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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
$ in Millions
3 Months Ended 9 Months Ended
Sep. 30, 2019
Sep. 30, 2018
Sep. 30, 2019
Sep. 30, 2018
Revenue:        
Premium revenue $ 4,084 $ 4,337 $ 12,085 $ 13,174
Premium tax revenue 119 110 367 320
Health insurer fees reimbursed 0 83 0 248
Service revenue 0 130 0 391
Investment income and other revenue 40 37 103 93
Total revenue 4,243 4,697 12,555 14,226
Operating expenses:        
General and administrative expenses 323 311 953 998
Premium tax expenses 119 110 367 320
Health insurer fees 0 87 0 261
Depreciation and amortization 21 25 68 76
Restructuring costs 0 5 5 38
Total operating expenses 3,986 4,439 11,753 13,404
Gain on sale of subsidiary 0 37 0 37
Operating income 257 295 802 859
Other expenses, net:        
Interest expense 22 26 67 91
Other expenses (income), net 2 10 (15) 25
Total other expenses, net 24 36 52 116
Income before income tax expense 233 259 750 743
Income tax expense 58 62 181 237
Net income $ 175 $ 197 $ 569 $ 506
Net income per share:        
Basic (in dollars per share) $ 2.81 $ 3.22 $ 9.15 $ 8.32
Diluted (in dollars per share) $ 2.75 $ 2.90 $ 8.80 $ 7.60
Medical care costs        
Operating expenses:        
Cost of revenue $ 3,523 $ 3,790 $ 10,360 $ 11,362
Cost of service revenue        
Operating expenses:        
Cost of revenue $ 0 $ 111 $ 0 $ 349