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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
$ in Millions
 3 Months Ended 6 Months Ended
Jun. 30, 2025
Jun. 30, 2024
Jun. 30, 2025
Jun. 30, 2024
Revenue:        
Premium revenue $ 10,868 $ 9,446 $ 21,496 $ 18,950
Premium tax revenue 431 298 819 595
Investment income 106 115 214 223
Other revenue 22 21 45 43
Total revenue 11,427 9,880 22,574 19,811
Operating expenses:        
Medical care costs 9,829 8,368 19,308 16,782
General and administrative expenses 711 691 1,485 1,402
Premium tax expenses 431 298 819 595
Depreciation and amortization 58 46 106 91
Other 25 43 50 81
Total operating expenses 11,054 9,446 21,768 18,951
Operating income 373 434 806 860
Interest expense 48 28 91 55
Income before income tax expense 325 406 715 805
Income tax expense 70 105 162 203
Net income $ 255 $ 301 $ 553 $ 602
Net income per share - Basic (in dollars per share) $ 4.75 $ 5.18 $ 10.23 $ 10.38
Net income per share - Diluted (in dollars per share) $ 4.75 $ 5.17 $ 10.19 $ 10.33