Annual report pursuant to Section 13 and 15(d)

Medical Claims Liability (Tables)

v3.19.3.a.u2
Medical Claims Liability (Tables)
12 Months Ended
Dec. 31, 2019
Insurance [Abstract]  
Schedule Of Change In Medical Claims Liability by Operating Segment
The following table summarizes the change in medical claims liability ($ in millions):
 
 
Year Ended December 31,
 
 
2019
 
2018
 
2017
Balance, January 1
 
$
6,831

 
$
4,286

 
$
3,929

Less: reinsurance recoverable
 
27

 
18

 
5

Balance, January 1, net
 
6,804

 
4,268

 
3,924

Acquisitions and purchase accounting adjustments
 
59

 
1,204

 

Less: acquired reinsurance recoverable
 

 
8

 

Incurred related to:
 
 
 
 
 
 
          Current year
 
59,539

 
46,484

 
38,225

          Prior years
 
(677
)
 
(427
)
 
(374
)
         Total incurred
 
58,862

 
46,057

 
37,851

Paid related to:
 
 
 
 
 
 
          Current year
 
52,453

 
41,161

 
34,196

          Prior years
 
5,819

 
3,556

 
3,311

         Total paid
 
58,272

 
44,717

 
37,507

Balance at December 31, net
 
7,453

 
6,804

 
4,268

Plus: reinsurance recoverable
 
20

 
27

 
18

Balance, December 31
 
$
7,473

 
$
6,831

 
$
4,286


Short-duration Insurance Contracts, Claims Development Information is summarized as follows (in millions):
 
December 31, 2019
 
Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
 
Total IBNR Plus Expected Development on Reported Claims
 
Cumulative Paid Claims
 
 
 
 
 
 
 
 
 
2017
$
46,950

 
$

 
260.2

2018
50,944

 
88

 
281.7

2019
59,627

 
5,347

 
290.2


Incurred and paid claims development as of December 31, 2019 is as follows ($ in millions):
Cumulative Incurred Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Years Ended December 31,
Claim Year
 
2017 (unaudited)
 
2018 (unaudited)
 
2019
 
 
 
 
 
 
 
2017
 
$
47,574

 
$
46,994

 
$
46,950

2018
 
 
 
51,572

 
50,944

2019
 
 
 
 
 
59,627

 
 
Total incurred claims
 
 
$
157,521

 
 
 
 
 
 
 
Cumulative Paid Claims and Allocated Claim Adjustment Expenses, Net of Reinsurance
For the Years Ended December 31,
Claim Year
 
2017 (unaudited)
 
2018 (unaudited)
 
2019
 
 
 
 
 
 
 
2017
 
$
42,205

 
$
46,767

 
$
46,904

2018
 
 
 
45,039

 
50,682

2019
 
 
 
 
 
52,482

 
 
Total payment of incurred claims
 
 
$
150,068

 
 
Medical claims liability, net of reinsurance
 
 
$
7,453