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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2020
Jun. 30, 2019
Jun. 30, 2020
Jun. 30, 2019
Revenue:        
Premium revenue $ 4,372 $ 4,049 $ 8,676 $ 8,001
Premium tax revenue 157 110 307 248
Health insurer fees reimbursed 71 0 137 0
Investment income and other revenue 18 34 47 63
Total revenue 4,618 4,193 9,167 8,312
Operating expenses:        
Medical care costs 3,598 3,466 7,314 6,837
General and administrative expenses 345 328 662 630
Premium tax expenses 157 110 307 248
Health insurer fees 71 0 139 0
Depreciation and amortization 21 22 41 47
Other 2 2 6 5
Total operating expenses 4,194 3,928 8,469 7,767
Operating income 424 265 698 545
Other expenses, net:        
Interest expense 24 22 45 45
Other expense (income), net 5 (14) 5 (17)
Total other expenses, net 29 8 50 28
Income before income tax expense 395 257 648 517
Income tax expense 119 61 194 123
Net income $ 276 $ 196 $ 454 $ 394
Net income per share:        
Basic (in dollars per share) $ 4.72 $ 3.15 $ 7.65 $ 6.34
Diluted (in dollars per share) $ 4.65 $ 3.06 $ 7.54 $ 6.04