XML 35 R24.htm IDEA: XBRL DOCUMENT
v3.19.1

Medical Claims Liability (Tables) | 3 Months Ended
--- | ---
Mar. 31, 2019
Insurance [Abstract] |
Schedule of change in medical claims liability | The following table summarizes the change in medical claims liability ($ in millions):
|  | Three Months Ended March 31,
|  | 2019 |  | 2018
Balance, January 1 |  | $ | 6,831 |  |  | $ | 4,286 |
Less: Reinsurance recoverable |  | 27 |  |  | 18 |
Balance, January 1, net |  | 6,804 |  |  | 4,268 |
Acquisitions and purchase accounting adjustments |  | 6 |  |  | — |
Incurred related to: |  |  |  |
Current year |  | 14,376 |  |  | 10,302 |
Prior years |  | (494 | ) |  | (263 | )
Total incurred |  | 13,882 |  |  | 10,039 |
Paid related to: |  |  |  |
Current year |  | 8,771 |  |  | 6,579 |
Prior years |  | 4,560 |  |  | 2,970 |
Total paid |  | 13,331 |  |  | 9,549 |
Balance at March 31, net |  | 7,361 |  |  | 4,758 |
Plus: Reinsurance recoverable |  | 20 |  |  | 13 |
Balance, March 31 |  | $ | 7,381 |  |  | $ | 4,771 |

X
- References No definition available. + Details
Name: | us-gaap_InsuranceAbstract
Namespace Prefix: | us-gaap_
Data Type: | xbrli:stringItemType
Balance Type: | na
Period Type: | duration

X
- 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://fasb.org/us-gaap/role/ref/legacyRef -Publisher FASB -Name Accounting Standards Codification -Topic 944 -SubTopic 40 -Section 50 -Paragraph 3 -URI http://asc.fasb.org/extlink&oid=99382578&loc=d3e14764-158437 + Details
Name: | us-gaap_ScheduleOfLiabilityForUnpaidClaimsAndClaimsAdjustmentExpense
Namespace Prefix: | us-gaap_
Data Type: | nonnum:textBlockItemType
Balance Type: | na
Period Type: | duration