our share of equity in income or losses after the date of acquisition as well as capital contributions to and distributions from these companies. Our proportionate share of the net income or loss of these companies is included in consolidated net income. Investment amounts in excess of our share of an investee's net assets are amortized over the life of the related asset creating the excess. Excess goodwill is not amortized. We evaluate equity method investments for impairment whenever events or changes in circumstances indicate that the carrying amount of the investment might not be recoverable. Factors considered by us when reviewing an equity method investment for impairment include the length of time (duration) and the extent (severity) to which the fair value of the equity method investment has been less than carrying value, the investee’s financial condition and near-term prospects and the intent and ability to hold the investment for a period of time sufficient to allow for anticipated recovery. An impairment that is other-than-temporary is recognized in the period identified.
Goodwill and Definite-Lived Intangible Assets	Goodwill and Definite-Lived Intangible Assets Goodwill represents the unamortized excess of cost over the fair value of the net tangible and other intangible assets acquired. We are required to test at least annually for impairment at a level of reporting referred to as the reporting unit, and more frequently if adverse events or changes in circumstances indicate that the asset may be impaired. A reporting unit either is our operating segments or one level below the operating segments, referred to as a component, which comprise our reportable segments. A component is considered a reporting unit if the component constitutes a business for which discrete financial information is available that is regularly reviewed by management. We aggregate the components of an operating segment into one reporting unit if they have similar economic characteristics. Goodwill is assigned to the reporting units that are expected to benefit from the specific synergies of the business combination. We use the one-step process to review goodwill for impairment to determine both the existence and amount of goodwill impairment, if any. Impairment tests are performed, at a minimum, in the fourth quarter of each year supported by our long-range business plan and annual planning process. We rely on an evaluation of future discounted cash flows to determine fair value of our reporting units. The fair value of our reporting units with significant goodwill exceeded carrying amounts by a substantial margin. A 100 basis point increase in the discount rate would not have a significant impact on the amount of margin for any of our reporting units with significant goodwill, with the exception of our clinical and provider reporting units in our Healthcare Services segment. The margin on the clinical reporting unit would decline to less than 10% after factoring in a 100 basis point increase in the discount rate. The provider reporting unit, while not falling beneath this threshold, was closer than any of our other reporting units. The clinical and provider reporting units account for $524 million and $730 million, respectively, of goodwill. Impairment tests completed for 2018, 2017, and 2016 did not result in an impairment loss. Definite-lived intangible assets primarily relate to acquired customer contracts/relationships and are included with other long-term assets in the consolidated balance sheets. Definite-lived intangible assets are amortized over the useful life generally using the straight-line method. We review definite-lived intangible assets for impairment under our long-lived asset policy.
Benefits Payable and Benefits Expense Recognition	Benefits Payable and Benefits Expense Recognition Benefits expense includes claim payments, capitation payments, pharmacy costs net of rebates, allocations of certain centralized expenses and various other costs incurred to provide health insurance coverage to members, as well as estimates of future payments to hospitals and others for medical care and other supplemental benefits provided on or prior to the balance sheet date. Capitation payments represent monthly contractual fees disbursed to primary care and other providers who are responsible for providing medical care to members. Pharmacy costs represent payments for members’ prescription drug benefits, net of rebates from drug manufacturers. Receivables for such pharmacy rebates are included in other current assets in our consolidated balance sheets. Other supplemental benefits include dental, vision, and other supplemental health and financial protection products. We estimate the costs of our benefits expense payments using actuarial methods and assumptions based upon claim payment patterns, medical cost inflation, historical developments such as claim inventory levels and claim receipt patterns, and other relevant factors, and record benefit reserves for future payments. We continually review estimates of future payments relating to claims costs for services incurred in the current and prior periods and make necessary adjustments to our reserves. Benefits expense is recognized in the period in which services are provided and includes an estimate of the cost of services which have been incurred but not yet reported, or IBNR. Our reserving practice is to consistently recognize the actuarial best point estimate within a level of confidence required by actuarial standards. Actuarial standards of practice generally require a level of confidence such that the liabilities established for IBNR have a greater probability of being adequate versus being insufficient, or such that the liabilities established for IBNR are sufficient to cover obligations under an assumption of moderately adverse conditions. Adverse conditions are situations in which the actual claims are expected to be higher than the otherwise estimated value of such claims at the time of the estimate. Therefore, in many situations, the claim amounts ultimately settled will be less than the estimate that satisfies the actuarial standards of practice. We develop our estimate for IBNR using actuarial methodologies and assumptions, primarily based upon historical claim experience. Depending on the period for which incurred claims are estimated, we apply a different method in determining our estimate. For periods prior to the most recent two months, the key assumption used in estimating our IBNR is that the completion factor pattern remains consistent over a rolling 12-month period after adjusting for known changes in claim inventory levels and known changes in claim payment processes. Completion factors result from the calculation of the percentage of claims incurred during a given period that have historically been adjudicated as of the reporting period. For the most recent two months, the incurred claims are estimated primarily from a trend analysis based upon per member per month claims trends developed from our historical experience in the preceding months, adjusted for known changes in estimates of recent hospital and drug utilization data, provider contracting changes, changes in benefit levels, changes in member cost sharing, changes in medical management processes, product mix, and weekday seasonality. The completion factor method is used for the months of incurred claims prior to the most recent two months because the historical percentage of claims processed for those months is at a level sufficient to produce a consistently reliable result. Conversely, for the most recent two months of incurred claims, the volume of claims processed historically is not at a level sufficient to produce a reliable result, which therefore requires us to examine historical trend patterns as the primary method of evaluation. Changes in claim processes, including recoveries of overpayments, receipt cycle times, claim inventory levels, outsourcing, system conversions, and processing disruptions due to weather or other events affect views regarding the reasonable choice of completion factors. Claim payments to providers for services rendered are often net of overpayment recoveries for claims paid previously, as contractually allowed. Claim overpayment recoveries can result from many different factors, including retroactive enrollment activity, audits of provider billings, and/or payment errors. Changes in patterns of claim overpayment recoveries can be unpredictable and result in completion factor volatility, as they often impact older dates of service. The receipt cycle time measures the average length of time between when a medical claim was initially incurred and when the claim form was received. Increases in electronic claim submissions from providers decrease the receipt cycle time. If claims are submitted or processed on a faster (slower) pace than prior periods, the actual claim may be more (less) complete than originally estimated using our completion factors, which may result in reserves that are higher (lower) than required. Medical cost trends potentially are more volatile than other segments of the economy. The drivers of medical cost trends include increases in the utilization of hospital facilities, physician services, new higher priced technologies and medical procedures, and new prescription drugs and therapies, as well as the inflationary effect on the cost per unit of each of these expense components. Other external factors such as government-mandated benefits or other regulatory changes, the tort liability system, increases in medical services capacity, direct to consumer advertising for prescription drugs and medical services, an aging population, lifestyle changes including diet and smoking, catastrophes, and epidemics also may impact medical cost trends. Internal factors such as system conversions, claims processing cycle times, changes in medical management practices and changes in provider contracts also may impact our ability to accurately predict estimates of historical completion factors or medical cost trends. All of these factors are considered in estimating IBNR and in estimating the per member per month claims trend for purposes of determining the reserve for the most recent two months. Additionally, we continually prepare and review follow-up studies to assess the reasonableness of the estimates generated by our process and methods over time. The results of these studies are also considered in determining the reserve for the most recent two months. Each of these factors requires significant judgment by management. We reassess the profitability of our contracts for providing insurance coverage to our members when current operating results or forecasts indicate probable future losses. We establish a premium deficiency reserve in current operations to the extent that the sum of expected future costs, claim adjustment expenses, and maintenance costs exceeds related future premiums under contracts without consideration of investment income. For purposes of determining premium deficiencies, contracts are grouped in a manner consistent with our method of acquiring, servicing, and measuring the profitability of such contracts. Losses recognized as a premium deficiency result in a beneficial effect in subsequent periods as operating losses under these contracts are charged to the liability previously established. Because the majority of our member contracts renew annually, we would not record a material premium deficiency reserve, except when unanticipated adverse events or changes in circumstances indicate otherwise. In 2016, we increased our existing $176 million premium deficiency reserve for our individual commercial medical business compliant with the Health Care Reform Law associated with the 2016 coverage year by $208 million. During 2016, the $384 million current period losses were applied to the premium deficiency liability for the 2016 coverage year. We believe our benefits payable are adequate to cover future claims payments required. However, such estimates are based on knowledge of current events and anticipated future events. Therefore, the actual liability could differ materially from the amounts provided.
Future policy benefits payable	Future policy benefits payable Future policy benefits payable include liabilities for long-duration insurance policies including life insurance, annuities, certain health and other supplemental, and prior to its sale in 2018, long-term care policies sold to individuals for which some of the premium received in the earlier years is intended to pay anticipated benefits to be incurred in future years. At policy issuance, these reserves are recognized on a net level premium method based on interest rates, mortality, morbidity, and maintenance expense assumptions. Interest rates are based on our expected net investment returns on the investment portfolio supporting the reserves for these blocks of business. Mortality, a measure of expected death, and morbidity, a measure of health status, assumptions are based on industry actuarial tables, modified based upon actual experience. Changes in estimates of these reserves are recognized as an adjustment to benefits expense in the period the changes occur. We perform loss recognition tests at least annually in the fourth quarter, and more frequently if adverse events or changes in circumstances indicate that the level of the liability, together with the present value of future gross premiums, may not be adequate to provide for future expected policy benefits and maintenance costs. During 2016, we recorded a loss for a premium deficiency as discussed further in Note 18. We adjust future policy benefits payable for the additional liability that would have been recorded if investment securities backing the liability had been sold at their stated aggregate fair value and the proceeds reinvested at current yields. We include the impact of this adjustment, if any, net of applicable deferred taxes, with the change in unrealized investment gain (loss) in accumulated other comprehensive income in stockholders’ equity. Health policies sold to individuals that conform to the Health Care Reform Law are accounted for under a short-duration model under which policy reserves are not established because premiums received in the current year are intended to pay anticipated benefits in that year. In addition, as previously underwritten members transition to plans compliant with the Health Care Reform Law, it results in policy lapses and the release of reserves for future policy benefits.
Book Overdraft	Book Overdraft Under our cash management system, checks issued but not yet presented to banks that would result in negative bank balances when presented are classified as a current liability in the consolidated balance sheets. Changes in book overdrafts from period to period are reported in the consolidated statement of cash flows as a financing activity.
Income Taxes	Income Taxes We recognize an asset or liability for the deferred tax consequences of temporary differences between the tax bases of assets or liabilities and their reported amounts in the consolidated financial statements. These temporary differences will result in taxable or deductible amounts in future years when the reported amounts of the assets or liabilities are recovered or settled. We also recognize the future tax benefits such as net operating and capital loss carryforwards as deferred tax assets. A valuation allowance is provided against these deferred tax assets if it is more likely than not that some portion or all of the deferred tax assets will not be realized. Future years’ tax expense may be increased or decreased by adjustments to the valuation allowance or to the estimated accrual for income taxes. Deferred tax assets and deferred tax liabilities are further adjusted for changes in the enacted tax rates. We record tax benefits when it is more likely than not that the tax return position taken with respect to a particular transaction will be sustained. A liability, if recorded, is not considered resolved until the statute of limitations for the relevant taxing authority to examine and challenge the tax position has expired, or the tax position is ultimately settled through examination, negotiation, or litigation. We classify interest and penalties associated with uncertain tax positions in our provision for income taxes.
Stock-Based Compensation	Stock-Based Compensation We generally recognize stock-based compensation expense, as determined on the date of grant at fair value, on a straight-line basis over the period during which an employee is required to provide service in exchange for the award (the vesting period). In addition, for awards with both time and performance-based conditions, we generally recognize compensation expense on a straight line basis over the vesting period when it is probable that the performance condition will be achieved. We estimate expected forfeitures and recognize compensation expense only for those awards which are expected to vest. We estimate the grant-date fair value of stock options using the Black-Scholes option-pricing model.
Earnings Per Common Share	Earnings Per Common Share We compute basic earnings per common share on the basis of the weighted-average number of unrestricted common shares outstanding. Diluted earnings per common share is computed on the basis of the weighted-average number of unrestricted common shares outstanding plus the dilutive effect of outstanding employee stock options and restricted shares, or units, using the treasury stock method.
Fair Value	Fair Value Assets and liabilities measured at fair value are categorized into a fair value hierarchy based on whether the inputs to valuation techniques are observable or unobservable. Observable inputs reflect market data obtained from independent sources, while unobservable inputs reflect our own assumptions about the assumptions market participants would use. The fair value hierarchy includes three levels of inputs that may be used to measure fair value as described below. Level 1 – Quoted prices in active markets for identical assets or liabilities. Level 1 assets and liabilities include debt securities that are traded in an active exchange market. Level 2 – Observable inputs other than Level 1 prices such as quoted prices in active markets for similar assets or liabilities, quoted prices for identical or similar assets or liabilities in markets that are not active, or other inputs that are observable or can be corroborated by observable market data for substantially the full term of the assets or liabilities. Level 2 assets and liabilities include debt securities with quoted prices that are traded less frequently than exchange-traded instruments as well as debt securities whose value is determined using a pricing model with inputs that are observable in the market or can be derived principally from or corroborated by observable market data. Level 3 – Unobservable inputs that are supported by little or no market activity and are significant to the fair value of the assets or liabilities. Level 3 includes assets and liabilities whose value is determined using pricing models, discounted cash flow methodologies, or similar techniques reflecting our own assumptions about the assumptions market participants would use as well as those requiring significant management judgment. Fair value of actively traded debt securities are based on quoted market prices. Fair value of other debt securities are based on quoted market prices of identical or similar securities or based on observable inputs like interest rates generally using a market valuation approach, or, less frequently, an income valuation approach and are generally classified as Level 2. We obtain at least one price for each security from a third party pricing service. These prices are generally derived from recently reported trades for identical or similar securities, including adjustments through the reporting date based upon observable market information. When quoted prices are not available, the third party pricing service may use quoted market prices of comparable securities or discounted cash flow analysis, incorporating inputs that are currently observable in the markets for similar securities. Inputs that are often used in the valuation methodologies include benchmark yields, reported trades, credit spreads, broker quotes, default rates, and prepayment speeds. We are responsible for the determination of fair value and as such we perform analysis on the prices received from the third party pricing service to determine whether the prices are reasonable estimates of fair value. Our analysis includes a review of monthly price fluctuations as well as a quarterly comparison of the prices received from the pricing service to prices reported by our third party investment adviser. In addition, on a quarterly basis we examine the underlying inputs and assumptions for a sample of individual securities across asset classes, credit rating levels, and various durations. Fair value of privately held debt securities are estimated using a variety of valuation methodologies, including both market and income approaches, where an observable quoted market does not exist and are generally classified as Level 3. For privately-held debt securities, such methodologies include reviewing the value ascribed to the most recent financing, comparing the security with securities of publicly-traded companies in similar lines of business, and reviewing the underlying financial performance including estimating discounted cash flows.
Recently Issued Accounting Pronouncements	Recently Issued Accounting Pronouncements Recently Adopted Accounting Pronouncements In May 2014, the Financial Accounting Standards Board, or FASB, issued new guidance that amends the accounting for revenue recognition. The amendments are intended to provide a more robust framework for addressing revenue issues, improve comparability of revenue recognition practices, and improve disclosure requirements. Insurance contracts are not included in the scope of this new guidance. Accordingly, our premiums revenue and investment income, collectively representing approximately 97% of our consolidated external revenues for the year ended December 31, 2018, are not included in the scope of the new guidance. We adopted the new standard effective January 1, 2018, using the modified retrospective approach. As the majority of our revenues are not subject to the new guidance and the remaining revenues’ accounting treatment did not materially differ from pre-existing accounting treatment, the adoption of the new standard did not have a material impact on our consolidated results of operations, financial condition, cash flows, or related disclosures. Accounting Pronouncements Effective in Future Periods In February 2016, the FASB issued new guidance related to accounting for leases which requires lessees to record assets and liabilities reflecting the leased assets and lease obligations, respectively, while following the dual model for recognition in statements of income requiring leases to be classified as either operating or finance. Operating leases will result in straight-line expense (similar to current operating leases) while finance leases will result in a front-loaded expense pattern (similar to current capital leases). We adopted the new standard effective January 1, 2019, as allowed, using the modified retrospective approach. We elected the package of practical expedients permitted under the transition guidance within the new standard, which among other things, allows us to carryforward the historical lease classification without restating comparative prior periods. We made a permitted accounting policy election to not apply the new guidance to leases with an initial term of 12 months or less. We will recognize those lease payments in the Consolidated Statements of Operations on a straight-line basis over the lease term. The adoption of the standard resulted in recognition of additional lease assets and lease liabilities of approximately $470 million as of January 1, 2019. We believe the standard will not materially affect our consolidated net earnings, cash flows and liquidity. In June 2016, the FASB issued guidance introducing a new model for recognizing credit losses on financial instruments based on an estimate of current expected credit losses. The guidance is effective for us beginning January 1, 2020. The new current expected credit losses (CECL) model generally calls for the immediate recognition of all expected credit losses and applies to loans, accounts and trade receivables as well as other financial assets measured at amortized cost, loan commitments and off-balance sheet credit exposures, debt securities and other financial assets measured at fair value through other comprehensive income, and beneficial interests in securitized financial assets. The new guidance replaces the current incurred loss model for measuring expected credit losses, requires expected losses on available for sale debt securities to be recognized through an allowance for credit losses rather than as reductions in the amortized cost of the securities, and provides for additional disclosure requirements. Our investment portfolio consists of available for sale debt securities. We are currently evaluating the impact on our results of operations, financial condition, and cash flows. In March 2017, the FASB issued new guidance that amends the accounting for premium amortization on purchased callable debt securities by shortening the amortization period. This amended guidance requires the premium to be amortized to the earliest call date instead of maturity date. The new guidance is effective for us beginning with annual and interim periods in 2019. This guidance will not have a material impact on our results of operations, financial condition or cash flows. In February 2018, the FASB issued guidance which allows a reclassification from accumulated other comprehensive income to retained earnings for stranded tax effects resulting from the December 22, 2017 enactment of the Tax Cuts and Jobs Act. The new guidance is effective for us beginning January 1, 2019, with early adoption permitted. We early adopted this guidance in the first quarter of 2018 and it did not have a material impact on our results of operations, financial condition or cash flows. In September 2018, the FASB issued new guidance related to accounting for long-duration contracts of insurers which revises key elements of the measurement models and disclosure requirements for long-duration contracts issued by insurers and reinsurers. The new guidance is effective for us beginning with annual and interim periods in 2021, with earlier adoption permitted, and requires retrospective application to previously issued annual and interim financial statements. We are currently evaluating the impact on our results of operations, financial position and cash flows. There are no other recently issued accounting standards that apply to us or that are expected to have a material impact on our results of operations, financial condition, or cash flows.

ACQUISITIONS AND DIVESTITURES ACQUISITIONS AND DIVESTITURES (Tables)

12 Months Ended

Dec. 31, 2018

Business Combinations [Abstract]

Disposal Groups, Including Discontinued Operations

The assets and liabilities of KMG that were disposed of on August 9, 2018 were as follows:



	August 9, 2018
Assets	(in millions)
Cash and cash equivalents	$	805
Receivables, net	3
Investment securities	1,576
Other assets	1,085
Total assets disposed	$	3,469
Liabilities
Benefits payable	$	58
Trade accounts payable and accrued expenses	70
Future policy benefits payable	2,573
Total liabilities disposed	$	2,701

- Definition

Tabular disclosure of information related to a disposal group. Includes, but is not limited to, a discontinued operation, disposal classified as held-for-sale or disposed of by means other than sale or disposal of an individually significant component.

+ References

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+ Details

EQUITY METHOD INVESTMENT (Tables)

12 Months Ended

Dec. 31, 2018

Equity Method Investments and Joint Ventures [Abstract]

Equity Method Investments



Balance sheet	December 31, 2018
	(in millions)
Current assets	$	536
Non-current assets	4,955
Current liabilities	351
Non-current liabilities	2,708
Shareholders' equity	2,432

Statement of income
	July 2, 2018 through December 31, 2018
	(in millions)
Revenues	$	1,587
Expenses	1,451
Net income	27

INVESTMENT SECURITIES (Tables)

12 Months Ended

Dec. 31, 2018

Investments, Debt and Equity Securities [Abstract]

Schedule of Investment Securities Classified as Current and Long-Term

Investment securities classified as current and long-term were as follows at December 31, 2018 and 2017, respectively:



	Amortized Cost		Gross Unrealized Gains		Gross Unrealized Losses			Fair Value
	(in millions)
December 31, 2018
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	$	419	$	1	$	(3	)	$	417
Mortgage-backed securities	2,595		3		(54		)	2,544
Tax-exempt municipal securities	2,805		3		(37		)	2,771
Mortgage-backed securities:
Residential	55		—		—			55
Commercial	537		—		(14		)	523
Asset-backed securities	991		1		(7		)	985
Corporate debt securities	3,239		1		(98		)	3,142
Total debt securities	$	10,641	$	9	$	(213	)	$	10,437
December 31, 2017
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	$	532	$	1	$	(2	)	$	531
Mortgage-backed securities	1,625		4		(19		)	1,610
Tax-exempt municipal securities	3,884		33		(28		)	3,889
Mortgage-backed securities:
Residential	26		—		—			26
Commercial	455		3		(2		)	456
Asset-backed securities	407		1		—			408
Corporate debt securities	5,175		244		(37		)	5,382
Total debt securities	$	12,104	$	286	$	(88	)	$	12,302

Schedule of Gross Unrealized Losses and Fair Value of Securities



	Less than 12 months					12 months or more					Total
	Fair Value		Gross Unrealized Losses			Fair Value		Gross Unrealized Losses			Fair Value		Gross Unrealized Losses
	Fair Value		Gross Unrealized Losses			Fair Value		Gross Unrealized Losses			Fair Value		Gross Unrealized Losses
	(in millions)
December 31, 2018
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	$	179	$	(1	)	$	153	$	(2	)	$	332	$	(3	)
Mortgage-backed securities	956		(16		)	1,019		(38		)	1,975		(54		)
Tax-exempt municipal securities	809		(9		)	1,648		(28		)	2,457		(37		)
Mortgage-backed securities:
Residential	—		—			15		—			15		—
Commercial	372		(8		)	133		(6		)	505		(14		)
Asset-backed securities	824		(7		)	40		—			864		(7		)
Corporate debt securities	1,434		(35		)	1,439		(63		)	2,873		(98		)
Total debt securities	$	4,574	$	(76	)	$	4,447	$	(137	)	$	9,021	$	(213	)
December 31, 2017
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	$	273	$	(1	)	$	130	$	(1	)	$	403	$	(2	)
Mortgage-backed securities	581		(2		)	672		(17		)	1,253		(19		)
Tax-exempt municipal securities	1,590		(16		)	661		(12		)	2,251		(28		)
Mortgage-backed securities:
Residential	20		—			3		—			23		—
Commercial	131		(1		)	28		(1		)	159		(2		)
Asset-backed securities	107		—			10		—			117		—
Corporate debt securities	1,297		(10		)	804		(27		)	2,101		(37		)
Total debt securities	$	3,999	$	(30	)	$	2,308	$	(58	)	$	6,307	$	(88	)

Schedule of Realized Gains (Losses) Related to Investment Securities Included Within Investment Income

The detail of realized gains (losses) related to investment securities and included within investment income was as follows for the years ended December 31, 2018, 2017, and 2016:



	2018			2017			2016
	(in millions)
Gross realized gains	$	106		$	35		$	120
Gross realized losses	(16		)	(21		)	(24		)
Net realized capital gains	$	90		$	14		$	96

Schedule of Contractual Maturity of Debt Securities Available for Sale



	Amortized Cost		Fair Value
	(in millions)
Due within one year	$	943	$	941
Due after one year through five years	2,929		2,873
Due after five years through ten years	1,873		1,810
Due after ten years	718		706
Mortgage and asset-backed securities	4,178		4,107
Total debt securities	$	10,641	$	10,437

FAIR VALUE (Tables)

12 Months Ended

Dec. 31, 2018

Fair Value Disclosures [Abstract]

Financial Assets Measured at Fair Value on Recurring Basis

The following table summarizes our fair value measurements at December 31, 2018 and 2017, respectively, for financial assets measured at fair value on a recurring basis:



			Fair Value Measurements Using
	Fair Value		Quoted Prices in Active Markets (Level 1)		Other Observable Inputs (Level 2)		Unobservable Inputs (Level 3)
	(in millions)
December 31, 2018
Cash equivalents	$	2,024	$	2,024	$	—	$	—
Debt securities:
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	417		—		417		—
Mortgage-backed securities	2,544		—		2,544		—
Tax-exempt municipal securities	2,771		—		2,771		—
Mortgage-backed securities:
Residential	55		—		55		—
Commercial	523		—		523		—
Asset-backed securities	985		—		985		—
Corporate debt securities	3,142		—		3,142		—
Total debt securities	10,437		—		10,437		—
Total invested assets	$	12,461	$	2,024	$	10,437	$	—
December 31, 2017
Cash equivalents	$	4,564	$	4,564	$	—	$	—
Debt securities:
U.S. Treasury and other U.S. government corporations and agencies:
U.S. Treasury and agency obligations	531		—		531		—
Mortgage-backed securities	1,610		—		1,610		—
Tax-exempt municipal securities	3,889		—		3,889		—
Mortgage-backed securities:
Residential	26		—		26		—
Commercial	456		—		456		—
Asset-backed securities	408		—		408		—
Corporate debt securities	5,382		—		5,381		1
Total debt securities	12,302		—		12,301		1
Total invested assets	$	16,866	$	4,564	$	12,301	$	1

MEDICARE PART D (Tables)

12 Months Ended

Dec. 31, 2018

Insurance [Abstract]

Balance Sheet Amounts Associated With Medicare Part D

The accompanying consolidated balance sheets include the following amounts associated with Medicare Part D as of December 31, 2018 and 2017. CMS subsidies/discounts in the table below include the reinsurance and low-income cost subsidies funded by CMS for which we assume no risk as well as brand name prescription drug discounts for Part D plan participants in the coverage gap funded by CMS and pharmaceutical manufacturers.



	2018						2017
	Risk Corridor Settlement			CMS Subsidies/ Discounts			Risk Corridor Settlement			CMS Subsidies/ Discounts
	(in millions)
Other current assets	$	15		$	172		$	4		$	101
Trade accounts payable and accrued expenses	(103		)	(503		)	(255		)	(1,085		)
Net current liability	(88		)	(331		)	(251		)	$	(984	)
Other long-term assets	7			—			—			—
Other long-term liabilities	(89		)	—			(28		)	—
Net long-term liability	(82		)	—			(28		)	—
Total net liability	$	(170	)	$	(331	)	$	(279	)	$	(984	)

PROPERTY AND EQUIPMENT, NET (Tables)

12 Months Ended

Dec. 31, 2018

Property, Plant and Equipment [Abstract]

PROPERTY AND EQUIPMENT, NET

Property and equipment was comprised of the following at December 31, 2018 and 2017.



	2018			2017
	(in millions)
Land	$	20		$	20
Buildings and leasehold improvements	766			713
Equipment	890			824
Computer software	2,372			2,003
	4,048			3,560
Accumulated depreciation	(2,313		)	(1,976		)
Property and equipment, net	$	1,735		$	1,584

GOODWILL AND OTHER INTANGIBLE ASSETS (Tables)

12 Months Ended

Dec. 31, 2018

Goodwill and Intangible Assets Disclosure [Abstract]

Changes in Carrying Amount of Goodwill By Reportable Segments

Changes in the carrying amount of goodwill for our reportable segments for the years ended December 31, 2018 and 2017 were as follows:



	Retail		Group and Specialty		Healthcare Services		Total
	(in millions)
Balance at January 1, 2017	$	1,059	$	261	$	1,952	$	3,272
Acquisitions	—		—		9		9
Balance at December 31, 2017	1,059		261		1,961		3,281
Acquisitions	476		—		140		616
Balance at December 31, 2018	$	1,535	$	261	$	2,101	$	3,897

Details of Intangible Assets Included in Other Long-Term Assets

The following table presents details of our other intangible assets included in other long-term assets in the accompanying consolidated balance sheets at December 31, 2018 and 2017.



	Weighted Average Life	2018						2017
	Weighted Average Life	Cost		Accumulated Amortization		Net		Cost		Accumulated Amortization		Net
		(in millions)
Other intangible assets:
Customer contracts/relationships	8.7 years	$	646	$	434	$	212	$	566	$	401	$	165
Trade names and technology	6.4 years	84		83		1		104		84		20
Provider contracts	11.8 years	68		37		31		68		30		38
Noncompetes and other	7.3 years	29		28		1		32		29		3
Total other intangible assets	8.7 years	$	827	$	582	$	245	$	770	$	544	$	226

Schedule of Estimated Amortization Expense

The following table presents our estimate of amortization expense for each of the five next succeeding fiscal years:



	(in millions)
For the years ending December 31,
2019	$	70
2020	67
2021	34
2022	31
2023	18

BENEFITS PAYABLE (Tables)

12 Months Ended

Dec. 31, 2018

Defined Benefit Plans and Other Postretirement Benefit Plans Disclosures [Abstract]

Activity in Benefits Payable

On a consolidated basis, activity in benefits payable, excluding military services, was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Balances at January 1	$	4,668		$	4,563		$	4,976
Less: Premium deficiency reserve	—			—			(176		)
Less: Reinsurance recoverables	(70		)	(76		)	(85		)
Balances at January 1, net	4,598			4,487			4,715
Incurred related to:
Current year	46,385			44,001			45,318
Prior years	(503		)	(483		)	(582		)
Total incurred	45,882			43,518			44,736
Paid related to:
Current year	(41,736		)	(39,496		)	(40,852		)
Prior years	(3,977		)	(3,911		)	(4,112		)
Total paid	(45,713		)	(43,407		)	(44,964		)
Reinsurance recoverable	95			70			76
Balances at December 31	$	4,862		$	4,668		$	4,563

Schedule Of Favorable Medical Claims Reserve Development Related To Prior Fiscal Years By Segment

The table below details our favorable medical claims reserve development related to prior fiscal years by segment for 2018, 2017, and 2016.



	Favorable Medical Claims Reserve Development
	2018			2017			2016

Retail Segment	$	(398	)	$	(386	)	$	(429	)
Group and Specialty Segment	(46		)	(40		)	(46		)
Individual Commercial Segment	(57		)	(56		)	(106		)
Other Businesses	(2		)	(1		)	(1		)
Total	$	(503	)	$	(483	)	$	(582	)

Benefit Expenses Excluded From Activity in Benefits Payable

Benefits expense excluded from the previous table was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018		2017			2016
	(in millions)
Premium deficiency reserve for short-duration policies	$	—	$	—		$	(176	)
Military services	—		—			8
Future policy benefits	—		(22		)	439
Total	$	—	$	(22	)	$	271

Schedule Of Benefits Expense

Activity in benefits payable for our Group and Specialty segment, excluding military services, was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Balances at January 1	$	568		$	579		$	616
Less: Reinsurance recoverables	—			—			—
Balances at January 1, net	568			579			616
Incurred related to:
Current year	5,466			5,403			5,271
Prior years	(46		)	(40		)	(46		)
Total incurred	5,420			5,363			5,225
Paid related to:
Current year	(4,957		)	(4,843		)	(4,700		)
Prior years	(514		)	(531		)	(562		)
Total paid	(5,471		)	(5,374		)	(5,262		)
Balances at December 31	$	517		$	568		$	579

Activity in benefits payable for our Individual Commercial segment, was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Balances at January 1	$	101		$	454		$	741
Less: Premium deficiency reserve	—			—			(176		)
Balances at January 1, net	101			454			565
Incurred related to:
Current year	—			669			3,677
Prior years	(56		)	(56		)	(106		)
Total incurred	(56		)	613			3,571
Paid related to:
Current year	—			(583		)	(3,233		)
Prior years	(38		)	(383		)	(449		)
Total paid	(38		)	(966		)	(3,682		)
Balances at December 31	$	7		$	101		$	454

Activity in benefits payable for our Retail segment was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Balances at January 1	$	3,963		$	3,506		$	3,600
Less: Reinsurance recoverables	(70		)	(76		)	(85		)
Balances at January 1, net	3,893			3,430			3,515
Incurred related to:
Current year	41,323			38,604			37,212
Prior years	(398		)	(386		)	(429		)
Total incurred	40,925			38,218			36,783
Paid related to:
Current year	(37,189		)	(34,781		)	(33,784		)
Prior years	(3,386		)	(2,974		)	(3,084		)
Total paid	(40,575		)	(37,755		)	(36,868		)
Reinsurance recoverable	95			70			76
Balances at December 31	$	4,338		$	3,963		$	3,506

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



	December 31, 2018
Net outstanding liabilities
Retail	$	4,243
Group and Specialty	517
Individual Commercial	7
Benefits payable, net of reinsurance	4,767
Reinsurance recoverable on unpaid claims
Retail	95
Total benefits payable, gross	$	4,862

The following tables provide information about incurred and paid claims development for the Individual Commercial segment as of December 31, 2018, net of reinsurance.



	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	3,677	$	3,621	$	3,609
2017			669		627
2018					—
Total					$	4,236



	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	3,233	$	3,606	$	3,609
2017			583		620
2018					—
Total					$	4,229
All outstanding benefit liabilities before 2015, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	7

The following tables provide information about incurred and paid claims development for the Group and Specialty segment as of December 31, 2018, net of reinsurance.



	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	5,271	$	5,234	$	5,235
2017			5,403		5,358
2018					5,466
Total					$	16,059



	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	4,700	$	5,226	$	5,234
2017			4,843		5,351
2018					4,957
Total					$	15,542
All outstanding benefit liabilities before 2015, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	517

The following tables provide information about incurred and paid claims development for the Retail segment as of December 31, 2018, net of reinsurance.



	Incurred Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	37,212	$	36,891	$	36,811
2017			38,604		38,341
2018					41,323
Total					$	116,475



	Cumulative Paid Claims, Net of Reinsurance
	For the Years Ended December 31,
Claims Incurred Year	2016 Unaudited		2017 Unaudited		2018
	(in millions)
2016	$	33,784	$	36,841	$	36,811
2017			34,781		38,232
2018					37,189
Total					$	112,232
All outstanding benefit liabilities before 2015, net of reinsurance					N/A
Benefits payable, net of reinsurance					$	4,243

INCOME TAXES (Tables)

12 Months Ended

Dec. 31, 2018

Income Tax Disclosure [Abstract]

Provision for Income Taxes

The provision for income taxes consisted of the following for the years ended December 31, 2018, 2017 and 2016:



	2018		2017		2016
	(in millions)
Current provision:
Federal	$	139	$	1,324	$	921
States and Puerto Rico	58		116		88
Total current provision	197		1,440		1,009
Deferred expense (benefit)	194		132		(71		)
Provision for income taxes	$	391	$	1,572	$	938

Provision for Income Taxes Using Federal Statutory Rate

The provision for income taxes was different from the amount computed using the federal statutory rate for the years ended December 31, 2018, 2017 and 2016 due to the following:



	2018			2017			2016
	(in millions)
Income tax provision at federal statutory rate	$	436		$	1,407		$	543
States, net of federal benefit, and Puerto Rico	42			80			41
Tax exempt investment income	(11		)	(22		)	(20		)
Health insurance industry fee	243			—			336
Nondeductible executive compensation	17			36			30
Tax reform	(39		)	133			—
KMG sale	(272		)	—			—
Other, net	(25		)	(62		)	8
Provision for income taxes	$	391		$	1,572		$	938

Principal Components of Net Deferred Tax Balances

Principal components of our net deferred tax balances at December 31, 2018 and 2017 were as follows:



	Assets (Liabilities)
	2018			2017
	(in millions)
Compensation and other accrued expense	$	89		$	138
Benefits payable	79			113
Investment securities	44			—
Net operating loss carryforward	38			53
Capital loss carryforward	15			—
Deferred acquisition costs	17			48
Unearned revenues	9			12
Other	8			1
Future policy benefits payable	—			231
Total deferred income tax assets	299			596
Valuation allowance	(54		)	(49		)
Total deferred income tax assets, net of valuation allowance	245			547
Depreciable property and intangible assets	(273		)	(237		)
Prepaid expenses	(52		)	(44		)
Future policy benefits payable	(5		)	—
Investment securities	—			(49		)
Total deferred income tax liabilities	(330		)	(330		)
Total net deferred income tax assets/(liabilities)	$	(85	)	$	217

DEBT (Tables)

12 Months Ended

Dec. 31, 2018

Debt Disclosure [Abstract]

Carrying Value of Long-Term Debt Outstanding

The carrying value of debt outstanding was as follows at December 31, 2018 and 2017:



	2018		2017
	(in millions)
Short-term debt:
Commercial paper	$	645	150
Term note	650		—
Senior note:
$400 million, 2.625% due October 1, 2019	399		—
Total short-term debt	$	1,694	$	150

Long-term debt:
Senior notes:
$400 million, 2.625% due October 1, 2019	$	—	$	399
$400 million, 2.50% due December 15, 2020	398		397
$400 million, 2.90% due December 15, 2022	396		396
$600 million, 3.15% due December 1, 2022	596		595
$600 million, 3.85% due October 1, 2024	597		595
$600 million, 3.95% due March 15, 2027	594		594
$250 million, 8.15% due June 15, 2038	263		263
$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	396		396
Total long-term debt	$	4,375	$	4,770

Schedule of Maturities of Long-term Debt

Maturities of the short-term and long-term debt for the years ending December 31, are as follows:



For the years ending December 31,	(in millions)
2019	$	1,697
2020	400
2021	—
2022	1,000
2023	—
Thereafter	3,000

EMPLOYEE BENEFIT PLANS (Tables)

12 Months Ended

Dec. 31, 2018

Retirement Benefits [Abstract]

Stock-Based Compensation Expense

The compensation expense that has been charged against income for these plans was as follows for the years ended December 31, 2018, 2017, and 2016:



	2018			2017			2016
	(in millions)
Stock-based compensation expense by type:
Restricted stock	$	124		$	145		$	106
Stock options	13			12			9
Total stock-based compensation expense	137			157			115
Tax benefit recognized	(21		)	(32		)	(20		)
Stock-based compensation expense, net of tax	$	116		$	125		$	95

Activity for Restricted Stock Awards

Activity for our restricted stock was as follows for the year ended December 31, 2018:



	Shares		Weighted- Average Grant-Date Fair Value
	(shares in thousands)
Nonvested restricted stock at December 31, 2017	1,653		$	171.68
Granted	576		276.62
Vested	(1,045	)	185.82
Forfeited	(220	)	180.83
Nonvested restricted stock at December 31, 2018	964		$	213.99

Weighted-Average Fair Value of Stock Options

The fair value was estimated on the date of grant using the Black-Scholes pricing model with the weighted-average assumptions indicated below:



	2018			2017			2016
Weighted-average fair value at grant date	$	63.67		$	49.81		$	37.12
Expected option life (years)	4.1 years			4.1 years			4.2 years
Expected volatility	26.1		%	27.1		%	27.6		%
Risk-free interest rate at grant date	2.5		%	2.0		%	1.1		%
Dividend yield	0.7		%	0.7		%	0.7		%

Activity for Option Plans

Activity for our option plans was as follows for the year ended December 31, 2018:



	Shares Under Option		Weighted-Average Exercise Price
	(shares in thousands)
Options outstanding at December 31, 2017	863		$	181.44
Granted	143		276.01
Exercised	(320	)	157.44
Forfeited	(9	)	150.59
Options outstanding at December 31, 2018	677		$	213.17
Options exercisable at December 31, 2018	178		$	180.76

EARNINGS PER COMMON SHARE COMPUTATION (Tables)

12 Months Ended

Dec. 31, 2018

Earnings Per Share [Abstract]

Schedule of Details Supporting Computation of Earnings Per Share

Detail supporting the computation of basic and diluted earnings per common share was as follows for the years ended December 31, 2018, 2017 and 2016:



	2018		2017		2016
	(dollars in millions, except per common share results, number of shares/options in thousands)
Net income available for common stockholders	$	1,683	$	2,448	$	614
Weighted-average outstanding shares of common stock used to compute basic earnings per common share	137,486		144,493		149,375
Dilutive effect of:
Employee stock options	194		172		219
Restricted stock	723		920		1,323
Shares used to compute diluted earnings per common share	138,403		145,585		150,917
Basic earnings per common share	$	12.24	$	16.94	$	4.11
Diluted earnings per common share	$	12.16	$	16.81	$	4.07
Number of antidilutive stock options and restricted stock awards excluded from computation	223		539		748

STOCKHOLDERS' EQUITY (Tables)

12 Months Ended

Dec. 31, 2018

Equity [Abstract]

Schedule of Details of Dividend Payments

The following table provides details of dividend payments, excluding dividend equivalent rights, in 2016, 2017, and 2018 under our Board approved quarterly cash dividend policy:



Payment Date	Amount per Share	Total Amount
		(in millions)
2016	$1.16	$172
2017	$1.49	$216
2018	$1.90	$262

Class of Treasury Stock

ASR.

Excluding shares acquired in connection with employee stock plans, share repurchases were as follows during the years ended December 31, 2018, 2017 and 2016.




		2018			2017			2016
Authorization Date	Purchase Not to Exceed	Shares	Cost		Shares	Cost		Shares	Cost
	(in millions)
February 2017	2,250	—	—		9.71	2,250		—	—
December 2017	3,000	3.07	1,024		3.28	800		—	—
Total repurchases		3.07	$	1,024	12.99	$	3,050	—	$	—

COMMITMENTS, GUARANTEES AND CONTINGENCIES (Tables)

12 Months Ended

Dec. 31, 2018

Commitments and Contingencies Disclosure [Abstract]

Rent Expense and Sublease Rental Income Associated With Operating Leases

Rent expense and sublease rental income, which are recorded net as an operating cost, for all operating leases were as follows for the years ended December 31, 2018, 2017 and 2016:



	2018			2017			2016
	(in millions)
Rent expense	$	167		$	204		$	179
Sublease rental income	(32		)	(33		)	(26		)
Net rent expense	$	135		$	171		$	153

Future Annual Minimum Payments Due

Future annual minimum payments due subsequent to December 31, 2018 under all of our noncancelable operating leases with initial terms in excess of one year are as follows:



	Minimum Lease Payments		Sublease Rental Receipts			Net Lease Commitments
	(in millions)
For the years ending December 31,:
2019	$	147	$	(13	)	$	134
2020	113		(12		)	101
2021	96		(10		)	86
2022	79		(9		)	70
2023	34		(9		)	25
Thereafter	50		(23		)	27
Total	$	519	$	(76	)	$	443

SEGMENT INFORMATION (Tables)

12 Months Ended

Dec. 31, 2018

Segment Reporting [Abstract]

Schedule of Segment Reporting Information, By Segment



	Retail		Group and Specialty		Healthcare Services		Individual Commercial			Other Businesses		Eliminations/ Corporate			Consolidated
	(in millions)
2018
External revenues
Premiums:
Individual Medicare Advantage	$	35,656	$	—	$	—	$	—		$	—	$	—		$	35,656
Group Medicare Advantage	6,103		—		—		—			—		—			6,103
Medicare stand-alone PDP	3,584		—		—		—			—		—			3,584
Total Medicare	45,343		—		—		—			—		—			45,343
Fully-insured	510		5,444		—		8			—		—			5,962
Specialty	—		1,359		—		—			—		—			1,359
Medicaid and other	2,255		—		—		—			22		—			2,277
Total premiums	48,108		6,803		—		8			22		—			54,941
Services revenue:
Provider	—		—		404		—			—		—			404
ASO and other	11		835		—		—			4		—			850
Pharmacy	—		—		203		—			—		—			203
Total services revenue	11		835		607		—			4		—			1,457
Total external revenues	48,119		7,638		607		8			26		—			56,398
Intersegment revenues
Services	—		18		16,840		—			—		(16,858		)	—
Products	—		—		6,330		—			—		(6,330		)	—
Total intersegment revenues	—		18		23,170		—			—		(23,188		)	—
Investment income	136		23		34		—			110		211			514
Total revenues	48,255		7,679		23,811		8			136		(22,977		)	56,912
Operating expenses:
Benefits	40,925		5,420		—		(70		)	77		(470		)	45,882
Operating costs	5,327		1,810		22,905		4			6		(22,527		)	7,525
Depreciation and amortization	270		88		163		—			—		(116		)	405
Total operating expenses	46,522		7,318		23,068		(66		)	83		(23,113		)	53,812
Income from operations	1,733		361		743		74			53		136			3,100
Loss on sale of business	—		—		—		—			—		786			786
Interest expense	—		—		—		—			—		218			218
Other expense, net	—		—		—		—			—		33			33
Income (loss) before income taxes and equity in earnings	1,733		361		743		74			53		(901		)	2,063
Equity in net earnings of Kindred at Home	—		—		11		—			—		—			11
Segment earnings (losses)	$	1,733	$	361	$	754	$	74		$	53	$	(901	)	$	2,074



	Retail		Group and Specialty		Healthcare Services		Individual Commercial		Other Businesses			Eliminations/ Corporate			Consolidated
	(in millions)
2017
Revenues—external customers
Premiums:
Individual Medicare Advantage	$	32,720	$	—	$	—	$	—	$	—		$	—		$	32,720
Group Medicare Advantage	5,155		—		—		—		—			—			5,155
Medicare stand-alone PDP	3,702		—		—		—		—			—			3,702
Total Medicare	41,577		—		—		—		—			—			41,577
Fully-insured	478		5,462		—		947		—			—			6,887
Specialty	—		1,310		—		—		—			—			1,310
Medicaid and other	2,571		—		—		—		35			—			2,606
Total premiums	44,626		6,772		—		947		35			—			52,380
Services revenue:
Provider	—		—		258		—		—			—			258
ASO and other	10		626		—		—		8			—			644
Pharmacy	—		—		80		—		—			—			80
Total services revenue	10		626		338		—		8			—			982
Total revenues—external customers	44,636		7,398		338		947		43			—			53,362
Intersegment revenues
Services	—		20		17,293		—		—			(17,313		)	—
Products	—		—		6,292		—		—			(6,292		)	—
Total intersegment revenues	—		20		23,585		—		—			(23,605		)	—
Investment income	90		31		35		4		87			158			405
Total revenues	44,726		7,449		23,958		951		130			(23,447		)	53,767
Operating expenses:
Benefits	38,218		5,363		—		544		131			(760		)	43,496
Operating costs	4,292		1,590		22,848		201		12			(22,376		)	6,567
Merger termination fee and related costs, net	—		—		—		—		—			(936		)	(936		)
Depreciation and amortization	238		84		143		13		—			(100		)	378
Total operating expenses	42,748		7,037		22,991		758		143			(24,172		)	49,505
Income (loss) from operations	1,978		412		967		193		(13		)	725			4,262
Interest expense	—		—		—		—		—			242			242
Income (loss) before income taxes and equity in earnings	1,978		412		967		193		(13		)	483			4,020
Equity in net earnings of Kindred at Home	—		—		—		—		—			—			—
Segment earnings (losses)	$	1,978	$	412	$	967	$	193	$	(13	)	$	483		$	4,020



	Retail		Group and Specialty		Healthcare Services		Individual Commercial			Other Businesses			Eliminations/ Corporate			Consolidated
	(in millions)
2016
Revenues—external customers
Premiums:
Individual Medicare Advantage	$	31,863	$	—	$	—	$	—		$	—		$	—		$	31,863
Group Medicare Advantage	4,283		—		—		—			—			—			4,283
Medicare stand-alone PDP	4,009		—		—		—			—			—			4,009
Total Medicare	40,155		—		—		—			—			—			40,155
Fully-insured	428		5,405		—		3,064			—			—			8,897
Specialty	—		1,279		—		—			—			—			1,279
Medicaid and other	2,640		12		—		—			38			—			2,690
Total premiums	43,223		6,696		—		3,064			38			—			53,021
Services revenue:
Provider	—		—		278		—			—			—			278
ASO and other	6		643		1		—			10			—			660
Pharmacy	—		—		31		—			—			—			31
Total services revenue	6		643		310		—			10			—			969
Total revenues—external customers	43,229		7,339		310		3,064			48			—			53,990
Intersegment revenues
Services	—		22		18,979		—			—			(19,001		)	—
Products	—		—		5,993		—			—			(5,993		)	—
Total intersegment revenues	—		22		24,972		—			—			(24,994		)	—
Investment income	90		25		30		5			66			173			389
Total revenues	43,319		7,386		25,312		3,069			114			(24,821		)	54,379
Operating expenses:
Benefits	36,783		5,233		—		3,301			617			(927		)	45,007
Operating costs	4,650		1,727		24,073		601			16			(23,894		)	7,173
Merger termination fee and related costs, net	—		—		—		—			—			104			104
Depreciation and amortization	196		82		143		36			1			(104		)	354
Total operating expenses	41,629		7,042		24,216		3,938			634			(24,821		)	52,638
Income (loss) from operations	1,690		344		1,096		(869		)	(520		)	—			1,741
Gain on sale of business	—		—		—		—			—			—			—
Interest expense	—		—		—		—			—			189			189
Income (loss) before income taxes and equity in earnings	1,690		344		1,096		(869		)	(520		)	(189		)	1,552
Equity in net earnings of Kindred at Home	—		—		—		—			—			—			—
Segment earnings (losses)	$	1,690	$	344	$	1,096	$	(869	)	$	(520	)	$	(189	)	$	1,552

EXPENSES ASSOCIATED WITH LONG-DURATION INSURANCE PRODUCTS (Tables)

12 Months Ended

Dec. 31, 2018

Insurance [Abstract]

Schedule of Deferred Acquisition Cost and Future Policy Benefits Payable With Our Long-Duration Insurance Products

The table below presents deferred acquisition costs and future policy benefits payable associated with our long-duration insurance products for the years ended December 31, 2018 and 2017.



	2018					2017
	Deferred acquisition costs		Future policy benefits payable			Deferred acquisition costs		Future policy benefits payable
	(in millions)
Other long-term assets	$	36	$	—		$	103	$	—
Trade accounts payable and accrued expenses	—		—			—		(56		)
Long-term liabilities	—		(219		)	—		(2,923		)
Total asset (liability)	$	36	$	(219	)	$	103	$	(2,979	)

QUARTERLY FINANCIAL INFORMATION (Unaudited) (Tables)

12 Months Ended

Dec. 31, 2018

Quarterly Financial Information Disclosure [Abstract]

Schedule of Quarterly Financial Information

A summary of our quarterly unaudited results of operations for the years ended December 31, 2018 and 2017 follows:



	2018
	First		Second		Third		Fourth
	(in millions, except per share results)
Total revenues	$	14,279	$	14,259	$	14,206	$	14,168
Income before income taxes and equity in net earnings	707		19		901		436
Net income	491		193		644		355
Basic earnings per common share	$	3.56	$	1.40	$	4.68	$	2.60
Diluted earnings per common share (1)	$	3.53	$	1.39	$	4.65	$	2.58

	2017
	First		Second		Third		Fourth
	(in millions, except per share results)
Total revenues	$	13,762	$	13,534	$	13,282	$	13,189
Income before income taxes	1,689		1,042		799		490
Net income	1,115		650		499		184
Basic earnings per common share (1)	$	7.54	$	4.49	$	3.46	$	1.30
Diluted earnings per common share (1)	$	7.49	$	4.46	$	3.44	$	1.29


(1)	The calculation of earnings per common share is based on the weighted average shares outstanding during each quarter and, accordingly, the sum may not equal the total for the year.

REPORTING ENTITY (Detail)	12 Months Ended
REPORTING ENTITY (Detail)	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Entity Information [Line Items]
Percentage of total premium and services revenues derived from contracts with the federal government	81.00%	79.00%	75.00%
Florida
Entity Information [Line Items]
Percentage of premiums and services revenue related to contracts with CMS for Medicare Advantage members in Florida	15.00%

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Workforce Optimization (Details) $ / shares in Units, $ in Millions	3 Months Ended	12 Months Ended
	Sep. 30, 2017 employee	Dec. 31, 2017 USD ($) $ / shares	Dec. 31, 2018 USD ($)
Accounting Policies [Abstract]
Expected number of associates impacted \| employee	3,600
Expected percentage of workforce associates impacted	7.80%
Estimated charges		$ 148
Estimated charged per diluted share (in dollars per share) \| $ / shares		$ 0.64
Workforce optimization liability		$ 140	$ 12

SUMMARY OF SIGNIFICANT ACCOUNTING POLICIES - Additional Details (Detail) - USD ($)		12 Months Ended
	Feb. 16, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Jan. 01, 2019
Significant Accounting Policies [Line Items]
Transaction costs (break up fee received)		$ 0	$ (936,000,000)	$ 104,000,000
Number of days notice for employer group to cancel short-duration prepaid health services policies		30 days
Consumer discounts on brand name prescription drugs		50.00%
TRICARE Health care cost payments		$ 5,600,000,000	3,400,000,000	3,300,000,000
Bad-debt expense		36,000,000	20,000,000	39,000,000
Contract liabilities		0
Deferred costs		0
Pharmaceutical rebates		$ 1,300,000,000	1,200,000,000
Typical term (in years) of short-duration employer-group prepaid health services policies		1 year
Goodwill		$ 3,897,000,000	3,281,000,000	3,272,000,000
Premium deficiency reserve				176,000,000
Health care reform, premium deficiency reserve, change in estimate				208,000,000
Health care reform, premium deficiency reserve, current period loss				384,000,000
Tricare South Region Contract
Significant Accounting Policies [Line Items]
TRICARE Health care cost reimbursements		5,600,000,000	3,400,000,000	3,300,000,000
Difference between TRICARE health care costs payments and reimbursements		$ 38,000,000	11,000,000	25,000,000
Equipment \| Minimum
Significant Accounting Policies [Line Items]
Useful life		3 years
Equipment \| Maximum
Significant Accounting Policies [Line Items]
Useful life		10 years
Computer Software \| Minimum
Significant Accounting Policies [Line Items]
Useful life		3 years
Computer Software \| Maximum
Significant Accounting Policies [Line Items]
Useful life		5 years
Building \| Minimum
Significant Accounting Policies [Line Items]
Useful life		10 years
Building \| Maximum
Significant Accounting Policies [Line Items]
Useful life		20 years
Health Care Reform
Significant Accounting Policies [Line Items]
Payment of annual health insurance industry fee		$ 1,040,000,000		916,000,000
CMS Reinsurance Subsidies Or Discounts
Significant Accounting Policies [Line Items]
Subsidy and discount reimbursements		9,600,000,000	12,100,000,000	11,100,000,000
Subsidy and discount payments		10,300,000,000	10,200,000,000	10,000,000,000
Subsidy and discount payments in excess of reimbursements		$ 700,000,000	1,900,000,000	$ 1,100,000,000
Settlement period after close		9 months
CMS Brand Name Prescription Drug Discounts \| Minimum
Significant Accounting Policies [Line Items]
Settlement period after close		14 months
CMS Brand Name Prescription Drug Discounts \| Maximum
Significant Accounting Policies [Line Items]
Settlement period after close		18 months
Settled Litigation \| U.S. Department Of Justice vs. Humana And Aetna
Significant Accounting Policies [Line Items]
Transaction costs (break up fee received)	$ 1,000,000,000
Service
Significant Accounting Policies [Line Items]
Accounts receivable, net, current		$ 123,000,000	$ 180,000,000
Bad-debt expense		0
Contract with customer, asset, net		0
Subsequent Event \| Accounting Standards Update 2016-02
Significant Accounting Policies [Line Items]
Operating lease, liability					$ 470,000,000
Operating lease, right-of-use asset					$ 470,000,000
Clinical
Significant Accounting Policies [Line Items]
Goodwill		524,000,000
Provider
Significant Accounting Policies [Line Items]
Goodwill		$ 730,000,000

ACQUISITIONS AND DIVESTITURES (Detail) $ in Millions							7 Months Ended	12 Months Ended
ACQUISITIONS AND DIVESTITURES (Detail) $ in Millions	Aug. 09, 2018 USD ($)	Aug. 08, 2018 USD ($)	Jul. 11, 2018 USD ($) location State	Jul. 02, 2018 USD ($)	Apr. 10, 2018 USD ($)	Mar. 01, 2018 USD ($)	Aug. 08, 2018 USD ($)	Dec. 31, 2018 USD ($)	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Payments to acquire equity method investments								$ 1,095	$ 0	$ 0
Equity method investment in Kindred at Home								1,047	0
Disposal group, not discontinued operation, gain (loss) on disposal								786	0	0
Acquisitions								616	9
MCCI Holdings LLC
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Payments to acquire businesses, gross						$ 169
Acquisitions						483
Finite-lived intangible assets acquired						80
Business combination, recognized identifiable assets acquired and liabilities assumed, tangible assets						$ 24
Acquired finite-lived intangible assets, weighted average useful life						8 years
Family Physicians Group
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Payments to acquire businesses, gross					$ 185
Acquisitions					133
Finite-lived intangible assets acquired					38
Business combination, recognized identifiable assets acquired and liabilities assumed, tangible assets					$ 14
Acquired finite-lived intangible assets, weighted average useful life					5 years
MCCI Holdings LLC
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Notes receivable, related parties						$ 383
Put Option \| Equity Option
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Equity method investment, purchase price allocation, financial asset				$ 236
Call Option \| Equity Option
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Equity method investment, purchase price allocation, financial liability				$ 291
Other long-term assets \| Put Option \| Equity Option
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Financial assets, fair value disclosure								224
Other Noncurrent Liabilities \| Call Option \| Equity Option
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Financial liabilities fair value disclosure								$ 246
Disposed of by Sale \| KMG America Corporation
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Parent company cash contributed to sale of subsidiary	$ 805
Disposal group, including discontinued operation, statutory capital	160
Disposal group, not discontinued operation, gain (loss) on disposal	786
Disposal group, not discontinued operation, tax expense (benefit) on disposal	(452)
Revenues							$ 182		261	249
Net income (loss)							$ 47		$ (117)	$ (336)
Disposed of by Sale \| Other Noncurrent Liabilities \| Call Option \| Equity Option \| KMG America Corporation
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Parent company cash contributed to sale of subsidiary	$ 190
Kanawah Insurance Company
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Payments for reinsurance		$ 245
Kindred At Home
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Equity method investment, ownership percentage			40.00%	40.00%
Payments to acquire equity method investments				$ 850
Equity method investment in Kindred at Home				$ 1,000
Curo Health Services
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Equity method investment, ownership percentage			40.00%					40.00%
Payments to acquire equity method investments			$ 250
Equity method investment, number of locations \| location			245
Equity method investment, number of states \| State			22

ACQUISITIONS AND DIVESTITURES - Assets and Liabilities Held For Sale (Details) - Disposed of by Sale - KMG America Corporation $ in Millions	Aug. 09, 2018 USD ($)
Income Statement, Balance Sheet and Additional Disclosures by Disposal Groups, Including Discontinued Operations [Line Items]
Cash and cash equivalents	$ 805
Receivables, net	3
Investment securities	1,576
Other assets	1,085
Total assets disposed	3,469
Benefits payable	58
Trade accounts payable and accrued expenses	70
Future policy benefits payable	2,573
Total liabilities disposed	$ 2,701

EQUITY METHOD INVESTMENT - Narrative (Details)	Dec. 31, 2018	Jul. 11, 2018
Curo Health Services
Schedule of Equity Method Investments [Line Items]
Equity method investment, ownership percentage	40.00%	40.00%

EQUITY METHOD INVESTMENT - Schedule Of Equity Method Investments (Details) - Kindred At Home $ in Millions	6 Months Ended
	Dec. 31, 2018 USD ($)
Schedule of Equity Method Investments [Line Items]
Current assets	$ 536
Non-current assets	4,955
Current liabilities	351
Non-current liabilities	2,708
Shareholders' equity	2,432
Total revenues	1,587
Expenses	1,451
Net income	$ 27

INVESTMENT SECURITIES - Schedule of Investment Securities Classified as Current and Long-Term (Detail) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Investment [Line Items]
Amortized Cost	$ 10,641	$ 12,104
Gross Unrealized Gains	9	286
Gross Unrealized Losses	(213)	(88)
Fair Value	10,437	12,302
U.S. Treasury and agency obligations \| U.S. Treasury and other U.S. government corporations and agencies
Investment [Line Items]
Amortized Cost	419	532
Gross Unrealized Gains	1	1
Gross Unrealized Losses	(3)	(2)
Fair Value	417	531
Mortgage-backed securities \| U.S. Treasury and other U.S. government corporations and agencies
Investment [Line Items]
Amortized Cost	2,595	1,625
Gross Unrealized Gains	3	4
Gross Unrealized Losses	(54)	(19)
Fair Value	2,544	1,610
Tax-exempt municipal securities
Investment [Line Items]
Amortized Cost	2,805	3,884
Gross Unrealized Gains	3	33
Gross Unrealized Losses	(37)	(28)
Fair Value	2,771	3,889
Residential Mortgage-backed securities
Investment [Line Items]
Amortized Cost	55	26
Gross Unrealized Gains	0	0
Gross Unrealized Losses	0	0
Fair Value	55	26
Commercial Mortgage-backed securities
Investment [Line Items]
Amortized Cost	537	455
Gross Unrealized Gains	0	3
Gross Unrealized Losses	(14)	(2)
Fair Value	523	456
Asset-backed securities
Investment [Line Items]
Amortized Cost	991	407
Gross Unrealized Gains	1	1
Gross Unrealized Losses	(7)	0
Fair Value	985	408
Corporate debt securities
Investment [Line Items]
Amortized Cost	3,239	5,175
Gross Unrealized Gains	1	244
Gross Unrealized Losses	(98)	(37)
Fair Value	$ 3,142	$ 5,382

INVESTMENT SECURITIES - Schedule of Gross Unrealized Losses and Fair Values of Securities (Detail) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Investment [Line Items]
Fair Value	$ 4,574	$ 3,999
Gross Unrealized Losses	(76)	(30)
Fair Value	4,447	2,308
Gross Unrealized Losses	(137)	(58)
Fair Value	9,021	6,307
Gross Unrealized Losses	(213)	(88)
U.S. Treasury and agency obligations \| U.S. Treasury and other U.S. government corporations and agencies
Investment [Line Items]
Fair Value	179	273
Gross Unrealized Losses	(1)	(1)
Fair Value	153	130
Gross Unrealized Losses	(2)	(1)
Fair Value	332	403
Gross Unrealized Losses	(3)	(2)
Mortgage-backed securities \| U.S. Treasury and other U.S. government corporations and agencies
Investment [Line Items]
Fair Value	956	581
Gross Unrealized Losses	(16)	(2)
Fair Value	1,019	672
Gross Unrealized Losses	(38)	(17)
Fair Value	1,975	1,253
Gross Unrealized Losses	(54)	(19)
Tax-exempt municipal securities
Investment [Line Items]
Fair Value	809	1,590
Gross Unrealized Losses	(9)	(16)
Fair Value	1,648	661
Gross Unrealized Losses	(28)	(12)
Fair Value	2,457	2,251
Gross Unrealized Losses	(37)	(28)
Residential Mortgage-backed securities
Investment [Line Items]
Fair Value	0	20
Gross Unrealized Losses	0	0
Fair Value	15	3
Gross Unrealized Losses	0	0
Fair Value	15	23
Gross Unrealized Losses	0	0
Commercial Mortgage-backed securities
Investment [Line Items]
Fair Value	372	131
Gross Unrealized Losses	(8)	(1)
Fair Value	133	28
Gross Unrealized Losses	(6)	(1)
Fair Value	505	159
Gross Unrealized Losses	(14)	(2)
Asset-backed securities
Investment [Line Items]
Fair Value	824	107
Gross Unrealized Losses	(7)	0
Fair Value	40	10
Gross Unrealized Losses	0	0
Fair Value	864	117
Gross Unrealized Losses	(7)	0
Corporate debt securities
Investment [Line Items]
Fair Value	1,434	1,297
Gross Unrealized Losses	(35)	(10)
Fair Value	1,439	804
Gross Unrealized Losses	(63)	(27)
Fair Value	2,873	2,101
Gross Unrealized Losses	$ (98)	$ (37)

INVESTMENT SECURITIES - Additional Information (Detail)	12 Months Ended
INVESTMENT SECURITIES - Additional Information (Detail)	Dec. 31, 2018 USD ($) position	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Investments, Debt and Equity Securities [Abstract]
Percentage of debt securities considered to be of investment-grade	97.00%
Maximum percentage of any general obligation bonds in one state	9.00%
Number of securities in loss position	1,210
Number of positions	1,500
Other-than-temporary impairments \| $	$ 0	$ 0	$ 0

INVESTMENT SECURITIES - Schedule of Realized Gains (Losses) Related to Investment Securities Included Within Investment Income (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Investments, Debt and Equity Securities [Abstract]
Gross realized gains	$ 106	$ 35	$ 120
Gross realized losses	(16)	(21)	(24)
Net realized capital gains	$ 90	$ 14	$ 96

INVESTMENT SECURITIES - Schedule of Contractual Maturities of Debt Securities Available for Sale (Detail) $ in Millions	Dec. 31, 2018 USD ($)
Amortized Cost
Due within one year	$ 943
Due after one year through five years	2,929
Due after five years through ten years	1,873
Due after ten years	718
Mortgage and asset-backed securities	4,178
Total debt securities	10,641
Fair Value
Due within one year	941
Due after one year through five years	2,873
Due after five years through ten years	1,810
Due after ten years	706
Mortgage and asset-backed securities	4,107
Total debt securities	$ 10,437

FAIR VALUE - Narrative (Detail) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Fair Value, Assets and Liabilities Measured on Recurring Basis [Line Items]
Senior notes	$ 4,774	$ 4,770
Long-term debt, fair value	4,885	5,191
Short-term debt	1,694	150
Commercial Paper
Fair Value, Assets and Liabilities Measured on Recurring Basis [Line Items]
Short-term debt	$ 1,295	$ 150

MEDICARE PART D (Detail) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Segment Reporting Information [Line Items]
Other current assets	$ 3,564	$ 2,949
Trade accounts payable and accrued expenses	(3,067)	(4,069)
Other long-term assets	1,375	2,166
Other long-term liabilities	(581)	(237)
Risk Corridor Settlement
Segment Reporting Information [Line Items]
Other current assets	15	4
Trade accounts payable and accrued expenses	(103)	(255)
Net current liability	(88)	(251)
Other long-term assets	7	0
Other long-term liabilities	(89)	(28)
Net long-term liability	(82)	(28)
Total net liability	(170)	(279)
CMS Subsidies/ Discounts
Segment Reporting Information [Line Items]
Other current assets	172	101
Trade accounts payable and accrued expenses	(503)	(1,085)
Net current liability	(331)	(984)
Other long-term assets	0	0
Other long-term liabilities	0	0
Net long-term liability	0	0
Total net liability	$ (331)	$ (984)

PROPERTY AND EQUIPMENT, NET (Detail) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Property, Plant and Equipment [Abstract]
Land	$ 20	$ 20
Buildings and leasehold improvements	766	713
Equipment	890	824
Computer software	2,372	2,003
Property and equipment, gross	4,048	3,560
Accumulated depreciation	(2,313)	(1,976)
Property and equipment, net	$ 1,735	$ 1,584

PROPERTY AND EQUIPMENT, NET - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Property, Plant and Equipment [Abstract]
Depreciation expense	$ 444	$ 410	$ 388
Capitalized internally developed and purchased software amortization	$ 298	$ 287	$ 255

GOODWILL AND OTHER INTANGIBLE ASSETS - Changes in Carrying Amount of Goodwill by Reportable Segments (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Goodwill [Roll Forward]
Beginning balance	$ 3,281	$ 3,272
Acquisitions	616	9
Ending balance	3,897	3,281
Retail
Goodwill [Roll Forward]
Beginning balance	1,059	1,059
Acquisitions	476	0
Ending balance	1,535	1,059
Group and Specialty
Goodwill [Roll Forward]
Beginning balance	261	261
Acquisitions	0	0
Ending balance	261	261
Healthcare Services
Goodwill [Roll Forward]
Beginning balance	1,961	1,952
Acquisitions	140	9
Ending balance	$ 2,101	$ 1,961

GOODWILL AND OTHER INTANGIBLE ASSETS - Details of Intangible Assets Included in Other Long-Term Assets (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017
Acquired Finite-Lived Intangible Assets [Line Items]
Weighted Average Life	8 years 8 months 12 days
Cost	$ 827	$ 770
Accumulated Amortization	582	544
Net	$ 245	226
Customer contracts/relationships
Acquired Finite-Lived Intangible Assets [Line Items]
Weighted Average Life	8 years 8 months 12 days
Cost	$ 646	566
Accumulated Amortization	434	401
Net	$ 212	165
Trade names and technology
Acquired Finite-Lived Intangible Assets [Line Items]
Weighted Average Life	6 years 4 months 24 days
Cost	$ 84	104
Accumulated Amortization	83	84
Net	$ 1	20
Provider contracts
Acquired Finite-Lived Intangible Assets [Line Items]
Weighted Average Life	11 years 9 months 18 days
Cost	$ 68	68
Accumulated Amortization	37	30
Net	$ 31	38
Noncompetes and other
Acquired Finite-Lived Intangible Assets [Line Items]
Weighted Average Life	7 years 3 months 18 days
Cost	$ 29	32
Accumulated Amortization	28	29
Net	$ 1	$ 3

GOODWILL AND OTHER INTANGIBLE ASSETS - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Goodwill and Intangible Assets Disclosure [Abstract]
Amortization expense for other intangible assets	$ 90	$ 75	$ 77
Impairment of intangible assets, finite-lived	$ 12

GOODWILL AND OTHER INTANGIBLE ASSETS - Schedule of Estimated Amortization Expense (Detail) $ in Millions	Dec. 31, 2018 USD ($)
Goodwill and Intangible Assets Disclosure [Abstract]
2019	$ 70
2020	67
2021	34
2022	31
2023	$ 18

BENEFITS PAYABLE - Activity in Benefits Payable (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Defined Benefit Plan, Change in Benefit Obligation [Roll Forward]
Balances at January 1	$ 4,668	$ 4,563	$ 4,976
Less: Premium deficiency reserve	0	0	(176)
Less: Reinsurance recoverables	(70)	(76)	(85)
Balances at January 1, net		4,598	4,487	$ 4,715
Current year, Incurred	46,385	44,001	45,318
Prior years, Incurred	(503)	(483)	(582)
Total incurred	45,882	43,518	44,736
Current year, Paid	(41,736)	(39,496)	(40,852)
Prior years, Paid	(3,977)	(3,911)	(4,112)
Total paid	(45,713)	(43,407)	(44,964)
Reinsurance recoverable	95	70	76
Balances at December 31	4,862	4,668	4,563
Retail
Defined Benefit Plan, Change in Benefit Obligation [Roll Forward]
Balances at January 1	3,963	3,506	3,600
Less: Reinsurance recoverables	(70)	(76)	(85)
Balances at January 1, net		3,893	3,430	3,515
Current year, Incurred	41,323	38,604	37,212
Prior years, Incurred	(398)	(386)	(429)
Total incurred	40,925	38,218	36,783
Current year, Paid	(37,189)	(34,781)	(33,784)
Prior years, Paid	(3,386)	(2,974)	(3,084)
Total paid	(40,575)	(37,755)	(36,868)
Reinsurance recoverable	95	70	76
Balances at December 31	4,338	3,963	3,506
Group and Specialty
Defined Benefit Plan, Change in Benefit Obligation [Roll Forward]
Balances at January 1	568	579	616
Less: Reinsurance recoverables	0	0	0
Balances at January 1, net		568	579	616
Current year, Incurred	5,466	5,403	5,271
Prior years, Incurred	(46)	(40)	(46)
Total incurred	5,420	5,363	5,225
Current year, Paid	(4,957)	(4,843)	(4,700)
Prior years, Paid	(514)	(531)	(562)
Total paid	(5,471)	(5,374)	(5,262)
Reinsurance recoverable		0	0
Balances at December 31	517	568	579
Individual Commercial
Defined Benefit Plan, Change in Benefit Obligation [Roll Forward]
Balances at January 1	101	454	741
Less: Premium deficiency reserve	0	0	(176)
Balances at January 1, net		101	454	$ 565
Current year, Incurred	0	669	3,677
Prior years, Incurred	(56)	(56)	(106)
Total incurred	(56)	613	3,571
Current year, Paid	0	(583)	(3,233)
Prior years, Paid	(38)	(383)	(449)
Total paid	(38)	(966)	(3,682)
Balances at December 31	$ 7	$ 101	$ 454

BENEFITS PAYABLE - Favorable Medical Claims Reserve Development (Details) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Favorable Medical Claims Reserve	$ (503)	$ (483)	$ (582)
Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Favorable Medical Claims Reserve	(398)	(386)	(429)
Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Favorable Medical Claims Reserve	(46)	(40)	(46)
Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Favorable Medical Claims Reserve	(56)	(56)	(106)
Operating Segments \| Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Favorable Medical Claims Reserve	(398)	(386)	(429)
Operating Segments \| Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Favorable Medical Claims Reserve	(46)	(40)	(46)
Operating Segments \| Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Favorable Medical Claims Reserve	(57)	(56)	(106)
Other Businesses
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Favorable Medical Claims Reserve	$ (2)	$ (1)	$ (1)

BENEFITS PAYABLE - Narrative (Detail) claim in Millions, $ in Millions	12 Months Ended
	Dec. 31, 2018 USD ($) claim	Dec. 31, 2017 USD ($) claim	Dec. 31, 2016 USD ($) claim
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Favorable Medical Claims Reserve Development \| $	$ 503	$ 483	$ 582
Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Total IBNR \| $	2,900
Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Total IBNR \| $	448
Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Total IBNR \| $	$ 1
2018 Claims Incurred Year \| Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Cumulative Number of Reported Claims - Service Date	104.3
2018 Claims Incurred Year \| Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Cumulative Number of Reported Claims - Service Date	10.4
2017 Claims Incurred Year \| Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Cumulative Number of Reported Claims - Service Date		102.1
2017 Claims Incurred Year \| Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Cumulative Number of Reported Claims - Service Date		11.1
2017 Claims Incurred Year \| Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Cumulative Number of Reported Claims - Service Date		2.2
2016 Claims Incurred Year \| Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Cumulative Number of Reported Claims - Service Date			96.2
2016 Claims Incurred Year \| Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Cumulative Number of Reported Claims - Service Date			12.9
2016 Claims Incurred Year \| Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Cumulative Number of Reported Claims - Service Date			9.5

BENEFITS PAYABLE - Benefit Expenses Excluded From Activity in Benefits Payable (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Defined Benefit Plans and Other Postretirement Benefit Plans Disclosures [Abstract]
Premium deficiency reserve for short-duration policies	$ 0	$ 0	$ (176)
Military services	0	0	8
Future policy benefits	0	(22)	439
Total	$ 0	$ (22)	$ 271

BENEFITS PAYABLE - Benefits Expense (Details) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Benefits payable, net of reinsurance	$ 4,767
Reinsurance recoverable on unpaid claims	95	$ 70	$ 76	$ 85
Total benefits payable, gross	4,862	4,668	4,563	4,976
Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	116,475
Cumulative Paid Claims, Net of Reinsurance	112,232
Reinsurance recoverable on unpaid claims	95	70	76	85
Total benefits payable, gross	4,338	3,963	3,506	3,600
Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	16,059
Cumulative Paid Claims, Net of Reinsurance	15,542
Reinsurance recoverable on unpaid claims		0	0	0
Total benefits payable, gross	517	568	579	616
Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	4,236
Cumulative Paid Claims, Net of Reinsurance	4,229
Total benefits payable, gross	7	101	454	$ 741
Operating Segments \| Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Benefits payable, net of reinsurance	4,243
Reinsurance recoverable on unpaid claims	95
Operating Segments \| Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Benefits payable, net of reinsurance	517
Operating Segments \| Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Benefits payable, net of reinsurance	7
2016 Claims Incurred Year
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Cumulative Paid Claims, Net of Reinsurance			33,784
2016 Claims Incurred Year \| Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	36,811	36,891	37,212
Cumulative Paid Claims, Net of Reinsurance	36,811	36,841
2016 Claims Incurred Year \| Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	5,235	5,234	5,271
Cumulative Paid Claims, Net of Reinsurance	5,234	5,226	4,700
2016 Claims Incurred Year \| Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	3,609	3,621	3,677
Cumulative Paid Claims, Net of Reinsurance	3,609	3,606	$ 3,233
2017 Claims Incurred Year \| Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	38,341	38,604
Cumulative Paid Claims, Net of Reinsurance	38,232	34,781
2017 Claims Incurred Year \| Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	5,358	5,403
Cumulative Paid Claims, Net of Reinsurance	5,351	4,843
2017 Claims Incurred Year \| Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	627	669
Cumulative Paid Claims, Net of Reinsurance	620	$ 583
2018 Claims Incurred Year \| Retail
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	41,323
Cumulative Paid Claims, Net of Reinsurance	37,189
2018 Claims Incurred Year \| Group and Specialty
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	5,466
Cumulative Paid Claims, Net of Reinsurance	4,957
2018 Claims Incurred Year \| Individual Commercial
Defined Benefit Plans and Other Postretirement Benefit Plans Table Text Block [Line Items]
Incurred Claims, Net of Reinsurance	0
Cumulative Paid Claims, Net of Reinsurance	$ 0

INCOME TAXES - Provision for Income Taxes (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Tax Disclosure [Abstract]
Federal	$ 139	$ 1,324	$ 921
States and Puerto Rico	58	116	88
Total current provision	197	1,440	1,009
Deferred expense (benefit)	194	132	(71)
Provision for income taxes	$ 391	$ 1,572	$ 938

INCOME TAXES - Provision for Income Taxes Using Federal Statutory Rate (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Income Tax Disclosure [Abstract]
Income tax provision at federal statutory rate	$ 436	$ 1,407	$ 543
States, net of federal benefit, and Puerto Rico	42	80	41
Tax exempt investment income	(11)	(22)	(20)
Health insurance industry fee	243	0	336
Nondeductible executive compensation	17	36	30
Tax reform	(39)	133	0
KMG sale	(272)	0	0
Other, net	(25)	(62)	8
Provision for income taxes	$ 391	$ 1,572	$ 938

INCOME TAXES - Additional Information (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Operating Loss Carryforwards [Line Items]
Tax reform rate re-measurement		$ 133
Tax Cuts and Jobs Act of 2017, measurement period adjustment, income tax expense (benefit)	$ (39)
Benefit on sale of business	272	0	$ 0
Net operating losses to carryforward related to prior acquisitions	104
Valuation allowances on net operating loss carryforwards related to prior acquisitions	54	49
Puerto Rico
Operating Loss Carryforwards [Line Items]
Repatriation tax for undistributed foreign earnings		$ 10
Capital Loss Carryforward
Operating Loss Carryforwards [Line Items]
Capital loss carryforward	$ 64

INCOME TAXES - Principal Components of Net Deferred Tax Balances (Detail) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Income Tax Disclosure [Abstract]
Compensation and other accrued expense	$ 89	$ 138
Benefits payable	79	113
Investment securities	44	0
Net operating loss carryforward	38	53
Capital loss carryforward	15	0
Deferred acquisition costs	17	48
Unearned revenues	9	12
Other	8	1
Future policy benefits payable	0	231
Total deferred income tax assets	299	596
Valuation allowance	(54)	(49)
Total deferred income tax assets, net of valuation allowance	245	547
Depreciable property and intangible assets	(273)	(237)
Prepaid expenses	(52)	(44)
Future policy benefits payable	(5)	0
Investment securities	0	(49)
Total deferred income tax liabilities	(330)	(330)
Total net deferred income tax assets/(liabilities)	$ (85)
Total net deferred income tax assets/(liabilities)		$ 217

DEBT - Senior Notes (Detail) - USD ($)	12 Months Ended
DEBT - Senior Notes (Detail) - USD ($)	Dec. 31, 2018	Dec. 31, 2017	Nov. 30, 2018
Debt Instrument [Line Items]
Short-term debt	$ 1,694,000,000	$ 150,000,000
Percentage of principal amount that may be redeemed	100.00%
Senior Notes
Debt Instrument [Line Items]
Long-term debt	$ 4,375,000,000	4,770,000,000
Loss on extinguishment of debt		17,000,000
Senior Notes \| $400 million, 2.625% due October 1, 2019
Debt Instrument [Line Items]
Long-term debt	0	399,000,000
Face amount	$ 400,000,000
Debt instrument, stated interest rate	2.625%
Senior Notes \| $400 million, 2.50% due December 15, 2020
Debt Instrument [Line Items]
Long-term debt	$ 398,000,000	397,000,000
Face amount	$ 400,000,000
Debt instrument, stated interest rate	2.50%
Senior Notes \| $400 million, 2.90% due December 15, 2022
Debt Instrument [Line Items]
Long-term debt	$ 396,000,000	396,000,000
Face amount	$ 400,000,000
Debt instrument, stated interest rate	2.90%
Senior Notes \| $600 million, 3.15% due December 1, 2022
Debt Instrument [Line Items]
Long-term debt	$ 596,000,000	595,000,000
Face amount	$ 600,000,000
Debt instrument, stated interest rate	3.15%
Senior Notes \| $600 million, 3.85% due October 1, 2024
Debt Instrument [Line Items]
Long-term debt	$ 597,000,000	595,000,000
Face amount	$ 600,000,000
Debt instrument, stated interest rate	3.85%
Senior Notes \| $600 million, 3.95% due March 15, 2027
Debt Instrument [Line Items]
Long-term debt	$ 594,000,000	594,000,000
Face amount	$ 600,000,000
Debt instrument, stated interest rate	3.95%
Senior Notes \| $250 million, 8.15% due June 15, 2038
Debt Instrument [Line Items]
Long-term debt	$ 263,000,000	263,000,000
Face amount	$ 250,000,000
Debt instrument, stated interest rate	8.15%
Short-term debt, weighted average interest rate, at point in time	8.15%
Senior Notes \| $400 million, 4.625% due December 1, 2042
Debt Instrument [Line Items]
Long-term debt	$ 396,000,000	396,000,000
Face amount	$ 400,000,000
Debt instrument, stated interest rate	4.625%
Senior Notes \| $750 million, 4.95% due October 1, 2044
Debt Instrument [Line Items]
Long-term debt	$ 739,000,000	739,000,000
Face amount	$ 750,000,000
Debt instrument, stated interest rate	4.95%
Senior Notes \| $400 million, 4.80% due March 15, 2047
Debt Instrument [Line Items]
Long-term debt	$ 396,000,000	396,000,000
Face amount	$ 400,000,000
Debt instrument, stated interest rate	4.80%
Commercial Paper
Debt Instrument [Line Items]
Short-term debt	$ 645,000,000	150,000,000
Notes Payable to Banks
Debt Instrument [Line Items]
Short-term debt	650,000,000	0
Face amount			$ 1,000,000,000.0
Senior Notes \| $400 million, 2.625% due October 1, 2019
Debt Instrument [Line Items]
Short-term debt	399,000,000	$ 0
Face amount	$ 400,000,000
Debt instrument, stated interest rate	2.625%

DEBT - Schedule of Debt Maturities (Details) $ in Millions	Dec. 31, 2018 USD ($)
Debt Disclosure [Abstract]
2019	$ 1,697
2020	400
2021	0
2022	1,000
2023	0
Thereafter	$ 3,000

DEBT - Credit Agreement (Detail) - USD ($)	12 Months Ended
DEBT - Credit Agreement (Detail) - USD ($)	Dec. 31, 2018	Sep. 30, 2018	Dec. 31, 2017
Debt Instrument [Line Items]
Short-term debt	$ 1,694,000,000		$ 150,000,000
Debt instrument, covenant, debt to capitalization percentage, maximum	50.00%
Debt instrument, covenant, debt to capitalization percentage	37.00%
Borrowings outstanding under credit agreement	$ 0
Outstanding letters of credit	0
Remaining borrowing capacity	$ 2,000,000,000
Revolving Credit Facility \| Line of Credit \| Unsecured Revolving Credit Agreement Expires May 2022
Debt Instrument [Line Items]
Term	5 years
Maximum borrowing capacity		$ 2,000,000,000.0
Revolving Credit Facility \| Line of Credit \| Credit Agreement
Debt Instrument [Line Items]
Maximum borrowing capacity	$ 2,500,000,000
Facility fee that is dependent upon credit rating, basis points	0.15%
Uncommitted incremental loan facility	$ 500,000,000
Revolving Credit Facility \| Line of Credit \| Credit Agreement \| Minimum
Debt Instrument [Line Items]
Facility fee that is dependent upon credit rating, basis points	0.09%
Revolving Credit Facility \| Line of Credit \| Credit Agreement \| Maximum
Debt Instrument [Line Items]
Facility fee that is dependent upon credit rating, basis points	0.25%
Revolving Credit Facility \| Line of Credit \| LIBOR \| Credit Agreement
Debt Instrument [Line Items]
Basis points spread over LIBOR	1.10%
Revolving Credit Facility \| Line of Credit \| LIBOR \| Credit Agreement \| Minimum
Debt Instrument [Line Items]
Basis points spread over LIBOR	0.91%
Revolving Credit Facility \| Line of Credit \| LIBOR \| Credit Agreement \| Maximum
Debt Instrument [Line Items]
Basis points spread over LIBOR	1.50%

DEBT - Commercial Paper (Details) - USD ($)	12 Months Ended
DEBT - Commercial Paper (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017
Short-term Debt [Line Items]
Short-term debt	$ 1,694,000,000	$ 150,000,000
Commercial Paper
Short-term Debt [Line Items]
Maximum borrowing capacity	2,000,000,000
Maximum amount outstanding during period	923,000,000
Short-term debt	$ 1,295,000,000	$ 150,000,000
Debt instrument, stated interest rate	3.06%

DEBT - Term Note (Details) - USD ($)	12 Months Ended
DEBT - Term Note (Details) - USD ($)	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Nov. 30, 2018
Short-term Debt [Line Items]
Repayments of short-term debt	$ 350,000,000	$ 0	$ 0
Notes Payable to Banks
Short-term Debt [Line Items]
Face amount				$ 1,000,000,000.0
Debt instrument, interest rate, effective percentage	3.67%
Repayments of short-term debt	$ 350,000,000
Base Rate \| Notes Payable to Banks
Short-term Debt [Line Items]
Basis points spread over LIBOR	1.15%
Federal Funds Effective Swap Rate \| Notes Payable to Banks
Short-term Debt [Line Items]
Basis points spread over LIBOR	0.50%
LIBOR \| Notes Payable to Banks
Short-term Debt [Line Items]
Basis points spread over LIBOR	1.15%
Maximum \| Prime Rate \| Notes Payable to Banks
Short-term Debt [Line Items]
Basis points spread over LIBOR	1.00%

EMPLOYEE BENEFIT PLANS - Additional Information (Detail) - USD ($) $ / shares in Units, shares in Millions		12 Months Ended
	Dec. 31, 2018	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Employee retirement and savings plan cost		$ 197,000,000	$ 217,000,000	$ 196,000,000
Closing stock price (in dollars per share)	$ 286.48
Percentage of retirement and savings plan's assets invested in our company common stock		12.00%
Shares of retirement and savings plans invested in company's common stock (in shares)	1.8	1.8
Percentage of the retirement and savings plan's assets invested in our common stock as compared to company's outstanding shares at year-end		1.30%
Number of shares of our common stock reserved for issuance (in shares)	2.0	2.0
Combination of age and years necessary for retirement provision as related to our equity award program		65 years
Minimum age required for retirement eligibility as related to our equity award program		55 years
Minimum number of years of service for retirement eligibility as related to our equity award program		5 years
Limitations on deductibility of excess annual employee compensation as mandated by health insurance reforms		$ 500,000
Employee service share based compensation tax benefit realized from exercise of stock options and restricted stock vesting		$ 49,000,000	68,000,000	53,000,000
Common stock shares reserved for stock award plans (in shares)	13.1	13.1
Fair value of shares vested		$ 298,000,000	306,000,000	253,000,000
Outstanding intrinsic value of stock options	$ 48,000,000	$ 48,000,000
Weighted-average remaining contractual term, years		5 years
Exercisable stock options intrinsic value	$ 19,000,000	$ 19,000,000
Exercisable stock options weighted-average remaining contractual term, years		4 years 1 month 6 days
Total intrinsic value of stock options exercised		$ 43,000,000	44,000,000	18,000,000
Cash received from stock options exercises		$ 50,000,000	63,000,000	$ 14,000,000
Restricted Stock
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Stock-based compensation modification expense			$ 29,000,000
Weighted-average grant date fair value of restricted stock awards (in USD per share)		$ 276.62	$ 222.35	$ 168.12
Percent of stock with performance-based conditions	12.00%	12.00%
Total compensation expense not yet recognized related to nonvested restricted stock	$ 156,000,000	$ 156,000,000
Compensation expense over a weighted-average period, years		1 year 9 months 18 days
Employee Stock Options
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Total compensation expense not yet recognized related to nonvested restricted stock	$ 14,000,000	$ 14,000,000
Compensation expense over a weighted-average period, years		1 year 8 months 12 days
Minimum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of year for stock options to vest		1 year
Number of years for stock options to expire		7 years
Maximum
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Number of year for stock options to vest		3 years
2011 Plan \| Restricted Stock
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common stock shares available for future grants if all grants are options (in shares)	2.0	2.0
2011 Plan \| Employee Stock Options
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Common stock shares available for future grants if all grants are options (in shares)	4.7	4.7

EMPLOYEE BENEFIT PLANS - Stock-Based Compensation Expense (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Stock-based compensation expense by type:
Restricted stock	$ 124	$ 145	$ 106
Stock options	13	12	9
Total stock-based compensation expense	137	157	115
Tax benefit recognized	(21)	(32)	(20)
Stock-based compensation expense, net of tax	$ 116	$ 125	$ 95

EMPLOYEE BENEFIT PLANS - Weighted-Average Grant Date Fair Value of Restricted Stock Awards (Detail) - Restricted Stock - $ / shares shares in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Shares
Nonvested restricted stock, beginning balance (in shares)	1,653
Granted (in shares)	576
Vested (in shares)	(1,045)
Forfeited (in shares)	(220)
Nonvested restricted stock, ending balance (in shares)	964	1,653
Weighted- Average Grant-Date Fair Value
Nonvested restricted stock, beginning balance (in USD per share)	$ 171.68
Granted (in USD per share)	276.62	$ 222.35	$ 168.12
Vested (in USD per share)	185.82
Forfeited (in USD per share)	180.83
Nonvested restricted stock, ending balance (in USD per share)	$ 213.99	$ 171.68

EMPLOYEE BENEFIT PLANS - Weighted-Average Fair Value of Stock Options (Detail) - Employee Stock Options - $ / shares	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Share-based Compensation Arrangement by Share-based Payment Award [Line Items]
Weighted-average fair value at grant date (in dollars per share)	$ 63.67	$ 49.81	$ 37.12
Expected option life (years)	4 years 1 month	4 years 1 month	4 years 2 months 1 day
Expected volatility	26.10%	27.10%	27.60%
Risk-free interest rate at grant date	2.50%	2.00%	1.10%
Dividend yield	0.70%	0.70%	0.70%

EMPLOYEE BENEFIT PLANS - Activity for Option Plans (Detail) shares in Thousands	12 Months Ended
	Dec. 31, 2018 $ / shares shares
Shares Under Option
Options outstanding, beginning balance (in shares) \| shares	863
Granted (in shares) \| shares	143
Exercised (in shares) \| shares	(320)
Forfeited (in shares) \| shares	(9)
Options outstanding, ending balance (in shares) \| shares	677
Options exercisable, ending balance (in shares) \| shares	178
Weighted-Average Exercise Price
Options outstanding, beginning balance (in dollars per share) \| $ / shares	$ 181.44
Granted (in dollars per share) \| $ / shares	276.01
Exercised (in dollars per share) \| $ / shares	157.44
Forfeited (in dollars per share) \| $ / shares	150.59
Options outstanding, ending balance (in dollars per share) \| $ / shares	213.17
Options exercisable, ending balance (in dollars per share) \| $ / shares	$ 180.76

EARNINGS PER COMMON SHARE COMPUTATION - Schedule of Details Supporting Computation of Earnings Per Share (Detail) - USD ($) $ / shares in Units, shares in Thousands, $ in Millions	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Net income available for common stockholders	$ 355	$ 644	$ 193	$ 491	$ 184	$ 499	$ 650	$ 1,115	$ 1,683	$ 2,448	$ 614
Weighted-average outstanding shares of common stock used to compute basic earnings per common share (in shares)									137,486	144,493	149,375
Shares used to compute diluted earnings per common share (in shares)									138,403	145,585	150,917
Basic earnings per common share (in USD per share)	$ 2.60	$ 4.68	$ 1.40	$ 3.56	$ 1.30	$ 3.46	$ 4.49	$ 7.54	$ 12.24	$ 16.94	$ 4.11
Diluted earnings per common share (in USD per share)	$ 2.58	$ 4.65	$ 1.39	$ 3.53	$ 1.29	$ 3.44	$ 4.46	$ 7.49	$ 12.16	$ 16.81	$ 4.07
Number of antidilutive stock options and restricted stock awards excluded from computation (in shares)									223	539	748
Employee stock options
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Dilutive effect of employee stock options and restricted stock (in shares)									194	172	219
Restricted stock
Earnings Per Share, Basic, by Common Class, Including Two Class Method [Line Items]
Dilutive effect of employee stock options and restricted stock (in shares)									723	920	1,323

STOCKHOLDERS' EQUITY - Schedule of Details of Dividend Payments (Detail) - USD ($) $ / shares in Units, $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Equity [Abstract]
Amount per Share (in USD per share)	$ 1.9	$ 1.49	$ 1.16
Total Amount	$ 262	$ 216	$ 172

STOCKHOLDERS' EQUITY - Additional Information (Detail) - USD ($) $ / shares in Units, shares in Thousands								1 Months Ended	3 Months Ended	4 Months Ended	6 Months Ended	12 Months Ended
	Nov. 29, 2018	Nov. 28, 2018	Nov. 02, 2018	Mar. 26, 2018	Dec. 22, 2017	Aug. 28, 2017	Feb. 22, 2017	Feb. 28, 2019	Mar. 26, 2018	Dec. 31, 2017	Aug. 28, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Feb. 21, 2019	Dec. 21, 2017	Dec. 14, 2017	Feb. 16, 2017	Feb. 14, 2017
Equity, Class of Treasury Stock [Line Items]
Cash dividend declared (in USD per share)			$ 0.5
Total amount												$ 262,000,000	$ 216,000,000	$ 172,000,000
Share repurchase authorization																	$ 3,000,000,000.0		$ 2,250,000,000.00
Value of shares repurchased												$ 1,090,000,000	$ 3,365,000,000	$ 104,000,000
Common shares acquired in connection with employee stock plans (in shares)												400	500	600
Common shares acquired in connection with employee stock plans, amount												$ 116,000,000	$ 115,000,000	$ 104,000,000
Aggregate statutory capital and surplus in our state regulated insurance subsidiaries										$ 8,000,000,000		7,600,000,000	8,000,000,000
Aggregate minimum regulatory requirements of statutory capital and surplus										$ 4,800,000,000		5,200,000,000	4,800,000,000
Dividends that may be paid to the parent company without prior approval by state regulatory authorities in 2014												1,000,000,000
Dividends that were paid to the parent company without prior approval by state regulatory authorities												2,300,000,000	$ 1,400,000,000	$ 800,000,000
Dividend Declared
Equity, Class of Treasury Stock [Line Items]
Total amount												68,000,000
February 2017 ASR
Equity, Class of Treasury Stock [Line Items]
Share repurchase authorization																		$ 1,500,000,000.0
Share repurchase payment							$ 1,500,000,000
Shares repurchased in open market (in shares)						840	5,830			3,040	6,670
Value of shares repurchased						$ 300,000,000	$ 1,200,000,000			$ 750,000,000
Decrease in capital in excess of par value							$ 300,000,000
Average cost per share (in USD per share)											$ 224.81
December 2017 ASR
Equity, Class of Treasury Stock [Line Items]
Share repurchase authorization		$ 3,000,000,000.0														$ 1,000,000,000.0
Share repurchase payment					$ 1,000,000,000
Shares repurchased in open market (in shares)				460	3,280				3,740
Value of shares repurchased				$ 200,000,000	$ 800,000,000
Decrease in capital in excess of par value		150,000,000			$ 200,000,000
Average cost per share (in USD per share)									$ 267.55
November 2018 Authorization
Equity, Class of Treasury Stock [Line Items]
Share repurchase authorization		$ 750,000,000
Share repurchase payment	$ 750,000,000
Shares repurchased in open market (in shares)	1,940
Value of shares repurchased	$ 600,000,000
Decrease in capital in excess of par value	$ 150,000,000
February 2017 Authorization
Equity, Class of Treasury Stock [Line Items]
Share repurchase authorization												$ 2,250,000,000
Shares repurchased in open market (in shares)												0	9,710	0
Value of shares repurchased												$ 0	$ 2,250,000,000	$ 0
December 2017 Authorization
Equity, Class of Treasury Stock [Line Items]
Share repurchase authorization												$ 3,000,000,000
Shares repurchased in open market (in shares)												3,070	3,280	0
Value of shares repurchased												$ 1,024,000,000	$ 800,000,000	$ 0
Excluding Employee Stock Plans and ASR
Equity, Class of Treasury Stock [Line Items]
Shares repurchased in open market (in shares)												3,070	12,990	0
Value of shares repurchased												$ 1,024,000,000	$ 3,050,000,000	$ 0
Subsequent Event
Equity, Class of Treasury Stock [Line Items]
Remaining authorized amount															$ 1,176,000,000
Subsequent Event \| Dividend Declared
Equity, Class of Treasury Stock [Line Items]
Cash dividend declared (in USD per share)								$ 0.55

STOCKHOLDERS' EQUITY - Treasury Stock Schedule (Details) - USD ($) shares in Thousands	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 14, 2017	Feb. 14, 2017
Equity, Class of Treasury Stock [Line Items]
Share repurchase authorization				$ 3,000,000,000.0	$ 2,250,000,000.00
Value of shares repurchased	$ 1,090,000,000	$ 3,365,000,000	$ 104,000,000
February 2017 Authorization
Equity, Class of Treasury Stock [Line Items]
Share repurchase authorization	$ 2,250,000,000
Shares repurchased in open market (in shares)	0	9,710	0
Value of shares repurchased	$ 0	$ 2,250,000,000	$ 0
December 2017 Authorization
Equity, Class of Treasury Stock [Line Items]
Share repurchase authorization	$ 3,000,000,000
Shares repurchased in open market (in shares)	3,070	3,280	0
Value of shares repurchased	$ 1,024,000,000	$ 800,000,000	$ 0
Excluding Employee Stock Plans and ASR
Equity, Class of Treasury Stock [Line Items]
Shares repurchased in open market (in shares)	3,070	12,990	0
Value of shares repurchased	$ 1,024,000,000	$ 3,050,000,000	$ 0

COMMITMENTS, GUARANTEES AND CONTINGENCIES - Rent Expense and Sublease Rental Income Associated With Operating Leases (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Commitments and Contingencies Disclosure [Abstract]
Rent expense	$ 167	$ 204	$ 179
Sublease rental income	(32)	(33)	(26)
Net rent expense	$ 135	$ 171	$ 153

COMMITMENTS, GUARANTEES AND CONTINGENCIES - Future Annual Minimum Payments Due (Detail) $ in Millions	Dec. 31, 2018 USD ($)
Minimum Lease Payments
2019	$ 147
2020	113
2021	96
2022	79
2023	34
Thereafter	50
Total	519
Sublease Rental Receipts
2019	(13)
2020	(12)
2021	(10)
2022	(9)
2023	(9)
Thereafter	(23)
Total	(76)
Net Lease Commitments
2019	134
2020	101
2021	86
2022	70
2023	25
Thereafter	27
Total	$ 443

COMMITMENTS, GUARANTEES AND CONTINGENCIES - Additional Information (Detail) beneficiary in Millions, $ in Millions		12 Months Ended
	Jan. 01, 2018 beneficiary	Dec. 31, 2018 USD ($) State	Nov. 02, 2017 USD ($)
Loss Contingencies [Line Items]
Purchase obligations in 2019		$ 240
Purchase obligations in 2020		201
Purchase obligations in 2021		136
Purchase obligations in 2022		98
Purchase obligations in 2023		$ 61
Number of states comprising TRICARE beneficiaries \| State		32
Number of TRICARE beneficiaries \| beneficiary	6
Litigation recoveries sought			$ 611
Tricare East Region Contract
Loss Contingencies [Line Items]
Contract term years		5 years
Total Medicare
Loss Contingencies [Line Items]
Percentage of premiums and services revenue		80.00%
Military services
Loss Contingencies [Line Items]
Percentage of premiums and services revenue		1.00%
Medicaid
Loss Contingencies [Line Items]
Percentage of premiums and services revenue		4.00%

SEGMENT INFORMATION - Additional Information (Detail) $ in Millions	3 Months Ended	12 Months Ended
	Dec. 31, 2016 USD ($)	Dec. 31, 2018 USD ($) Segment	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Segment Reporting [Abstract]
Number of reportable segments \| Segment		4
Member co-share amounts and government subsidies		$ 13,400	$ 13,500	$ 13,400
Depreciation and amortization classified as benefit expense		$ 129	$ 107	$ 111
Percentage of total premium and services revenues derived from contracts with the federal government		81.00%	79.00%	75.00%
Premiums reduction, write off of risk corridor receivables	$ 583
Long-term insurance reserve strengthening expense				$ 505

SEGMENT INFORMATION - Information by Segment (Detail) - USD ($) $ in Millions	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Segment Reporting Information [Line Items]
Premiums									$ 54,941	$ 52,380	$ 53,021
Services									1,457	982	969
Investment income									514	405	389
Total revenues	$ 14,168	$ 14,206	$ 14,259	$ 14,279	$ 13,189	$ 13,282	$ 13,534	$ 13,762	56,912	53,767	54,379
Benefits									45,882	43,496	45,007
Operating costs									7,525	6,567	7,173
Merger termination fee and related costs, net									0	(936)	104
Depreciation and amortization									405	378	354
Total operating expenses									53,812	49,505	52,638
Income from operations									3,100	4,262	1,741
Loss on sale of business									786	0	0
Interest expense									218	242	189
Other expense, net									33	0	0
Income (loss) before income taxes and equity in net earnings	$ 436	$ 901	$ 19	$ 707	$ 490	$ 799	$ 1,042	$ 1,689	2,063	4,020	1,552
Equity in net earnings of Kindred at Home									11	0	0
Segment earnings (losses)									2,074	4,020	1,552
Individual Medicare Advantage
Segment Reporting Information [Line Items]
Premiums									35,656	32,720	31,863
Group Medicare Advantage
Segment Reporting Information [Line Items]
Premiums									6,103	5,155	4,283
Medicare stand-alone PDP
Segment Reporting Information [Line Items]
Premiums									3,584	3,702	4,009
Total Medicare
Segment Reporting Information [Line Items]
Premiums									45,343	41,577	40,155
Fully-insured
Segment Reporting Information [Line Items]
Premiums									5,962	6,887	8,897
Specialty
Segment Reporting Information [Line Items]
Premiums									1,359	1,310	1,279
Medicaid and other
Segment Reporting Information [Line Items]
Premiums									2,277	2,606	2,690
Provider
Segment Reporting Information [Line Items]
Services									404	258	278
ASO and other
Segment Reporting Information [Line Items]
Services									850	644	660
Pharmacy
Segment Reporting Information [Line Items]
Services									203	80	31
External Customers
Segment Reporting Information [Line Items]
Total revenues									56,398	53,362	53,990
Operating Segments \| Retail
Segment Reporting Information [Line Items]
Premiums									48,108	44,626	43,223
Services									11	10	6
Investment income									136	90	90
Total revenues									48,255	44,726	43,319
Benefits									40,925	38,218	36,783
Operating costs									5,327	4,292	4,650
Merger termination fee and related costs, net										0	0
Depreciation and amortization									270	238	196
Total operating expenses									46,522	42,748	41,629
Income from operations									1,733	1,978	1,690
Loss on sale of business									0		0
Interest expense									0	0	0
Other expense, net									0
Income (loss) before income taxes and equity in net earnings									1,733	1,978	1,690
Equity in net earnings of Kindred at Home									0	0	0
Segment earnings (losses)									1,733	1,978	1,690
Operating Segments \| Group and Specialty
Segment Reporting Information [Line Items]
Premiums									6,803	6,772	6,696
Services									835	626	643
Investment income									23	31	25
Total revenues									7,679	7,449	7,386
Benefits									5,420	5,363	5,233
Operating costs									1,810	1,590	1,727
Merger termination fee and related costs, net										0	0
Depreciation and amortization									88	84	82
Total operating expenses									7,318	7,037	7,042
Income from operations									361	412	344
Loss on sale of business									0		0
Interest expense									0	0	0
Other expense, net									0
Income (loss) before income taxes and equity in net earnings									361	412	344
Equity in net earnings of Kindred at Home									0	0	0
Segment earnings (losses)									361	412	344
Operating Segments \| Healthcare Services
Segment Reporting Information [Line Items]
Premiums									0	0	0
Services									607	338	310
Investment income									34	35	30
Total revenues									23,811	23,958	25,312
Benefits									0	0	0
Operating costs									22,905	22,848	24,073
Merger termination fee and related costs, net										0	0
Depreciation and amortization									163	143	143
Total operating expenses									23,068	22,991	24,216
Income from operations									743	967	1,096
Loss on sale of business									0		0
Interest expense									0	0	0
Other expense, net									0
Income (loss) before income taxes and equity in net earnings									743	967	1,096
Equity in net earnings of Kindred at Home									11	0	0
Segment earnings (losses)									754	967	1,096
Operating Segments \| Individual Commercial
Segment Reporting Information [Line Items]
Premiums									8	947	3,064
Services									0	0	0
Investment income									0	4	5
Total revenues									8	951	3,069
Benefits									(70)	544	3,301
Operating costs									4	201	601
Merger termination fee and related costs, net										0	0
Depreciation and amortization									0	13	36
Total operating expenses									(66)	758	3,938
Income from operations									74	193	(869)
Loss on sale of business									0		0
Interest expense									0	0	0
Other expense, net									0
Income (loss) before income taxes and equity in net earnings									74	193	(869)
Equity in net earnings of Kindred at Home									0	0	0
Segment earnings (losses)									74	193	(869)
Operating Segments \| Individual Medicare Advantage \| Retail
Segment Reporting Information [Line Items]
Premiums									35,656	32,720	31,863
Operating Segments \| Individual Medicare Advantage \| Group and Specialty
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Individual Medicare Advantage \| Healthcare Services
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Individual Medicare Advantage \| Individual Commercial
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Group Medicare Advantage \| Retail
Segment Reporting Information [Line Items]
Premiums									6,103	5,155	4,283
Operating Segments \| Group Medicare Advantage \| Group and Specialty
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Group Medicare Advantage \| Healthcare Services
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Group Medicare Advantage \| Individual Commercial
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Medicare stand-alone PDP \| Retail
Segment Reporting Information [Line Items]
Premiums									3,584	3,702	4,009
Operating Segments \| Medicare stand-alone PDP \| Group and Specialty
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Medicare stand-alone PDP \| Healthcare Services
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Medicare stand-alone PDP \| Individual Commercial
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Total Medicare \| Retail
Segment Reporting Information [Line Items]
Premiums									45,343	41,577	40,155
Operating Segments \| Total Medicare \| Group and Specialty
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Total Medicare \| Healthcare Services
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Total Medicare \| Individual Commercial
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Fully-insured \| Retail
Segment Reporting Information [Line Items]
Premiums									510	478	428
Operating Segments \| Fully-insured \| Group and Specialty
Segment Reporting Information [Line Items]
Premiums									5,444	5,462	5,405
Operating Segments \| Fully-insured \| Healthcare Services
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Fully-insured \| Individual Commercial
Segment Reporting Information [Line Items]
Premiums									8	947	3,064
Operating Segments \| Specialty \| Retail
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Specialty \| Group and Specialty
Segment Reporting Information [Line Items]
Premiums									1,359	1,310	1,279
Operating Segments \| Specialty \| Healthcare Services
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Specialty \| Individual Commercial
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Medicaid and other \| Retail
Segment Reporting Information [Line Items]
Premiums									2,255	2,571	2,640
Operating Segments \| Medicaid and other \| Group and Specialty
Segment Reporting Information [Line Items]
Premiums									0	0	12
Operating Segments \| Medicaid and other \| Healthcare Services
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Medicaid and other \| Individual Commercial
Segment Reporting Information [Line Items]
Premiums									0	0	0
Operating Segments \| Provider \| Retail
Segment Reporting Information [Line Items]
Services									0	0	0
Operating Segments \| Provider \| Group and Specialty
Segment Reporting Information [Line Items]
Services									0	0	0
Operating Segments \| Provider \| Healthcare Services
Segment Reporting Information [Line Items]
Services									404	258	278
Operating Segments \| Provider \| Individual Commercial
Segment Reporting Information [Line Items]
Services									0	0	0
Operating Segments \| ASO and other \| Retail
Segment Reporting Information [Line Items]
Services									11	10	6
Operating Segments \| ASO and other \| Group and Specialty
Segment Reporting Information [Line Items]
Services									835	626	643
Operating Segments \| ASO and other \| Healthcare Services
Segment Reporting Information [Line Items]
Services									0	0	1
Operating Segments \| ASO and other \| Individual Commercial
Segment Reporting Information [Line Items]
Services									0	0	0
Operating Segments \| Pharmacy \| Retail
Segment Reporting Information [Line Items]
Services									0	0	0
Operating Segments \| Pharmacy \| Group and Specialty
Segment Reporting Information [Line Items]
Services									0	0	0
Operating Segments \| Pharmacy \| Healthcare Services
Segment Reporting Information [Line Items]
Services									203	80	31
Operating Segments \| Pharmacy \| Individual Commercial
Segment Reporting Information [Line Items]
Services									0	0	0
Operating Segments \| External Customers \| Retail
Segment Reporting Information [Line Items]
Total revenues									48,119	44,636	43,229
Operating Segments \| External Customers \| Group and Specialty
Segment Reporting Information [Line Items]
Total revenues									7,638	7,398	7,339
Operating Segments \| External Customers \| Healthcare Services
Segment Reporting Information [Line Items]
Total revenues									607	338	310
Operating Segments \| External Customers \| Individual Commercial
Segment Reporting Information [Line Items]
Total revenues									8	947	3,064
Other Businesses
Segment Reporting Information [Line Items]
Premiums									22	35	38
Services									4	8	10
Investment income									110	87	66
Total revenues									136	130	114
Benefits									77	131	617
Operating costs									6	12	16
Merger termination fee and related costs, net										0	0
Depreciation and amortization									0	0	1
Total operating expenses									83	143	634
Income from operations									53	(13)	(520)
Loss on sale of business									0		0
Interest expense									0	0	0
Other expense, net									0
Income (loss) before income taxes and equity in net earnings									53	(13)	(520)
Equity in net earnings of Kindred at Home									0	0	0
Segment earnings (losses)									53	(13)	(520)
Other Businesses \| Individual Medicare Advantage
Segment Reporting Information [Line Items]
Premiums									0	0	0
Other Businesses \| Group Medicare Advantage
Segment Reporting Information [Line Items]
Premiums									0	0	0
Other Businesses \| Medicare stand-alone PDP
Segment Reporting Information [Line Items]
Premiums									0	0	0
Other Businesses \| Total Medicare
Segment Reporting Information [Line Items]
Premiums									0	0	0
Other Businesses \| Fully-insured
Segment Reporting Information [Line Items]
Premiums									0	0	0
Other Businesses \| Specialty
Segment Reporting Information [Line Items]
Premiums									0	0	0
Other Businesses \| Medicaid and other
Segment Reporting Information [Line Items]
Premiums									22	35	38
Other Businesses \| Provider
Segment Reporting Information [Line Items]
Services									0	0	0
Other Businesses \| ASO and other
Segment Reporting Information [Line Items]
Services									4	8	10
Other Businesses \| Pharmacy
Segment Reporting Information [Line Items]
Services									0	0	0
Other Businesses \| External Customers
Segment Reporting Information [Line Items]
Total revenues									26	43	48
Corporate/Eliminations
Segment Reporting Information [Line Items]
Services										0
Investment income									211	158	173
Total revenues									(22,977)	(23,447)	(24,821)
Benefits									(470)	(760)	(927)
Operating costs									(22,527)	(22,376)	(23,894)
Merger termination fee and related costs, net										(936)	104
Depreciation and amortization									(116)	(100)	(104)
Total operating expenses									(23,113)	(24,172)	(24,821)
Income from operations									136	725	0
Loss on sale of business									(786)		0
Interest expense									218	242	189
Other expense, net									(33)
Income (loss) before income taxes and equity in net earnings									(901)	483	(189)
Equity in net earnings of Kindred at Home									0	0	0
Segment earnings (losses)									(901)	483	(189)
Corporate/Eliminations \| Provider
Segment Reporting Information [Line Items]
Services										0
Corporate/Eliminations \| ASO and other
Segment Reporting Information [Line Items]
Services										0
Corporate/Eliminations \| Pharmacy
Segment Reporting Information [Line Items]
Services										0
Corporate/Eliminations \| External Customers
Segment Reporting Information [Line Items]
Total revenues										0
Intersegment revenues
Segment Reporting Information [Line Items]
Total revenues									(23,188)	(23,605)	(24,994)
Intersegment revenues \| Retail
Segment Reporting Information [Line Items]
Total revenues									0	0	0
Intersegment revenues \| Group and Specialty
Segment Reporting Information [Line Items]
Total revenues									18	20	22
Intersegment revenues \| Healthcare Services
Segment Reporting Information [Line Items]
Total revenues									23,170	23,585	24,972
Intersegment revenues \| Individual Commercial
Segment Reporting Information [Line Items]
Total revenues									0	0	0
Intersegment revenues \| Services
Segment Reporting Information [Line Items]
Total revenues									(16,858)	(17,313)	(19,001)
Intersegment revenues \| Services \| Retail
Segment Reporting Information [Line Items]
Total revenues									0	0	0
Intersegment revenues \| Services \| Group and Specialty
Segment Reporting Information [Line Items]
Total revenues									18	20	22
Intersegment revenues \| Services \| Healthcare Services
Segment Reporting Information [Line Items]
Total revenues									16,840	17,293	18,979
Intersegment revenues \| Services \| Individual Commercial
Segment Reporting Information [Line Items]
Total revenues									0	0	0
Intersegment revenues \| Products
Segment Reporting Information [Line Items]
Total revenues									(6,330)	(6,292)	(5,993)
Intersegment revenues \| Products \| Retail
Segment Reporting Information [Line Items]
Total revenues									0	0	0
Intersegment revenues \| Products \| Group and Specialty
Segment Reporting Information [Line Items]
Total revenues									0	0	0
Intersegment revenues \| Products \| Healthcare Services
Segment Reporting Information [Line Items]
Total revenues									6,330	6,292	5,993
Intersegment revenues \| Products \| Individual Commercial
Segment Reporting Information [Line Items]
Total revenues									$ 0	$ 0	$ 0

EXPENSES ASSOCIATED WITH LONG-DURATION INSURANCE PRODUCTS - Additional Information (Detail) - USD ($)	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Long Duration Insurance Products [Line Items]
Percent of consolidated premiums and services revenues related to long-duration insurance products	1.00%	1.00%
Future policy benefits payable	$ 219,000,000	$ 2,923,000,000
Benefit expense with future policy benefits payable	0	(22,000,000)	$ 439,000,000
Long-term insurance reserve strengthening expense			505,000,000
Amortization of deferred acquisition costs	48,000,000	71,000,000	67,000,000
Deferred acquisition costs associated with our individual major medical policies		3,000,000
Adjustment to future policy benefits assuming unrealized gains on investments realized and reinvested at current yields		168,000,000
Increase in future policy benefits payable			659,000,000
Increase in reinsurance recoverable			154,000,000
Premium deficiency reserve	0	0	$ 0	$ 176,000,000
100% Coinsurance Agreements
Long Duration Insurance Products [Line Items]
Future policy benefits payable	$ 217,000,000	199,000,000
Percentage of coinsurance agreement	100.00%
Individual Major Medical Policies
Long Duration Insurance Products [Line Items]
Future policy benefits payable		19,000,000
Closed Block Long Term Care Policies
Long Duration Insurance Products [Line Items]
Future policy benefits payable		$ 2,300,000,000

EXPENSES ASSOCIATED WITH LONG-DURATION INSURANCE PRODUCTS - Schedule of Deferred Acquisition Cost and Future Policy Benefits Payable With Our Long-Duration Insurance Products (Detail) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Insurance [Abstract]
Other long-term assets, Deferred acquisition costs	$ 36	$ 103
Trade accounts payable and accrued expenses, Deferred acquisition cost	0	0
Long-term liabilities, Deferred acquisition cost	0	0
Total asset (liability), Deferred acquisition cost	36	103
Other long-term assets, Future policy benefits payable	0	0
Trade accounts payable and accrued expenses, Future policy benefits payable	0	(56)
Long-term liabilities, Future policy benefits payable	(219)	(2,923)
Total asset (liability), Future policy benefits payable	$ (219)	$ (2,979)

REINSURANCE - Additional Information (Detail) $ in Millions	12 Months Ended
REINSURANCE - Additional Information (Detail) $ in Millions	Dec. 31, 2018 USD ($) Reinsurer	Dec. 31, 2017 USD ($)	Dec. 31, 2016 USD ($)
Effects of Reinsurance [Line Items]
Reinsurance recoverables included in other long-term assets	$ 314	$ 824
Premiums ceded	976	969	$ 842
Benefits ceded	$ 980	$ 844	$ 767
Number of reinsurers comprising other reinsurance recoverables balance \| Reinsurer	10
Cash and securities in trusts held by certain reinsurers	$ 110
100% Coinsurance Agreements
Effects of Reinsurance [Line Items]
Percentage of coinsurance agreement	100.00%
Reinsurance Recoverables \| Reinsurer Concentration Risk
Effects of Reinsurance [Line Items]
Percentage of reinsurance recoverables resulting from 100% coinsurance agreements	99.00%	33.00%
Protective Life Insurance Company
Effects of Reinsurance [Line Items]
Reinsurance recoverables included in other long-term assets	$ 177
All Others
Effects of Reinsurance [Line Items]
Reinsurance recoverables included in other long-term assets	$ 137

QUARTERLY FINANCIAL INFORMATION (Unaudited) (Details) - USD ($) $ / shares in Units, $ in Millions	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Quarterly Financial Information Disclosure [Abstract]
Total revenues	$ 14,168	$ 14,206	$ 14,259	$ 14,279	$ 13,189	$ 13,282	$ 13,534	$ 13,762	$ 56,912	$ 53,767	$ 54,379
Income (loss) before income taxes	436	901	19	707	490	799	1,042	1,689	2,063	4,020	1,552
Net income	$ 355	$ 644	$ 193	$ 491	$ 184	$ 499	$ 650	$ 1,115	$ 1,683	$ 2,448	$ 614
Basic earnings per common share (in USD per share)	$ 2.60	$ 4.68	$ 1.40	$ 3.56	$ 1.30	$ 3.46	$ 4.49	$ 7.54	$ 12.24	$ 16.94	$ 4.11
Diluted earnings per common share (in USD per share)	$ 2.58	$ 4.65	$ 1.39	$ 3.53	$ 1.29	$ 3.44	$ 4.46	$ 7.49	$ 12.16	$ 16.81	$ 4.07

- Definition

The amount of net income (loss) for the period per each share of common stock or unit outstanding during the reporting period.

+ References

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+ Details

- Definition

The amount of net income (loss) for the period available to each share of common stock or common unit outstanding during the reporting period and to each share or unit that would have been outstanding assuming the issuance of common shares or units for all dilutive potential common shares or units outstanding during the reporting period.

+ References

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+ Details

- Definition

The portion of profit or loss for the period, net of income taxes, which is attributable to the parent.

+ References + Details

SCHEDULE I-PARENT COMPANY FINANCIAL INFORMATION (Condensed Balance Sheets) (Detail) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016	Dec. 31, 2015
Current assets:
Cash and cash equivalents	$ 2,343	$ 4,042	$ 3,877	$ 2,571
Investment securities	10,026	9,557
Other current assets	3,564	2,949
Total current assets	16,948	17,402
Property and equipment, net	1,735	1,584
Equity method investment in Kindred at Home	1,047	0
Other long-term assets	1,375	2,166
Total assets	25,413	27,178
Current liabilities:
Book overdraft	171	141
Short-term debt	1,694	150
Total current liabilities	10,077	9,406
Long-term debt	4,375	4,770
Other long-term liabilities	581	237
Total liabilities	15,252	17,336
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $1 par; 10,000,000 shares authorized; none issued	0	0
Common stock, $0.16 2/3 par; 300,000,000 shares authorized; 198,594,841 shares issued at December 31, 2018 and 198,572,458 shares issued at December 31, 2017	33	33
Capital in excess of par value	2,535	2,445
Retained earnings	15,072	13,670
Accumulated other comprehensive (loss) income	(159)	19
Treasury stock, at cost, 63,028,169 shares at December 31, 2018 and 60,893,762 shares at December 31, 2017	(7,320)	(6,325)
Total stockholders’ equity	10,161	9,842	10,685	10,346
Total liabilities and stockholders’ equity	25,413	27,178
Parent Company
Current assets:
Cash and cash equivalents	265	383	$ 1,710	$ 1,389
Investment securities	313	305
Receivable from operating subsidiaries	1,306	1,042
Other current assets	628	245
Total current assets	2,512	1,975
Property and equipment, net	1,209	1,091
Investments in subsidiaries	16,951	16,810
Equity method investment in Kindred at Home	1,047	0
Other long-term assets	359	426
Total assets	22,078	20,302
Current liabilities:
Payable to operating subsidiaries	4,487	4,311
Current portion of notes payable to operating subsidiaries	28	28
Book overdraft	38	41
Short-term debt	1,694	150
Other current liabilities	791	896
Total current liabilities	7,038	5,426
Long-term debt	4,375	4,770
Other long-term liabilities	504	264
Total liabilities	11,917	10,460
Commitments and contingencies
Stockholders’ equity:
Preferred stock, $1 par; 10,000,000 shares authorized; none issued	0	0
Common stock, $0.16 2/3 par; 300,000,000 shares authorized; 198,594,841 shares issued at December 31, 2018 and 198,572,458 shares issued at December 31, 2017	33	33
Capital in excess of par value	2,535	2,445
Retained earnings	15,072	13,670
Accumulated other comprehensive (loss) income	(159)	19
Treasury stock, at cost, 63,028,169 shares at December 31, 2018 and 60,893,762 shares at December 31, 2017	(7,320)	(6,325)
Total stockholders’ equity	10,161	9,842
Total liabilities and stockholders’ equity	$ 22,078	$ 20,302

SCHEDULE I-PARENT COMPANY FINANCIAL INFORMATION (Condensed Balance Sheets) Phantom (Detail) - $ / shares	Dec. 31, 2018	Dec. 31, 2017
Condensed Financial Statements, Captions [Line Items]
Preferred stock, par (in USD per share)	$ 1	$ 1
Preferred stock, shares authorized (in shares)	10,000,000	10,000,000
Preferred stock, issued (in shares)	0	0
Common stock, par (in USD per share)	$ 0.1667	$ 0.1667
Common stock, shares authorized (in shares)	300,000,000	300,000,000
Common stock, shares issued (in shares)	198,594,841	198,572,458
Treasury stock (in shares)	63,028,169	60,893,762
Parent Company
Condensed Financial Statements, Captions [Line Items]
Preferred stock, par (in USD per share)	$ 1	$ 1
Preferred stock, shares authorized (in shares)	10,000,000	10,000,000
Preferred stock, issued (in shares)	0	0
Common stock, par (in USD per share)	$ 0.1667	$ 0.1667
Common stock, shares authorized (in shares)	300,000,000	300,000,000
Common stock, shares issued (in shares)	198,594,841	198,572,458
Treasury stock (in shares)	63,028,169	60,893,762

SCHEDULE I-PARENT COMPANY FINANCIAL INFORMATION (Condensed Statements of Income) (Detail) - USD ($) $ in Millions	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Revenues:
Total revenues	$ 14,168	$ 14,206	$ 14,259	$ 14,279	$ 13,189	$ 13,282	$ 13,534	$ 13,762	$ 56,912	$ 53,767	$ 54,379
Expenses:
Operating costs									7,525	6,567	7,173
Merger termination fee and related costs, net									0	(936)	104
Depreciation									444	410	388
Interest									218	242	189
Total operating expenses									53,812	49,505	52,638
Other expense, net									33	0	0
Loss on sale of business									786	0	0
(Benefit) provision for income taxes									391	1,572	938
Equity in net earnings of Kindred at Home									11	0	0
Net income	$ 355	$ 644	$ 193	$ 491	$ 184	$ 499	$ 650	$ 1,115	1,683	2,448	614
Parent Company
Revenues:
Management fees charged to operating subsidiaries									1,666	1,864	1,683
Investment and other income, net									30	57	42
Total revenues									1,696	1,921	1,725
Expenses:
Operating costs									1,468	1,801	1,519
Merger termination fee and related costs, net									0	(936)	104
Depreciation									342	332	302
Interest									218	243	189
Total operating expenses									2,028	1,440	2,114
Other expense, net									33	0	0
Loss on sale of business									782	0	0
(Loss) income before income taxes and equity in net earnings of subsidiaries									(1,147)	481	(389)
(Benefit) provision for income taxes									(542)	61	(107)
(Loss) income before equity in net earnings of subsidiaries									(605)	420	(282)
Equity in net earnings of subsidiaries									2,277	2,028	896
Equity in net earnings of Kindred at Home									11	0	0
Net income									$ 1,683	$ 2,448	$ 614

SCHEDULE I-PARENT COMPANY FINANCIAL INFORMATION (Condensed Statements of Comprehensive Income) (Detail) - USD ($) $ in Millions	3 Months Ended								12 Months Ended
	Dec. 31, 2018	Sep. 30, 2018	Jun. 30, 2018	Mar. 31, 2018	Dec. 31, 2017	Sep. 30, 2017	Jun. 30, 2017	Mar. 31, 2017	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Condensed Financial Statements, Captions [Line Items]
Net income	$ 355	$ 644	$ 193	$ 491	$ 184	$ 499	$ 650	$ 1,115	$ 1,683	$ 2,448	$ 614
Other comprehensive income (loss):
Change in gross unrealized investment losses/gains									(189)	149	(101)
Effect of income taxes									51	(55)	38
Total change in unrealized investment gains/losses, net of tax									(138)	94	(63)
Reclassification adjustment for net realized gains included in investment income									(53)	(14)	(96)
Effect of income taxes									17	5	35
Total reclassification adjustment, net of tax									(36)	(9)	(61)
Other comprehensive (loss) income, net of tax									(174)	85	(124)
Comprehensive income attributable to our equity method investment in Kindred at Home									(4)	0	0
Comprehensive income									1,505	2,533	490
Parent Company
Condensed Financial Statements, Captions [Line Items]
Net income									1,683	2,448	614
Other comprehensive income (loss):
Change in gross unrealized investment losses/gains									(189)	149	(101)
Effect of income taxes									51	(55)	38
Total change in unrealized investment gains/losses, net of tax									(138)	94	(63)
Reclassification adjustment for net realized gains included in investment income									(53)	(14)	(96)
Effect of income taxes									17	5	35
Total reclassification adjustment, net of tax									(36)	(9)	(61)
Other comprehensive (loss) income, net of tax									(174)	85	(124)
Comprehensive income attributable to our equity method investment in Kindred at Home									(4)	0	0
Comprehensive income									$ 1,505	$ 2,533	$ 490

SCHEDULE I-PARENT COMPANY FINANCIAL INFORMATION (Condensed Statements of Cash Flows) (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Condensed Financial Statements, Captions [Line Items]
Net cash provided by operating activities	$ 2,173	$ 4,051	$ 1,936
Cash flows from investing activities:
Acquisitions, net of cash acquired	(354)	(31)	(7)
Acquisition, equity method investment in Kindred at Home	(1,095)	0	0
Purchases of investment securities	(4,687)	(6,265)	(6,566)
Proceeds from sale of investment securities	3,494	2,768	4,312
Maturities of investment securities	972	1,111	1,426
Purchases of property and equipment, net	(612)	(524)	(527)
Net cash used in investing activities	(3,087)	(2,941)	(1,362)
Cash flows from financing activities:
Proceeds from issuance of senior notes, net	0	1,779	0
Proceeds from issuance (repayments) of commercial paper, net	485	(153)	(2)
Proceeds from term loan	1,000	0	0
Repayment of term loan	(350)	0	0
Repayment of long-term debt	0	(800)	0
Change in book overdraft	30	(71)	(89)
Common stock repurchases	(1,090)	(3,365)	(104)
Dividends paid	(265)	(220)	(177)
Proceeds from stock option exercises and other, net	50	63	14
Net cash (used in) provided by financing activities	(785)	(945)	732
(Decrease) increase in cash and cash equivalents	(1,699)	165	1,306
Cash and cash equivalents at beginning of year	4,042	3,877	2,571
Cash and cash equivalents at end of year	2,343	4,042	3,877
Parent Company
Condensed Financial Statements, Captions [Line Items]
Net cash provided by operating activities	2,719	2,423	1,848
Cash flows from investing activities:
Acquisitions, net of cash acquired	(354)	0	0
Acquisition, equity method investment in Kindred at Home	(1,095)	0	0
Capital contributions to operating subsidiaries	(697)	(695)	(895)
Purchases of investment securities	(145)	(53)	(151)
Proceeds from sale of investment securities	35	0	25
Maturities of investment securities	59	51	143
Purchases of property and equipment, net	(465)	(359)	(382)
Net cash used in investing activities	(2,662)	(1,056)	(1,260)
Cash flows from financing activities:
Proceeds from issuance of senior notes, net	0	1,779	0
Proceeds from issuance (repayments) of commercial paper, net	485	(153)	(2)
Proceeds from term loan	1,000	0	0
Repayment of term loan	(350)	0	0
Repayment of long-term debt	0	(800)	0
Change in book overdraft	(3)	3	5
Common stock repurchases	(1,090)	(3,365)	(104)
Dividends paid	(265)	(220)	(177)
Proceeds from stock option exercises and other, net	48	62	11
Net cash (used in) provided by financing activities	(175)	(2,694)	(267)
(Decrease) increase in cash and cash equivalents	(118)	(1,327)	321
Cash and cash equivalents at beginning of year	383	1,710	1,389
Cash and cash equivalents at end of year	$ 265	$ 383	$ 1,710

SCHEDULE I-PARENT COMPANY FINANCIAL INFORMATION (Additional Information) (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Condensed Financial Statements, Captions [Line Items]
Cash dividends received from subsidiary	$ 2,300	$ 1,400	$ 800
Aggregate statutory capital and surplus in our state regulated insurance subsidiaries	7,600	8,000
Aggregate minimum regulatory requirements of statutory capital and surplus	5,200	4,800
Dividends that may be paid to the parent company without prior approval by state regulatory authorities in 2014	1,000
Dividends that were paid to the parent company without prior approval by state regulatory authorities	$ 2,300	1,400	800
Majority-Owned Subsidiary, Unconsolidated
Condensed Financial Statements, Captions [Line Items]
Interest expense on subsidiary notes payable		$ 1	$ 1

SCHEDULE II-VALUATION AND QUALIFYING ACCOUNTS (Detail) - USD ($) $ in Millions	12 Months Ended
	Dec. 31, 2018	Dec. 31, 2017	Dec. 31, 2016
Allowance for loss on receivables:
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at Beginning of Period	$ (96)	$ (118)	$ (101)
Acquired/(Disposed) Balances	0	0	0
Charged (Credited) to Costs and Expenses	36	20	39
Charged to Other Accounts	(29)	(10)	19
Deductions or Write-offs	(24)	(32)	(41)
Balance at End of Period	(79)	(96)	(118)
Deferred tax asset valuation allowance:
SEC Schedule, 12-09, Movement in Valuation Allowances and Reserves [Roll Forward]
Balance at Beginning of Period	(49)	(49)	(42)
Acquired/(Disposed) Balances	0	0	0
Charged (Credited) to Costs and Expenses	(5)	0	(7)
Charged to Other Accounts	0	0	0
Deductions or Write-offs	0	0	0
Balance at End of Period	$ (54)	$ (49)	$ (49)

FAIR VALUE - Financial Assets Measured at Fair Value on Recurring Basis (Detail) - USD ($) $ in Millions	Dec. 31, 2018	Dec. 31, 2017
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	$ 10,437
Measured on Recurring Basis
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	2,024	$ 4,564
Debt securities	10,437	12,302
Total invested assets	12,461	16,866
Measured on Recurring Basis \| Tax-exempt municipal securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	2,771	3,889
Measured on Recurring Basis \| Residential Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	55	26
Measured on Recurring Basis \| Commercial Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	523	456
Measured on Recurring Basis \| Asset-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	985	408
Measured on Recurring Basis \| Corporate debt securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	3,142	5,382
Measured on Recurring Basis \| U.S. Treasury and other U.S. government corporations and agencies \| U.S. Treasury and agency obligations
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	417	531
Measured on Recurring Basis \| U.S. Treasury and other U.S. government corporations and agencies \| Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	2,544	1,610
Quoted Prices in Active Markets (Level 1) \| Measured on Recurring Basis
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	2,024	4,564
Debt securities	0	0
Total invested assets	2,024	4,564
Quoted Prices in Active Markets (Level 1) \| Measured on Recurring Basis \| Tax-exempt municipal securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Quoted Prices in Active Markets (Level 1) \| Measured on Recurring Basis \| Residential Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Quoted Prices in Active Markets (Level 1) \| Measured on Recurring Basis \| Commercial Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Quoted Prices in Active Markets (Level 1) \| Measured on Recurring Basis \| Asset-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Quoted Prices in Active Markets (Level 1) \| Measured on Recurring Basis \| Corporate debt securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Quoted Prices in Active Markets (Level 1) \| Measured on Recurring Basis \| U.S. Treasury and other U.S. government corporations and agencies \| U.S. Treasury and agency obligations
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Quoted Prices in Active Markets (Level 1) \| Measured on Recurring Basis \| U.S. Treasury and other U.S. government corporations and agencies \| Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Other Observable Inputs (Level 2) \| Measured on Recurring Basis
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	0	0
Debt securities	10,437	12,301
Total invested assets	10,437	12,301
Other Observable Inputs (Level 2) \| Measured on Recurring Basis \| Tax-exempt municipal securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	2,771	3,889
Other Observable Inputs (Level 2) \| Measured on Recurring Basis \| Residential Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	55	26
Other Observable Inputs (Level 2) \| Measured on Recurring Basis \| Commercial Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	523	456
Other Observable Inputs (Level 2) \| Measured on Recurring Basis \| Asset-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	985	408
Other Observable Inputs (Level 2) \| Measured on Recurring Basis \| Corporate debt securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	3,142	5,381
Other Observable Inputs (Level 2) \| Measured on Recurring Basis \| U.S. Treasury and other U.S. government corporations and agencies \| U.S. Treasury and agency obligations
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	417	531
Other Observable Inputs (Level 2) \| Measured on Recurring Basis \| U.S. Treasury and other U.S. government corporations and agencies \| Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	2,544	1,610
Unobservable Inputs (Level 3) \| Measured on Recurring Basis
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Cash equivalents	0	0
Debt securities	0	1
Total invested assets	0	1
Unobservable Inputs (Level 3) \| Measured on Recurring Basis \| Tax-exempt municipal securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Unobservable Inputs (Level 3) \| Measured on Recurring Basis \| Residential Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Unobservable Inputs (Level 3) \| Measured on Recurring Basis \| Commercial Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Unobservable Inputs (Level 3) \| Measured on Recurring Basis \| Asset-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Unobservable Inputs (Level 3) \| Measured on Recurring Basis \| Corporate debt securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	1
Unobservable Inputs (Level 3) \| Measured on Recurring Basis \| U.S. Treasury and other U.S. government corporations and agencies \| U.S. Treasury and agency obligations
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	0	0
Unobservable Inputs (Level 3) \| Measured on Recurring Basis \| U.S. Treasury and other U.S. government corporations and agencies \| Mortgage-backed securities
Fair Value, Assets and Liabilities Measured on Recurring and Nonrecurring Basis [Line Items]
Debt securities	$ 0	$ 0