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v3.25.0.1

Segments (Tables) | 12 Months Ended
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Dec. 31, 2024
Segment Reporting [Abstract] |
Schedule of Operating Segment Information |
| Year Ended December 31, 2024
| Medicaid |  | Medicare |  | Marketplace |  | Other |  | Total
| (In millions)
Revenue: |  |  |  |  |  |  |  |  |
Premium revenue | $ | 30,579 |  |  | $ | 5,542 |  |  | $ | 2,506 |  |  | $ | — |  |  | $ | 38,627 |
Service revenue | — |  |  | — |  |  | — |  |  | 81 |  |  | 81 |
Revenue from external customers | 30,579 |  |  | 5,542 |  |  | 2,506 |  |  | 81 |  |  | 38,708 |
Other operating revenues (1) |  |  |  |  |  |  |  |  | 1,942 |
Total revenue |  |  |  |  |  |  |  |  | 40,650 |
Operating Expenses: |  |  |  |  |  |  |  |  |
Medical care costs | 27,600 |  |  | 4,939 |  |  | 1,889 |  |  | — |  |  | 34,428 |
Cost of service revenue | — |  |  | — |  |  | — |  |  | 73 |  |  | 73 |
Segment expenses | 27,600 |  |  | 4,939 |  |  | 1,889 |  |  | 73 |  |  | 34,501 |
Other operating expenses (2) |  |  |  |  |  |  |  |  | 4,442 |
Operating income |  |  |  |  |  |  |  |  | 1,707 |
Less: interest expense |  |  |  |  |  |  |  |  | 118 |
Income before income tax expense |  |  |  |  |  |  |  |  | $ | 1,589 |
Segment Margin: |  |  |  |  |  |  |  |  |
Medical margin | $ | 2,979 |  |  | $ | 603 |  |  | $ | 617 |  |  | $ | — |  |  | $ | 4,199 |
Service margin | — |  |  | — |  |  | — |  |  | 8 |  |  | 8 |
| Year Ended December 31, 2023
| Medicaid |  | Medicare |  | Marketplace |  | Other |  | Total
| (In millions)
Revenue: |  |  |  |  |  |  |  |  |
Premium revenue | $ | 26,327 |  |  | $ | 4,179 |  |  | $ | 2,023 |  |  | $ | — |  |  | $ | 32,529 |
Service revenue | — |  |  | — |  |  | — |  |  | 76 |  |  | 76 |
Revenue from external customers | 26,327 |  |  | 4,179 |  |  | 2,023 |  |  | 76 |  |  | 32,605 |
Other operating revenues (1) |  |  |  |  |  |  |  |  | 1,467 |
Total revenue |  |  |  |  |  |  |  |  | 34,072 |
Operating Expenses: |  |  |  |  |  |  |  |  |
Medical care costs | 23,354 |  |  | 3,791 |  |  | 1,524 |  |  | — |  |  | 28,669 |
Cost of service revenue | — |  |  | — |  |  | — |  |  | 67 |  |  | 67 |
Segment expenses | 23,354 |  |  | 3,791 |  |  | 1,524 |  |  | 67 |  |  | 28,736 |
Other operating expenses (2) |  |  |  |  |  |  |  |  | 3,763 |
Operating income |  |  |  |  |  |  |  |  | 1,573 |
Less: interest expense |  |  |  |  |  |  |  |  | 109 |
Income before income tax expense |  |  |  |  |  |  |  |  | $ | 1,464 |
Segment Margin: |  |  |  |  |  |  |  |  |
Medical margin | $ | 2,973 |  |  | $ | 388 |  |  | $ | 499 |  |  | $ | — |  |  | $ | 3,860 |
Service margin | — |  |  | — |  |  | — |  |  | 9 |  |  | 9 |
| Year Ended December 31, 2022
| Medicaid |  | Medicare |  | Marketplace |  | Other |  | Total
| (In millions)
Revenue: |  |  |  |  |  |  |  |  |
Premium revenue | $ | 24,827 |  |  | $ | 3,795 |  |  | $ | 2,261 |  |  | $ | — |  |  | $ | 30,883 |
Service revenue | — |  |  | — |  |  | — |  |  | 71 |  |  | 71 |
Revenue from external customers | 24,827 |  |  | 3,795 |  |  | 2,261 |  |  | 71 |  |  | 30,954 |
Other operating revenues (1) |  |  |  |  |  |  |  |  | 1,020 |
Total revenue |  |  |  |  |  |  |  |  | 31,974 |
Operating Expenses: |  |  |  |  |  |  |  |  |
Medical care costs | 21,846 |  |  | 3,358 |  |  | 1,971 |  |  | — |  |  | 27,175 |
Cost of service revenue | — |  |  | — |  |  | — |  |  | 60 |  |  | 60 |
Segment expenses | 21,846 |  |  | 3,358 |  |  | 1,971 |  |  | 60 |  |  | 27,235 |
Other operating expenses (2) |  |  |  |  |  |  |  |  | 3,566 |
Operating income |  |  |  |  |  |  |  |  | 1,173 |
Less: interest expense |  |  |  |  |  |  |  |  | 110 |
Income before income tax expense |  |  |  |  |  |  |  |  | $ | 1,063 |
Segment Margin: |  |  |  |  |  |  |  |  |
Medical margin | $ | 2,981 |  |  | $ | 437 |  |  | $ | 290 |  |  | $ | — |  |  | $ | 3,708 |
Service margin | — |  |  | — |  |  | — |  |  | 11 |  |  | 11 |
______________________ (1)Other operating revenues include premium tax revenue, investment income and certain other revenue. (2)Other operating expenses include general and administrative expenses, premium tax expenses, depreciation and amortization, impairment, and certain other operating expenses.

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- Definition Tabular disclosure of the profit or loss and total assets for each reportable segment. An entity discloses certain information on each reportable segment if the amounts (a) are included in the measure of segment profit or loss reviewed by the chief operating decision maker or (b) are otherwise regularly provided to the chief operating decision maker, even if not included in that measure of segment profit or loss. + References Reference 1: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 25 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-25 Reference 2: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 22 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-22 Reference 3: http://fasb.org/us-gaap/role/ref/legacyRef -Name Accounting Standards Codification -Topic 280 -SubTopic 10 -Section 50 -Paragraph 30 -Publisher FASB -URI https://asc.fasb.org/1943274/2147482810/280-10-50-30 + Details
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