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Income Taxes (Tables) | 12 Months Ended
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Dec. 31, 2024
Income Tax Disclosure [Abstract] |
Schedule of Provision for Income Taxes | Income tax expense for continuing operations consisted of the following:
| Year Ended December 31,
| 2024 |  | 2023 |  | 2022
| (In millions)
Current: |  |  |  |  |
Federal | $ | 298 |  |  | $ | 349 |  |  | $ | 297 |
State | 59 |  |  | 55 |  |  | 40 |
Total current | 357 |  |  | 404 |  |  | 337 |
Deferred: |  |  |  |  |
Federal | 47 |  |  | (28) |  |  | (66) |
State | 6 |  |  | (3) |  |  | — |
Total deferred | 53 |  |  | (31) |  |  | (66) |
Income tax expense | $ | 410 |  |  | $ | 373 |  |  | $ | 271 |
Schedule of Effective Income Tax Rate Reconciliation to The Statutory Federal Income Tax Rate | A reconciliation of the U.S. federal statutory income tax rate to the combined effective income tax rate for continuing operations is as follows:
| Year Ended December 31,
| 2024 |  | 2023 |  | 2022
Statutory federal tax rate | 21.0 | % |  | 21.0 | % |  | 21.0 | %
State income provision, net of federal benefit | 3.2 |  |  | 2.8 |  |  | 3.0 |
Nondeductible compensation | 1.1 |  |  | 1.4 |  |  | 1.8 |
Other | 0.5 |  |  | 0.3 |  |  | (0.3) |
Effective tax rate | 25.8 | % |  | 25.5 | % |  | 25.5 | %
Schedule of Significant Components of Deferred Tax Assets and Liabilities | Significant components of our deferred tax assets and liabilities as of December 31, 2024 and 2023 were as follows:
| December 31,
| 2024 |  | 2023
| (In millions)
Accrued expenses and reserve liabilities | $ | 99 |  |  | $ | 94 |
Other accrued medical costs | 25 |  |  | 26 |
Net operating losses | 5 |  |  | 7 |
Unearned premiums | 2 |  |  | 19 |
Lease liabilities | 79 |  |  | 87 |
Unrealized losses | 18 |  |  | 26 |
Fixed assets and intangibles | 32 |  |  | 24 |
Tax credit carryover | 5 |  |  | 5 |
Other | 13 |  |  | 6 |
Valuation allowance | (19) |  |  | (24) |
Total deferred income tax assets, net of valuation allowance | 259 |  |  | 270 |
Right-of-use assets | (26) |  |  | (29) |
Prepaid expenses | (26) |  |  | (14) |
Total deferred income tax liabilities | (52) |  |  | (43) |
Net deferred income tax asset | $ | 207 |  |  | $ | 227 |
Schedule of Unrecognized Tax Benefits Roll Forward | The roll forward of our unrecognized tax benefits is as follows:
| Year Ended December 31,
| 2024 |  | 2023 |  | 2022
| (In millions)
Gross unrecognized tax benefits at beginning of period | $ | (5) |  |  | $ | (5) |  |  | $ | (15) |
Lapse in statute of limitations | — |  |  | — |  |  | 10 |
Gross unrecognized tax benefits at end of period | $ | (5) |  |  | $ | (5) |  |  | $ | (5) |

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- Definition Tabular disclosure of the components of income tax expense attributable to continuing operations for each year presented including, but not limited to: current tax expense (benefit), deferred tax expense (benefit), investment tax credits, government grants, the benefits of operating loss carryforwards, tax expense that results from allocating certain tax benefits either directly to contributed capital or to reduce goodwill or other noncurrent intangible assets of an acquired entity, adjustments of a deferred tax liability or asset for enacted changes in tax laws or rates or a change in the tax status of the entity, and adjustments of the beginning-of-the-year balances of a valuation allowance because of a change in circumstances that causes a change in judgment about the realizability of the related deferred tax asset in future years. + References Reference 1: http://www.xbrl.org/2009/role/commonPracticeRef -Topic 740 -SubTopic 10 -Name Accounting Standards Codification -Section 50 -Paragraph 9 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482685/740-10-50-9 + Details
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