[January 30, 2018] |
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Aetna Reports Fourth-Quarter and Full-Year 2017 Results
Aetna (NYSE: AET) announced fourth-quarter 2017 net income(1) of
$244 million, or $0.74 per share. Adjusted earnings(2) for
fourth-quarter 2017 were $411 million, or $1.25 per share. Full-year
2017 net income was $1.9 billion, or $5.68 per share. Full-year 2017
adjusted earnings were $3.3 billion, or $9.86 per share.
"Aetna's strong 2017 results demonstrate the power and versatility of
our core businesses," said Mark T. Bertolini, Aetna chairman and CEO.
"As we progress toward completing our pending transaction with CVS
Health, we remain focused on serving our members and delivering on our
strategic and financial objectives. We are confident that the combined
entity will deliver a better health care experience by improving access
to affordable health care and coordination of health services in
communities across the country."
"We closed 2017 with a strong fourth quarter performance," said Shawn M.
Guertin, Aetna executive vice president and CFO. "Continued strength
within our government business and moderate medical cost trend drove our
better than projected total company results in the period. This
momentum, combined with our targeted investments position Aetna for
another year of operational success in 2018."
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(In millions, except per share data)
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Fourth-Quarter 2017
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Full-Year 2017
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Revenue
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Earnings
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EPS
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Revenue
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Earnings
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EPS
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GAAP
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$
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14,853
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$
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244
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$
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0.74
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$
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60,535
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$
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1,904
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$
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5.68
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Non-GAAP (Adjusted)
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$
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14,742
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$
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411
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$
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1.25
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$
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60,675
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$
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3,309
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$
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9.86
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Medical Membership totaled 22.2 million at December 31, 2017
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Aetna presents both GAAP and non-GAAP financial measures in this press
release to provide investors with additional information. Refer to
footnotes (1) through (5) for definitions of
non-GAAP financial measures and pages 12 through 14 for reconciliations
of the most directly comparable GAAP financial measures to non-GAAP
financial measures.
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Fourth-Quarter and Full-Year Financial Results at a Glance
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Fourth-Quarter
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Full-Year
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(Millions, except per common share data)
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2017
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2016
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Change
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2017
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2016
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Change
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Total revenue
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$
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14,853
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$
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15,727
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(6
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)%
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$
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60,535
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$
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63,155
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(4
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)%
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Adjusted revenue(3)
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14,742
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15,717
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(6
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)%
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60,675
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63,046
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(4
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)%
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Net income(1)
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244
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139
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76
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%
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1,904
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2,271
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(16
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)%
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Adjusted earnings(2)
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411
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578
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(29
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)%
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3,309
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2,917
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13
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%
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Per share results:
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Net income(1)
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$
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0.74
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$
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0.39
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90
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%
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$
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5.68
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$
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6.41
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(11
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)%
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Adjusted earnings(2)
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1.25
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1.63
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(23
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)%
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9.86
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8.23
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20
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%
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Weighted average common shares - diluted
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329.2
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354.9
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335.4
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354.3
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On December 3, 2017, Aetna and CVS Health Corporation ("CVS Health")
entered into a definitive merger agreement under which CVS Health will
acquire all outstanding shares of Aetna. Under terms of the CVS Health
Merger agreement, Aetna shareholders will receive $145 in cash and
0.8378 of a CVS Health common share for each Aetna common share. The
transaction is subject to customary closing conditions, including the
approval and adoption of the merger agreement by Aetna shareholders, the
approval of the issuance of CVS Health shares in the transaction by CVS
Health stockholders, expiration of the federal Hart-Scott-Rodino
anti-trust waiting period and approvals of certain state departments of
insurance and other regulators. The transaction is expected to close in
the second half of 2018.
In connection with the CVS Health transaction, CVS Health filed a
registration statement on Form S-4, as amended, which contains unaudited
prospective financial information about Aetna on a stand-alone basis
that was prepared by Aetna management and used in connection with the
transaction process (the "Aetna management projections"). The Aetna
management projections were prepared using certain assumptions as of
October 29, 2017, including assumptions as to share repurchases, and the
tax and other laws and Aetna's accounting policy in effect on that date.
The Aetna management projections do not give effect to changes
subsequent to October 29, 2017, including:
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As a result of the pending CVS Health transaction, Aetna has suspended
repurchases of its common shares. At December 31, 2017, Aetna had
326.8 million common shares outstanding. Aetna projects that its 2018
weighted average diluted share count will be approximately 330 million
shares.
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Effective January 1, 2018, Aetna adopted Financial Accounting
Standards Board Accounting Standards Codification Topic 606 ("ASC
606") on a modified retrospective basis. Aetna projects that the
adoption of ASC 606 will increase both its revenue and its expenses by
approximately $1.5 billion to $2.0 billion for 2018 related to
modifications to principal versus agent guidance for Aetna's home
delivery and specialty pharmacy operations. However, Aetna does not
expect the adoption of ASC 606 to cause any material changes in the
timing of its recognition of revenue or net income.
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As a result of the Tax Cuts and Jobs Act of 2017 (the "TCJA") which
became effective in December 2017, Aetna projects its corporate income
tax rate will decline compared to the corporate income tax rate used
in the Aetna management projections. Aetna estimates the TCJA will
increase gross 2018 adjusted earnings(9) by approximately
$800 million, of which Aetna projects at least 50% will accrue to
adjusted earnings as presented in the Aetna management projections
after the impact of reduced premium revenue due to minimum MLR rebates
and lower recapture of the health insurer fee ("HIF") and accelerated
investment spending on Aetna's growth initiatives.
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Aetna projects that the suspension of the HIF for 2019 enacted on
January 22, 2018, will decrease 2018 adjusted earnings as presented in
the Aetna management projections by approximately $30 million to $50
million due to reduced premiums for 2018 medical customer renewals
that have member months in 2019.
Total Company Results
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Net income(1) was $244 million for
fourth-quarter 2017 compared with $139 million for fourth-quarter
2016. Full year 2017 net income was $1.9 billion compared with $2.3
billion for full year 2016. The increase in net income during
fourth-quarter 2017 was primarily due to lower restructuring and
transaction and integration-related costs in 2017 compared to 2016,
partially offset by the decrease in adjusted earnings described below
and the unfavorable impact of the TCJA described below. The decrease
in net income during the full-year 2017 was primarily due to costs
associated with the termination of the Humana Merger Agreement during
first-quarter 2017, partially offset by the increase in adjusted
earnings described below.
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Adjusted earnings(2) were $411 million for
fourth-quarter 2017 compared with $578 million for fourth-quarter
2016. Full year 2017 adjusted earnings were $3.3 billion compared with
$2.9 billion for the full year 2016. The decrease in adjusted earnings
during fourth-quarter 2017 was primarily due to lower favorable
development of prior-period health care costs estimates in Aetna's
Health Care segment and targeted investment spending on Aetna's growth
initiatives, partially offset by reduced losses in Aetna's individual
commercial products. The increase in adjusted earnings during
full-year 2017 was primarily due to strong performance in Aetna's
Health Care segment.
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Total revenue and adjusted revenue(3)
were $14.9 billion and $14.7 billion, respectively, for
fourth-quarter 2017 and were each $15.7 billion for fourth-quarter
2016. Full-year 2017 total revenue and adjusted revenue were $60.5
billion and $60.7 billion respectively, compared with $63.2 billion
and $63.0 billion respectively, for the full-year 2016. The decrease
in total revenue and adjusted revenue during fourth-quarter and
full-year 2017 was primarily due to lower premiums in Aetna's Health
Care segment, including lower membership in Aetna's ACA compliant
individual and small group products and the temporary suspension of
the HIF in 2017. The sale of Aetna's domestic group life insurance,
group disability insurance, and absence management businesses (the
"Group Insurance sale") on November 1, 2017 also contributed to
fourth-quarter and full-year 2017 decreases in total revenue and
adjusted revenue.
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Total company expense ratio was 20.5 percent and 22.9 percent
for the fourth quarters of 2017 and 2016, respectively. The decrease
for fourth quarter 2017 was primarily due to the temporary suspension
of the HIF, lower restructuring and transaction and
integration-related costs and the continued execution of Aetna's
expense management initiatives in 2017, partially offset by targeted
investment spending on Aetna's growth initiatives. Aetna's total
company expense ratio was 19.9 percent and 19.1 percent for full-years
2017 and 2016, respectively. The increase for full year 2017 was
primarily due to costs associated with the termination of the Humana
Merger Agreement during the first-quarter 2017 and targeted investment
spending on Aetna's growth initiatives, partially offset by the
temporary suspension of the HIF and the continued execution of Aetna's
expense management initiatives in 2017.
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Adjusted expense ratio(4) remained relatively
consistent at 20.0 percent and 19.8 percent for the fourth quarters of
2017 and 2016, respectively. The 2017 ratio reflects targeted
investment spending on Aetna's growth initiatives, largely offset by
the temporary suspension of the HIF and the continued execution of
Aetna's expense management initiatives. Aetna's adjusted expense ratio
was 17.5 percent and 18.1 percent for the full-years 2017 and 2016,
respectively. The decrease for the full-year 2017 was primarily due to
the temporary suspension of the HIF and the continued execution of
Aetna's expense management initiatives in 2017, partially offset by
targeted investment spending on Aetna's growth initiatives.
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After-tax net income margin was 1.6 percent and 0.9 percent for
the fourth quarters of 2017 and 2016, respectively. The increase in
the after-tax net income margin for fourth-quarter 2017 was primarily
due to lower restructuring costs and transaction and
integration-related costs in fourth-quarter 2017 compared to 2016,
partially offset by the unfavorable impact of the TCJA described
below. For the full-years 2017 and 2016, the after-tax net income
margin was 3.1 percent and 3.6 percent, respectively. The decrease in
the after-tax net income margin for full-year 2017 was primarily due
to costs associated with the termination of the Humana Merger
Agreement during the first-quarter 2017.
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Adjusted pre-tax margin(5) was 4.8 percent and 6.4
percent for the fourth quarters of 2017 and 2016, respectively. The
decrease in the adjusted pre-tax margin for fourth-quarter 2017 was
primarily due to increased investment spending on Aetna's growth
initiatives and the negative impact of the temporary suspension of the
HIF in 2017. For the full-years 2017 and 2016, the adjusted pre-tax
margin was 9.0 percent and 8.3 percent, respectively. The full-year
2017 improvement was primarily due to strong performance in Aetna's
Health Care segment, partially offset by increased investment spending
on Aetna's growth initiatives and the negative impact of the temporary
suspension of the HIF.
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Total debt to consolidated capitalization ratio(6) was
37.0 percent at December 31, 2017 compared with 53.6 percent at
December 31, 2016. The total debt to consolidated capitalization ratio
at December 31, 2017 reflects financing activity during 2017 including
the repayment of approximately $12.6 billion aggregate principal
amount of senior notes and the issuance of $1.0 billion aggregate
principal amount of senior notes.
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Effective tax rate was 51.7 percent for fourth-quarter 2017
compared with 53.5 percent for fourth-quarter 2016. The effective tax
rate was 36.3 percent for the full-year 2017 compared to 43.5 percent
for the full-year 2016. Fourth-quarter and full-year 2017 results each
include an incremental tax expense of $99 million related to the
estimated reduction in net deferred tax assets as a result of the
enactment of the TCJA in December 2017. Excluding the impact of the
TCJA, the effective tax rate was 32.9 percent and 33.0 percent for
fourth-quarter and full-year 2017, respectively. The decrease in
Aetna's effective tax rate for fourth-quarter 2017 and full-year 2017
was primarily due to the temporary suspension of the non-deductible
HIF in 2017 and increased tax benefits for share based compensation,
largely offset by the unfavorable impact of the TCJA described above.
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Health Care and Group Insurance cash flows used for operations were
approximately $178 million during full-year 2017. The full-year 2017
cash flows primarily reflect cash payments associated with the
termination of the Humana Merger Agreement, the timing of cash
collections in Aetna's Medicare products and a tax payment associated
with the Group Insurance sale.
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Cash and investments at the parent were approximately $2.2
billion at December 31, 2017.
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Aetna started the quarter with approximately $1.2 billion;
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Net subsidiary dividends to the parent, including the proceeds
received from the Group Insurance sale, were $2.1 billion in the
quarter;
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Aetna repaid $1.0 billion in debt during the quarter;
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Aetna paid a shareholder dividend of $163 million in the quarter;
and
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After other sources and uses, Aetna ended the quarter with
approximately $2.2 billion of cash and investments at the parent.
Health Care Segment Results
Health Care, which provides a full range of insured and self-insured
medical, pharmacy, dental and behavioral health products and services,
reported:
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Income before income taxes(1) of $587 million for
fourth-quarter 2017 compared with $905 million for fourth-quarter
2016. Pre-tax adjusted earnings(2) were $662 million for
fourth-quarter 2017 compared with $964 million fourth-quarter 2016.
The decrease in income before income taxes and pre-tax adjusted
earnings was primarily due to lower favorable development of
prior-period health care costs estimates, higher targeted investment
spending on Aetna's growth initiatives and the negative impact of the
temporary suspension of the HIF in 2017, partially offset by reduced
losses in Aetna's individual commercial products.
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Total revenue was $14.5 billion for fourth-quarter 2017 and $15.0
billion for fourth-quarter 2016. Adjusted revenue(3) was
$14.4 billion for fourth-quarter 2017 and $15.0 billion for
fourth-quarter 2016. The decrease in total revenue and adjusted
revenue was primarily due to lower membership in Aetna's ACA compliant
individual and small group products, lower membership in Aetna's
Medicaid products and the temporary suspension of the HIF in 2017. The
decrease was partially offset by higher premium yields in Aetna's
Commercial and Government businesses and membership growth in Aetna's
Medicare products.
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Medical membership at December 31, 2017 increased slightly compared
with September 30, 2017. The increase primarily reflects increases in
Aetna's Commercial ASC products, largely offset by decreases in
Aetna's Commercial Insured products.
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Medical benefit ratios ("MBRs") for the fourth-quarter and full-year
2017 and 2016 were as follows:
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Fourth-Quarter
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Full-Year
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2017
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2016
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Change
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2017
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2016
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Change
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Commercial
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85.9
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%
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83.0
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%
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2.9
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pts.
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81.3
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%
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82.0
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%
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(0.7
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)
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pts.
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Government
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82.9
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%
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81.2
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%
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1.7
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pts.
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83.0
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%
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81.5
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%
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1.5
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pts.
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Total Health Care
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84.3
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%
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82.1
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%
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2.2
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pts.
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82.2
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%
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81.8
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%
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0.4
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pts.
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Aetna's fourth-quarter 2017 Commercial MBR increased compared with
fourth-quarter 2016 primarily due to prior-periods' health care cost
estimates developing largely in-line with Aetna's reserve estimates at
September 30, 2017 during fourth-quarter 2017, compared to favorable
development of prior-periods' health care cost estimates during
fourth-quarter 2016. The increase was also due to the unfavorable
impact of the temporary suspension of the HIF in 2017, partially
offset by reduced losses in Aetna's individual Commercial products.
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Aetna's fourth-quarter 2017 Government MBR increased compared with
fourth-quarter 2016 primarily due to the unfavorable impact of the
temporary suspension of the HIF in 2017.
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In fourth-quarter 2017, Aetna experienced favorable development of
prior-periods' health care cost estimates. During that period, Aetna
experienced favorable development of prior-periods' health care cost
estimates in its Medicare and Medicaid products primarily attributable
to third-quarter 2017 performance and development in its Commercial
products largely in-line with its reserve estimates at September 30,
2017.
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Prior year's health care costs payable estimates developed favorably
by $814 million and $764 million during 2017 and 2016, respectively.
This development is reported on a basis consistent with the prior
years' development reported in the health care costs payable table in
Aetna's annual audited financial statements, and does not directly
correspond to an increase in 2017 operating results.
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Days claims payable(6) was 49 days at December 31,
2017, a decrease of five days compared with December 31, 2016 and
September 30, 2017. The sequential and year-over-year decreases were
primarily driven by the timing of provider payments, lower development
of prior periods' health care cost estimates, changes in business mix
reflecting lower individual and higher stop loss membership in Aetna's
Commercial products and reduced pharmacy payables. The sequential
decrease also was due to the reduction of the 2017 premium deficiency
reserve.
Full-year 2017 income before income taxes(1) for Health Care
was $4.8 billion, compared with $4.9 billion in 2016. Income before
income taxes decreased primarily as a result of a $231 million pre-tax
expense related to estimated future guaranty fund assessments as a
result of Penn Treaty Network America Insurance Company and one of its
subsidiaries (collectively, "Penn Treaty") being placed in liquidation
in 2017, partially offset by the increase in pre-tax adjusted earnings
described below. Full-year 2017 pre-tax adjusted earnings(2)
for Health Care were $5.2 billion, compared with $5.1 billion in 2016.
Pre-tax adjusted earnings increased primarily due to continued strong
performance across Aetna's core Health Care businesses and reduced
losses in Aetna's individual Commercial products, partially offset by
the negative impact of the temporary suspension of the HIF in 2017 and
higher targeted investment spending on Aetna's growth initiatives.
Group Insurance Segment Results
On November 1, 2017, Aetna completed the sale of a substantial portion
of its Group Insurance segment consisting of its domestic group life
insurance, group disability insurance and absence management businesses.
Group Insurance, which includes group life, disability and long-term
care products, reported:
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Income before income taxes(1) was $103 million for
fourth-quarter 2017 compared with $36 million for fourth-quarter 2016.
Income before income taxes increased primarily due to a gain
recognized during fourth-quarter 2017 as a result of the Group
Insurance sale.
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Pre-tax adjusted earnings(2) were $16 million for
fourth-quarter 2017 compared with $37 million for fourth-quarter 2016.
Pre-tax adjusted earnings decreased primarily due to the Group
Insurance sale during fourth-quarter 2017.
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Total revenue was $324 million and $620 million for the fourth
quarters of 2017 and 2016, respectively. Adjusted revenue(3)
was $237 million and $621 million for the fourth quarters of 2017 and
2016, respectively. The decrease in total revenue and adjusted revenue
was primarily due to the Group Insurance sale during fourth-quarter
2017. The decrease in total revenue was partially offset by a gain
recognized during fourth-quarter 2017 as a result of the Group
Insurance sale.
Full-year 2017 income before income taxes(1) for Group
Insurance was $248 million, compared with $165 million in 2016. Income
before income taxes increased primarily due to a gain recognized during
fourth-quarter 2017 as a result of the Group Insurance sale. Full-year
2017 pre-tax adjusted earnings(2) for Group Insurance were
$125 million, compared with $141 million in 2016. Pre-tax adjusted
earnings decreased primarily as a result of the Group Insurance sale
during fourth-quarter 2017.
Large Case Pensions Segment Results
Large Case Pensions, which manages a variety of discontinued and other
retirement and savings products, primarily for qualified pension plans,
reported:
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Income before income taxes(1) of $6 million and $3 million
for the fourth quarters of 2017 and 2016, respectively. Pre-tax
adjusted earnings(2) were each $3 million for the fourth
quarters of 2017 and 2016.
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Total revenue of $74 million and $64 million for the fourth quarters
of 2017 and 2016, respectively. Adjusted revenue(3) was $71
million and $64 million for the fourth quarters of 2017 and 2016,
respectively. The increase in total revenue and adjusted revenue was
primarily due to higher premiums in fourth-quarter 2017.
Full-year 2017 income before income taxes(1) for Large Case
Pensions was $131 million, compared with $148 million in 2016. Income
before income taxes for 2017 decreased compared with 2016, primarily due
to a larger reduction of Aetna's reserve for anticipated future losses
on discontinued products in 2016 compared to 2017. Full-year 2017
pre-tax adjusted earnings(2) for Large Case Pensions were $15
million compared with $10 million for 2016. Pre-tax adjusted earnings
for 2017 increased compared with 2016 primarily due to improved results
in Aetna's non-experience-rated products, including favorable mortality
experience and higher net investment income.
Given the pending transaction with CVS Health, Aetna is not hosting a
conference call in conjunction with its fourth-quarter 2017 earnings
release and does not expect to do so for future quarters. Please direct
any questions regarding this earnings release to Aetna Investor
Relations or Aetna Communications.
About Aetna
Aetna is one of the nation's leading diversified health care benefits
companies, serving an estimated 37.9 million people with information and
resources to help them make better informed decisions about their health
care. Aetna offers a broad range of traditional, voluntary and
consumer-directed health insurance products and related services,
including medical, pharmacy, dental, behavioral health, group life and
disability plans, and medical management capabilities, Medicaid health
care management services, workers' compensation administrative services
and health information technology products and services. Aetna's
customers include employer groups, individuals, college students,
part-time and hourly workers, health plans, health care providers,
governmental units, government-sponsored plans, labor groups and
expatriates. For more information, see www.aetna.com
and learn about how Aetna is helping to build a healthier world.
@AetnaNews
|
|
Condensed Consolidated Balance Sheets
|
|
|
|
|
|
|
December 31,
|
|
|
|
December 31,
|
(Millions)
|
|
|
|
2017
|
|
|
|
2016
|
|
|
|
|
(unaudited)
|
|
Assets:
|
|
|
|
|
|
|
|
|
Cash and short-term investments
|
|
|
|
$
|
6,356
|
|
|
|
|
$
|
21,042
|
Accounts receivable, net
|
|
|
|
5,071
|
|
|
|
|
4,580
|
Other current assets
|
|
|
|
4,080
|
|
|
|
|
2,827
|
Total current assets
|
|
|
|
15,507
|
|
|
|
|
28,449
|
Long-term investments
|
|
|
|
17,793
|
|
|
|
|
21,833
|
Other long-term assets
|
|
|
|
21,837
|
|
|
|
|
18,864
|
Total assets
|
|
|
|
$
|
55,137
|
|
|
|
|
$
|
69,146
|
|
|
|
|
|
|
|
|
|
Liabilities and shareholders' equity:
|
|
|
|
|
|
|
|
|
Health care costs payable
|
|
|
|
$
|
5,815
|
|
|
|
|
$
|
6,558
|
Current portion of long-term debt
|
|
|
|
999
|
|
|
|
|
1,634
|
Other current liabilities
|
|
|
|
10,009
|
|
|
|
|
10,502
|
Total current liabilities
|
|
|
|
16,823
|
|
|
|
|
18,694
|
Long-term debt, less current portion
|
|
|
|
8,160
|
|
|
|
|
19,027
|
Other long-term liabilities
|
|
|
|
14,317
|
|
|
|
|
13,482
|
Total Aetna shareholders' equity
|
|
|
|
15,580
|
|
|
|
|
17,881
|
Non-controlling interests
|
|
|
|
257
|
|
|
|
|
62
|
Total liabilities and equity
|
|
|
|
$
|
55,137
|
|
|
|
|
$
|
69,146
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Consolidated Statements of Income
|
|
|
|
|
|
|
|
|
Three Months Ended December 31,
|
|
|
|
Year Ended December 31,
|
(Millions)
|
|
|
|
|
|
2017
|
|
|
|
2016
|
|
|
|
2017
|
|
|
|
2016
|
|
|
|
|
|
|
(unaudited)
|
|
|
|
(unaudited)
|
|
Revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care premiums
|
|
|
|
|
|
$
|
12,870
|
|
|
|
|
$
|
13,493
|
|
|
|
|
$
|
52,022
|
|
|
|
|
$
|
54,116
|
|
Other premiums
|
|
|
|
|
|
214
|
|
|
|
|
546
|
|
|
|
|
1,872
|
|
|
|
|
2,182
|
|
Fees and other revenue
|
|
|
|
|
|
1,526
|
|
|
|
|
1,465
|
|
|
|
|
5,930
|
|
|
|
|
5,861
|
|
Net investment income
|
|
|
|
|
|
220
|
|
|
|
|
223
|
|
|
|
|
950
|
|
|
|
|
910
|
|
Net realized capital gains (losses)
|
|
|
|
|
|
23
|
|
|
|
|
-
|
|
|
|
|
(239
|
)
|
|
|
|
86
|
|
Total revenue
|
|
|
|
|
|
14,853
|
|
|
|
|
15,727
|
|
|
|
|
60,535
|
|
|
|
|
63,155
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Benefits and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care costs
|
|
|
|
|
|
10,848
|
|
|
|
|
11,083
|
|
|
|
|
42,753
|
|
|
|
|
44,255
|
|
Current and future benefits
|
|
|
|
|
|
243
|
|
|
|
|
512
|
|
|
|
|
1,875
|
|
|
|
|
2,101
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Selling expenses
|
|
|
|
|
|
374
|
|
|
|
|
433
|
|
|
|
|
1,598
|
|
|
|
|
1,678
|
|
General and administrative expenses
|
|
|
|
|
|
2,673
|
|
|
|
|
3,175
|
|
|
|
|
10,466
|
|
|
|
|
10,407
|
|
Total operating expenses
|
|
|
|
|
|
3,047
|
|
|
|
|
3,608
|
|
|
|
|
12,064
|
|
|
|
|
12,085
|
|
Interest expense
|
|
|
|
|
|
93
|
|
|
|
|
189
|
|
|
|
|
442
|
|
|
|
|
604
|
|
Amortization of other acquired intangible assets
|
|
|
|
96
|
|
|
|
|
60
|
|
|
|
|
272
|
|
|
|
|
247
|
|
Loss on early extinguishment of long-term debt
|
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
246
|
|
|
|
|
-
|
|
Reduction of reserve for anticipated future losses on discontinued
products
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(109
|
)
|
|
|
|
(128
|
)
|
Total benefits and expenses
|
|
|
|
|
|
14,327
|
|
|
|
|
15,452
|
|
|
|
|
57,543
|
|
|
|
|
59,164
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes
|
|
|
|
|
|
526
|
|
|
|
|
275
|
|
|
|
|
2,992
|
|
|
|
|
3,991
|
|
Income tax expense
|
|
|
|
|
|
272
|
|
|
|
|
147
|
|
|
|
|
1,087
|
|
|
|
|
1,735
|
|
Net income including non-controlling interests
|
|
|
|
|
|
254
|
|
|
|
|
128
|
|
|
|
|
1,905
|
|
|
|
|
2,256
|
|
Less: Net income (loss) attributable to non-controlling interests
|
10
|
|
|
|
|
(11
|
)
|
|
|
|
1
|
|
|
|
|
(15
|
)
|
Net income attributable to Aetna
|
|
|
|
|
|
$
|
244
|
|
|
|
|
$
|
139
|
|
|
|
|
$
|
1,904
|
|
|
|
|
$
|
2,271
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Consolidated Statements of Cash Flows
|
|
|
|
|
|
|
|
Year Ended December 31,
|
(Millions)
|
|
|
|
|
|
2017
|
|
|
|
2016
|
|
|
|
|
|
|
(unaudited)
|
|
|
|
|
Cash flows from operating activities:
|
|
|
|
|
|
|
|
|
|
|
Net income including non-controlling interests
|
|
|
|
|
|
$
|
1,905
|
|
|
|
|
$
|
2,256
|
|
Adjustments to reconcile net income to net cash (used for) provided
by operating activities:
|
|
|
|
|
|
|
|
|
Net realized capital losses (gains)
|
|
|
|
|
|
239
|
|
|
|
|
(86
|
)
|
Depreciation and amortization
|
|
|
|
|
|
705
|
|
|
|
|
681
|
|
Debt fair value amortization
|
|
|
|
|
|
(17
|
)
|
|
|
|
(30
|
)
|
Equity in earnings of affiliates, net
|
|
|
|
|
|
(105
|
)
|
|
|
|
(6
|
)
|
Stock-based compensation expense
|
|
|
|
|
|
187
|
|
|
|
|
191
|
|
Reduction of reserve for anticipated future losses on discontinued
products
|
|
|
|
(109
|
)
|
|
|
|
(128
|
)
|
Amortization of net investment premium
|
|
|
|
|
|
69
|
|
|
|
|
79
|
|
Loss on early extinguishment of long-term debt
|
|
|
|
|
|
246
|
|
|
|
|
-
|
|
Gain on sale of businesses
|
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
Changes in assets and liabilities:
|
|
|
|
|
|
|
|
|
|
|
Premiums due and other receivables
|
|
|
|
|
|
(794
|
)
|
|
|
|
(153
|
)
|
Income taxes
|
|
|
|
|
|
(672
|
)
|
|
|
|
155
|
|
Other assets and other liabilities
|
|
|
|
|
|
(1,460
|
)
|
|
|
|
669
|
|
Health care and insurance liabilities
|
|
|
|
|
|
(624
|
)
|
|
|
|
91
|
|
Distributions from partnership investments
|
|
|
|
|
|
54
|
|
|
|
|
-
|
|
Net cash (used for) provided by operating activities
|
|
|
|
|
|
(464
|
)
|
|
|
|
3,719
|
|
Cash flows from investing activities:
|
|
|
|
|
|
|
|
|
|
|
Proceeds from sales and maturities of investments
|
|
|
|
|
|
12,144
|
|
|
|
|
14,741
|
|
Cost of investments
|
|
|
|
|
|
(10,370
|
)
|
|
|
|
(14,852
|
)
|
Additions to property, equipment and software
|
|
|
|
|
|
(410
|
)
|
|
|
|
(270
|
)
|
Proceeds from sale of businesses, net of cash transferred
|
|
|
|
|
|
1,390
|
|
|
|
|
-
|
|
Cash used for acquisitions, net of cash acquired
|
|
|
|
|
|
(24
|
)
|
|
|
|
-
|
|
Net cash provided by (used for) investing activities
|
|
|
|
|
|
2,730
|
|
|
|
|
(381
|
)
|
Cash flows from financing activities:
|
|
|
|
|
|
|
|
|
|
|
Issuance of long-term debt
|
|
|
|
|
|
988
|
|
|
|
|
12,886
|
|
Repayment of long-term debt
|
|
|
|
|
|
(12,734
|
)
|
|
|
|
-
|
|
Deposits and interest credited to investment contracts net of
(withdrawals)
|
|
|
|
1
|
|
|
|
|
1
|
|
Common shares issued under benefit plans, net
|
|
|
|
|
|
(180
|
)
|
|
|
|
(139
|
)
|
Common shares repurchased
|
|
|
|
|
|
(3,845
|
)
|
|
|
|
-
|
|
Dividends paid to shareholders
|
|
|
|
|
|
(583
|
)
|
|
|
|
(351
|
)
|
Net payment on interest rate derivatives
|
|
|
|
|
|
-
|
|
|
|
|
(274
|
)
|
Contributions, non-controlling interests
|
|
|
|
|
|
167
|
|
|
|
|
11
|
|
Net cash (used for) provided by financing activities
|
|
|
|
|
|
(16,186
|
)
|
|
|
|
12,134
|
|
Net (decrease) increase in cash and cash equivalents
|
|
|
|
|
|
(13,920
|
)
|
|
|
|
15,472
|
|
Cash and cash equivalents, beginning of period
|
|
|
|
|
|
17,996
|
|
|
|
|
2,524
|
|
Cash and cash equivalents, end of period
|
|
|
|
|
|
$
|
4,076
|
|
|
|
|
$
|
17,996
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reconciliation of the Most Directly Comparable GAAP Measure to
Certain Reported Amounts
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended December 31, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended December 31, 2016
|
(Millions, except per common share data)
Reconciliation of net income to adjusted earnings
|
|
|
|
|
|
|
|
|
|
|
|
Total Company
|
|
|
|
Per Common Share
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Company
|
|
|
|
Per Common Share
|
Net income(1) (GAAP measure)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
244
|
|
|
|
|
$
|
0.74
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
139
|
|
|
|
|
$
|
0.39
|
|
Gain related to sale of certain domestic group insurance businesses
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(88
|
)
|
|
|
|
(0.27
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Transaction and integration-related costs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
38
|
|
|
|
|
0.12
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
184
|
|
|
|
|
0.52
|
|
Restructuring costs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
60
|
|
|
|
|
0.18
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
404
|
|
|
|
|
1.14
|
|
Amortization of other acquired intangible assets
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
96
|
|
|
|
|
0.29
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
60
|
|
|
|
|
0.17
|
|
Net realized capital gains
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(23
|
)
|
|
|
|
(0.07
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Income tax expense (benefit)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
84
|
|
|
|
|
0.26
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(209
|
)
|
|
|
|
(0.59
|
)
|
Adjusted earnings(2)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
411
|
|
|
|
|
$
|
1.25
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
578
|
|
|
|
|
$
|
1.63
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average common shares - diluted
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
329.2
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
354.9
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended December 31, 2017
|
|
|
|
Three Months Ended December 31, 2016
|
(Millions)
Reconciliation of total revenue to adjusted revenue
|
|
|
|
Health Care
|
|
|
|
Group Insurance
|
|
|
|
Large Case Pensions
|
|
|
|
Corporate Financing(7)
|
|
|
|
Total Company
|
|
|
|
Health Care
|
|
|
|
Group Insurance
|
|
|
|
Large Case Pensions
|
|
|
|
Corporate Financing(7)
|
|
|
|
Total Company
|
Total revenue (GAAP measure)
|
|
|
|
$
|
14,455
|
|
|
|
|
$
|
324
|
|
|
|
|
$
|
74
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
14,853
|
|
|
|
|
$
|
15,033
|
|
|
|
|
$
|
620
|
|
|
|
|
$
|
64
|
|
|
|
|
$
|
10
|
|
|
|
|
$
|
15,727
|
|
Gain related to sale of certain domestic group insurance businesses
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Interest income on proceeds of transaction-related debt
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(10
|
)
|
|
|
|
(10
|
)
|
Net realized capital (gains) losses
|
|
|
|
(21
|
)
|
|
|
|
1
|
|
|
|
|
(3
|
)
|
|
|
|
-
|
|
|
|
|
(23
|
)
|
|
|
|
(1
|
)
|
|
|
|
1
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Adjusted revenue(3) (excludes net realized capital
(gains) losses and other items)
|
|
|
|
$
|
14,434
|
|
|
|
|
$
|
237
|
|
|
|
|
$
|
71
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
14,742
|
|
|
|
|
$
|
15,032
|
|
|
|
|
$
|
621
|
|
|
|
|
$
|
64
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
15,717
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reconciliation of income before income taxes to pre-tax adjusted
earnings
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes (GAAP measure)
|
|
|
|
$
|
583
|
|
|
|
|
$
|
103
|
|
|
|
|
$
|
6
|
|
|
|
|
$
|
(166
|
)
|
|
|
|
$
|
526
|
|
|
|
|
$
|
889
|
|
|
|
|
$
|
36
|
|
|
|
|
$
|
4
|
|
|
|
|
$
|
(654
|
)
|
|
|
|
$
|
275
|
|
Less: (Loss) income before income taxes attributable to
non-controlling interests (GAAP measure)
|
|
|
|
(4
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(4
|
)
|
|
|
|
(16
|
)
|
|
|
|
-
|
|
|
|
|
1
|
|
|
|
|
-
|
|
|
|
|
(15
|
)
|
Income (loss) before income taxes attributable to Aetna (GAAP
measure)
|
|
|
|
587
|
|
|
|
|
103
|
|
|
|
|
6
|
|
|
|
|
(166
|
)
|
|
|
|
530
|
|
|
|
|
905
|
|
|
|
|
36
|
|
|
|
|
3
|
|
|
|
|
(654
|
)
|
|
|
|
290
|
|
Gain related to sale of certain domestic group insurance businesses
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Transaction and integration-related costs
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
38
|
|
|
|
|
38
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
184
|
|
|
|
|
184
|
|
Restructuring costs
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
60
|
|
|
|
|
60
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
404
|
|
|
|
|
404
|
|
Amortization of other acquired intangible assets
|
|
|
|
96
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
96
|
|
|
|
|
60
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
60
|
|
Net realized capital (gains) losses
|
|
|
|
(21
|
)
|
|
|
|
1
|
|
|
|
|
(3
|
)
|
|
|
|
-
|
|
|
|
|
(23
|
)
|
|
|
|
(1
|
)
|
|
|
|
1
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Pre-tax adjusted earnings (loss)(2)
|
|
|
|
$
|
662
|
|
|
|
|
$
|
16
|
|
|
|
|
$
|
3
|
|
|
|
|
$
|
(68
|
)
|
|
|
|
$
|
613
|
|
|
|
|
$
|
964
|
|
|
|
|
$
|
37
|
|
|
|
|
$
|
3
|
|
|
|
|
$
|
(66
|
)
|
|
|
|
$
|
938
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reconciliation of the Most Directly Comparable GAAP Measure to
Certain Reported Amounts
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2016
|
(Millions, except per common share data)
Reconciliation of net income to adjusted earnings
|
|
|
|
|
|
|
|
|
|
|
|
Total Company
|
|
|
|
Per Common Share
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Company
|
|
|
|
Per Common Share
|
Net income(1) (GAAP measure)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
1,904
|
|
|
|
|
$
|
5.68
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
2,271
|
|
|
|
|
$
|
6.41
|
|
Gain related to sale of certain domestic group insurance businesses
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(88
|
)
|
|
|
|
(0.26
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Loss on early extinguishment of long-term debt
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
246
|
|
|
|
|
0.73
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Penn Treaty-related guaranty fund assessments
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
231
|
|
|
|
|
0.69
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Transaction and integration-related costs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
1,240
|
|
|
|
|
3.70
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
517
|
|
|
|
|
1.46
|
|
Restructuring costs
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
60
|
|
|
|
|
0.18
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
404
|
|
|
|
|
1.14
|
|
Reduction of reserve for anticipated future losses on discontinued
products
|
|
|
|
|
|
|
|
|
|
|
|
(109
|
)
|
|
|
|
(0.33
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(128
|
)
|
|
|
|
(0.36
|
)
|
Amortization of other acquired intangible assets
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
272
|
|
|
|
|
0.81
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
247
|
|
|
|
|
0.70
|
|
Net realized capital losses (gains)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
239
|
|
|
|
|
0.71
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(86
|
)
|
|
|
|
(0.24
|
)
|
Income tax benefit
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(686
|
)
|
|
|
|
(2.05
|
)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(308
|
)
|
|
|
|
(0.87
|
)
|
Adjusted earnings(2)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
3,309
|
|
|
|
|
$
|
9.86
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
$
|
2,917
|
|
|
|
|
$
|
8.23
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Weighted average common shares - diluted
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
335.4
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
354.3
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2017
|
|
|
|
Year Ended December 31, 2016
|
(Millions)
Reconciliation of total revenue to adjusted revenue
|
|
|
|
Health Care
|
|
|
|
Group Insurance
|
|
|
|
Large Case Pensions
|
|
|
|
Corporate Financing(7)
|
|
|
|
Total Company
|
|
|
|
Health Care
|
|
|
|
Group Insurance
|
|
|
|
Large Case Pensions
|
|
|
|
Corporate Financing(7)
|
|
|
|
Total Company
|
Total revenue (GAAP measure)
|
|
|
|
$
|
58,302
|
|
|
|
|
$
|
2,237
|
|
|
|
|
$
|
321
|
|
|
|
|
$
|
(325
|
)
|
|
|
|
$
|
60,535
|
|
|
|
|
$
|
60,347
|
|
|
|
|
$
|
2,501
|
|
|
|
|
$
|
284
|
|
|
|
|
$
|
23
|
|
|
|
|
$
|
63,155
|
|
Gain related to sale of certain domestic group insurance businesses
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Interest income on proceeds of transaction-related debt
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(11
|
)
|
|
|
|
(11
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(23
|
)
|
|
|
|
(23
|
)
|
Net realized capital (gains) losses
|
|
|
|
(55
|
)
|
|
|
|
(35
|
)
|
|
|
|
(7
|
)
|
|
|
|
336
|
|
|
|
|
239
|
|
|
|
|
(52
|
)
|
|
|
|
(24
|
)
|
|
|
|
(10
|
)
|
|
|
|
-
|
|
|
|
|
(86
|
)
|
Adjusted revenue(3) (excludes net realized capital
(gains) losses and other items)
|
|
|
|
$
|
58,247
|
|
|
|
|
$
|
2,114
|
|
|
|
|
$
|
314
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
60,675
|
|
|
|
|
$
|
60,295
|
|
|
|
|
$
|
2,477
|
|
|
|
|
$
|
274
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
63,046
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reconciliation of income before income taxes to pre-tax adjusted
earnings
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income (loss) before income taxes (GAAP measure)
|
|
|
|
$
|
4,748
|
|
|
|
|
$
|
248
|
|
|
|
|
$
|
132
|
|
|
|
|
$
|
(2,136
|
)
|
|
|
|
$
|
2,992
|
|
|
|
|
$
|
4,858
|
|
|
|
|
$
|
165
|
|
|
|
|
$
|
148
|
|
|
|
|
$
|
(1,180
|
)
|
|
|
|
$
|
3,991
|
|
Less: (Loss) income before income taxes attributable to
non-controlling interests (GAAP measure)
|
|
|
|
(11
|
)
|
|
|
|
-
|
|
|
|
|
1
|
|
|
|
|
-
|
|
|
|
|
(10
|
)
|
|
|
|
(20
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(20
|
)
|
Income (loss) before income taxes attributable to Aetna (GAAP
measure)
|
|
|
|
4,759
|
|
|
|
|
248
|
|
|
|
|
131
|
|
|
|
|
(2,136
|
)
|
|
|
|
3,002
|
|
|
|
|
4,878
|
|
|
|
|
165
|
|
|
|
|
148
|
|
|
|
|
(1,180
|
)
|
|
|
|
4,011
|
|
Gain related to sale of certain domestic group insurance businesses
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Loss on early extinguishment of long-term debt
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
246
|
|
|
|
|
246
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Penn Treaty-related guaranty fund assessments
|
|
|
|
231
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
231
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Transaction and integration-related costs
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
1,240
|
|
|
|
|
1,240
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
517
|
|
|
|
|
517
|
|
Restructuring costs
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
60
|
|
|
|
|
60
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
404
|
|
|
|
|
404
|
|
Reduction of reserve for anticipated future losses on discontinued
products
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(109
|
)
|
|
|
|
-
|
|
|
|
|
(109
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(128
|
)
|
|
|
|
-
|
|
|
|
|
(128
|
)
|
Amortization of other acquired intangible assets
|
|
|
|
272
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
272
|
|
|
|
|
247
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
247
|
|
Net realized capital (gains) losses
|
|
|
|
(55
|
)
|
|
|
|
(35
|
)
|
|
|
|
(7
|
)
|
|
|
|
336
|
|
|
|
|
239
|
|
|
|
|
(52
|
)
|
|
|
|
(24
|
)
|
|
|
|
(10
|
)
|
|
|
|
-
|
|
|
|
|
(86
|
)
|
Pre-tax adjusted earnings (loss)(2)
|
|
|
|
$
|
5,207
|
|
|
|
|
$
|
125
|
|
|
|
|
$
|
15
|
|
|
|
|
$
|
(254
|
)
|
|
|
|
$
|
5,093
|
|
|
|
|
$
|
5,073
|
|
|
|
|
$
|
141
|
|
|
|
|
$
|
10
|
|
|
|
|
$
|
(259
|
)
|
|
|
|
$
|
4,965
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Margins and Ratios
|
|
|
|
|
|
Three Months Ended December 31,
|
|
|
|
Year Ended December 31,
|
(Millions)
|
|
|
|
|
2017
|
|
|
|
2016
|
|
|
|
2017
|
|
|
|
2016
|
Reconciliation of income before income taxes to adjusted earnings
before income taxes, excluding interest expense:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Income before income taxes (GAAP measure)
|
|
|
|
|
$
|
526
|
|
|
|
|
$
|
275
|
|
|
|
|
$
|
2,992
|
|
|
|
|
$
|
3,991
|
|
Interest expense(8)
|
|
|
|
|
93
|
|
|
|
|
80
|
|
|
|
|
357
|
|
|
|
|
317
|
|
Gain related to sale of certain domestic group insurance businesses
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
Loss on early extinguishment of long-term debt
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
246
|
|
|
|
|
-
|
|
Penn Treaty-related guaranty fund assessments
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
231
|
|
|
|
|
-
|
|
Transaction and integration-related costs
|
|
|
|
|
38
|
|
|
|
|
184
|
|
|
|
|
1,240
|
|
|
|
|
517
|
|
Restructuring costs
|
|
|
|
|
60
|
|
|
|
|
404
|
|
|
|
|
60
|
|
|
|
|
404
|
|
Reduction of reserve for anticipated future losses on discontinued
products
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(109
|
)
|
|
|
|
(128
|
)
|
Amortization of other acquired intangible assets
|
|
|
|
|
96
|
|
|
|
|
60
|
|
|
|
|
272
|
|
|
|
|
247
|
|
Net realized capital (gains) losses
|
|
|
|
|
(23
|
)
|
|
|
|
-
|
|
|
|
|
239
|
|
|
|
|
(86
|
)
|
Adjusted earnings(2) before income taxes, excluding
interest expense
|
|
|
|
(A)
|
$
|
702
|
|
|
|
|
$
|
1,003
|
|
|
|
|
$
|
5,440
|
|
|
|
|
$
|
5,262
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reconciliation of net income to adjusted earnings excluding
interest expense, net of tax:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income(1) (GAAP measure)
|
|
|
|
(B)
|
$
|
244
|
|
|
|
|
$
|
139
|
|
|
|
|
$
|
1,904
|
|
|
|
|
$
|
2,271
|
|
Interest expense(8)
|
|
|
|
|
93
|
|
|
|
|
80
|
|
|
|
|
357
|
|
|
|
|
317
|
|
Gain related to sale of certain domestic group insurance businesses
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
Loss on early extinguishment of long-term debt
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
246
|
|
|
|
|
-
|
|
Penn Treaty-related guaranty fund assessments
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
231
|
|
|
|
|
-
|
|
Transaction and integration-related costs
|
|
|
|
|
38
|
|
|
|
|
184
|
|
|
|
|
1,240
|
|
|
|
|
517
|
|
Restructuring costs
|
|
|
|
|
60
|
|
|
|
|
404
|
|
|
|
|
60
|
|
|
|
|
404
|
|
Reduction of reserve for anticipated future losses on discontinued
products
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(109
|
)
|
|
|
|
(128
|
)
|
Amortization of other acquired intangible assets
|
|
|
|
|
96
|
|
|
|
|
60
|
|
|
|
|
272
|
|
|
|
|
247
|
|
Net realized capital (gains) losses
|
|
|
|
|
(23
|
)
|
|
|
|
-
|
|
|
|
|
239
|
|
|
|
|
(86
|
)
|
Income tax expense (benefit)
|
|
|
|
|
51
|
|
|
|
|
(237
|
)
|
|
|
|
(811
|
)
|
|
|
|
(419
|
)
|
Adjusted earnings(2) excluding interest expense, net of
tax
|
|
|
|
|
$
|
471
|
|
|
|
|
$
|
630
|
|
|
|
|
$
|
3,541
|
|
|
|
|
$
|
3,123
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reconciliation of total revenue to adjusted revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total revenue (GAAP measure)
|
|
|
|
(C)
|
$
|
14,853
|
|
|
|
|
$
|
15,727
|
|
|
|
|
$
|
60,535
|
|
|
|
|
$
|
63,155
|
|
Gain related to sale of certain domestic group insurance businesses
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
|
|
|
(88
|
)
|
|
|
|
-
|
|
Interest income on proceeds of transaction-related debt
|
|
|
|
|
-
|
|
|
|
|
(10
|
)
|
|
|
|
(11
|
)
|
|
|
|
(23
|
)
|
Net realized capital (gains) losses
|
|
|
|
|
(23
|
)
|
|
|
|
-
|
|
|
|
|
239
|
|
|
|
|
(86
|
)
|
Adjusted revenue(3) (excludes net realized capital
(gains) losses and other items)
|
|
|
|
(D)
|
$
|
14,742
|
|
|
|
|
$
|
15,717
|
|
|
|
|
$
|
60,675
|
|
|
|
|
$
|
63,046
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Reconciliation of total operating expenses to adjusted operating
expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total operating expenses (GAAP measure)
|
|
|
|
(E)
|
$
|
3,047
|
|
|
|
|
$
|
3,608
|
|
|
|
|
$
|
12,064
|
|
|
|
|
$
|
12,085
|
|
Penn Treaty-related guaranty fund assessments
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(231
|
)
|
|
|
|
-
|
|
Transaction and integration-related costs
|
|
|
|
|
(38
|
)
|
|
|
|
(85
|
)
|
|
|
|
(1,166
|
)
|
|
|
|
(253
|
)
|
Restructuring costs
|
|
|
|
|
(60
|
)
|
|
|
|
(404
|
)
|
|
|
|
(60
|
)
|
|
|
|
(404
|
)
|
Adjusted operating expenses
|
|
|
|
(F)
|
$
|
2,949
|
|
|
|
|
$
|
3,119
|
|
|
|
|
$
|
10,607
|
|
|
|
|
$
|
11,428
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Net income and adjusted pre-tax margins:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
After-tax net income margin (GAAP measure)
|
|
|
|
(B)/(C)
|
1.6
|
%
|
|
|
|
0.9
|
%
|
|
|
|
3.1
|
%
|
|
|
|
3.6
|
%
|
Adjusted pre-tax margin(5)
|
|
|
|
(A)/(D)
|
4.8
|
%
|
|
|
|
6.4
|
%
|
|
|
|
9.0
|
%
|
|
|
|
8.3
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Expense ratios:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total company expense ratio (GAAP measure)
|
|
|
|
(E)/(C)
|
20.5
|
%
|
|
|
|
22.9
|
%
|
|
|
|
19.9
|
%
|
|
|
|
19.1
|
%
|
Adjusted expense ratio(4)
|
|
|
|
(F)/(D)
|
20.0
|
%
|
|
|
|
19.8
|
%
|
|
|
|
17.5
|
%
|
|
|
|
18.1
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health Care, Group Insurance and Corporate Financing Operating
Cash Flow as a Percentage of Net Income
|
|
|
|
|
|
Year Ended December 31,
|
(Millions)
|
|
|
|
|
2017
|
|
|
|
2016
|
Net cash (used for) provided by operating activities (GAAP measure)
|
|
|
|
|
$
|
(464
|
)
|
|
|
|
$
|
3,719
|
|
Less: Net cash used for operating activities: Large Case Pensions
|
|
|
|
|
(286
|
)
|
|
|
|
(269
|
)
|
Net cash (used for) provided by operating activities: Health Care,
Group Insurance and Corporate Financing
|
|
|
|
(A)
|
(178
|
)
|
|
|
|
3,988
|
|
|
|
|
|
|
|
|
|
|
|
Net income(1) (GAAP Measure)
|
|
|
|
|
1,904
|
|
|
|
|
2,271
|
|
Less: Net income: Large Case Pensions
|
|
|
|
|
40
|
|
|
|
|
104
|
|
Net income: Health Care, Group Insurance and Corporate Financing
|
|
|
|
(B)
|
$
|
1,864
|
|
|
|
|
$
|
2,167
|
|
|
|
|
|
|
|
|
|
|
|
Operating cash flow as a percentage of net income:
|
|
|
|
|
|
|
|
|
|
Operating cash flow as a percentage of net income(1)
(GAAP Measure)
|
|
|
|
(A)/(B)
|
N/M *
|
|
|
|
184.0
|
%
|
* Not meaningful due to cash used for operating activities for the year
ended December 31, 2017
Footnotes
(1) Net income refers to net income attributable to Aetna
reported in Aetna's Consolidated Statements of Income in accordance with
U.S. generally accepted accounting principles ("GAAP"). Income before
income taxes refers to income before income taxes attributable to Aetna
in accordance with GAAP. Unless otherwise indicated, all references in
this press release to net income, net income per share and income before
income taxes exclude amounts attributable to non-controlling interests.
(2) Non-GAAP financial measures such as adjusted earnings,
adjusted earnings per share, pre-tax adjusted earnings, adjusted
operating expenses, adjusted revenue, adjusted expense ratio and
adjusted pre-tax margin exclude from the relevant GAAP metrics, as
applicable:
-
Amortization of other acquired intangible assets;
-
Net realized capital gains or losses; and
-
Other items, if any, that neither relate to the ordinary course of
Aetna's business nor reflect Aetna's underlying business performance.
Although the excluded items may recur, management believes the non-GAAP
financial measures Aetna discloses, including those described above,
provide a more useful comparison of Aetna's underlying business
performance from period to period. Prior to March 31, 2017, operating
earnings was the measure reported to the chief executive officer for
purposes of assessing financial performance and making operating
decisions, such as the allocation of resources among Aetna's business
segments. Effective March 31, 2017, the chief executive officer assesses
consolidated Aetna results based on adjusted earnings and assesses
business segment results based on pre-tax adjusted earnings because
income taxes are recorded in Aetna's Corporate Financing segment and are
not allocated to Aetna's business segments. Also effective March 31,
2017, transaction and integration-related costs and restructuring costs
were reclassified to Aetna's Corporate Financing segment because they do
not reflect Aetna's underlying business performance. Prior periods have
been restated to reflect this presentation. Non-GAAP financial measures
Aetna discloses, including those described above, should not be
considered a substitute for, or superior to, financial measures
determined or calculated in accordance with GAAP.
For the periods covered in this press release, the following items are
excluded from the non-GAAP financial measures described above, as
applicable, because Aetna believes they neither relate to the ordinary
course of Aetna's business nor reflect Aetna's underlying business
performance:
-
During the three months and year ended December 31, 2017, Aetna sold a
substantial portion of its Group Insurance segment consisting of its
domestic group life insurance, group disability insurance and absence
management businesses. The transaction is being accomplished through
an indemnity reinsurance arrangement. The sale is expected to result
in an after-tax gain of approximately $710 million ($1.1 billion
pre-tax), a significant portion of which will be deferred and
amortized into earnings: (a) over the remaining contract period
(estimated to be approximately 3 years) in proportion to the amount of
insurance protection provided for the prospective reinsurance portion
of the gain and (b) as we recover amounts due from the buyer over a
period estimated to be approximately 30 years for the retrospective
reinsurance portion of the gain. The gain recognized does not directly
relate to the underwriting or servicing of products for customers and
is not directly related to the core performance of Aetna's business
operations.
-
During the year ended December 31, 2017, Aetna incurred losses on the
early extinguishment of long-term debt due to (a) the mandatory
redemption of $10.2 billion aggregate principal amount of certain of
its senior notes issued in June 2016 (collectively, the "SMR Notes")
following the termination of the definitive agreement (the "Humana
Merger Agreement") to acquire Humana Inc. ("Humana") and (b) the early
redemption of $750 million aggregate principal amount of its
outstanding senior notes due 2020.
-
During the year ended December 31, 2017, Aetna recorded an expense for
estimated future guaranty fund assessments related to Penn Treaty
Network America Insurance Company and one of its subsidiaries
(collectively, "Penn Treaty"), which was placed in rehabilitation in
2009 and placed in liquidation in March 2017. This expense does not
directly relate to the underwriting or servicing of products for
customers and is not directly related to the core performance of
Aetna's business operations.
-
Aetna recorded transaction-related costs during the three months and
year ended December 31, 2017 related to its proposed acquisition by
CVS Health. Aetna also recorded transaction and integration-related
costs during the year ended December 31, 2017 and the three months and
year ended December 31, 2016 primarily related to its proposed
acquisition of Humana (the "Humana Transaction"). Transaction costs
include costs associated with the transactions contemplated by the CVS
Health merger agreement, the termination of the Humana Merger
Agreement, the termination of Aetna's agreement to sell certain assets
to Molina Healthcare, Inc. and advisory, legal and other professional
fees which are reflected in Aetna's GAAP Consolidated Statements of
Income in general and administrative expenses. Transaction costs also
include the negative cost of carry associated with the debt financing
that Aetna obtained in June 2016 for the Humana Transaction. Prior to
the mandatory redemption of the SMR Notes, the negative cost of carry
associated with these senior notes was excluded from adjusted earnings
and pre-tax adjusted earnings. The negative cost of carry associated
with the $2.8 billion aggregate principal amount of Aetna's senior
notes issued in June 2016 that are not subject to mandatory redemption
(the "Other 2016 Senior Notes") was excluded from adjusted earnings
and pre-tax adjusted earnings through the date of the termination of
the Humana Merger Agreement. The components of the negative cost of
carry are reflected in Aetna's GAAP Consolidated Statements of Income
in interest expense and net investment income. Subsequent to the
termination of the Humana Merger Agreement, the interest expense and
net investment income associated with the Other 2016 Senior Notes were
no longer excluded from adjusted earnings and pre-tax adjusted
earnings.
-
Restructuring costs for the three months and year ended December 31,
2017 include severance costs associated with Aetna's expense
management and cost control initiatives. Restructuring costs for the
three months and year ended December 31, 2016 include costs related to
Aetna's voluntary early retirement program, severance and real estate
consolidation costs associated with Aetna's expense management and
cost control initiatives and an accrual for minimum volume commitments
which require Aetna to make payments to suppliers if the level of
medical membership subject to the agreements falls below specified
levels. Aetna no longer expected to meet these minimum volume
commitments as a result of Aetna's previously announced reduced
participation on the ACA's individual public health insurance
exchanges in 2017. The 2017 and 2016 restructuring costs are reflected
in Aetna's GAAP Consolidated Statements of Income in general and
administrative expenses.
-
In 1993, Aetna discontinued the sale of fully guaranteed large case
pensions products and established a reserve for anticipated future
losses on these products, which Aetna reviews quarterly. During both
the year ended December 31, 2017 and 2016, Aetna reduced the reserve
for anticipated future losses on discontinued products. Aetna believes
excluding any changes in the reserve for anticipated future losses on
discontinued products from adjusted earnings provides more useful
information as to Aetna's continuing products and is consistent with
the treatment of the operating results of these discontinued products,
which are credited or charged to the reserve and do not affect Aetna's
operating results.
-
Other acquired intangible assets relate to Aetna's acquisition
activities and are amortized over their useful lives. However, this
amortization does not directly relate to the underwriting or servicing
of products for customers and is not directly related to the core
performance of Aetna's business operations.
-
Net realized capital gains and losses arise from various types of
transactions, primarily in the course of managing a portfolio of
assets that support the payment of liabilities. However, these
transactions do not directly relate to the underwriting or servicing
of products for customers and are not directly related to the core
performance of Aetna's business operations.
-
The corresponding tax benefit or expense related to the items excluded
from adjusted earnings discussed above and the TCJA. The corresponding
tax benefit or expense related to excluded items was calculated
utilizing the appropriate tax rate for each individual item excluded
from adjusted earnings. The three months and year ended December 31,
2017 also include an incremental tax expense of $99 million which
reflects the estimated impact of the enactment of the TCJA on December
22. 2017. The TCJA reduced the corporate tax rate to 21 percent,
effective January 1, 2018. Accordingly, we remeasured our deferred
income taxes as of the enactment date, and, as the measurement of the
income tax effect could be reasonably estimated, we recognized the
change in our deferred income taxes in our income tax expense from
continuing operations. The year ended December 31, 2017 also includes
a $29 million tax benefit which reflects anticipated incremental tax
benefits related to certain costs associated with the Humana
Transaction. Neither the income tax benefit or expense on the excluded
items nor the TCJA tax expense directly relates to the underwriting or
servicing of products for customers, and neither is directly related
to the core performance of Aetna's business operations.
For a reconciliation of financial measures calculated under GAAP to
these items, refer to the tables on pages 12 through 14 of this press
release.
(3) Adjusted revenue excludes net realized capital gains and
losses, gain related to the Group Insurance sale and interest income on
the proceeds of Aetna's senior notes issued in June 2016 as noted in (2)
above. Refer to the tables on pages 12 through 14 of this press release
for a reconciliation of total revenue calculated under GAAP to adjusted
revenue.
(4) The adjusted expense ratio excludes net realized capital
gains and losses and other items, if any, that are excluded from
adjusted revenue or adjusted operating expenses, as noted in (2)
above. For a reconciliation of the comparable GAAP measure to this
metric for the periods covered by this press release, refer to page 14
of this press release.
(5) In order to provide useful information regarding Aetna's
profitability on a basis comparable to others in the industry, without
regard to financing decisions, income taxes or amortization of other
acquired intangible assets (each of which may vary for reasons not
directly related to the performance of the underlying business), Aetna's
adjusted pre-tax margin is based on adjusted earnings excluding interest
expense and income taxes. Management also uses adjusted pre-tax margin
to assess Aetna's performance, including performance versus competitors.
(6) Days claims payable is calculated by dividing the health
care costs payable at each quarter end by the average health care costs
per day in each respective quarter. The total debt to consolidated
capitalization ratio is calculated by dividing total long-term debt and
short-term debt ("Total Debt") by the sum of Total Debt and total Aetna
shareholders' equity.
(7) Aetna's Corporate Financing segment is not a business
segment. It is added to Aetna's business segments to reconcile segment
reporting to Aetna's consolidated results. The Corporate Financing
segment includes interest expense on Aetna's outstanding debt and the
financing components of Aetna's pension and other postretirement
employee benefit plan expenses (benefits), and, effective March 31,
2017, all transaction and integration-related costs, restructuring costs
and income taxes. The prior periods have been restated to reflect this
presentation. As described in (2) above, the adjusted
earnings of the Corporate Financing segment exclude other items, if any,
that neither relate to the ordinary course of Aetna's business nor
reflect Aetna's underlying business performance.
(8) Interest expense included in the reconciliation to
adjusted earnings before income taxes, excluding interest expense and
the reconciliation to adjusted earnings excluding interest expense, net
of tax for the year ended December 31, 2017 and the three months and
year ended December 31, 2016 excludes costs associated with the term
loan credit agreement executed in connection with the Humana Transaction
and the negative cost of carry on transaction-related debt incurred in
connection with the Humana Transaction. Interest expense for the year
ended December 31, 2016 excludes costs associated with bridge credit
agreement executed in connection with the Humana Transaction. These
costs are included within transaction and integration-related costs.
Refer to (2) above for further discussion.
(9) For more information about the Aetna management
projections, including information in respect of non-GAAP projections,
see the section titled "Unaudited Prospective Financial Information" in
the Registration Statement on Form S-4, as amended, filed by CVS Health
Corporation with the U.S. Securities and Exchange Commission on January
26, 2018.
No Offer or Solicitation
This communication is for informational purposes only and not intended
to and does not constitute an offer to subscribe for, buy or sell, the
solicitation of an offer to subscribe for, buy or sell or an invitation
to subscribe for, buy or sell any securities or the solicitation of any
vote or approval in any jurisdiction pursuant to or in connection with
the proposed transaction or otherwise, nor shall there be any sale,
issuance or transfer of securities in any jurisdiction in contravention
of applicable law. No offer of securities shall be made except by means
of a prospectus meeting the requirements of Section 10 of the Securities
Act of 1933, as amended, and otherwise in accordance with applicable law.
Additional Information and Where to Find It
In connection with the proposed transaction between CVS Health
Corporation ("CVS Health") and Aetna Inc. ("Aetna"), on January 4, 2018,
CVS Health filed with the Securities and Exchange Commission (the "SEC")
a registration statement on Form S-4, which was amended on January 26,
2018. The registration statement includes a preliminary joint proxy
statement of CVS Health and Aetna that also constitutes a preliminary
prospectus of CVS Health, which will be mailed to stockholders of CVS
Health and shareholders of Aetna once the registration statement becomes
effective and the joint proxy statement/prospectus is in definitive
form. The registration statement is not yet effective. INVESTORS AND
SECURITY HOLDERS OF CVS HEALTH AND AETNA ARE URGED TO READ THE JOINT
PROXY STATEMENT/PROSPECTUS AND OTHER DOCUMENTS FILED OR THAT WILL BE
FILED WITH THE SEC CAREFULLY AND IN THEIR ENTIRETY BECAUSE THEY CONTAIN
OR WILL CONTAIN IMPORTANT INFORMATION. Investors and security holders
may obtain free copies of the registration statement and the joint proxy
statement/prospectus and other documents filed with the SEC by CVS
Health or Aetna through the website maintained by the SEC at http://www.sec.gov.
Copies of the documents filed with the SEC by CVS Health are available
free of charge within the Investors section of CVS Health's Web site at http://www.cvshealth.com/investors
or by contacting CVS Health's Investor Relations Department at
800-201-0938. Copies of the documents filed with the SEC by Aetna are
available free of charge on Aetna's internet website at http://www.Aetna.com
or by contacting Aetna's Investor Relations Department at 860-273-0896.
Participants in Solicitation
CVS Health, Aetna, their respective directors and certain of their
respective executive officers may be considered participants in the
solicitation of proxies in connection with the proposed transaction
between CVS Health and Aetna. Information about the directors and
executive officers of CVS Health is set forth in its Annual Report on
Form 10-K for the year ended December 31, 2016, which was filed with the
SEC on February 9, 2017, its proxy statement for its 2017 annual meeting
of stockholders, which was filed with the SEC on March 31, 2017, and
certain of its Current Reports on Form 8-K. Information about the
directors and executive officers of Aetna is set forth in its Annual
Report on Form 10-K for the year ended December 31, 2016, which was
filed with the SEC on February 17, 2017, its proxy statement for its
2017 annual meeting of shareholders, which was filed with the SEC on
April 7, 2017, and certain of its Current Reports on Form 8-K. Other
information regarding the participants in the proxy solicitations and a
description of their direct and indirect interests, by security holdings
or otherwise, are contained in the preliminary joint proxy
statement/prospectus and will be contained in the definitive joint proxy
statement/prospectus and other relevant materials to be filed with the
SEC when they become available.
Cautionary Statement Regarding Forward-Looking Statements
This press release contains forward-looking statements within the
meaning of Section 27A of the Securities Act of 1933, as amended, and
Section 21E of the Securities Exchange Act of 1934, as amended. You can
generally identify forward-looking statements by the use of
forward-looking terminology such as "anticipate," "believe," "can,"
"continue," "could," "estimate," "evaluate," "expect," "explore,"
"forecast," "guidance," "intend," "likely," "may," "might," "outlook,"
"plan," "potential," "predict," "probable," "project," "seek," "should,"
"view," or "will," or the negative thereof or other variations thereon
or comparable terminology. These forward-looking statements are only
predictions and involve known and unknown risks and uncertainties, many
of which are beyond Aetna's control.
Statements in this press release that are forward-looking, including
Aetna's projections as to progress toward completion of CVS Health's
proposed acquisition of Aetna (the "CVS Health Transaction"), the
anticipated benefits of the CVS Health Transaction, Aetna's positioning
for operational success in 2018, the closing date for the CVS Health
Transaction, the Aetna management projections, the gain related to the
Group Insurance sale, Aetna's 2018 weighted average diluted share count,
the effects of the adoption of ASC 606, the impact of the TCJA on
Aetna's corporate income tax rate and adjusted earnings, the impact of
the suspension of the HIF for 2019, the change in Aetna's deferred
income taxes as a result of the TCJA, and Aetna's and/or the combined
company's future operating results, are based on management's estimates,
assumptions and projections, and are subject to significant
uncertainties and other factors, many of which are beyond Aetna's
control. Important risk factors could cause actual future results and
other future events to differ materially from those currently estimated
by management, including, but not limited to: the timing to consummate
the CVS Health Transaction; the risk that a regulatory approval that may
be required for the CVS Health Transaction is delayed, is not obtained
or is obtained subject to conditions that are not anticipated; the risk
that a condition to the closing of the CVS Health Transaction may not be
satisfied; the ability to achieve the synergies and value creation
contemplated; CVS Health's ability to promptly and effectively integrate
Aetna's businesses; the diversion of and attention of management of both
CVS Health and Aetna on transaction-related issues; unanticipated
increases in medical costs (including increased intensity or medical
utilization as a result of flu or otherwise; changes in membership mix
to higher cost or lower-premium products or membership adverse
selection; medical cost increases resulting from unfavorable changes in
contracting or re-contracting with providers (including as a result of
provider consolidation and/or integration); and/or increased pharmacy
costs); the profitability of Aetna's Medicaid products; changes in
medical cost estimates due to the necessary extensive judgment that is
used in the medical cost estimation process, the considerable
variability inherent in such estimates, and the sensitivity of such
estimates to changes in medical claims payment patterns and changes in
medical cost trends; any suspension of the ACA's health insurer fee for
2018; adverse impacts from any failure to raise the U.S. Federal
government's debt ceiling or any sustained U.S. Federal government shut
down; and changes in Aetna's future cash requirements, capital
requirements, results of operations, financial condition and/ or cash
flows. As currently enacted, health care reform will continue to
significantly impact Aetna's business operations and financial results,
including Aetna's pricing and medical benefit ratios, and key components
of the legislation will continue to be phased in through 2020. Aetna
will be required to dedicate significant resources and incur significant
expenses during 2018 to implement health care reform. Significant parts
of the legislation continue to evolve through the promulgation of
executive orders, regulations and guidance. In addition, pending efforts
in the U.S. Congress to repeal, amend, replace or restrict funding for
various aspects of health care reform and pending litigation challenging
aspects of the law and its implementation continue to create additional
uncertainty about the ultimate impact of health care reform. As a
result, many of the impacts of health care reform are unknown. Other
important risk factors include: adverse changes in federal or state
government policies, legislation or regulations (including legislative,
judicial or regulatory measures that would affect Aetna's business
model, repeal, restrict funding for or amend various aspects of health
care reform, limit Aetna's ability to price for the risk it assumes
and/or reflect reasonable costs or profits in its pricing, such as
mandated minimum medical benefit ratios, or eliminate or reduce ERISA
pre-emption of state laws (increasing Aetna's potential litigation
exposure)); uncertainty related to Aetna's accruals for the ACA's risk
adjustment program; uncertainty related to the funding for and final
reconciliations with respect to the ACA's risk management and subsidy
programs; the implementation of health care reform legislation,
collection of ACA fees, assessments and taxes through increased
premiums; adverse legislative, regulatory and/or judicial changes to or
interpretations of existing health care reform legislation and/or
regulations (including those relating to minimum medical loss ratio
("MLR") rebates); the timing and amount of and payment methods for
satisfying assessments for Penn Treaty Network America Insurance Company
and other insolvent payors under state guaranty fund laws; adverse and
less predictable economic conditions in the U.S. and abroad (including
unanticipated levels of, or increases in the rate of, unemployment);
reputational or financial issues arising from Aetna's social media
activities, data security breaches, other cybersecurity risks or other
causes; adverse program, pricing, funding or audit actions by federal or
state government payors, including as a result of changes to or
curtailment or elimination of the Centers for Medicare & Medicaid
Services' ("CMS") star rating bonus payments; Aetna's ability to
maintain and/or enhance its CMS star ratings; Aetna's ability to
diversify Aetna's sources of revenue and earnings (including by
developing and expanding Aetna's consumer businesses and expanding
Aetna's foreign operations), transform Aetna's business model, develop
new products and optimize Aetna's business platforms; the success of
Aetna's consumer health and services initiatives; adverse changes in
size, product or geographic mix or medical cost experience of
membership; managing executive succession and key talent retention,
recruitment and development; failure to achieve and/or delays in
achieving desired rate increases and/or profitable membership growth due
to regulatory review or other regulatory restrictions, an uncertain
economy and/or significant competition, especially in key geographic
areas where membership is concentrated, including successful protests of
business awarded to Aetna; failure to adequately implement health care
reform and/or repeal or replacement of or changes in health care reform;
the outcome of various litigation and regulatory matters, including
audits, challenges to Aetna's minimum MLR rebate methodology and/or
reports, intellectual property litigation and litigation concerning, and
ongoing reviews by various regulatory authorities of, certain of Aetna's
payment practices with respect to out-of-network providers and/or other
providers; Aetna's ability to integrate, simplify, and enhance Aetna's
existing products, processes and information technology systems and
platforms to keep pace with changing customer and regulatory needs;
Aetna's ability to successfully integrate Aetna's businesses (including
businesses Aetna may acquire in the future), separate divested
businesses and implement multiple strategic and operational initiatives
simultaneously; Aetna's ability to manage health care and other benefit
costs; Aetna's ability to reduce administrative expenses while
maintaining targeted levels of service and operating performance;
failure by a service provider to meet its obligations to Aetna; Aetna's
ability to develop and maintain relationships (including joint ventures
or other collaborative risk-sharing agreements) with providers while
taking actions to reduce medical costs and/or expand the services Aetna
offers; Aetna's ability to demonstrate that Aetna's products and
processes lead to access to quality affordable care by Aetna's members;
Aetna's ability to maintain its relationships with third-party brokers,
consultants and agents who sell its products; collection of amounts
payable to Aetna by the State of Illinois; increases in medical costs
resulting from any epidemics, acts of terrorism or other extreme events;
the implementation of public health insurance exchanges; and a downgrade
in Aetna's financial ratings. For more discussion of important risk
factors that may materially affect Aetna, please see the risk factors
contained in Aetna's 2016 Annual Report on Form 10-K ("Aetna's 2016
Annual Report") and Aetna's Quarterly Report on Form 10-Q for the
quarter ended September 30, 2017 ("Aetna's Quarterly Report"), each on
file with the Securities and Exchange Commission ("SEC"), and Aetna's
Annual Report on Form 10-K for the year ended December 31, 2017
("Aetna's 2017 Annual Report"), when filed with the SEC. You should also
read Aetna's 2016 Annual Report and Aetna's Quarterly Report, each on
file with the SEC, and Aetna's 2017 Annual Report, when filed with the
SEC for a discussion of Aetna's historical results of operations and
financial condition.
No assurances can be given that any of the events anticipated by the
forward-looking statements will transpire or occur, or if any of them do
occur, what impact they will have on the results of operations,
financial condition or cash flows of Aetna. You are cautioned not to
place undue reliance on Aetna's forward-looking statements. These
forward-looking statements are and will be based on management's
then-current views and assumptions regarding future events and operating
performance, and are applicable only as of the dates of such statements.
Aetna does not assume any duty to update or revise forward-looking
statements, whether as a result of new information, future events or
otherwise, as of any future date.
|
Supplementary Information
|
Statements of Income Before Income Taxes Attributable to Aetna by
Segment (Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health
|
|
|
|
Group
|
|
|
|
Large Case
|
|
|
|
Corporate
|
|
|
|
|
(Millions)
|
|
|
|
Care
|
|
|
|
Insurance
|
|
|
|
Pensions
|
|
|
|
Financing
|
|
|
|
Total
|
Three Months Ended December 31, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care premiums
|
|
|
|
$
|
12,870
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
12,870
|
|
Other premiums
|
|
|
|
-
|
|
|
|
|
197
|
|
|
|
|
17
|
|
|
|
|
-
|
|
|
|
|
214
|
|
Fees and other revenue
|
|
|
|
1,427
|
|
|
|
|
97
|
|
|
|
|
2
|
|
|
|
|
-
|
|
|
|
|
1,526
|
|
Net investment income
|
|
|
|
137
|
|
|
|
|
31
|
|
|
|
|
52
|
|
|
|
|
-
|
|
|
|
|
220
|
|
Net realized capital gains (losses)
|
|
|
|
21
|
|
|
|
|
(1
|
)
|
|
|
|
3
|
|
|
|
|
-
|
|
|
|
|
23
|
|
Total revenue
|
|
|
|
14,455
|
|
|
|
|
324
|
|
|
|
|
74
|
|
|
|
|
-
|
|
|
|
|
14,853
|
|
Benefits and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care costs
|
|
|
|
10,848
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
10,848
|
|
Current and future benefits
|
|
|
|
-
|
|
|
|
|
177
|
|
|
|
|
66
|
|
|
|
|
-
|
|
|
|
|
243
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Selling expenses
|
|
|
|
363
|
|
|
|
|
11
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
374
|
|
General and administrative expenses
|
|
|
|
2,565
|
|
|
|
|
33
|
|
|
|
|
2
|
|
|
|
|
73
|
|
|
|
|
2,673
|
|
Total operating expenses
|
|
|
|
2,928
|
|
|
|
|
44
|
|
|
|
|
2
|
|
|
|
|
73
|
|
|
|
|
3,047
|
|
Interest expense
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
93
|
|
|
|
|
93
|
|
Amortization of other acquired intangible assets
|
|
96
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
96
|
|
Total benefits and expenses
|
|
|
|
13,872
|
|
|
|
|
221
|
|
|
|
|
68
|
|
|
|
|
166
|
|
|
|
|
14,327
|
|
Income (loss) before income taxes including non-controlling interests
|
|
|
|
583
|
|
|
|
|
103
|
|
|
|
|
6
|
|
|
|
|
(166
|
)
|
|
|
|
526
|
|
Less: Loss before income taxes attributable to non-controlling
interests
|
|
|
|
(4
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(4
|
)
|
Income (loss) before income taxes attributable to Aetna
|
|
|
|
$
|
587
|
|
|
|
|
$
|
103
|
|
|
|
|
$
|
6
|
|
|
|
|
$
|
(166
|
)
|
|
|
|
$
|
530
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Three Months Ended December 31, 2016
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care premiums
|
|
|
|
$
|
13,493
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
13,493
|
|
Other premiums
|
|
|
|
-
|
|
|
|
|
539
|
|
|
|
|
7
|
|
|
|
|
-
|
|
|
|
|
546
|
|
Fees and other revenue
|
|
|
|
1,435
|
|
|
|
|
28
|
|
|
|
|
2
|
|
|
|
|
-
|
|
|
|
|
1,465
|
|
Net investment income
|
|
|
|
104
|
|
|
|
|
54
|
|
|
|
|
55
|
|
|
|
|
10
|
|
|
|
|
223
|
|
Net realized capital gains (losses)
|
|
|
|
1
|
|
|
|
|
(1
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Total revenue
|
|
|
|
15,033
|
|
|
|
|
620
|
|
|
|
|
64
|
|
|
|
|
10
|
|
|
|
|
15,727
|
|
Benefits and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care costs
|
|
|
|
11,083
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
11,083
|
|
Current and future benefits
|
|
|
|
-
|
|
|
|
|
455
|
|
|
|
|
57
|
|
|
|
|
-
|
|
|
|
|
512
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Selling expenses
|
|
|
|
395
|
|
|
|
|
38
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
433
|
|
General and administrative expenses
|
|
|
|
2,606
|
|
|
|
|
91
|
|
|
|
|
3
|
|
|
|
|
475
|
|
|
|
|
3,175
|
|
Total operating expenses
|
|
|
|
3,001
|
|
|
|
|
129
|
|
|
|
|
3
|
|
|
|
|
475
|
|
|
|
|
3,608
|
|
Interest expense
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
189
|
|
|
|
|
189
|
|
Amortization of other acquired intangible assets
|
|
60
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
60
|
|
Total benefits and expenses
|
|
|
|
14,144
|
|
|
|
|
584
|
|
|
|
|
60
|
|
|
|
|
664
|
|
|
|
|
15,452
|
|
Income (loss) before income taxes including non-controlling interests
|
|
|
|
889
|
|
|
|
|
36
|
|
|
|
|
4
|
|
|
|
|
(654
|
)
|
|
|
|
275
|
|
Less: (Loss) income before income taxes attributable to
non-controlling interests
|
|
|
|
(16
|
)
|
|
|
|
-
|
|
|
|
|
1
|
|
|
|
|
-
|
|
|
|
|
(15
|
)
|
Income (loss) before income taxes attributable to Aetna
|
|
|
|
$
|
905
|
|
|
|
|
$
|
36
|
|
|
|
|
$
|
3
|
|
|
|
|
$
|
(654
|
)
|
|
|
|
$
|
290
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Statements of Income Before Income Taxes Attributable to Aetna by
Segment (Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health
|
|
|
|
Group
|
|
|
|
Large Case
|
|
|
|
Corporate
|
|
|
|
|
(Millions)
|
|
|
|
Care
|
|
|
|
Insurance
|
|
|
|
Pensions
|
|
|
|
Financing
|
|
|
|
Total
|
Year Ended December 31, 2017
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care premiums
|
|
|
|
$
|
52,022
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
52,022
|
|
Other premiums
|
|
|
|
-
|
|
|
|
|
1,819
|
|
|
|
|
53
|
|
|
|
|
-
|
|
|
|
|
1,872
|
|
Fees and other revenue
|
|
|
|
5,749
|
|
|
|
|
173
|
|
|
|
|
8
|
|
|
|
|
-
|
|
|
|
|
5,930
|
|
Net investment income
|
|
|
|
476
|
|
|
|
|
210
|
|
|
|
|
253
|
|
|
|
|
11
|
|
|
|
|
950
|
|
Net realized capital gains (losses)
|
|
|
|
55
|
|
|
|
|
35
|
|
|
|
|
7
|
|
|
|
|
(336
|
)
|
|
|
|
(239
|
)
|
Total revenue
|
|
|
|
58,302
|
|
|
|
|
2,237
|
|
|
|
|
321
|
|
|
|
|
(325
|
)
|
|
|
|
60,535
|
|
Benefits and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care costs
|
|
|
|
42,753
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
42,753
|
|
Current and future benefits
|
|
|
|
-
|
|
|
|
|
1,588
|
|
|
|
|
287
|
|
|
|
|
-
|
|
|
|
|
1,875
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Selling expenses
|
|
|
|
1,479
|
|
|
|
|
119
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
1,598
|
|
General and administrative expenses
|
|
|
|
9,050
|
|
|
|
|
282
|
|
|
|
|
11
|
|
|
|
|
1,123
|
|
|
|
|
10,466
|
|
Total operating expenses
|
|
|
|
10,529
|
|
|
|
|
401
|
|
|
|
|
11
|
|
|
|
|
1,123
|
|
|
|
|
12,064
|
|
Interest expense
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
442
|
|
|
|
|
442
|
|
Amortization of other acquired intangible assets
|
|
|
|
272
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
272
|
|
Loss on early extinguishment of long-term debt
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
246
|
|
|
|
|
246
|
|
Reduction of reserve for anticipated future losses on discontinued
products
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(109
|
)
|
|
|
|
-
|
|
|
|
|
(109
|
)
|
Total benefits and expenses
|
|
|
|
53,554
|
|
|
|
|
1,989
|
|
|
|
|
189
|
|
|
|
|
1,811
|
|
|
|
|
57,543
|
|
Income (loss) before income taxes including non-controlling interests
|
|
|
|
4,748
|
|
|
|
|
248
|
|
|
|
|
132
|
|
|
|
|
(2,136
|
)
|
|
|
|
2,992
|
|
Less: (Loss) income before income taxes attributable to
non-controlling interests
|
|
|
|
(11
|
)
|
|
|
|
-
|
|
|
|
|
1
|
|
|
|
|
-
|
|
|
|
|
(10
|
)
|
Income (loss) before income taxes attributable to Aetna
|
|
|
|
$
|
4,759
|
|
|
|
|
$
|
248
|
|
|
|
|
$
|
131
|
|
|
|
|
$
|
(2,136
|
)
|
|
|
|
$
|
3,002
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Year Ended December 31, 2016
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Revenue:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care premiums
|
|
|
|
$
|
54,116
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
-
|
|
|
|
|
$
|
54,116
|
|
Other premiums
|
|
|
|
-
|
|
|
|
|
2,143
|
|
|
|
|
39
|
|
|
|
|
-
|
|
|
|
|
2,182
|
|
Fees and other revenue
|
|
|
|
5,744
|
|
|
|
|
108
|
|
|
|
|
9
|
|
|
|
|
-
|
|
|
|
|
5,861
|
|
Net investment income
|
|
|
|
435
|
|
|
|
|
226
|
|
|
|
|
226
|
|
|
|
|
23
|
|
|
|
|
910
|
|
Net realized capital gains
|
|
|
|
52
|
|
|
|
|
24
|
|
|
|
|
10
|
|
|
|
|
-
|
|
|
|
|
86
|
|
Total revenue
|
|
|
|
60,347
|
|
|
|
|
2,501
|
|
|
|
|
284
|
|
|
|
|
23
|
|
|
|
|
63,155
|
|
Benefits and expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Health care costs
|
|
|
|
44,255
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
44,255
|
|
Current and future benefits
|
|
|
|
-
|
|
|
|
|
1,850
|
|
|
|
|
251
|
|
|
|
|
-
|
|
|
|
|
2,101
|
|
Operating expenses:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Selling expenses
|
|
|
|
1,545
|
|
|
|
|
133
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
1,678
|
|
General and administrative expenses
|
|
|
|
9,442
|
|
|
|
|
353
|
|
|
|
|
13
|
|
|
|
|
599
|
|
|
|
|
10,407
|
|
Total operating expenses
|
|
|
|
10,987
|
|
|
|
|
486
|
|
|
|
|
13
|
|
|
|
|
599
|
|
|
|
|
12,085
|
|
Interest expense
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
604
|
|
|
|
|
604
|
|
Amortization of other acquired intangible assets
|
|
|
|
247
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
247
|
|
Reduction of reserve for anticipated future losses on discontinued
products
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(128
|
)
|
|
|
|
-
|
|
|
|
|
(128
|
)
|
Total benefits and expenses
|
|
|
|
55,489
|
|
|
|
|
2,336
|
|
|
|
|
136
|
|
|
|
|
1,203
|
|
|
|
|
59,164
|
|
Income (loss) before income taxes including non-controlling interests
|
|
|
|
4,858
|
|
|
|
|
165
|
|
|
|
|
148
|
|
|
|
|
(1,180
|
)
|
|
|
|
3,991
|
|
Less: Loss before income taxes attributable to non-controlling
interests
|
|
|
|
(20
|
)
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
(20
|
)
|
Income (loss) before income taxes attributable to Aetna
|
|
|
|
$
|
4,878
|
|
|
|
|
$
|
165
|
|
|
|
|
$
|
148
|
|
|
|
|
$
|
(1,180
|
)
|
|
|
|
$
|
4,011
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Membership
|
|
|
|
|
December 31, 2017
|
|
|
|
September 30, 2017
|
|
|
|
December 31, 2016
|
(Thousands)
|
|
|
|
Insured
|
|
|
|
ASC
|
|
|
|
Total
|
|
|
|
Insured
|
|
|
|
ASC
|
|
|
|
Total
|
|
|
|
Insured
|
|
|
|
ASC
|
|
|
|
Total
|
Medical Membership:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Commercial
|
|
|
|
4,504
|
|
|
|
|
13,596
|
|
|
|
|
18,100
|
|
|
|
|
4,584
|
|
|
|
|
13,470
|
|
|
|
|
18,054
|
|
|
|
|
5,457
|
|
|
|
|
13,132
|
|
|
|
|
18,589
|
Medicare Advantage
|
|
|
|
1,473
|
|
|
|
|
-
|
|
|
|
|
1,473
|
|
|
|
|
1,467
|
|
|
|
|
-
|
|
|
|
|
1,467
|
|
|
|
|
1,362
|
|
|
|
|
-
|
|
|
|
|
1,362
|
Medicare Supplement
|
|
|
|
740
|
|
|
|
|
-
|
|
|
|
|
740
|
|
|
|
|
733
|
|
|
|
|
-
|
|
|
|
|
733
|
|
|
|
|
685
|
|
|
|
|
-
|
|
|
|
|
685
|
Medicaid
|
|
|
|
1,316
|
|
|
|
|
608
|
|
|
|
|
1,924
|
|
|
|
|
1,311
|
|
|
|
|
600
|
|
|
|
|
1,911
|
|
|
|
|
1,668
|
|
|
|
|
806
|
|
|
|
|
2,474
|
Total Medical Membership
|
|
|
|
8,033
|
|
|
|
|
14,204
|
|
|
|
|
22,237
|
|
|
|
|
8,095
|
|
|
|
|
14,070
|
|
|
|
|
22,165
|
|
|
|
|
9,172
|
|
|
|
|
13,938
|
|
|
|
|
23,110
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Dental Membership:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Total Dental Membership
|
|
|
|
5,421
|
|
|
|
|
8,006
|
|
|
|
|
13,427
|
|
|
|
|
5,538
|
|
|
|
|
7,930
|
|
|
|
|
13,468
|
|
|
|
|
6,086
|
|
|
|
|
8,386
|
|
|
|
|
14,472
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Pharmacy Benefit Management Services Membership:
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Commercial
|
|
|
|
|
|
|
|
|
|
|
|
8,034
|
|
|
|
|
|
|
|
|
|
|
|
|
7,994
|
|
|
|
|
|
|
|
|
|
|
|
|
9,400
|
Medicare Prescription Drug Plan (stand-alone)
|
|
|
|
|
|
|
|
|
|
|
|
2,077
|
|
|
|
|
|
|
|
|
|
|
|
|
2,074
|
|
|
|
|
|
|
|
|
|
|
|
|
2,067
|
Medicare Advantage Prescription Drug Plan
|
|
|
|
|
|
|
|
|
|
|
|
1,129
|
|
|
|
|
|
|
|
|
|
|
|
|
1,124
|
|
|
|
|
|
|
|
|
|
|
|
|
953
|
Medicaid
|
|
|
|
|
|
|
|
|
|
|
|
2,525
|
|
|
|
|
|
|
|
|
|
|
|
|
2,493
|
|
|
|
|
|
|
|
|
|
|
|
|
2,783
|
Total Pharmacy Benefit Management Services Membership
|
|
|
|
|
|
|
|
|
|
|
|
13,765
|
|
|
|
|
|
|
|
|
|
|
|
|
13,685
|
|
|
|
|
|
|
|
|
|
|
|
|
15,203
|
Health Care Medical Benefit Ratios
|
|
|
|
|
Three Months Ended December 31,
|
|
|
|
Year Ended December 31,
|
(Millions)
|
|
|
|
2017
|
|
|
|
2016
|
|
|
|
2017
|
|
|
|
2016
|
Premiums (GAAP measure)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Commercial
|
|
|
|
$
|
6,129
|
|
|
|
|
$
|
6,949
|
|
|
|
|
$
|
24,548
|
|
|
|
|
$
|
27,916
|
|
Government
|
|
|
|
6,741
|
|
|
|
|
6,544
|
|
|
|
|
27,474
|
|
|
|
|
26,200
|
|
Health Care
|
|
|
|
$
|
12,870
|
|
|
|
|
$
|
13,493
|
|
|
|
|
$
|
52,022
|
|
|
|
|
$
|
54,116
|
|
Health Care Costs (GAAP measure)
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Commercial
|
|
|
|
$
|
5,263
|
|
|
|
|
$
|
5,768
|
|
|
|
|
$
|
19,952
|
|
|
|
|
$
|
22,896
|
|
Government
|
|
|
|
5,585
|
|
|
|
|
5,315
|
|
|
|
|
22,801
|
|
|
|
|
21,359
|
|
Health Care
|
|
|
|
$
|
10,848
|
|
|
|
|
$
|
11,083
|
|
|
|
|
$
|
42,753
|
|
|
|
|
$
|
44,255
|
|
Medical Benefit Ratios "MBRs"
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Commercial
|
|
|
|
85.9
|
%
|
|
|
|
83.0
|
%
|
|
|
|
81.3
|
%
|
|
|
|
82.0
|
%
|
Government
|
|
|
|
82.9
|
%
|
|
|
|
81.2
|
%
|
|
|
|
83.0
|
%
|
|
|
|
81.5
|
%
|
Health Care
|
|
|
|
84.3
|
%
|
|
|
|
82.1
|
%
|
|
|
|
82.2
|
%
|
|
|
|
81.8
|
%
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
Roll Forward of Health Care Costs Payable
|
(Unaudited)
|
|
|
|
|
Year Ended December 31,
|
(Millions)
|
|
|
|
2017
|
|
|
|
2016
|
Health care costs payable, beginning of period
|
|
|
|
$
|
6,558
|
|
|
|
|
$
|
6,306
|
|
Less: reinsurance recoverables
|
|
|
|
5
|
|
|
|
|
4
|
|
Health care costs payable, beginning of period, net
|
|
|
|
6,553
|
|
|
|
|
6,302
|
|
Add: Components of incurred health care costs:
|
|
|
|
|
|
|
|
|
Current year
|
|
|
|
43,551
|
|
|
|
|
45,019
|
|
Prior years(a)
|
|
|
|
(814
|
)
|
|
|
|
(764
|
)
|
Total incurred health care costs (b)
|
|
|
|
42,737
|
|
|
|
|
44,255
|
|
|
|
|
|
|
|
|
|
|
Less: Claims paid
|
|
|
|
|
|
|
|
|
Current year
|
|
|
|
37,974
|
|
|
|
|
38,700
|
|
Prior years
|
|
|
|
5,523
|
|
|
|
|
5,304
|
|
Total claims paid
|
|
|
|
43,497
|
|
|
|
|
44,004
|
|
|
|
|
|
|
|
|
|
|
Health care costs payable, end of period, net
|
|
|
|
5,793
|
|
|
|
|
6,553
|
|
Add: premium deficiency reserve
|
|
|
|
16
|
|
|
|
|
-
|
|
Add: reinsurance recoverables
|
|
|
|
6
|
|
|
|
|
5
|
|
Health care costs payable, end of period
|
|
|
|
$
|
5,815
|
|
|
|
|
$
|
6,558
|
|
(a) Negative amounts reported for incurred health care costs
related to prior years result from claims being settled for amounts less
than originally estimated. (b) Total incurred health
care costs exclude from the table above $16 million related to the
premium deficiency reserve recorded during the year ended December 31,
2017 for the 2018 coverage year related to Aetna's Medicaid products.
|
Days Claims Payable (Unaudited)
|
|
|
|
|
December 31, 2017
|
|
|
|
September 30, 2017
|
|
|
|
June 30, 2017
|
|
|
|
March 31, 2017
|
|
|
|
December 31, 2016
|
Days Claims Payable
|
|
|
|
49
|
|
|
|
54
|
|
|
|
54
|
|
|
|
53
|
|
|
|
54
|
|
Health Care Reform's Reinsurance, Risk Adjustment and Risk
Corridor (the "3Rs")(a) Net Receivable (Payable)
|
|
|
|
|
December 31, 2017
|
|
|
|
December 31, 2016
|
|
|
|
|
(Unaudited)
|
|
|
|
|
|
|
|
|
|
|
|
|
(Millions)
|
|
|
|
Reinsurance
|
|
|
|
Risk Adjustment
|
|
|
|
Risk Corridor(b)
|
|
|
|
Reinsurance
|
|
|
|
Risk Adjustment
|
|
|
|
Risk Corridor
|
Current
|
|
|
|
$
|
37
|
|
|
|
|
$
|
(41
|
)
|
|
|
|
$
|
-
|
|
|
|
|
$
|
202
|
|
|
|
|
$
|
(690
|
)
|
|
|
|
$
|
(10
|
)
|
Long-term
|
|
|
|
-
|
|
|
|
|
2
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
|
|
|
-
|
|
Total net receivable (payable)
|
|
|
|
$
|
37
|
|
|
|
|
$
|
(39
|
)
|
|
|
|
$
|
-
|
|
|
|
|
$
|
202
|
|
|
|
|
$
|
(690
|
)
|
|
|
|
$
|
(10
|
)
|
(a) Aetna participates in certain public health insurance
exchanges established pursuant to the Patient Protection and Affordable
Care Act and the Health Care and Education Reconciliation Act of 2010
(as amended, collectively, "Health Care Reform" or the "ACA"). Under
regulations established by the U.S. Department of Health and Human
Services ("HHS"), HHS pays Aetna a portion of the premium and through
September 30, 2017, paid a portion of the health care costs for
low-income individual Public Exchange members. In addition, HHS
administers the 3Rs risk management programs. The ACA's temporary
Reinsurance and Risk Corridor programs expired at the end of 2016. (b)
Aetna estimates that as of December 31, 2017, it is entitled to
receive a total of $314 million from HHS under the three-year ACA risk
corridor program for the 2014 through 2016 program years. At
December 31, 2017, Aetna did not record any ACA risk corridor
receivables related to the 2016 or 2015 program years or any amount in
excess of HHS's announced prorated funding amount for the 2014 program
year, because payments from HHS are uncertain.
View source version on businesswire.com: http://www.businesswire.com/news/home/20180130005642/en/
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