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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2022
Sep. 30, 2021
Sep. 30, 2022
Sep. 30, 2021
Revenue:        
Premium revenue $ 7,636 $ 6,800 $ 22,966 $ 19,689
Premium tax revenue 223 204 646 576
Investment income 49 20 82 39
Other revenue 19 16 57 58
Total revenue 7,927 7,040 23,751 20,362
Operating expenses:        
Medical care costs 6,748 6,049 20,183 17,342
General and administrative expenses 560 532 1,682 1,489
Premium tax expenses 223 204 646 576
Depreciation and amortization 45 32 129 96
Other 16 2 43 30
Total operating expenses 7,592 6,819 22,683 19,533
Operating income 335 221 1,068 829
Other expenses, net:        
Interest expense 28 30 83 90
Total other expenses, net 28 30 83 90
Income before income tax expense 307 191 985 739
Income tax expense 77 48 249 183
Net income $ 230 $ 143 $ 736 $ 556
Net income per share:        
Net income per share - Basic (in dollars per share) $ 4.00 $ 2.49 $ 12.74 $ 9.63
Net income per share - Diluted (in dollars per share) $ 3.95 $ 2.46 $ 12.58 $ 9.51