Investments |
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| Investments [Abstract] | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Investments | Investments Fixed Maturity Securities A summary of current and long-term fixed maturity securities, available-for-sale, at June 30, 2026 and December 31, 2025 is as follows:
Other asset-backed securities primarily consist of collateralized loan obligations and other debt securities. For fixed maturity securities in an unrealized loss position at June 30, 2026 and December 31, 2025, the following table summarizes the aggregate fair values and gross unrealized losses by length of time those securities have continuously been in an unrealized loss position:
Unrealized losses on our securities shown in the table above have not been recognized into income because, as of June 30, 2026, we do not intend to sell these investments and it is likely that we will not be required to sell these investments prior to their anticipated recovery. The declines in fair values are largely due to elevated interest rates driven by the higher rate of inflation and other market conditions. Allowances for credit losses have been recorded in the amount of $55 and $21 at June 30, 2026 and December 31, 2025, respectively, for declines in fair value due to unfavorable changes in the credit quality characteristics that impact our assessment of collectability of principal and interest. The amortized cost and fair value of fixed maturity securities at June 30, 2026, by contractual maturity, are shown below. Expected maturities may differ from contractual maturities because the issuers of the securities may have the right to prepay obligations.
Equity Securities A summary of current equity securities at June 30, 2026 and December 31, 2025 is as follows:
Other Invested Assets A summary of other invested assets at June 30, 2026 and December 31, 2025 is as follows:
At June 30, 2026, “Other invested assets” included non-controlled equity method investments and joint ventures, including our minority interest ownership of approximately 40% of Augusta Topco Holdings, L.P. (“Mosaic Health”) and our 40% minority interest ownership of Project Freedom Holdings, LLC, which is the ultimate parent of LIBERTY Dental Plan Corporation (“Liberty Dental”). See Note 5, “Investments” to our audited consolidated financial statements as of and for the year ended December 31, 2025 included in Part II, Item 8 of our 2025 Annual Report on Form 10-K. In connection with our equity method investment in Mosaic Health, we entered into a financing agreement to provide a term loan of $200 and a line of credit up to $500 to Mosaic Health. Mosaic Health borrowed $100 on the line of credit in December 2025, which remained outstanding at June 30, 2026. Net amounts receivable under these arrangements were $282 at both June 30, 2026 and December 31, 2025, which are included under the caption “Other invested assets” in our consolidated balance sheets as of June 30, 2026 and December 31, 2025. Interest income recognized from the financing arrangement during the three and six months ended June 30, 2026 and 2025 was not material. In addition to the term loan and line of credit, we committed to providing $70 of additional funding with no additional equity interest in Mosaic Health to meet any shortfall in operating cash flow and regulatory capital requirements of certain businesses that were contributed by us to Mosaic Health through December 31, 2026. Additional funding of $34 was provided during the six months ended June 30, 2026. No additional funding was provided as of December 31, 2025. We also committed to fund any shortfalls above $70 in those businesses if necessary for which we would receive additional equity interests in Mosaic Health, in which none has been contributed. Related party transactions with Mosaic Health included care delivery and enablement services provided in the normal course of business which amounts were included in “Benefit expense” in our consolidated statements of income amounting to $193 and $386 for the three and six months ended June 30, 2026, respectively, and $171 and $346, respectively, for the three and six months ended June 30, 2025. In connection with our equity method investment in Liberty Dental, in December 2024 we entered into a commitment to provide funding in the form of mandatorily redeemable preferred equity shares in Liberty Dental of up to $250, of which $165 was disbursed as of both June 30, 2026 and December 31, 2025. Mandatorily redeemable preferred equity in Liberty Dental of $162 and $137 is included in the caption “Other invested assets” in our consolidated balance sheets at June 30, 2026 and December 31, 2025, respectively. Dividend income recognized from the financing arrangement during the three and six months ended June 30, 2026 and 2025 was not material. During the three and six months ended June 30, 2026, in the normal course of business, related party transactions with Liberty Dental included administrative services to our Medicare Advantage members under a capitated arrangement amounting to $123 and $256, respectively, and $146 and $292, respectively, for the three and six months ended June 30, 2025 which amounts were included in “Benefit expense” in our consolidated statements of income. Investment Gains (Losses) Net investment gains (losses) for the three and six months ended June 30, 2026 and 2025 are as follows:
A primary objective in the management of our fixed maturity and equity portfolios is to maximize total return relative to underlying liabilities and respective liquidity needs. In achieving this goal, assets may be sold to take advantage of market conditions or other investment opportunities as well as tax considerations. Sales will generally produce realized gains and losses. In the ordinary course of business, we may sell securities at a loss for a number of reasons, including, but not limited to: (i) changes in the investment environment; (ii) expectations that the fair value could deteriorate further; (iii) desire to reduce exposure to an issuer or an industry; (iv) changes in credit quality; or (v) changes in expected cash flow. During the three and six months ended June 30, 2026, we received total proceeds from sales, maturities, calls or redemptions of fixed maturity securities of $2,854 and $5,796, respectively. During the three and six months ended June 30, 2025, we received total proceeds from sales, maturities, calls or redemptions of fixed maturity securities of $2,682 and $6,021, respectively. Accrued Investment Income At June 30, 2026 and December 31, 2025, accrued investment income totaled $322 and $295, respectively. We recognize accrued investment income under the caption “Other receivables” on our consolidated balance sheets. Securities Lending Programs The fair value of the cash and securities received as collateral for securities loaned at June 30, 2026 and December 31, 2025 was $2,833 and $2,691, respectively. The collateral received was 102% of the market value of the loaned securities at each of June 30, 2026 and December 31, 2025. We recognize the collateral as an asset under the caption “Other current assets” in our consolidated balance sheets, and we recognize a corresponding liability for the obligation to return the collateral to the borrower under the caption “Other current liabilities.” The securities on loan are reported in the applicable investment category on our consolidated balance sheets. At June 30, 2026 and December 31, 2025, the remaining contractual maturities of our securities lending transactions included overnight and continuous transactions of cash for $2,171 and $2,136, respectively, United States Government securities for $658 and $552, respectively, and residential mortgage-backed securities for $4 and $3, respectively.
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