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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2021
Jun. 30, 2020
Jun. 30, 2021
Jun. 30, 2020
Revenue:        
Premium revenue $ 6,583 $ 4,372 $ 12,889 $ 8,676
Premium tax revenue 185 157 372 307
Health insurer fees reimbursed 0 71 0 137
Investment income 10 13 19 38
Other revenue 22 5 42 9
Total revenue 6,800 4,618 13,322 9,167
Operating expenses:        
Medical care costs 5,819 3,598 11,293 7,314
General and administrative expenses 484 345 957 662
Premium tax expenses 185 157 372 307
Health insurer fees 0 71 0 139
Depreciation and amortization 31 21 64 41
Other 8 2 28 6
Total operating expenses 6,527 4,194 12,714 8,469
Operating income 273 424 608 698
Other expenses, net:        
Interest expense 30 24 60 45
Other expense, net 0 5 0 5
Total other expenses, net 30 29 60 50
Income before income tax expense 243 395 548 648
Income tax expense 58 119 135 194
Net income $ 185 $ 276 $ 413 $ 454
Net income per share:        
Net income per share - Basic (in dollars per share) $ 3.20 $ 4.72 $ 7.14 $ 7.65
Net income per share - Diluted (in dollars per share) $ 3.16 $ 4.65 $ 7.05 $ 7.54