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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2020
Sep. 30, 2019
Sep. 30, 2020
Sep. 30, 2019
Revenue:        
Premium revenue $ 4,768 $ 4,084 $ 13,444 $ 12,085
Premium tax revenue 170 119 477 367
Health insurer fees reimbursed 69 0 206 0
Investment income and other revenue 14 40 61 103
Total revenue 5,021 4,243 14,188 12,555
Operating expenses:        
Medical care costs 4,098 3,523 11,412 10,360
General and administrative expenses 368 323 1,030 953
Premium tax expenses 170 119 477 367
Health insurer fees 70 0 209 0
Depreciation and amortization 23 21 64 68
Other 3 0 9 5
Total operating expenses 4,732 3,986 13,201 11,753
Operating income 289 257 987 802
Other expenses, net:        
Interest expense 27 22 72 67
Other expense (income), net 0 2 5 (15)
Total other expenses, net 27 24 77 52
Income before income tax expense 262 233 910 750
Income tax expense 77 58 271 181
Net income $ 185 $ 175 $ 639 $ 569
Net income per share:        
Net income per share - Basic (in dollars per share) $ 3.14 $ 2.81 $ 10.80 $ 9.15
Net income per share - Diluted (in dollars per share) $ 3.10 $ 2.75 $ 10.65 $ 8.80