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CONSOLIDATED STATEMENTS OF OPERATIONS - USD ($) $ in Millions | 3 Months Ended | 6 Months Ended
--- | --- | ---
Jun. 30, 2018 | Jun. 30, 2017 | Jun. 30, 2018 | Jun. 30, 2017
Revenue: |  |  |  |
Premium tax revenue | $ 106 | $ 114 | $ 210 | $ 225
Health insurer fees reimbursed | 104 | 0 | 165 | 0
Investment income and other revenue | 32 | 16 | 56 | 30
Total revenue | 4,883 | 4,999 | 9,529 | 9,903
Operating expenses: |  |  |  |
General and administrative expenses | 335 | 405 | 687 | 844
Premium tax expenses | 106 | 114 | 210 | 225
Health insurer fees | 99 | 0 | 174 | 0
Depreciation and amortization | 25 | 37 | 51 | 76
Impairment losses | 0 | 72 | 0 | 72
Restructuring and separation costs | 8 | 43 | 33 | 43
Total operating expenses | 4,541 | 5,286 | 8,965 | 10,108
Operating income (loss) | 342 | (287) | 564 | (205)
Other expenses (income), net: |  |  |  |
Interest expense | 32 | 27 | 65 | 53
Other expense (income), net | 5 | 0 | 15 | (75)
Total other expenses (income), net | 37 | 27 | 80 | (22)
Income (loss) before income tax expense (benefit) | 305 | (314) | 484 | (183)
Income tax expense (benefit) | 103 | (84) | 175 | (30)
Net income (loss) | $ 202 | $ (230) | $ 309 | $ (153)
Net income (loss) per share: |  |  |  |
Basic (in dollars per share) | $ 3.29 | $ (4.10) | $ 5.10 | $ (2.74)
Diluted (in dollars per share) | $ 3.02 | $ (4.10) | $ 4.68 | $ (2.74)
Health Care, Premium |  |  |  |
Revenue: |  |  |  |
Revenue | $ 4,514 | $ 4,740 | $ 8,837 | $ 9,388
Operating expenses: |  |  |  |
Cost of revenue | 3,850 | 4,491 | 7,572 | 8,602
Technology Service |  |  |  |
Revenue: |  |  |  |
Revenue | 127 | 129 | 261 | 260
Operating expenses: |  |  |  |
Cost of revenue | $ 118 | $ 124 | $ 238 | $ 246

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