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Health Care Costs Payable (Tables) | 9 Months Ended
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Sep. 30, 2025
Health Care And Other Insurance Liabilities [Abstract] |
Components of Change in Health Care Costs Payable | The following table shows the components of the change in health care costs payable during the nine months ended September 30, 2025 and 2024:
| Nine Months Ended September 30,
In millions | 2025 |  | 2024
Health care costs payable, beginning of the period | $ | 15,064 |  |  | $ | 12,049 |
Less: Reinsurance recoverables | 81 |  |  | 5 |
Less: Impact of discount rate on long-duration insurance reserves (1) | (1) |  |  | (23) |
Health care costs payable, beginning of the period, net | 14,984 |  |  | 12,067 |
Add: Components of incurred health care costs |  |  |
Current year | 93,496 |  |  | 85,541 |
Prior years | (1,926) |  |  | (845) |
Total incurred health care costs (2) | 91,570 |  |  | 84,696 |
Less: Claims paid |  |  |
Current year | 79,687 |  |  | 71,356 |
Prior years | 11,567 |  |  | 10,886 |
Total claims paid | 91,254 |  |  | 82,242 |
Health care costs payable, end of the period, net | 15,300 |  |  | 14,521 |
Add: Premium deficiency reserves | 728 |  |  | 670 |
Add: Reinsurance recoverables | 94 |  |  | 65 |
Add: Impact of discount rate on long-duration insurance reserves (1) | (24) |  |  | (19) |
Health care costs payable, end of the period | $ | 16,098 |  |  | $ | 15,237 |
_____________________________________________ (1)Reflects the difference between the current discount rate and the locked-in discount rate on long-duration insurance reserves which is recorded within accumulated other comprehensive income (loss) on the unaudited condensed consolidated balance sheets. (2)Total incurred health care costs for the nine months ended September 30, 2025 and 2024 in the table above exclude $41 million and $70 million, respectively, of health care costs recorded in the Health Care Benefits segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets and $133 million and $142 million, respectively, of health care costs recorded in the Corporate/Other segment that are included in other insurance liabilities on the unaudited condensed consolidated balance sheets. Total incurred health care costs for the nine months ended September 30, 2025 also exclude $728 million for premium deficiency reserves for the 2025 coverage year related to the Company’s individual exchange and Group Medicare Advantage product lines. Total incurred health care costs for the nine months ended September 30, 2024 also exclude $670 million for premium deficiency reserves related to the Company’s Medicare, individual exchange and Medicaid product lines.

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- Definition Health Care and Other Insurance Liabilities [Abstract] + References No definition available. + Details
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- Definition Tabular disclosure of the activity in the reserve for settling insured claims and expenses incurred in the claims settlement process for the period. The estimated liability includes the amount of money that will be required for future payments of (a) claims that have been reported to the insurer, (b) claims related to insured events that have occurred but that have not been reported to the insurer as of the date the liability is estimated, and (c) claim adjustment expenses. Claim adjustment expenses include costs incurred in the claim settlement process such as legal fees; outside adjuster fees; and costs to record, process, and adjust claims. + References Reference 1: http://www.xbrl.org/2003/role/disclosureRef -Topic 944 -SubTopic 40 -Name Accounting Standards Codification -Section 50 -Paragraph 3 -Publisher FASB -URI https://asc.fasb.org/1943274/2147480081/944-40-50-3 + Details
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