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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
$ in Millions
 3 Months Ended 9 Months Ended
Sep. 30, 2024
Sep. 30, 2023
Sep. 30, 2024
Sep. 30, 2023
Revenue:        
Premium revenue $ 9,694 $ 8,240 $ 28,644 $ 24,167
Premium tax revenue 508 176 1,103 517
Investment income 118 112 341 280
Other revenue 20 20 63 60
Total revenue 10,340 8,548 30,151 25,024
Operating expenses:        
Medical care costs 8,643 7,306 25,425 21,215
General and administrative expenses 676 608 2,078 1,817
Premium tax expenses 508 176 1,103 517
Depreciation and amortization 47 42 138 128
Other (1) 57 80 90
Total operating expenses 9,873 8,189 28,824 23,767
Operating income 467 359 1,327 1,257
Interest expense 29 27 84 82
Income before income tax expense 438 332 1,243 1,175
Income tax expense 112 87 315 300
Net income $ 326 $ 245 $ 928 $ 875
Net income per share:        
Net income per share - Basic (in dollars per share) $ 5.67 $ 4.24 $ 16.05 $ 15.18
Net income per share - Diluted (in dollars per share) $ 5.65 $ 4.21 $ 15.97 $ 15.08