| Schedule of Operating Segment Information |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Three Months Ended September 30, 2025 | | Medicaid | | Medicare | | Marketplace | | Other | | Total | | | | | | | | | | | | (In millions) | | Revenue: | | | | | | | | | | | Premium revenue | $ | 8,015 | | | $ | 1,610 | | | $ | 1,197 | | | $ | 19 | | | $ | 10,841 | | | Service revenue | — | | | — | | | — | | | 21 | | | 21 | | | Revenue from external customers | 8,015 | | | 1,610 | | | 1,197 | | | 40 | | | 10,862 | | Other operating revenues (1) | | | | | | | | | 615 | | | Total revenue | | | | | | | | | 11,477 | | | Operating Expenses: | | | | | | | | | | | Medical care costs | 7,376 | | | 1,507 | | | 1,144 | | | 17 | | | 10,044 | | | Cost of service revenue | — | | | — | | | — | | | 20 | | | 20 | | | Segment expenses | 7,376 | | | 1,507 | | | 1,144 | | | 37 | | | 10,064 | | Other operating expenses (2) | | | | | | | | | 1,276 | | | Operating income | | | | | | | | | 137 | | | Less: interest expense | | | | | | | | | 49 | | | Income before income tax expense | | | | | | | | | $ | 88 | | | Segment Margin: | | | | | | | | | | | Medical margin | $ | 639 | | | $ | 103 | | | $ | 53 | | | $ | 2 | | | $ | 797 | | | Service margin | — | | | — | | | — | | | 1 | | | 1 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Three Months Ended September 30, 2024 | | Medicaid | | Medicare | | Marketplace | | Other | | Total | | | | | | | | | | | | (In millions) | | Revenue: | | | | | | | | | | | Premium revenue | $ | 7,668 | | | $ | 1,367 | | | $ | 659 | | | $ | — | | | $ | 9,694 | | | Service revenue | — | | | — | | | — | | | 20 | | | 20 | | | Revenue from external customers | 7,668 | | | 1,367 | | | 659 | | | 20 | | | 9,714 | | Other operating revenues (1) | | | | | | | | | 626 | | | Total revenue | | | | | | | | | 10,340 | | | Operating Expenses: | | | | | | | | | | | Medical care costs | 6,938 | | | 1,225 | | | 480 | | | — | | | 8,643 | | | Cost of service revenue | — | | | — | | | — | | | 19 | | | 19 | | | Segment expenses | 6,938 | | | 1,225 | | | 480 | | | 19 | | | 8,662 | | Other operating expenses (2) | | | | | | | | | 1,211 | | | Operating income | | | | | | | | | 467 | | | Less: interest expense | | | | | | | | | 29 | | | Income before income tax expense | | | | | | | | | $ | 438 | | | Segment Margin: | | | | | | | | | | | Medical margin | $ | 730 | | | $ | 142 | | | $ | 179 | | | $ | — | | | $ | 1,051 | | | Service margin | — | | | — | | | — | | | 1 | | | 1 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Nine Months Ended September 30, 2025 | | Medicaid | | Medicare | | Marketplace | | Other | | Total | | | | | | | | | | | | (In millions) | | Revenue: | | | | | | | | | | | Premium revenue | $ | 24,174 | | | $ | 4,686 | | | $ | 3,401 | | | $ | 76 | | | $ | 32,337 | | | Service revenue | — | | | — | | | — | | | 65 | | | 65 | | | Revenue from external customers | 24,174 | | | 4,686 | | | 3,401 | | | 141 | | | 32,402 | | Other operating revenues (1) | | | | | | | | | 1,649 | | | Total revenue | | | | | | | | | 34,051 | | | Operating Expenses: | | | | | | | | | | | Medical care costs | 22,047 | | | 4,250 | | | 2,990 | | | 65 | | | 29,352 | | | Cost of service revenue | — | | | — | | | — | | | 58 | | | 58 | | | Segment expenses | 22,047 | | | 4,250 | | | 2,990 | | | 123 | | | 29,410 | | Other operating expenses (2) | | | | | | | | | 3,698 | | | Operating income | | | | | | | | | 943 | | | Less: interest expense | | | | | | | | | 140 | | | Income before income tax expense | | | | | | | | | $ | 803 | | | Segment Margin: | | | | | | | | | | | Medical margin | $ | 2,127 | | | $ | 436 | | | $ | 411 | | | $ | 11 | | | $ | 2,985 | | | Service margin | — | | | — | | | — | | | 7 | | | 7 | |
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Nine Months Ended September 30, 2024 | | Medicaid | | Medicare | | Marketplace | | Other | | Total | | | | | | | | | | | | (In millions) | | Revenue: | | | | | | | | | | | Premium revenue | $ | 22,538 | | | $ | 4,250 | | | $ | 1,856 | | | $ | — | | | $ | 28,644 | | | Service revenue | — | | | — | | | — | | | 60 | | | 60 | | | Revenue from external customers | 22,538 | | | 4,250 | | | 1,856 | | | 60 | | | 28,704 | | Other operating revenues (1) | | | | | | | | | 1,447 | | | Total revenue | | | | | | | | | 30,151 | | | Operating Expenses: | | | | | | | | | | | Medical care costs | 20,350 | | | 3,728 | | | 1,347 | | | — | | | 25,425 | | | Cost of service revenue | — | | | — | | | — | | | 55 | | | 55 | | | Segment expenses | 20,350 | | | 3,728 | | | 1,347 | | | 55 | | | 25,480 | | Other operating expenses (2) | | | | | | | | | 3,344 | | | Operating income | | | | | | | | | 1,327 | | | Less: interest expense | | | | | | | | | 84 | | | Income before income tax expense | | | | | | | | | $ | 1,243 | | | Segment Margin: | | | | | | | | | | | Medical margin | $ | 2,188 | | | $ | 522 | | | $ | 509 | | | $ | — | | | $ | 3,219 | | | Service margin | — | | | — | | | — | | | 5 | | | 5 | |
______________________ (1)Other operating revenues include premium tax revenue, investment income, and certain other revenue. (2)Other operating expenses include general and administrative expenses, premium tax expenses, depreciation and amortization, and certain other operating expenses.
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