UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 10-Q
R QUARTERLY REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
For the quarterly period ended September 30, 2012
OR
o TRANSITION REPORT PURSUANT TO SECTION 13 OR 15(d) OF THE SECURITIES EXCHANGE ACT OF 1934
for the transition period from to
Commission file number 1-08323
Cigna Corporation
(Exact name of registrant as specified in its charter)
Delaware |
|
06-1059331 |
(State or other jurisdiction of incorporation or organization) |
|
(I.R.S. Employer Identification No.) |
900 Cottage Grove Road Bloomfield, Connecticut |
|
06002 |
(Address of principal executive offices) |
|
(Zip Code) |
(860) 226-6000 | ||
Registrants telephone number, including area code | ||
(860) 226-6741 | ||
Registrants facsimile number, including area code | ||
Not Applicable | ||
(Former name, former address and former fiscal year, if changed since last report) |
Indicate by check mark |
|
YES |
|
NO | |||
· whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days. |
|
R |
|
o | |||
· whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files). |
|
R |
|
o | |||
· whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See definitions of large accelerated filer, accelerated filer and smaller reporting company in Rule 12b-2 of the Exchange Act. | |||||||
Large accelerated filer R |
Accelerated filer o |
Non-accelerated filer o |
Smaller Reporting Company o | ||||
· whether the registrant is a shell company (as defined in Rule 12b-2 of the Exchange Act). |
|
o |
|
R | |||
As of October 15, 2012, 285,890,413 shares of the issuers common stock were outstanding.
INDEX
|
|
Page |
| ||
|
|
|
| ||
|
1 | |
|
2 | |
|
3 | |
|
4 | |
|
6 | |
|
7 | |
Managements Discussion and Analysis of Financial Condition and Results of Operations |
51 | |
85 | ||
86 | ||
|
|
|
|
|
|
| ||
|
|
|
87 | ||
88 | ||
89 | ||
90 | ||
91 | ||
E-1 |
As used herein, Cigna or the Company refers to one or more of Cigna Corporation and its consolidated subsidiaries.
|
|
|
|
|
Cigna Corporation
Consolidated Statements of Income
|
|
Unaudited |
|
Unaudited |
| ||||||||
|
|
Three Months Ended |
|
Nine Months Ended |
| ||||||||
|
|
September 30, |
|
September 30, |
| ||||||||
(In millions, except per share amounts) |
|
2012 |
|
2011 |
|
2012 |
|
2011 |
| ||||
Revenues |
|
|
|
|
|
|
|
|
| ||||
Premiums and fees |
|
$ |
6,637 |
|
$ |
4,748 |
|
$ |
19,464 |
|
$ |
14,267 |
|
Net investment income |
|
283 |
|
297 |
|
854 |
|
860 |
| ||||
Mail order pharmacy revenues |
|
401 |
|
368 |
|
1,189 |
|
1,056 |
| ||||
Other revenues |
|
26 |
|
184 |
|
76 |
|
289 |
| ||||
Realized investment gains (losses): |
|
|
|
|
|
|
|
|
| ||||
Other-than-temporary impairments on fixed maturities, net |
|
- |
|
(23) |
|
(6) |
|
(25) |
| ||||
Other realized investment gains |
|
11 |
|
36 |
|
26 |
|
81 |
| ||||
Total realized investment gains |
|
11 |
|
13 |
|
20 |
|
56 |
| ||||
Total revenues |
|
7,358 |
|
5,610 |
|
21,603 |
|
16,528 |
| ||||
Benefits and Expenses |
|
|
|
|
|
|
|
|
| ||||
Health Care medical claims expense |
|
3,269 |
|
2,014 |
|
9,711 |
|
6,125 |
| ||||
Other benefit expenses |
|
1,203 |
|
1,272 |
|
3,521 |
|
3,324 |
| ||||
Mail order pharmacy cost of goods sold |
|
324 |
|
309 |
|
975 |
|
874 |
| ||||
GMIB fair value (gain) loss |
|
(53) |
|
224 |
|
(33) |
|
245 |
| ||||
Other operating expenses |
|
1,897 |
|
1,518 |
|
5,571 |
|
4,516 |
| ||||
Total benefits and expenses |
|
6,640 |
|
5,337 |
|
19,745 |
|
15,084 |
| ||||
Income before Income Taxes |
|
718 |
|
273 |
|
1,858 |
|
1,444 |
| ||||
Income taxes: |
|
|
|
|
|
|
|
|
| ||||
Current |
|
228 |
|
114 |
|
574 |
|
274 |
| ||||
Deferred |
|
24 |
|
(24) |
|
67 |
|
182 |
| ||||
Total income taxes |
|
252 |
|
90 |
|
641 |
|
456 |
| ||||
Net Income |
|
466 |
|
183 |
|
1,217 |
|
988 |
| ||||
Less: Net Income Attributable to Noncontrolling Interest |
|
- |
|
- |
|
- |
|
1 |
| ||||
Shareholders Net Income |
|
$ |
466 |
|
$ |
183 |
|
$ |
1,217 |
|
$ |
987 |
|
Shareholders Net Income Per Share: |
|
|
|
|
|
|
|
|
| ||||
Basic |
|
$ |
1.64 |
|
$ |
0.68 |
|
$ |
4.27 |
|
$ |
3.67 |
|
Diluted |
|
$ |
1.61 |
|
$ |
0.67 |
|
$ |
4.20 |
|
$ |
3.62 |
|
Dividends Declared Per Share |
|
$ |
- |
|
$ |
- |
|
$ |
0.04 |
|
$ |
0.04 |
|
The accompanying Notes to the Consolidated Financial Statements are an integral part of these statements.
Cigna Corporation
Consolidated Statements of Comprehensive Income
|
|
Unaudited |
|
Unaudited |
| ||||||||
|
|
Three Months Ended |
|
Nine Months Ended |
| ||||||||
(In millions, except per share amounts) |
|
2012 |
|
2011 |
|
2012 |
|
2011 |
| ||||
Shareholders net income |
|
$ |
466 |
|
$ |
183 |
|
$ |
1,217 |
|
$ |
987 |
|
Shareholders other comprehensive income (loss): |
|
|
|
|
|
|
|
|
| ||||
Net unrealized appreciation on securities: |
|
|
|
|
|
|
|
|
| ||||
Fixed maturities |
|
83 |
|
94 |
|
169 |
|
175 |
| ||||
Equity securities |
|
- |
|
(3) |
|
2 |
|
(3) |
| ||||
Net unrealized appreciation on securities |
|
83 |
|
91 |
|
171 |
|
172 |
| ||||
Net unrealized appreciation (depreciation), derivatives |
|
(4) |
|
13 |
|
(4) |
|
3 |
| ||||
Net translation of foreign currencies |
|
31 |
|
(95) |
|
23 |
|
(7) |
| ||||
Postretirement benefits liability adjustment |
|
8 |
|
4 |
|
44 |
|
13 |
| ||||
Shareholders other comprehensive income |
|
118 |
|
13 |
|
234 |
|
181 |
| ||||
Shareholders comprehensive income |
|
584 |
|
196 |
|
1,451 |
|
1,168 |
| ||||
Comprehensive income attributable to noncontrolling interest: |
|
|
|
|
|
|
|
|
| ||||
Net income attributable to noncontrolling interest |
|
- |
|
- |
|
- |
|
1 |
| ||||
Total comprehensive income |
|
$ |
584 |
|
$ |
196 |
|
$ |
1,451 |
|
$ |
1,169 |
|
The accompanying Notes to the Consolidated Financial Statements are an integral part of these statements.
Cigna Corporation
(In millions, except per share amounts) |
|
Unaudited |
|
As of |
| ||||||||
Assets |
|
|
|
|
|
|
|
|
| ||||
Investments: |
|
|
|
|
|
|
|
|
| ||||
Fixed maturities, at fair value (amortized cost, $15,577; $14,257) |
|
|
|
$ |
17,868 |
|
|
|
$ |
16,217 |
| ||
Equity securities, at fair value (cost, $121; $124) |
|
|
|
109 |
|
|
|
100 |
| ||||
Commercial mortgage loans |
|
|
|
2,946 |
|
|
|
3,301 |
| ||||
Policy loans |
|
|
|
1,519 |
|
|
|
1,502 |
| ||||
Real estate |
|
|
|
83 |
|
|
|
87 |
| ||||
Other long-term investments |
|
|
|
1,197 |
|
|
|
1,058 |
| ||||
Short-term investments |
|
|
|
151 |
|
|
|
225 |
| ||||
Total investments |
|
|
|
23,873 |
|
|
|
22,490 |
| ||||
Cash and cash equivalents |
|
|
|
2,236 |
|
|
|
4,690 |
| ||||
Accrued investment income |
|
|
|
283 |
|
|
|
252 |
| ||||
Premiums, accounts and notes receivable, net |
|
|
|
1,714 |
|
|
|
1,358 |
| ||||
Reinsurance recoverables |
|
|
|
6,391 |
|
|
|
6,256 |
| ||||
Deferred policy acquisition costs |
|
|
|
1,022 |
|
|
|
817 |
| ||||
Property and equipment |
|
|
|
1,136 |
|
|
|
1,024 |
| ||||
Deferred income taxes, net |
|
|
|
407 |
|
|
|
803 |
| ||||
Goodwill |
|
|
|
5,878 |
|
|
|
3,164 |
| ||||
Other assets, including other intangibles |
|
|
|
2,229 |
|
|
|
1,750 |
| ||||
Separate account assets |
|
|
|
8,362 |
|
|
|
8,093 |
| ||||
Total assets |
|
|
|
$ |
53,531 |
|
|
|
$ |
50,697 |
| ||
Liabilities |
|
|
|
|
|
|
|
|
| ||||
Contractholder deposit funds |
|
|
|
$ |
8,537 |
|
|
|
$ |
8,553 |
| ||
Future policy benefits |
|
|
|
9,209 |
|
|
|
8,593 |
| ||||
Unpaid claims and claim expenses |
|
|
|
4,253 |
|
|
|
4,146 |
| ||||
Health Care medical claims payable |
|
|
|
1,581 |
|
|
|
1,095 |
| ||||
Unearned premiums and fees |
|
|
|
474 |
|
|
|
502 |
| ||||
Total insurance and contractholder liabilities |
|
|
|
24,054 |
|
|
|
22,889 |
| ||||
Accounts payable, accrued expenses and other liabilities |
|
|
|
6,373 |
|
|
|
6,627 |
| ||||
Short-term debt |
|
|
|
226 |
|
|
|
104 |
| ||||
Long-term debt |
|
|
|
4,986 |
|
|
|
4,990 |
| ||||
Separate account liabilities |
|
|
|
8,362 |
|
|
|
8,093 |
| ||||
Total liabilities |
|
|
|
44,001 |
|
|
|
42,703 |
| ||||
Contingencies Note 18 |
|
|
|
|
|
|
|
|
| ||||
Shareholders Equity |
|
|
|
|
|
|
|
|
| ||||
Common stock (par value per share, $0.25; shares issued, 366; authorized, 600) |
|
|
|
92 |
|
|
|
92 |
| ||||
Additional paid-in capital |
|
|
|
3,282 |
|
|
|
3,188 |
| ||||
Net unrealized appreciation, fixed maturities |
|
$ |
908 |
|
|
|
$ |
739 |
|
|
| ||
Net unrealized appreciation, equity securities |
|
3 |
|
|
|
1 |
|
|
| ||||
Net unrealized depreciation, derivatives |
|
(27) |
|
|
|
(23) |
|
|
| ||||
Net translation of foreign currencies |
|
26 |
|
|
|
3 |
|
|
| ||||
Postretirement benefits liability adjustment |
|
(1,463) |
|
|
|
(1,507) |
|
|
| ||||
Accumulated other comprehensive loss |
|
|
|
(553) |
|
|
|
(787) |
| ||||
Retained earnings |
|
|
|
11,962 |
|
|
|
10,787 |
| ||||
Less treasury stock, at cost |
|
|
|
(5,253) |
|
|
|
(5,286) |
| ||||
Total shareholders equity |
|
|
|
9,530 |
|
|
|
7,994 |
| ||||
Total liabilities and shareholders equity |
|
|
|
$ |
53,531 |
|
|
|
$ |
50,697 |
| ||
Shareholders Equity Per Share |
|
|
|
$ |
33.24 |
|
|
|
$ |
28.00 |
| ||
The accompanying Notes to the Consolidated Financial Statements are an integral part of these statements.
Cigna Corporation
Consolidated Statements of Changes in Total Equity
|
|
|
|
|
|
Accumulated |
|
|
|
|
|
|
|
|
|
|
| ||||||||
Unaudited |
|
|
|
Additional |
|
Other |
|
|
|
|
|
|
|
|
|
|
| ||||||||
For the three months ended September 30, 2012 |
Common |
|
Paid-in |
|
Comprehensive |
|
Retained |
|
Treasury |
|
Shareholders |
|
Noncontrolling |
|
Total |
| |||||||||
(In millions, except per share amounts) |
|
Stock |
|
Capital |
|
Loss |
|
Earnings |
|
Stock |
|
Equity |
|
Interest |
|
Equity |
| ||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| ||||||||
Balance at July 1, 2012, as retrospectively adjusted |
|
$ |
92 |
|
$ |
3,276 |
|
$ |
(671) |
|
$ |
11,501 |
|
$ |
(5,176) |
|
$ |
9,022 |
|
$ |
- |
|
$ |
9,022 |
|
Effect of issuing stock for employee benefit plans |
|
|
|
6 |
|
|
|
(5) |
|
8 |
|
9 |
|
|
|
9 |
| ||||||||
Other comprehensive income |
|
|
|
|
|
118 |
|
|
|
|
|
118 |
|
|
|
118 |
| ||||||||
Net income |
|
|
|
|
|
|
|
466 |
|
|
|
466 |
|
- |
|
466 |
| ||||||||
Repurchase of common stock |
|
|
|
|
|
|
|
|
|
(85) |
|
(85) |
|
|
|
(85) |
| ||||||||
Balance at September 30, 2012 |
|
$ |
92 |
|
$ |
3,282 |
|
$ |
(553) |
|
$ |
11,962 |
|
$ |
(5,253) |
|
$ |
9,530 |
|
$ |
- |
|
$ |
9,530 |
|
For the three months ended September 30, 2011 |
Common |
|
Additional |
|
Accumulated |
|
Retained |
|
Treasury |
|
Shareholders |
|
Noncontrolling |
|
Total |
| |||||||||
Balance at July 1, 2011, as retrospectively adjusted |
|
$ |
88 |
|
$ |
2,556 |
|
$ |
(446) |
|
$ |
10,336 |
|
$ |
(5,318) |
|
$ |
7,216 |
|
$ |
- |
|
$ |
7,216 |
|
Effect of issuing stock for employee benefit plans |
|
|
|
5 |
|
|
|
(3) |
|
16 |
|
18 |
|
|
|
18 |
| ||||||||
Other comprehensive income |
|
|
|
|
|
13 |
|
|
|
|
|
13 |
|
|
|
13 |
| ||||||||
Net income |
|
|
|
|
|
|
|
183 |
|
|
|
183 |
|
- |
|
183 |
| ||||||||
Balance at September 30, 2011 |
|
$ |
88 |
|
$ |
2,561 |
|
$ |
(433) |
|
$ |
10,516 |
|
$ |
(5,302) |
|
$ |
7,430 |
|
$ |
- |
|
$ |
7,430 |
|
The accompanying Notes to the Consolidated Financial Statements are an integral part of these statements.
Cigna Corporation
Consolidated Statements of Changes in Total Equity
Unaudited For the nine months ended September 30, 2012 |
Common |
|
Additional |
|
Accumulated |
|
Retained |
|
Treasury |
|
Shareholders |
|
Noncontrolling |
|
Total |
| |||||||||
Balance at January 1, 2012, as retrospectively adjusted |
|
$ |
92 |
|
$ |
3,188 |
|
$ |
(787) |
|
$ |
10,787 |
|
$ |
(5,286) |
|
$ |
7,994 |
|
$ |
- |
|
$ |
7,994 |
|
Effect of issuing stock for employee benefit plans |
|
|
|
94 |
|
|
|
(31) |
|
118 |
|
181 |
|
|
|
181 |
| ||||||||
Other comprehensive income |
|
|
|
|
|
234 |
|
|
|
|
|
234 |
|
|
|
234 |
| ||||||||
Net income |
|
|
|
|
|
|
|
1,217 |
|
|
|
1,217 |
|
- |
|
1,217 |
| ||||||||
Common dividends declared (per share: $0.04) |
|
|
|
|
|
|
|
(11) |
|
|
|
(11) |
|
|
|
(11) |
| ||||||||
Repurchase of common stock |
|
|
|
|
|
|
|
- |
|
(85) |
|
(85) |
|
|
|
(85) |
| ||||||||
Balance at September 30, 2012 |
|
$ |
92 |
|
$ |
3,282 |
|
$ |
(553) |
|
$ |
11,962 |
|
$ |
(5,253) |
|
$ |
9,530 |
|
$ |
- |
|
$ |
9,530 |
|
For the nine months ended September 30, 2011 (In millions, except per share amounts) |
Common |
|
Additional Capital |
|
Accumulated |
|
Retained |
|
Treasury |
|
Shareholders |
|
Noncontrolling |
|
Total |
| |||||||||
Balance at January 1, 2011, as previously reported |
|
$ |
88 |
|
$ |
2,534 |
|
$ |
(614) |
|
$ |
9,879 |
|
$ |
(5,242) |
|
$ |
6,645 |
|
$ |
18 |
|
$ |
6,663 |
|
Cumulative effect of amended accounting guidance for deferred policy acquisition costs |
|
|
|
|
|
|
|
(289) |
|
|
|
(289) |
|
|
|
(289) |
| ||||||||
Balance at January 1, 2011, as retrospectively adjusted |
|
88 |
|
2,534 |
|
(614) |
|
9,590 |
|
(5,242) |
|
6,356 |
|
18 |
|
6,374 |
| ||||||||
Effect of issuing stock for employee benefit plans |
|
|
|
23 |
|
|
|
(50) |
|
165 |
|
138 |
|
|
|
138 |
| ||||||||
Effect of acquiring noncontrolling interest |
|
|
|
4 |
|
|
|
|
|
|
|
4 |
|
(19) |
|
(15) |
| ||||||||
Other comprehensive income |
|
|
|
|
|
181 |
|
|
|
|
|
181 |
|
|
|
181 |
| ||||||||
Net income |
|
|
|
|
|
|
|
987 |
|
|
|
987 |
|
1 |
|
988 |
| ||||||||
Common dividends declared (per share: $0.04) |
|
|
|
|
|
|
|
(11) |
|
|
|
(11) |
|
|
|
(11) |
| ||||||||
Repurchase of common stock |
|
|
|
|
|
|
|
|
|
(225) |
|
(225) |
|
|
|
(225) |
| ||||||||
Balance at September 30, 2011 |
|
$ |
88 |
|
$ |
2,561 |
|
$ |
(433) |
|
$ |
10,516 |
|
$ |
(5,302) |
|
$ |
7,430 |
|
$ |
- |
|
$ |
7,430 |
|
The accompanying Notes to the Consolidated Financial Statements are an integral part of these statements.
Cigna Corporation
Consolidated Statements of Cash Flows
|
|
Unaudited |
| |||||
|
|
Nine Months Ended |
| |||||
(In millions) |
|
2012 |
|
|
2011 |
| ||
Cash Flows from Operating Activities |
|
|
|
|
|
| ||
Net income |
|
$ |
1,217 |
|
|
$ |
988 |
|
Adjustments to reconcile net income to net cash provided by operating activities: |
|
|
|
|
|
| ||
Depreciation and amortization |
|
406 |
|
|
252 |
| ||
Realized investment gains |
|
(20) |
|
|
(56) |
| ||
Deferred income taxes |
|
67 |
|
|
182 |
| ||
Gains on sale of businesses (excluding discontinued operations) |
|
(14) |
|
|
(20) |
| ||
Net changes in assets and liabilities, net of non-operating effects: |
|
|
|
|
|
| ||
Premiums, accounts and notes receivable |
|
(20) |
|
|
(133) |
| ||
Reinsurance recoverables |
|
50 |
|
|
8 |
| ||
Deferred policy acquisition costs |
|
(106) |
|
|
(106) |
| ||
Other assets |
|
166 |
|
|
(292) |
| ||
Insurance liabilities |
|
75 |
|
|
380 |
| ||
Accounts payable, accrued expenses and other liabilities |
|
(394) |
|
|
293 |
| ||
Current income taxes |
|
141 |
|
|
(202) |
| ||
Other, net |
|
(11) |
|
|
(51) |
| ||
Net cash provided by operating activities |
|
1,557 |
|
|
1,243 |
| ||
Cash Flows from Investing Activities |
|
|
|
|
|
| ||
Proceeds from investments sold: |
|
|
|
|
|
| ||
Fixed maturities |
|
439 |
|
|
452 |
| ||
Equity securities |
|
8 |
|
|
5 |
| ||
Commercial mortgage loans |
|
325 |
|
|
166 |
| ||
Other (primarily short-term and other long-term investments) |
|
649 |
|
|
999 |
| ||
Investment maturities and repayments: |
|
|
|
|
|
| ||
Fixed maturities |
|
1,030 |
|
|
943 |
| ||
Commercial mortgage loans |
|
311 |
|
|
274 |
| ||
Investments purchased: |
|
|
|
|
|
| ||
Fixed maturities |
|
(1,907) |
|
|
(2,309) |
| ||
Equity securities |
|
(8) |
|
|
(18) |
| ||
Commercial mortgage loans |
|
(314) |
|
|
(279) |
| ||
Other (primarily short-term and other long-term investments) |
|
(600) |
|
|
(1,169) |
| ||
Property and equipment purchases |
|
(329) |
|
|
(291) |
| ||
Acquisitions and dispositions, net of cash acquired |
|
(3,468) |
|
|
1 |
| ||
Net cash used in investing activities |
|
(3,864) |
|
|
(1,226) |
| ||
Cash Flows from Financing Activities |
|
|
|
|
|
| ||
Deposits and interest credited to contractholder deposit funds |
|
999 |
|
|
1,002 |
| ||
Withdrawals and benefit payments from contractholder deposit funds |
|
(927) |
|
|
(895) |
| ||
Change in cash overdraft position |
|
19 |
|
|
(57) |
| ||
Net change in short-term debt |
|
123 |
|
|
(222) |
| ||
Issuance of long-term debt |
|
- |
|
|
587 |
| ||
Repayment of long-term debt |
|
(326) |
|
|
(2) |
| ||
Repurchase of common stock |
|
(85) |
|
|
(225) |
| ||
Issuance of common stock |
|
58 |
|
|
100 |
| ||
Common dividends paid |
|
(11) |
|
|
(11) |
| ||
Net cash (used in) / provided by financing activities |
|
(150) |
|
|
277 |
| ||
Effect of foreign currency rate changes on cash and cash equivalents |
|
3 |
|
|
3 |
| ||
Net (decrease) / increase in cash and cash equivalents |
|
(2,454) |
|
|
297 |
| ||
Cash and cash equivalents, January 1, |
|
4,690 |
|
|
1,605 |
| ||
Cash and cash equivalents, September 30, |
|
$ |
2,236 |
|
|
$ |
1,902 |
|
Supplemental Disclosure of Cash Information: |
|
|
|
|
|
|
|
|
Income taxes paid, net of refunds |
|
$ |
414 |
|
|
$ |
466 |
|
Interest paid |
|
$ |
186 |
|
|
$ |
124 |
|
The accompanying Notes to the Consolidated Financial Statements are an integral part of these statements.
CIGNA CORPORATION
NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS (UNAUDITED)
Note 1 Basis of Presentation
Cigna Corporation is a holding company and is not an insurance company. Its subsidiaries conduct various businesses that are described in its Annual Report on Form 10-K for the year ended December 31, 2011 (2011 Form 10-K). As used in this document, Cigna or the Company may refer to Cigna Corporation itself, one or more of its subsidiaries, or Cigna Corporation and its consolidated subsidiaries. The Consolidated Financial Statements include the accounts of Cigna Corporation and its significant subsidiaries. Intercompany transactions and accounts have been eliminated in consolidation. These Consolidated Financial Statements were prepared in conformity with accounting principles generally accepted in the United States of America (GAAP).
The Company is a global health services organization dedicated to helping its customers improve their health, well-being and sense of security. Its insurance subsidiaries are major providers of medical, dental, disability, life and accident insurance and related products and services, the majority of which are offered through employers and other groups (e.g. governmental and non-governmental organizations, unions and associations). Cigna also offers Medicare and Medicaid products and health, life and accident insurance coverages primarily to individuals in the U.S. and selected international markets. In addition to its ongoing operations described above, the Company also has certain run-off operations, including a Run-off Reinsurance segment.
The interim consolidated financial statements are unaudited but include all adjustments (including normal recurring adjustments) necessary, in the opinion of management, for a fair statement of financial position and results of operations for the periods reported. The interim consolidated financial statements and notes should be read in conjunction with the Consolidated Financial Statements and Notes in the Companys 2011 Form 10-K filed on February 27, 2012 and as updated by Cignas Current Report on Form 8-K filed on August 8, 2012 (collectively, the 2011 Annual Report).
The preparation of interim consolidated financial statements necessarily relies heavily on estimates. This and certain other factors, such as the seasonal nature of portions of the health care and related benefits business as well as competitive and other market conditions, call for caution in estimating full year results based on interim results of operations. Certain reclassifications have been made to prior period amounts to conform to the current presentation.
As explained further in Note 3, on August 31, 2012, the Company acquired Great American Supplemental Benefits Group for approximately $310 million, and on January 31, 2012, the Company acquired HealthSpring, Inc. for approximately $3.8 billion.
Note 2 Recent Accounting Pronouncements
Fees Paid to the Federal Government by Health Insurers (Accounting Standards Update (ASU) 2011-06) In 2011, the Financial Accounting Standards Board (FASB) issued accounting guidance for the health insurance industry assessment (the fee) mandated by the Patient Protection and Affordable Care Act of 2010 (Health Care Reform). The fee will be levied on health insurers beginning in 2014 based on a ratio of an insurers net health insurance premiums written for the previous calendar year compared to the U.S. health insurance industry total. In addition, because these fees will generally not be tax deductible, the Companys effective tax rate is expected to be adversely impacted in future periods. Under the guidance, the liability for the fee will be estimated and recorded in full each year beginning in 2014 when health insurance is first provided. A corresponding deferred cost will be recorded and amortized over the calendar year. The amount of the fees is expected to be material, although the Company is unable to estimate the impact of these fees on shareholders net income and the effective tax rate because guidance for these calculations has not been finalized.
Deferred policy acquisition costs. Effective January 1, 2012, the Company adopted the FASBs amended guidance (ASU 2010-26) on accounting for costs to acquire or renew insurance contracts. This guidance requires certain sales compensation and telemarketing costs related to unsuccessful efforts and any indirect costs to be expensed as incurred. The Companys deferred acquisition costs arise from sales and renewal activities primarily in its supplemental health, life and accident business reported in the International segment. This amended guidance was implemented through retrospective adjustment of comparative prior periods. As reported in the Consolidated Statement of Equity, the cumulative effect of adopting the amended accounting guidance as of January 1, 2011 was a reduction in Total Shareholders Equity of $289 million. Full-year 2011 shareholders net income on a retrospectively adjusted basis was reduced by $67 million, partially offset by increased foreign currency translation of $6 million, resulting in a cumulative impact on Total Shareholders Equity as of December 31, 2011 of $350 million. Summarized below are the effects of the amended guidance on previously reported amounts for the three months and nine months ended September 30, 2011. This implementation had no impact on the underlying economic value or cash flows of the Companys businesses, nor did it impact the Companys liquidity or the statutory surplus of its insurance subsidiaries.
Condensed Consolidated Statement of Income
Three Months Ended September 30, 2011
|
|
As previously |
|
Effect of amended |
|
As retrospectively |
| |||
(in millions) |
|
reported |
|
accounting guidance |
|
adjusted |
| |||
Revenues, excluding other revenues |
|
$ |
5,426 |
|
$ |
|
|
$ |
5,426 |
|
Other revenues |
|
187 |
|
(3) |
|
184 |
| |||
Total revenues |
|
5,613 |
|
(3) |
|
5,610 |
| |||
Benefits and expenses, excluding other operating expenses |
|
3,819 |
|
|
|
3,819 |
| |||
Other operating expenses |
|
1,497 |
|
21 |
|
1,518 |
| |||
Total benefits and expenses |
|
5,316 |
|
21 |
|
5,337 |
| |||
Income before income taxes |
|
297 |
|
(24) |
|
273 |
| |||
Current income taxes |
|
114 |
|
|
|
114 |
| |||
Deferred income taxes |
|
(17) |
|
(7) |
|
(24) |
| |||
Total taxes |
|
97 |
|
(7) |
|
90 |
| |||
Net income |
|
200 |
|
(17) |
|
183 |
| |||
Less: net income attributable to noncontrolling interest |
|
- |
|
|
|
- |
| |||
Shareholders Net Income |
|
$ |
200 |
|
$ |
(17) |
|
$ |
183 |
|
Earnings per share: |
|
|
|
|
|
|
| |||
Basic |
|
$ |
0.74 |
|
$ |
(0.06) |
|
$ |
0.68 |
|
Diluted |
|
$ |
0.74 |
|
$ |
(0.07) |
|
$ |
0.67 |
|
Condensed Consolidated Statement of Income
Nine Months Ended September 30, 2011
|
|
As previously |
|
Effect of amended |
|
As retrospectively |
| |||
(in millions) |
|
reported |
|
accounting guidance |
|
adjusted |
| |||
Revenues, excluding other revenues |
|
$ |
16,239 |
|
$ |
|
|
$ |
16,239 |
|
Other revenues |
|
296 |
|
(7) |
|
289 |
| |||
Total revenues |
|
16,535 |
|
(7) |
|
16,528 |
| |||
Benefits and expenses, excluding other operating expenses |
|
10,568 |
|
|
|
10,568 |
| |||
Other operating expenses |
|
4,454 |
|
62 |
|
4,516 |
| |||
Total benefits and expenses |
|
15,022 |
|
62 |
|
15,084 |
| |||
Income before income taxes |
|
1,513 |
|
(69) |
|
1,444 |
| |||
Current income taxes |
|
274 |
|
|
|
274 |
| |||
Deferred income taxes |
|
201 |
|
(19) |
|
182 |
| |||
Total taxes |
|
475 |
|
(19) |
|
456 |
| |||
Net income |
|
1,038 |
|
(50) |
|
988 |
| |||
Less: net income attributable to noncontrolling interest |
|
1 |
|
|
|
1 |
| |||
Shareholders Net Income |
|
$ |
1,037 |
|
$ |
(50) |
|
$ |
987 |
|
Earnings per share: |
|
|
|
|
|
|
| |||
Basic |
|
$ |
3.85 |
|
$ |
(0.18) |
|
$ |
3.67 |
|
Diluted |
|
$ |
3.80 |
|
$ |
(0.18) |
|
$ |
3.62 |
|
Condensed Consolidated Balance sheet
As of December 31, 2011
|
|
As previously |
|
Effect of amended |
|
As retrospectively |
| |||
(in millions) |
|
reported |
|
accounting guidance |
|
adjusted |
| |||
Deferred policy acquisition costs |
|
$ |
1,312 |
|
$ |
(495) |
|
$ |
817 |
|
Deferred income taxes, net |
|
632 |
|
171 |
|
803 |
| |||
Other assets, including other intangibles |
|
1,776 |
|
(26) |
|
1,750 |
| |||
All other assets |
|
47,327 |
|
|
|
47,327 |
| |||
Total assets |
|
$ |
51,047 |
|
$ |
(350) |
|
$ |
50,697 |
|
Net translation of foreign currencies |
|
$ |
(3) |
|
$ |
6 |
|
$ |
3 |
|
Retained earnings |
|
11,143 |
|
(356) |
|
10,787 |
| |||
Other shareholders equity |
|
(2,796) |
|
|
|
(2,796) |
| |||
Total shareholders equity |
|
$ |
8,344 |
|
$ |
(350) |
|
$ |
7,994 |
|
Condensed Consolidated Statement of Cash Flows
Nine Months Ended September 30, 2011
|
|
As previously |
|
Effect of amended |
|
As retrospectively |
| |||
(in millions) |
|
reported |
|
accounting guidance |
|
adjusted |
| |||
Net income |
|
$ |
1,038 |
|
$ |
(50) |
|
$ |
988 |
|
Deferred income taxes |
|
201 |
|
(19) |
|
182 |
| |||
Deferred policy acquisition expenses |
|
(168) |
|
62 |
|
(106) |
| |||
Other assets |
|
(299) |
|
7 |
|
(292) |
| |||
Note 16
Segment information: International
|
|
Three Months Ended September 30, 2011 |
|
Nine Months Ended September 30, 2011 |
| ||||||||||||||
(in millions) |
|
As previously |
|
Effect of amended |
|
As retrospectively |
|
As previously |
|
Effect of amended |
|
As retrospectively adjusted |
| ||||||
Premiums and fees and other revenues |
|
$ |
771 |
|
$ |
(3) |
|
$ |
768 |
|
$ |
2,219 |
|
$ |
(7) |
|
$ |
2,212 |
|
Segment earnings |
|
79 |
|
(17) |
|
62 |
|
230 |
|
(50) |
|
180 |
| ||||||
Presentation of Comprehensive Income. Effective January 1, 2012, the Company adopted the FASBs amended guidance (ASU 2011-05) that requires presenting net income and other comprehensive income in either a single continuous statement or in two separate, but consecutive statements. Neither measurement of comprehensive income nor disclosure requirements for reclassification adjustments between other comprehensive income and net income were affected by this amended guidance. The Company has elected to present a separate statement of comprehensive income following the statement of income and has retrospectively adjusted prior periods to conform to the new presentation, as required.
Amendments to Fair Value Measurement and Disclosure. Effective January 1, 2012, the Company adopted the FASBs amended guidance on fair value measurement and disclosure (ASU 2011-04) on a prospective basis. A key objective was to achieve common fair value measurement and disclosure requirements between U.S. GAAP and IFRS. The amended guidance changes certain fair value measurement principles and expands required disclosures to include quantitative and qualitative information about unobservable inputs in Level 3 measurements and leveling for financial instruments not carried at fair value in the financial statements. Upon adoption, there were no effects on the Companys fair value measurements. See Note 8 for expanded fair value disclosures.
Note 3 Acquisitions
The Company may from time to time acquire or dispose of assets, subsidiaries or lines of business. Significant transactions are described below.
A. Joint Venture Agreement with Finansbank
During the fourth quarter of 2012, subject to regulatory approval, the Company expects to acquire 51% of the total issued and outstanding shares of Finans Emeklilik ve Hayat A.S (Finans Emeklilik) from Finansbank A.S. (Finansbank), a Turkish retail bank, for a purchase price of 85 million, or approximately $110 million. Finansbank would continue to hold 49% of the total issued and outstanding shares. Finans Emeklilik operates in life insurance, accident insurance and pension product markets. The transaction is expected to be financed with internal cash resources. The acquisition will provide Cigna opportunities to reach and serve the growing middle class market in Turkey through Finansbanks network of retail banking branches.
B. Acquisition of Great American Supplemental Benefits Group
On August 31, 2012, the Company acquired Great American Supplemental Benefits Group, one of the largest providers of supplemental health insurance products in the U.S., for approximately $310 million in cash from internal resources. The acquisition provides the Company with an increased presence in the Medicare supplemental benefits market. It also extends the Companys global direct-to-consumer retail channel as well as further enhances its distribution network of agents and brokers. Results of this business are reported in the supplemental health, life and accident business included in the International segment.
In accordance with GAAP, the total purchase price has been allocated to the tangible and intangible net assets acquired based on managements preliminary estimates of their fair value and may change as additional information becomes available over the next several months. Accordingly, approximately $95 million was allocated to intangible assets, primarily the value of business acquired (VOBA) that represents the present value of the estimated net cash flows from the long duration contracts in force. The VOBA asset will be amortized in proportion to premium recognized over the life of the contracts that is estimated to be 30 years. Amortization of the VOBA asset is expected to be higher in early years and decline as policies lapse. Goodwill has been provisionally allocated to the International segment; it has not yet been allocated to a reporting unit as of September 30, 2012. Substantially all of the goodwill is tax deductible and will be amortized over the next 15 years for federal income tax purposes.
The condensed balance sheet at the acquisition date was as follows:
(In millions) |
|
|
|
Investments |
$ |
211 |
|
Cash and cash equivalents |
|
36 |
|
Reinsurance recoverables |
|
448 |
|
Goodwill |
|
161 |
|
Value of business acquired (reported in Deferred policy acquisition costs in Consolidated Balance Sheet) |
|
71 |
|
Other assets, including other intangibles |
|
36 |
|
Total assets acquired |
|
963 |
|
Insurance liabilities |
|
634 |
|
Accounts payable, accrued expenses and other liabilities |
|
22 |
|
Total liabilities acquired |
|
656 |
|
Net assets acquired |
$ |
307 |
|
The results of Great American Supplemental Benefits have been included in the Companys Consolidated Financial Statements from the date of acquisition and were not considered material to the Companys consolidated results of operations. The pro forma effect on total revenues and net income assuming the acquisition had occurred as of January 1, 2011 is not presented as they were not material to the Companys total revenues or shareholders net income for the three months and nine months ended September 30, 2012 and 2011.
C. Acquisition of HealthSpring, Inc.
On January 31, 2012 the Company acquired the outstanding shares of HealthSpring, Inc. (HealthSpring) for $55 per share in cash and Cigna stock awards, representing a cost of approximately $3.8 billion. HealthSpring provides Medicare Advantage coverage in 11 states and the District of Columbia, as well as a large, national stand-alone Medicare prescription drug business. The acquisition of HealthSpring strengthens the Companys ability to serve individuals across their life stages as well as deepens its presence in a number of geographic markets. The addition of HealthSpring brings industry leading physician partnership capabilities and creates the opportunity to deepen the Companys existing client and customer relationships, as well as facilitates a broader deployment of its range of health and wellness capabilities and product offerings. The Company funded the acquisition with internal cash resources.
Merger consideration: The estimated merger consideration of $3.8 billion was calculated as follows:
(In millions, except per share amounts) |
|
| |
HealthSpring, Inc. common shares outstanding at January 30, 2012 |
|
67.8 | |
Less: common shares outstanding not settled in cash |
|
(0.1) | |
Common shares settled in cash |
|
67.7 | |
Price per share |
|
$ |
55 |
Cash consideration for outstanding shares |
|
$ |
3,725 |
Fair value of share-based compensation awards |
|
65 | |
Additional cash and equity consideration |
|
21 | |
Total merger consideration |
|
$ |
3,811 |
Fair value of share-based compensation awards. On the date of the acquisition, HealthSpring employees awards of options and restricted shares of HealthSpring stock were rolled over to Cigna stock options and restricted stock. Each holder of a HealthSpring stock option or restricted stock award received 1.24 Cigna stock options or restricted stock awards. The conversion ratio of 1.24 at the date of acquisition was determined by dividing the acquisition price of HealthSpring shares of $55 per share by the price of Cigna stock on January 31, 2012 of $44.43. The Cigna stock option exercise price was determined by using this same conversion ratio. Vesting periods and the remaining life of the options rolled over with the original HealthSpring awards.
Using fair value as of the acquisition date, the Company valued the restricted stock at Cignas stock price and stock options using a Black-Scholes pricing model. The assumptions used were generally consistent with those disclosed in Note 20 to the Companys 2011 Consolidated Financial Statements included in the 2011 Annual Report, except the expected life assumption of these options ranged from 1.8 to 4.8 years and the exercise price did not equal the market value at the grant date. Because the exercise price at the acquisition date for substantially all of the options was significantly below Cignas stock price, fair value of the new stock options approximated intrinsic value.
The fair value of these options and restricted stock was included in the purchase price to the extent that services had been provided prior to the acquisition based on the grant date of the original HealthSpring awards and vesting periods. The remaining fair value not included in the purchase price will be recorded as compensation expense in future periods over the remaining vesting periods. Most of the expense is expected to be recognized in 2012 and 2013.
The following table summarizes the effect of these rollover awards for former HealthSpring employees.
|
|
Number of |
|
Average exercise/ |
|
Fair value |
|
Included in |
|
Compensation expense |
| ||||
(Awards in thousands, dollars in millions, except per share amounts) |
|
awards |
|
award price |
|
of awards |
|
purchase price |
|
post-acquisition |
| ||||
Vested options |
|
589 |
|
$ |
14.04 |
|
$ |
18 |
|
$ |
18 |
|
$ |
- |
|
Unvested options |
|
1,336 |
|
$ |
16.21 |
|
37 |
|
28 |
|
9 |
| |||
Restricted stock |
|
786 |
|
$ |
44.43 |
|
35 |
|
19 |
|
16 |
| |||
Total |
|
2,711 |
|
|
|
$ |
90 |
|
$ |
65 |
|
$ |
25 |
|
Purchase price allocation. In accordance with GAAP, the total purchase price has been allocated to the tangible and intangible net assets acquired based on managements preliminary estimates of their fair values and may change as additional information becomes available over the next several months. Goodwill has been allocated to the Medicare operating segment as of September 30, 2012 and is not deductible for federal income tax purposes. During the nine months ended September 30, 2012, the Company recorded $53 million pre-tax ($40 million after-tax) of acquisition-related costs in other operating expenses. The condensed balance sheet of HealthSpring at the acquisition date was as follows:
(In millions) |
|
|
| |
Investments |
|
$ |
612 |
|
Cash and cash equivalents |
|
492 |
| |
Premiums, accounts and notes receivable |
|
320 |
| |
Goodwill |
|
2,545 |
| |
Intangible assets |
|
795 |
| |
Other |
|
91 |
| |
Total assets acquired |
|
4,855 |
| |
Insurance liabilities |
|
505 |
| |
Deferred income taxes |
|
213 |
| |
Debt |
|
326 |
| |
Total liabilities acquired |
|
1,044 |
| |
Net assets acquired |
|
$ |
3,811 |
|
In accordance with debt covenants, HealthSprings debt obligation was paid immediately following the acquisition. This repayment is reported as a financing activity in the statement of cash flows for the nine months ended September 30, 2012.
The estimated fair values and useful lives for all intangible assets are as follows:
(Dollars in millions) |
|
Estimated |
|
Estimated |
| |
Customer relationships |
|
$ |
711 |
|
8 |
|
Other |
|
84 |
|
3-10 |
| |
Total other intangible assets |
|
$ |
795 |
|
|
|
The fair value of the customer relationship and the amortization method were determined using an income approach that relies on projected future net cash flows including key assumptions for the customer attrition rate and discount rate. The estimated weighted average useful life reflects the time period and pattern of use that Cigna expects for over 90% of the projected benefits. Accordingly, amortization will be recorded on an accelerated basis in 2012 and decline in subsequent years.
The results of HealthSpring have been included in the Companys Consolidated Financial Statements from the date of the acquisition. Revenues of HealthSpring included in the Companys results for the nine months ended September 30, 2012 were approximately $4.0 billion.
Pro forma information. The following table presents selected unaudited pro forma information for the Company assuming the acquisition of HealthSpring had occurred as of January 1, 2011. This pro forma information does not purport to represent what the Companys actual results would have been if the acquisition had occurred as of the date indicated or what such results would be for any future periods.
|
|
Three Months Ended |
|
Nine Months Ended September 30, |
| |||||
(In millions, except per share amounts) |
|
September 30, 2011 |
|
2012 |
|
2011 |
| |||
Total revenues |
|
$ |
6,940 |
|
$ |
22,092 |
|
$ |
20,639 |
|
Shareholders net income |
|
$ |
229 |
|
$ |
1,227 |
|
$ |
1,096 |
|
Earnings per share: |
|
|
|
|
|
|
| |||
Basic |
|
$ |
0.80 |
|
$ |
4.30 |
|
$ |
3.84 |
|
Diluted |
|
$ |
0.79 |
|
$ |
4.23 |
|
$ |
3.78 |
|
D. Acquisition of FirstAssist
In November 2011, the Company acquired FirstAssist Group Holdings Limited (FirstAssist) for approximately $115 million, which was financed with cash. FirstAssist is based in the United Kingdom and provides travel and protection insurance services that the Company expects will enhance its individual business in the U.K. and around the world.
In accordance with GAAP, the total purchase price has been allocated to the tangible and intangible net assets acquired based on managements estimates of their fair values. During 2012, the Company updated its allocation of the purchase price based on additional information. Accordingly, the allocation to intangible assets was decreased by $18 million from $58 million reported at December 31, 2011 to $40 million. The allocation to goodwill was increased by $8 million from $56 million reported at December 31, 2011 to $64 million. Goodwill is reported in the International segment.
The results of FirstAssist are included in the Companys Consolidated Financial Statements from the date of acquisition. The pro forma effects assuming the acquisition had occurred as of January 1, 2010 were not material to the Companys total revenues, shareholders net income and earnings per share for the three months and nine months ended September 30, 2011.
Note 4 Earnings Per Share (EPS)
Basic and diluted earnings per share were computed as follows:
|
|
|
|
Effect of |
|
|
| |||
(Dollars in millions, except per share amounts) |
|
Basic |
|
Dilution |
|
Diluted |
| |||
Three Months Ended September 30, |
|
|
|
|
|
|
| |||
2012 |
|
|
|
|
|
|
| |||
Shareholders net income |
|
$ |
466 |
|
|
|
$ |
466 |
| |
Shares (in thousands): |
|
|
|
|
|
|
| |||
Weighted average |
|
284,891 |
|
|
|
284,891 |
| |||
Common stock equivalents |
|
|
|
4,984 |
|
4,984 |
| |||
Total shares |
|
284,891 |
|
4,984 |
|
289,875 |
| |||
EPS |
|
$ |
1.64 |
|
$ |
(0.03) |
|
$ |
1.61 |
|
2011 |
|
|
|
|
|
|
| |||
Shareholders net income |
|
$ |
183 |
|
|
|
$ |
183 |
| |
Shares (in thousands): |
|
|
|
|
|
|
| |||
Weighted average |
|
268,569 |
|
|
|
268,569 |
| |||
Common stock equivalents |
|
|
|
3,491 |
|
3,491 |
| |||
Total shares |
|
268,569 |
|
3,491 |
|
272,060 |
| |||
EPS |
|
$ |
0.68 |
|
$ |
(0.01) |
|
$ |
0.67 |
|
|
|
|
|
|
|
|
| |||
|
|
|
|
Effect of |
|
|
| |||
(Dollars in millions, except per share amounts) |
|
Basic |
|
Dilution |
|
Diluted |
| |||
Nine Months Ended September 30, |
|
|
|
|
|
|
| |||
2012 |
|
|
|
|
|
|
| |||
Shareholders net income |
|
$ |
1,217 |
|
|
|
$ |
1,217 |
| |
Shares (in thousands): |
|
|
|
|
|
|
| |||
Weighted average |
|
285,247 |
|
|
|
285,247 |
| |||
Common stock equivalents |
|
|
|
4,560 |
|
4,560 |
| |||
Total shares |
|
285,247 |
|
4,560 |
|
289,807 |
| |||
EPS |
|
$ |
4.27 |
|
$ |
(0.07) |
|
$ |
4.20 |
|
2011 |
|
|
|
|
|
|
| |||
Shareholders net income |
|
$ |
987 |
|
|
|
$ |
987 |
| |
Shares (in thousands): |
|
|
|
|
|
|
| |||
Weighted average |
|
269,163 |
|
|
|
269,163 |
| |||
Common stock equivalents |
|
|
|
3,721 |
|
3,721 |
| |||
Total shares |
|
269,163 |
|
3,721 |
|
272,884 |
| |||
EPS |
|
$ |
3.67 |
|
$ |
(0.05) |
|
$ |
3.62 |
|
In 2012, the Company adopted, as required, amended accounting guidance for deferred acquisition costs by selecting retrospective adjustment of prior periods. See Note 2 for the effect of this new guidance on previously reported EPS amounts.
The following outstanding employee stock options were not included in the computation of diluted earnings per share because their effect would have increased diluted earnings per share (antidilutive) as their exercise price was greater than the average share price of the Companys common stock for the period.
|
|
Three Months Ended |
|
Nine Months Ended |
| ||||
|
|
September 30, |
|
September 30, |
| ||||
(In millions) |
|
2012 |
|
2011 |
|
2012 |
|
2011 |
|
Antidilutive options |
|
3.9 |
|
3.9 |
|
3.4 |
|
3.6 |
|
The Company held 79,439,106 shares of common stock in Treasury as of September 30, 2012, and 80,697,257 shares as of September 30, 2011.
Note 5 Health Care Medical Claims Payable
Medical claims payable for the Health Care segment reflects estimates of the ultimate cost of claims that have been incurred but not yet reported, those that have been reported but not yet paid (reported claims in process) and other medical expense payable, that primarily comprises accruals for incentives and other amounts payable to health care professionals and facilities. Incurred but not yet reported is the majority of the reserve balance as follows:
|
|
September 30, |
|
December 31, |
| ||
(In millions) |
|
2012 |
|
2011 |
| ||
Incurred but not yet reported |
|
$ |
1,372 |
|
$ |
952 |
|
Reported claims in process |
|
132 |
|
129 |
| ||
Physician incentives and other medical expense payable |
|
77 |
|
14 |
| ||
Medical claims payable |
|
$ |
1,581 |
|
$ |
1,095 |
|
Activity in medical claims payable was as follows:
|
|
For the period ended |
| ||||
|
|
September 30, |
|
December 31, |
| ||
(In millions) |
|
2012 |
|
2011 |
| ||
Balance at January 1, |
|
$ |
1,095 |
|
$ |
1,246 |
|
Less: Reinsurance and other amounts recoverable |
|
194 |
|
236 |
| ||
Balance at January 1, net |
|
901 |
|
1,010 |
| ||
Acquired HealthSpring balances, net |
|
504 |
|
- |
| ||
Incurred claims related to: |
|
|
|