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CONSOLIDATED STATEMENTS OF INCOME - USD ($)
shares in Millions, $ in Millions
 12 Months Ended
Dec. 31, 2023
Dec. 31, 2022
Dec. 31, 2021
Revenue:      
Premium revenue $ 32,529 $ 30,883 $ 26,855
Premium tax revenue 1,069 873 787
Investment income 394 143 52
Other revenue 80 75 77
Total revenue 34,072 31,974 27,771 Close
Operating expenses:      
Medical care costs 28,669 27,175 23,704
General and administrative expenses 2,462 2,311 2,068
Premium tax expenses 1,069 873 787
Depreciation and amortization 171 176 131
Impairment 0 208 0
Other 128 58 61
Total operating expenses 32,499 30,801 26,751 Close
Operating income 1,573 1,173 1,020 Close
Other expenses, net:      
Interest expense 109 110 120
Other expenses, net 0 0 25
Total other expenses, net 109 110 145 Close
Income before income tax expense 1,464 1,063 875 Close
Income tax expense 373 271 216 Close
Net income $ 1,091 $ 792 $ 659 Close
Net income per share:      
Basic (in dollars per share) $ 18.91 $ 13.72 $ 11.40
Diluted (in dollars per share) $ 18.77 $ 13.55 $ 11.25
Weighted average shares outstanding:      
Basic (in shares) 57.7 57.8 57.8
Diluted (in shares) 58.1 58.5 58.6