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Consolidated Statements of Earnings - USD ($)
shares in Thousands, $ in Millions
 3 Months Ended
Mar. 31, 2024
Mar. 31, 2023
Revenues:    
Net earned premiums, principally supplemental health insurance $ 3,456 $ 3,688
Net investment income 1,000 943
Net investment gains (losses) 951 123
Other income (loss) 29 46
Total revenues 5,436 4,800 Close
Benefits and expenses:    
Benefits and claims, excluding reserve remeasurement 2,066 2,203
Reserve remeasurement (gains) losses (56) (53)
Total benefits and claims, net 2,010 2,150
Acquisition and operating expenses:    
Amortization of deferred policy acquisition costs 215 205
Insurance commissions 255 280
Insurance and other expenses 739 775
Interest expense 47 48
Total acquisition and operating expenses 1,256 1,308
Total benefits and expenses 3,266 3,458 Close
Earnings before income taxes 2,170 1,342 Close
Income taxes 291 154 Close
Net earnings $ 1,879 $ 1,188 Close
Net earnings per share:    
Basic (in dollars per share) $ 3.27 $ 1.94
Diluted (in dollars per share) $ 3.25 $ 1.94
Weighted-average outstanding common shares used in computing earnings per share (In thousands):    
Basic (in shares) 574,886 611,205
Diluted (in shares) 577,482 613,950
Cash dividends per share $ 0.50 $ 0.42