UNITED STATES

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 

FORM 10-Q

 

 

xQUARTERLY REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the quarterly period ended March 31,June 30, 2013

OR

 

¨TRANSITION REPORT PURSUANT TO SECTION 13 OR 15 (d) OF THE SECURITIES EXCHANGE ACT OF 1934

For the transition period from                         to                         

Commission file number 1-5975

 

HUMANA INC.

(Exact name of registrant as specified in its charter)

 

 

Delaware 61-0647538

(State or other jurisdiction of

incorporation or organization)

 

(I.R.S. Employer

Identification Number)

500 West Main Street

Louisville, Kentucky 40202

(Address of principal executive offices, including zip code)

(502) 580-1000

(Registrant’s telephone number, including area code)

 

Indicate by check mark whether the registrant (1) has filed all reports required to be filed by Section 13 or 15(d) of the Securities Exchange Act of 1934 during the preceding 12 months (or for such shorter period that the registrant was required to file such reports), and (2) has been subject to such filing requirements for the past 90 days.

Yes  x    No  ¨

Indicate by check mark whether the registrant has submitted electronically and posted on its corporate Web site, if any, every Interactive Data File required to be submitted and posted pursuant to Rule 405 of Regulation S-T during the preceding 12 months (or for such shorter period that the registrant was required to submit and post such files).

Yes  x    No  ¨

Indicate by checkmark whether the registrant is a large accelerated filer, an accelerated filer, a non-accelerated filer, or a smaller reporting company. See the definitions of “large accelerated filer,” “accelerated filer” and “smaller reporting company” in Rule 12b-2 of the Exchange Act. (Check one):

 

Large accelerated filer x  Accelerated filer ¨
Non-accelerated filer ¨  Smaller reporting company ¨

Indicate by check mark whether the registrant is a shell company (as defined in Rule 12b-2 of the Act).    Yes  ¨    No  x

Indicate the number of shares outstanding of each of the issuer’s classes of common stock as of the latest practicable date.

 

Class of Common Stock

$0.16 2/3 par value

  

Outstanding at

March 31,June 30, 2013

157,501,751156,463,120 shares

 

 

 


Humana Inc.

FORM 10-Q

MARCH 31,JUNE 30, 2013

INDEX

 

      Page 
Part I: Financial Information

Item 1.

  

Financial Statements

  

Condensed Consolidated Balance Sheets at March 31,June 30, 2013 and December 31, 2012

   3  
  

Condensed Consolidated Statements of Income for the three and six months ended March 31,June 30, 2013 and 2012

   4  
  

Condensed Consolidated Statements of Comprehensive Income for the three and six months ended March  31,June 30, 2013 and 2012

   5  
  

Condensed Consolidated Statements of Cash Flows for the threesix months ended March 31,June 30, 2013 and 2012

   6  
  

Notes to Condensed Consolidated Financial Statements

   7  

Item 2.

  

Management’s Discussion and Analysis of Financial Condition and Results of Operations

   2427  

Item 3.

  

Quantitative and Qualitative Disclosures about Market Risk

   4349  

Item 4.

  

Controls and Procedures

   4449  
Part II: Other Information

Item 1.

  

Legal Proceedings

   4550  

Item 1A.

  

Risk Factors

   4550  

Item 2.

  

Unregistered Sales of Equity Securities and Use of Proceeds

   4550  

Item 3.

  

Defaults Upon Senior Securities

   4550  

Item 4.

  

Mine Safety Disclosures

   4550  

Item 5.

  

Other Information

   4550  

Item 6.

  

Exhibits

   4651  
  

Signatures

   4752  
  

Certifications

  


Humana Inc.

CONDENSED CONSOLIDATED BALANCE SHEETS

(Unaudited)

 

  March 31,
2013
 December 31,
2012
   June 30,
2013
 December 31,
2012
 
  (in millions, except share amounts)   (in millions, except share amounts) 
ASSETS      

Current assets:

      

Cash and cash equivalents

  $1,398   $1,306    $1,519   $1,306  

Investment securities

   8,141    8,001     7,556    8,001  

Receivables, less allowance for doubtful accounts of $105 in 2013 and $94 in 2012

   1,321    733  

Receivables, less allowance for doubtful accounts of $109 in 2013 and $94 in 2012

   1,593    733  

Other current assets

   1,818    1,670     1,960    1,670  
  

 

  

 

   

 

  

 

 

Total current assets

   12,678    11,710     12,628    11,710  
  

 

  

 

   

 

  

 

 

Property and equipment, net

   1,119    1,098     1,133    1,098  

Long-term investment securities

   1,824    1,846     1,770    1,846  

Goodwill

   3,641    3,640     3,638    3,640  

Other long-term assets

   1,712    1,685     1,679    1,685  
  

 

  

 

   

 

  

 

 

Total assets

  $20,974   $19,979    $20,848   $19,979  
  

 

  

 

   

 

  

 

 
LIABILITIESAND STOCKHOLDERS’ EQUITY      

Current liabilities:

      

Benefits payable

  $4,090   $3,779    $4,157   $3,779  

Trade accounts payable and accrued expenses

   2,321    2,042     2,174    2,042  

Book overdraft

   290    324     246    324  

Unearned revenues

   243    230     193    230  
  

 

  

 

   

 

  

 

 

Total current liabilities

   6,944    6,375     6,770    6,375  

Long-term debt

   2,608    2,611     2,606    2,611  

Future policy benefits payable

   1,924    1,858     1,810    1,858  

Other long-term liabilities

   334    288     327    288  
  

 

  

 

   

 

  

 

 

Total liabilities

   11,810    11,132     11,513    11,132  
  

 

  

 

   

 

  

 

 

Commitments and contingencies

      

Stockholders’ equity:

      

Preferred stock, $1 par; 10,000,000 shares authorized; none issued

   0    0     0    0  

Common stock, $0.16 2/3 par; 300,000,000 shares authorized; 195,022,433 shares issued at March 31, 2013 and 194,470,820 shares issued at December 31, 2012

   32    32  

Common stock, $0.16 2/3 par; 300,000,000 shares authorized; 195,678,752 shares issued at June 30, 2013 and 194,470,820 shares issued at December 31, 2012

   32    32  

Capital in excess of par value

   2,140    2,101     2,190    2,101  

Retained earnings

   8,311    7,881     8,688    7,881  

Accumulated other comprehensive income

   328    386     209    386  

Treasury stock, at cost, 37,520,682 shares at March 31, 2013 and 36,138,955 shares at December 31, 2012

   (1,647  (1,553

Treasury stock, at cost, 39,215,632 shares at June 30, 2013 and 36,138,955 shares at December 31, 2012

   (1,784  (1,553
  

 

  

 

   

 

  

 

 

Total stockholders’ equity

   9,164    8,847     9,335    8,847  
  

 

  

 

   

 

  

 

 

Total liabilities and stockholders’ equity

  $20,974   $19,979    $20,848   $19,979  
  

 

  

 

   

 

  

 

 

See accompanying notes to condensed consolidated financial statements.

Humana Inc.

CONDENSED CONSOLIDATED STATEMENTS OF INCOME

(Unaudited)

 

  Three months ended
March 31,
   Three months ended
June 30,
   Six months ended
June 30,
 
  2013   2012   2013   2012   2013   2012 
  (in millions, except per share results)   (in millions, except per share results) 

Revenues:

            

Premiums

  $9,868    $9,775    $9,701    $9,166    $19,569    $18,941  

Services

   525     350     528     434     1,053     784  

Investment income

   93     94     92     99     185     193  
  

 

   

 

   

 

   

 

   

 

   

 

 

Total revenues

   10,486     10,219     10,321     9,699     20,807     19,918  
  

 

   

 

   

 

   

 

   

 

   

 

 

Operating expenses:

            

Benefits

   8,195     8,350     8,091     7,652     16,286     16,002  

Operating costs

   1,446     1,383     1,461     1,384     2,907     2,767  

Depreciation and amortization

   80     70     80     73     160     143  
  

 

   

 

   

 

   

 

   

 

   

 

 

Total operating expenses

   9,721     9,803     9,632     9,109     19,353     18,912  
  

 

   

 

   

 

   

 

   

 

   

 

 

Income from operations

   765     416     689     590     1,454     1,006  

Interest expense

   35     26     35     26     70     52  
  

 

   

 

   

 

   

 

   

 

   

 

 

Income before income taxes

   730     390     654     564     1,384     954  

Provision for income taxes

   257     142     234     208     491     350  
  

 

   

 

   

 

   

 

   

 

   

 

 

Net income

  $473    $248    $420    $356    $893    $604  
  

 

   

 

   

 

   

 

   

 

   

 

 

Basic earnings per common share

  $2.97    $1.51    $2.66    $2.19    $5.64    $3.70  
  

 

   

 

   

 

   

 

   

 

   

 

 

Diluted earnings per common share

  $2.95    $1.49    $2.63    $2.16    $5.58    $3.65  
  

 

   

 

   

 

   

 

   

 

   

 

 

Dividends per common share

  $0.26    $0.25  

Dividends declared per common share

  $0.27    $0.26    $0.53    $0.51  
  

 

   

 

   

 

   

 

   

 

   

 

 

See accompanying notes to condensed consolidated financial statements.

Humana Inc.

CONDENSED CONSOLIDATED STATEMENTS OF COMPREHENSIVE INCOME

(Unaudited)

 

  Three months ended
March 31,
   Three months ended
June 30,
 Six months ended
June 30,
 
  2013 2012   2013 2012 2013 2012 
  (in millions)   (in millions) 

Net income

  $473   $248    $420   $356   $893   $604  

Other comprehensive income:

   

Gross unrealized investment (loss) gain

   (87  20  

Other comprehensive (loss) income:

     

Change in gross unrealized investment gains/losses

   (183  31    (270  52  

Effect of income taxes

   (32  7     67    (11  99    (19
  

 

  

 

   

 

  

 

  

 

  

 

 

Total unrealized investment (loss) gain, net of tax

   (55  13  

Total change in unrealized investment gains/losses, net of tax

   (116  20    (171  33  
  

 

  

 

   

 

  

 

  

 

  

 

 

Reclassification adjustment for net realized

gains included in investment income

   (5  (4   (6  (10  (10  (14

Effect of income taxes

   2    1     2    4    4    5  
  

 

  

 

   

 

  

 

  

 

  

 

 

Total reclassification adjustment, net of tax

   (3  (3   (4  (6  (6  (9
  

 

  

 

   

 

  

 

  

 

  

 

 

Other comprehensive income, net of tax

   (58  10  

Other comprehensive (loss) income, net of tax

   (120  14    (177  24  
  

 

  

 

   

 

  

 

  

 

  

 

 

Comprehensive income

  $415   $258    $300   $370   $716   $628  
  

 

  

 

   

 

  

 

  

 

  

 

 

See accompanying notes to condensed consolidated financial statements.

Humana Inc.

CONDENSED CONSOLIDATED STATEMENTS OF CASH FLOWS

(Unaudited)

 

  For the three months ended
March 31,
   For the six months ended
June 30,
 
  2013 2012   2013 2012 
  (in millions)   (in millions) 

Cash flows from operating activities

      

Net income

  $473   $248    $893   $604  

Adjustments to reconcile net income to net cash provided by operating activities:

      

Net realized capital gains

   (5  (4   (10  (14

Stock-based compensation

   32    40     51    54  

Depreciation and amortization

   102    78     206    160  

(Benefit) provision for deferred income taxes

   0    (9

Benefit for deferred income taxes

   (8  (9

Changes in operating assets and liabilities, net of effect of businesses acquired:

      

Receivables

   (588  (255   (860  177  

Other assets

   (130  (138   (108  (250

Benefits payable

   311    284     378    170  

Other liabilities

   190    52     52    51  

Unearned revenues

   13    2,034     (37  2,077  

Other, net

   14    16     28    32  
  

 

  

 

   

 

  

 

 

Net cash provided by operating activities

   412    2,346     585    3,052  
  

 

  

 

   

 

  

 

 

Cash flows from investing activities

      

Acquisitions, net of cash acquired

   (5  (56   (12  (76

Proceeds from sale of business

   33    0  

Purchases of property and equipment

   (90  (86   (187  (185

Purchases of investment securities

   (783  (714   (1,385  (1,364

Maturities of investment securities

   294    424     549    757  

Proceeds from sales of investment securities

   192    242     854    529  
  

 

  

 

   

 

  

 

 

Net cash used in investing activities

   (392  (190   (148  (339
  

 

  

 

   

 

  

 

 

Cash flows from financing activities

      

Receipts (withdrawals) from contract deposits, net

   236    298     132    152  

Repayment of long-term debt

   0    (36   0    (36

Change in book overdraft

   (34  (12   (78  (46

Common stock repurchases

   (94  (151   (231  (278

Dividends paid

   (42  (41   (83  (82

Excess tax benefit from stock-based compensation

   1    20     0    21  

Proceeds from stock option exercises and other

   5    45     36    48  
  

 

  

 

   

 

  

 

 

Net cash provided by financing activities

   72    123  

Net cash used in financing activities

   (224  (221
  

 

  

 

   

 

  

 

 

Increase in cash and cash equivalents

   92    2,279     213    2,492  

Cash and cash equivalents at beginning of period

   1,306    1,377     1,306    1,377  
  

 

  

 

   

 

  

 

 

Cash and cash equivalents at end of period

  $1,398   $3,656    $1,519   $3,869  
  

 

  

 

   

 

  

 

 

Supplemental cash flow disclosures:

      

Interest payments

  $10   $11    $72   $55  

Income tax payments, net

  $1   $5    $511   $293  

See accompanying notes to condensed consolidated financial statements.

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS

Unaudited

1. BASIS OF PRESENTATION

The accompanying condensed consolidated financial statements are presented in accordance with generally accepted accounting principles for interim financial information and with the instructions to Form 10-Q and Article 10 of Regulation S-X. Accordingly, they do not include all of the disclosures normally required by accounting principles generally accepted in the United States of America, or GAAP, or those normally made in an Annual Report on Form 10-K. The year-end condensed consolidated balance sheet data was derived from audited financial statements, but does not include all disclosures required by GAAP. For further information, the reader of this Form 10-Q should refer to our Form 10-K for the year ended December 31, 2012, that was filed with the Securities and Exchange Commission, or the SEC, on February 21, 2013, andas amended on April 12, 2013 to correct a scrivener’san error in the exhibit index. We refer to the Form 10-K, together with any amendments, as the “2012 Form 10-K” in this document. References throughout this document to “we,” “us,” “our,” “Company,” and “Humana” mean Humana Inc. and its subsidiaries.

The preparation of our condensed consolidated financial statements in accordance with GAAP requires us to make estimates and assumptions that affect the amounts reported in the condensed consolidated financial statements and accompanying notes. The areas involving the most significant use of estimates are the estimation of benefits payable, the impact of risk sharing provisions related to our Medicare contracts, the valuation and related impairment recognition of investment securities, and the valuation and related impairment recognition of long-lived assets, including goodwill. These estimates are based on knowledge of current events and anticipated future events, and accordingly, actual results may ultimately differ materially from those estimates. Refer to Note 2 to the consolidated financial statements included in our 2012 Form 10-K for information on accounting policies that the Company considers in preparing its consolidated financial statements.

The financial information has been prepared in accordance with our customary accounting practices and has not been audited. In our opinion, the information presented reflects all adjustments necessary for a fair statement of interim results. All such adjustments are of a normal and recurring nature.

Business Segment Reclassifications

On January 1, 2013, we reclassified certain of our businesses to correspond with internal management reporting changes and renamed our Health and Well-Being Services segment as Healthcare Services. Our Employer Group segment now includes our health and productivity solutionswellness businesses, including HumanaVitality and Lifesynch’s employee assistance programs, which had historically been reported in our Healthcare Services segment. The Retail segment now includes our contract with the Centers for Medicare and Medicaid Services, or CMS, to administer the Limited Income Newly Eligible Transition, or LI-NET, program as well as our state-based Medicaid businesses, which had historically been reported in our Other Businesses category. Prior period segment financial information has been recast to conform to the 2013 presentation. See Note 1213 for segment financial information.

Military Services

As described in Note 2 to the consolidated financial statements included in our 2012 Form 10-K, on April 1, 2012, we began delivering services under a newthe current TRICARE South Region contract with the Department of Defense, or DoD, as more fully described in Note 11 of this Form 10-Q.12. We account for revenues under the newcurrent contract net of estimated healthcare costs similar to an administrative services fee only agreement. Under our previous contract, revenues were reported on a gross basis and included health care services provided to beneficiaries which were in turn reimbursed by the federal government.

2. RECENTLY ISSUED ACCOUNTING PRONOUNCEMENTS

In February 2013, the Financial Accounting Standards Board, or FASB, issued new guidance on the reporting of amounts reclassified out of accumulated other comprehensive income. The new guidance requires the presentation of significant amounts reclassified out of each component of accumulated other comprehensive income,

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

including disclosure of the income statement line items affected by the reclassification. For other amounts that are not required to be reclassified in their entirety to net income in the same reporting period, cross-reference to other disclosures that provide additional detail about those amounts is required. This new guidance was effective for us with the filing of this Form 10-Q. The adoption of this new guidance did not have an impact on our results of operations, financial position, or cash flows.

There are no other recently issued accounting standards that apply to us or that will have a material impact on our results of operations, financial condition, or cash flows.

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

3. ACQUISITIONS

On December 21, 2012, we acquired Metropolitan Health Networks, Inc., or Metropolitan, a Medical Services Organization, or MSO, that coordinates medical care for Medicare Advantage beneficiaries and Medicaid recipients, primarily in Florida. We paid $11.25 per share in cash to acquireacquired all of the outstanding shares of Metropolitan and repaid all outstanding debt of Metropolitan for a transaction value of $851 million, plus transaction expenses. The total consideration of $851 million exceeded our estimated fair value of the net tangible assets acquired by approximately $833 million, of which we allocated $263 million to other intangible assets and $570 million to goodwill. The goodwill was assigned to the Healthcare Services segment and is not deductible for tax purposes. The other intangible assets, which primarily consist of customer contracts and trade names, have a weighted average useful life of 8.4 years. The purchase price allocation of Metropolitan is preliminary, subject to completion of valuation analyses, including, for example, refining assumptions used to calculate the fair value of other intangible assets.

On October 29, 2012, we acquired a noncontrolling equity interest in MCCI Holdings, LLC, or MCCI, a privately held MSO headquartered in Miami, Florida that coordinates medical care for Medicare Advantage beneficiaries and Medicaid recipients, primarily in Florida and Texas.

The Metropolitan and MCCI transactions provide us with components of a successful integrated care delivery model that has demonstrated scalability to new markets. A substantial portion of the revenues for both Metropolitan and MCCI are derived from services provided to Humana Medicare Advantage members under capitation contracts with our health plans. In addition, Metropolitan and MCCI provide services to Medicare Advantage and Medicaid members under capitation contracts with third party health plans. Under these capitation agreements with Humana and third party health plans, Metropolitan and MCCI assume financial risk associated with these Medicare Advantage and Medicaid members.

On July 6, 2012, we acquired SeniorBridge Family Companies, Inc., or SeniorBridge, a chronic-care provider of in-home care for seniors, expanding our existing clinical and home health capabilities and strengthening our offerings for members with complex chronic-care needs. The allocation of the purchase price resulted in goodwill of $99 million and other intangible assets of $14 million. The goodwill was assigned to the Healthcare Services segment and is not deductible for tax purposes. The other intangible assets, which primarily consist of customer contracts, trade name, and technology, have a weighted average useful life of 5.2 years.

Effective March 31, 2012, we acquired Arcadian Management Services, Inc., or Arcadian, a Medicare Advantage health maintenance organization (HMO) serving members in 15 U.S. states, increasing Medicare membership and expanding our Medicare footprint and future growth opportunities in these states. The allocation of the purchase price resulted in goodwill of $44 million and other intangible assets of $38 million. The goodwill was assigned to the Retail segment and is not deductible for tax purposes. The other intangible assets, which primarily consist of customer contracts and provider contracts, have a weighted average useful life of 9.7 years.

The results of operations and financial condition of Metropolitan, SeniorBridge, and Arcadian have been included in our condensed consolidated statements of income and condensed consolidated balance sheets from the

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

acquisition dates. In addition, during 2013 and 2012, we acquired other health and wellness, provider, and technology related businesses which, individually or in the aggregate, have not had, orand are not expected to have, a material impact on our results of operations, financial condition, or cash flows. For the year ended December 31, 2012, primarily in the fourth quarter, we recognized acquisition-related costs in connection with 2012 acquisitions of $27 million. The pro forma financial information assuming the acquisitions had occurred as of the beginning of the calendar year prior to the year of acquisition, as well as the revenues and earnings generated during the current year of acquisition, were not material for disclosure purposes.

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

On July 24, 2013, we announced that we had entered into a definitive agreement to acquire American Eldercare Inc., or American Eldercare, the largest provider of nursing home diversion services in the state of Florida (serving frail and elderly individuals in home and community-based settings). American Eldercare complements our core capabilities and strength in serving seniors and disabled individuals with a unique focus on individualized and integrated care, and was selected to provide Medicaid long-term care services across the entire state of Florida. The enrollment effective dates for the various regions range from August 2013 to March 2014. The transaction is subject to state regulatory approvals and is anticipated to close by the fourth quarter of 2013.

4. INVESTMENT SECURITIES

Investment securities classified as current and long-term were as follows at March 31,June 30, 2013 and December 31, 2012, respectively:

 

  Amortized
Cost
   Gross
Unrealized
Gains
   Gross
Unrealized
Losses
 Fair
Value
   Amortized
Cost
   Gross
Unrealized
Gains
   Gross
Unrealized
Losses
 Fair
Value
 
  (in millions)   (in millions) 

March 31, 2013

       

June 30, 2013

       

U.S. Treasury and other U.S. government corporations and agencies:

              

U.S. Treasury and agency obligations

  $539    $14    $(1 $552    $568    $9    $(6 $571  

Mortgage-backed securities

   1,548     72     (2  1,618     1,423     44     (27  1,440  

Tax-exempt municipal securities

   2,999     188     (4  3,183     2,933     113     (18  3,028  

Mortgage-backed securities:

              

Residential

   30     1     0    31     27     1     0    28  

Commercial

   660     37     (3  694     557     23     (7  573  

Asset-backed securities

   83     2     0    85     53     1     (1  53  

Corporate debt securities

   3,431     374     (3  3,802     3,423     239     (29  3,633  
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

Total debt securities

  $9,290    $688    $(13 $9,965    $8,984    $430    $(88 $9,326  
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

December 31, 2012

              

U.S. Treasury and other U.S. government corporations and agencies:

              

U.S. Treasury and agency obligations

  $602    $16    $0   $618    $602    $16    $0   $618  

Mortgage-backed securities

   1,519     85     (1  1,603     1,519     85     (1  1,603  

Tax-exempt municipal securities

   2,890     185     (4  3,071     2,890     185     (4  3,071  

Mortgage-backed securities:

              

Residential

   33     2     (1  34     33     2     (1  34  

Commercial

   615     44     0    659     615     44     0    659  

Asset-backed securities

   66     2     0    68     66     2     0    68  

Corporate debt securities

   3,394     402     (2  3,794     3,394     402     (2  3,794  
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

Total debt securities

  $9,119    $736    $(8 $9,847    $9,119    $736    $(8 $9,847  
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

 

Gross unrealized losses and fair values aggregated by investment category and length of time that individual securities have been in a continuous unrealized loss position were as follows at March 31,June 30, 2013 and December 31, 2012, respectively:

 

  Less than 12 months 12 months or more Total   Less than 12 months 12 months or more Total 
  Fair
Value
   Gross
Unrealized
Losses
 Fair
Value
   Gross
Unrealized
Losses
 Fair
Value
   Gross
Unrealized
Losses
   Fair
Value
   Gross
Unrealized
Losses
 Fair
Value
   Gross
Unrealized
Losses
 Fair
Value
   Gross
Unrealized
Losses
 
  (in millions)   (in millions) 

March 31, 2013

          

June 30, 2013

          

U.S. Treasury and other U.S. government corporations and agencies:

                    

U.S. Treasury and agency obligations

  $145    $(1 $2    $0   $147    $(1  $298    $(6 $6    $0   $304    $(6

Mortgage-backed securities

   166     (2  20     0    186     (2   660     (26  17     (1  677     (27

Tax-exempt municipal securities

   183     (2  49     (2  232     (4   466     (17  28     (1  494     (18

Mortgage-backed securities:

                    

Residential

   0     0    4     0    4     0     2     0    2     0    4     0  

Commercial

   248     (3  0     0    248     (3   199     (7  0     0    199     (7

Asset-backed securities

   0     0    0     0    0     0     36     (1  0     0    36     (1

Corporate debt securities

   116     (2  5     (1  121     (3   588     (28  4     (1  592     (29
  

 

   

 

  

 

   

 

  

 

   

 

   

 

   

 

  

 

   

 

  

 

   

 

 

Total debt securities

  $858    $(10 $80    $(3 $938    $(13  $2,249    $(85 $57    $(3 $2,306    $(88
  

 

   

 

  

 

   

 

  

 

   

 

   

 

   

 

  

 

   

 

  

 

   

 

 

December 31, 2012

                    

U.S. Treasury and other U.S. government corporations and agencies:

                    

U.S. Treasury and agency obligations

  $56    $0   $2    $0   $58    $0    $56    $0   $2    $0   $58    $0  

Mortgage-backed securities

   38     0    25     (1  63     (1   38     0    25     (1  63     (1

Tax-exempt municipal securities

   233     (3  27     (1  260     (4   233     (3  27     (1  260     (4

Mortgage-backed securities:

                    

Residential

   0     0    4     (1  4     (1   0     0    4     (1  4     (1

Commercial

   94     0    0     0    94     0     94     0    0     0    94     0  

Asset-backed securities

   2     0    4     0    6     0     2     0    4     0    6     0  

Corporate debt securities

   104     (2  4     0    108     (2   104     (2  4     0    108     (2
  

 

   

 

  

 

   

 

  

 

   

 

   

 

   

 

  

 

   

 

  

 

   

 

 

Total debt securities

  $527    $(5 $66    $(3 $593    $(8  $527    $(5 $66    $(3 $593    $(8
  

 

   

 

  

 

   

 

  

 

   

 

   

 

   

 

  

 

   

 

  

 

   

 

 

Approximately 94% of our debt securities were investment-grade quality, with a weighted average credit rating of AA- by S&P at March 31,June 30, 2013. Most of the debt securities that were below investment-grade were rated BB, the higher end of the below investment-grade rating scale. At March 31,June 30, 2013, 10% of our tax-exempt municipal securities were pre-refunded, generally with U.S. government and agency securities. Tax-exempt municipal securities that were not pre-refunded were diversified among general obligation bonds of U.S. states and local municipalities as well as special revenue bonds. General obligation bonds, which are backed by the taxing power and full faith of the issuer, accounted for 40%41% of the tax-exempt municipals that were not pre-refunded in the portfolio. Special revenue bonds, issued by a municipality to finance a specific public works project such as utilities, water and sewer, transportation, or education, and supported by the revenues of that project, accounted for the remaining 60%59% of these municipals. Our general obligation bonds are diversified across the United States with no individual state exceeding 11%10%. In addition, 19%20% of our tax-exempt securities were insured by bond insurers and had an equivalent weighted average S&P credit rating of AA- exclusive of the bond insurers’ guarantee. Our investment policy limits investments in a single issuer and requires diversification among various asset types.

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

 

The recoverability of our non-agency residential and commercial mortgage-backed securities is supported by factors such as seniority, underlying collateral characteristics, and credit enhancements. These residential and commercial mortgage-backed securities at March 31,June 30, 2013 primarily were composed of senior tranches having high credit support, with over 99% of the collateral consisting of prime loans. The weighted average credit rating of all commercial mortgage-backed securities was AA at March 31,June 30, 2013.

The percentage of corporate securities associated with the financial services industry was 24% at June 30, 2013 and 23% at March 31, 2013 and December 31, 2012.

Several European countries, including Spain, Italy, Ireland, Portugal, Cyprus, and Greece, have been subject to credit deterioration due to weakness in their economic and fiscal situations. We have no direct exposure to sovereign issuances of these six countries.

All issuers of securities we own that were trading at an unrealized loss at March 31,June 30, 2013 remain current on all contractual payments. After taking into account these and other factors previously described, we believe these unrealized losses primarily were caused by an increase in market interest rates and tighter liquidity conditions in the current markets than when the securities were purchased. At March 31,June 30, 2013, we did not intend to sell the securities with an unrealized loss position in accumulated other comprehensive income, and it is not likely that we will be required to sell these securities before recovery of their amortized cost basis. As a result, we believe that the securities with an unrealized loss were not other-than-temporarily impaired at March 31,June 30, 2013.

The detail of realized gains (losses) related to investment securities and included within investment income was as follows for the three and six months ended March 31,June 30, 2013 and 2012:

 

  For the three months ended
March 31,
   For the three months ended
June 30,
 For the six months ended
June 30,
 
  2013 2012   2013 2012 2013 2012 
  (in millions)   (in millions) 

Gross realized gains

  $6   $5    $11   $11   $17   $16  

Gross realized losses

   (1  (1   (5  (1  (7  (2
  

 

  

 

   

 

  

 

  

 

  

 

 

Net realized capital gains

  $5   $4    $6   $10   $10   $14  
  

 

  

 

   

 

  

 

  

 

  

 

 

There were no material other-than-temporary impairments for the three and six months ended March 31,June 30, 2013 or 2012.

The contractual maturities of debt securities available for sale at March 31,June 30, 2013, regardless of their balance sheet classification, are shown below. Expected maturities may differ from contractual maturities because borrowers may have the right to call or prepay obligations with or without call or prepayment penalties.

 

  Amortized
Cost
   Fair
Value
   Amortized
Cost
   Fair
Value
 
  (in millions)   (in millions) 

Due within one year

  $416    $421    $473    $478  

Due after one year through five years

   1,814     1,897     1,833     1,899  

Due after five years through ten years

   2,964     3,229     2,768     2,900  

Due after ten years

   1,775     1,990     1,850     1,955  

Mortgage and asset-backed securities

   2,321     2,428     2,060     2,094  
  

 

   

 

   

 

   

 

 

Total debt securities

  $9,290    $9,965    $8,984    $9,326  
  

 

   

 

   

 

   

 

 

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

 

5. FAIR VALUE

Financial Assets

The following table summarizes our fair value measurements at March 31,June 30, 2013 and December 31, 2012, respectively, for financial assets measured at fair value on a recurring basis:

 

      Fair Value Measurements Using       Fair Value Measurements Using 
  Fair
Value
   Quoted Prices in
Active Markets
(Level 1)
   Other
Observable
Inputs

(Level 2)
   Unobservable
Inputs

(Level 3)
   Fair
Value
   Quoted Prices in
Active Markets
(Level 1)
   Other
Observable
Inputs

(Level 2)
   Unobservable
Inputs

(Level 3)
 
  (in millions)   (in millions) 

March 31, 2013

        

June 30, 2013

        

Cash equivalents

  $1,086    $1,086    $0    $0    $1,410    $1,410    $0    $0  

Debt securities:

                

U.S. Treasury and other U.S. government corporations and agencies:

                

U.S. Treasury and agency obligations

   552     0     552     0     571     0     571     0  

Mortgage-backed securities

   1,618     0     1,618     0     1,440     0     1,440     0  

Tax-exempt municipal securities

   3,183     0     3,170     13     3,028     0     3,015     13  

Mortgage-backed securities:

                

Residential

   31     0     31     0     28     0     28     0  

Commercial

   694     0     694     0     573     0     573     0  

Asset-backed securities

   85     0     84     1     53     0     52     1  

Corporate debt securities

   3,802     0     3,778     24     3,633     0     3,611     22  
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Total debt securities

   9,965     0     9,927     38     9,326     0     9,290     36  
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Total invested assets

  $11,051    $1,086    $9,927    $38    $10,736    $1,410    $9,290    $36  
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

December 31, 2012

                

Cash equivalents

  $1,177    $1,177    $0    $0    $1,177    $1,177    $0    $0  

Debt securities:

                

U.S. Treasury and other U.S. government corporations and agencies:

                

U.S. Treasury and agency obligations

   618     0     618     0     618     0     618     0  

Mortgage-backed securities

   1,603     0     1,603     0     1,603     0     1,603     0  

Tax-exempt municipal securities

   3,071     0     3,058     13     3,071     0     3,058     13  

Mortgage-backed securities:

                

Residential

   34     0     34     0     34     0     34     0  

Commercial

   659     0     659     0     659     0     659     0  

Asset-backed securities

   68     0     67     1     68     0     67     1  

Corporate debt securities

   3,794     0     3,770     24     3,794     0     3,770     24  
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Total debt securities

   9,847     0     9,809     38     9,847     0     9,809     38  
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Total invested assets

  $11,024    $1,177    $9,809    $38    $11,024    $1,177    $9,809    $38  
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

 

There were no material transfers between Level 1 and Level 2 during the three and six months ended March 31,June 30, 2013 or March 31,June 30, 2012.

Our Level 3 assets had a fair value of $38$36 million at March 31,June 30, 2013, or less than 0.4% of our total invested assets. During the three and six months ended March 31,June 30, 2013 and 2012, the changes in the fair value of the assets measured using significant unobservable inputs (Level 3) were comprised of the following:

 

  For the three months ended March 31,   For the three months ended June 30, 
  2013 2012   2013 2012 
  Private
Placements/
Venture
Capital
 Auction
Rate
Securities
   Total Private
Placements/
Venture
Capital
   Auction
Rate
Securities
 Total   Private
Placements/
Venture
Capital
 Auction
Rate
Securities
   Total Private
Placements/
Venture
Capital
   Auction
Rate
Securities
   Total 
  (in millions)   (in millions) 

Beginning balance at January 1

  $25   $13    $38   $25    $16   $41  

Balance at April 1

  $25   $13    $38   $25    $15    $40  

Total gains or losses:

                   

Realized in earnings

   0    0     0    0     0    0     0    0     0    0     0     0  

Unrealized in other comprehensive income

   1    0     1    0     0    0     (2  0     (2  0     0     0  

Purchases

   0    0     0    0     0    0     0    0     0    0     0     0  

Sales

   0    0     0    0     (1  (1   0    0     0    0     0     0  

Settlements

   (1  0     (1  0     0    0     0    0     0    0     0     0  
  

 

  

 

   

 

  

 

   

 

  

 

   

 

  

 

   

 

  

 

   

 

   

 

 

Balance at March 31

  $25   $13    $38   $25    $15   $40  

Balance at June 30

  $23   $13    $36   $25    $15    $40  
  

 

  

 

   

 

  

 

   

 

  

 

   

 

  

 

   

 

  

 

   

 

   

 

 

   For the six months ended June 30, 
   2013  2012 
   Private
Placements/
Venture
Capital
  Auction
Rate
Securities
   Total  Private
Placements/
Venture
Capital
   Auction
Rate
Securities
  Total 
   (in millions) 

Balance at January 1

  $25   $13    $38   $25    $16   $41  

Total gains or losses:

         

Realized in earnings

   0    0     0    0     0    0  

Unrealized in other comprehensive income

   (1  0     (1  0     0    0  

Purchases

   0    0     0    0     0    0  

Sales

   0    0     0    0     (1  (1

Settlements

   (1  0     (1  0     0    0  
  

 

 

  

 

 

   

 

 

  

 

 

   

 

 

  

 

 

 

Balance at June 30

  $23   $13    $36   $25    $15   $40  
  

 

 

  

 

 

   

 

 

  

 

 

   

 

 

  

 

 

 

Financial Liabilities

Our long-term debt is recorded at carrying value in our consolidated balance sheets. The carrying value of our long-term debt outstanding was $2,608$2,606 million at March 31,June 30, 2013 and $2,611 million at December 31, 2012. The fair value of our long-term debt was $2,866$2,772 million at March 31,June 30, 2013 and $2,923 million at December 31, 2012. The fair value of our long-term debt is determined based on Level 2 inputs, including quoted market prices for the same or similar debt, or if no quoted market prices are available, on the current prices estimated to be available to us for debt with similar terms and remaining maturities.

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

Assets and Liabilities Measured at Fair Value on a Nonrecurring Basis

As disclosed in Note 3, we completed our acquisitions of Metropolitan, SeniorBridge, and Arcadian during 2012. The values of net tangible assets acquired and the resulting goodwill and other intangible assets were recorded at fair value using Level 3 inputs. The majority of the related tangible assets acquired and liabilities assumed were recorded at their carrying values as of the respective dates of acquisition, as their carrying values approximated their fair values due to their short-term nature. The fair values of goodwill and other intangible assets acquired in these acquisitions were internally estimated primarily based on the income approach. The income approach estimates fair value based on the present value of the cash flows that the assets are expected to generate in the future. We developed internal estimates for the expected cash flows and discount rates in the present value calculations. Other than assets acquired and liabilities assumed in these acquisitions, there were no assets or liabilities measured at fair value on a nonrecurring basis during the three and six months ended March 31,June 30, 2013 or 2012.

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

6. MEDICARE PART D

We cover prescription drug benefits in accordance with Medicare Part D under multiple contracts with CMS. The condensed consolidated balance sheets include the following amounts associated with Medicare Part D at March 31,June 30, 2013 and December 31, 2012. The risk corridor settlement includes amounts classified as long-term because settlement associated with the 2013 provision will exceed 12 months at March 31,June 30, 2013.

 

  March 31, 2013 December 31, 2012   June 30, 2013 December 31, 2012 
Risk
Corridor
Settlement
 CMS
Subsidies/

Discounts
 Risk
Corridor
Settlement
 CMS
Subsidies/

Discounts
  Risk
Corridor
Settlement
 CMS
Subsidies/

Discounts
 Risk
Corridor
Settlement
 CMS
Subsidies/

Discounts
 
  (in millions)   (in millions) 

Other current assets

  $37   $700   $37   $635    $37   $758   $37   $635  

Trade accounts payable and accrued expenses

   (233  (391  (393  (77   (217  (344  (393  (77
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Net current (liability) asset

   (196  309    (356  558     (180  414    (356  558  
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Other long-term assets

   23    0    0    0     39    0    0    0  

Other long-term liabilities

   (39  0    0    0     (29  0    0    0  
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Net long-term liability

   (16  0    0    0  

Net long-term asset

   10    0    0    0  
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total net (liability) asset

  $(212 $309   $(356 $558    $(170 $414   $(356 $558  
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

At December 31, 2012, the net risk corridor payable balance included a payable of $158 million related to the 2011 contract year that was paid in January 2013.

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

7. GOODWILL AND OTHER INTANGIBLE ASSETS

The carrying amount of goodwill for our reportable segments has been retrospectively adjusted to conform to the 2013 segment change discussed in Note 1. Changes in the carrying amount of goodwill for our reportable segments for the threesix months ended March 31,June 30, 2013 were as follows:

 

   Retail   Employer
Group
   Healthcare
Services
   Other
Businesses
   Total 
   (in millions) 

Balance at January 1, 2013

  $857    $205    $2,486    $92    $3,640  

Acquisitions

   0     0     0     0     0  

Subsequent payments/adjustments

   0     0     1     0     1  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Balance at March 31, 2013

  $857    $205    $2,487    $92    $3,641  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

 

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

   Retail   Employer
Group
   Healthcare
Services
  Other
Businesses
   Total 
   (in millions) 

Balance at January 1, 2013

  $857    $205    $2,486   $92    $3,640  

Acquisitions

   0     0     13    0     13  

Dispositions

   0     0     (15  0     (15
  

 

 

   

 

 

   

 

 

  

 

 

   

 

 

 

Balance at June 30, 2013

  $857    $205    $2,484   $92    $3,638  
  

 

 

   

 

 

   

 

 

  

 

 

   

 

 

 

The following table presents details of our other intangible assets included in other long-term assets in the accompanying condensed consolidated balance sheets at March 31,June 30, 2013 and December 31, 2012:

 

  Weighted   June 30, 2013   December 31, 2012 
  Weighted
Average
Life
   March 31, 2013   December 31, 2012   Average       Accumulated           Accumulated     
  Cost   Accumulated
Amortization
   Net   Cost   Accumulated
Amortization
   Net   Life   Cost   Amortization   Net   Cost   Amortization   Net 
  (in millions)       (in millions) 

Other intangible assets:

                            

Customer contracts/relationships

   9.5 yrs    $724    $248    $476    $733    $237    $496     9.5 yrs    $725    $267    $458    $733    $237    $496  

Trade names and technology

   13.6 yrs     190     25     165     190     21     169     13.6 yrs     189     30     159     190     21     169  

Provider contracts

   15.0 yrs     51     20     31     51     19     32     15.0 yrs     51     21     30     51     19     32  

Noncompetes and other

   6.5 yrs     51     20     31     51     17     34     6.5 yrs     51     23     28     51     17     34  
    

 

   

 

   

 

   

 

   

 

   

 

     

 

   

 

   

 

   

 

   

 

   

 

 

Total other intangible assets

   10.4 yrs    $1,016    $313    $703    $1,025    $294    $731     10.4 yrs    $1,016    $341    $675    $1,025    $294    $731  
    

 

   

 

   

 

   

 

   

 

   

 

     

 

   

 

   

 

   

 

   

 

   

 

 

Amortization expense for other intangible assets was approximately $28 million for the three months ended March 31,June 30, 2013 and $17 million for the three months ended March 31,June 30, 2012. For the six months ended June 30, 2013 and 2012, amortization expense for other intangible assets was approximately $56 million and $34 million, respectively. The following table presents our estimate of amortization expense for 2013 and each of the five next succeeding fiscal years:

 

   (in millions) 

For the years ending December 31,:

  

2013

  $111  

2014

   104  

2015

   92  

2016

   86  

2017

   78  

2018

   71  

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

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8. EARNINGS PER COMMON SHARE COMPUTATION

Detail supporting the computation of basic and diluted earnings per common share was as follows for the three and six months ended March 31,June 30, 2013 and 2012:

 

   For the three months ended March 31, 
   2013   2012 
   (dollars in millions, except per common share results,
number of shares in thousands)
 

Net income available for common stockholders

  $473    $248  
  

 

 

   

 

 

 

Weighted average outstanding shares of common stock used to compute basic earnings per common share

   158,917     163,717  

Dilutive effect of:

    

Employee stock options

   384     884  

Restricted stock

   1,102     1,487  
  

 

 

   

 

 

 

Shares used to compute diluted earnings per common share

   160,403     166,088  
  

 

 

   

 

 

 

Basic earnings per common share

  $2.97    $1.51  
  

 

 

   

 

 

 

Diluted earnings per common share

  $2.95    $1.49  
  

 

 

   

 

 

 

Number of antidilutive stock options and restricted stock excluded from computation

   1,683     1,077  
  

 

 

   

 

 

 

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

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   Three months ended June 30,   Six months ended June 30, 
   2013   2012   2013   2012 
   

(dollars in millions except per common share results,

number of shares in thousands)

 

Net income available for common stockholders

  $420    $356    $893    $604  
  

 

 

   

 

 

   

 

 

   

 

 

 

Weighted average outstanding shares of common stock used to compute basic earnings per common share

   157,975     162,816     158,446     163,267  

Dilutive effect of:

        

Employee stock options

   349     572     367     727  

Restricted stock

   1,197     1,251     1,149     1,369  
  

 

 

   

 

 

   

 

 

   

 

 

 

Shares used to compute diluted earnings per common share

   159,521     164,639     159,962     165,363  
  

 

 

   

 

 

   

 

 

   

 

 

 

Basic earnings per common share

  $2.66    $2.19    $5.64    $3.70  
  

 

 

   

 

 

   

 

 

   

 

 

 

Diluted earnings per common share

  $2.63    $2.16    $5.58    $3.65  
  

 

 

   

 

 

   

 

 

   

 

 

 

Number of antidilutive stock options and restricted stock excluded from computation

   847     562     1,265     819  

9. STOCKHOLDERS’ EQUITY

Dividends

Our Board of Directors has approved a quarterly cash dividend policy. Declaration and payment of future quarterly dividends is at the discretion of the Board and may be adjusted as business needs or market conditions change.

The following table provides details of dividend payments in 2012 and 2013 to date:

 

Record
Date
  Payment
Date
  Amount
per Share
  Total
Amount
 
         (in millions) 
 2012 payments     
 12/30/2011    1/31/2012   $0.25   $41  
 3/30/2012    4/27/2012   $0.25   $41  
 6/29/2012    7/27/2012   $0.26   $42  
 9/28/2012    10/26/2012   $0.26   $41  
 2013 payments     
 12/31/2012    1/25/2013   $0.26   $42  
 3/28/2013    4/26/2013   $0.26   $41  
Record  Payment  Amount  Total 
Date  Date  per Share  Amount 
         (in millions) 
 2012 payments     
 12/30/2011    1/31/2012   $0.25   $41  
 3/30/2012    4/27/2012   $0.25   $41  
 6/29/2012    7/27/2012   $0.26   $42  
 9/28/2012    10/26/2012   $0.26   $41  
 2013 payments     
 12/31/2012    1/25/2013   $0.26   $42  
 3/28/2013    4/26/2013   $0.26   $41  
 6/28/2013    7/26/2013   $0.27   $42  

In April 2013, the Board of Directors declared a cash dividend of $0.27 per share payable on July 26, 2013 to stockholders of record on June 28, 2013.

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

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Stock Repurchases

In April 2013, the Board of Directors replaced its previously approved share repurchase authorization of up to $1 billion (of which $557 million remained unused) with the current authorization for repurchases of up to $1 billion of our common shares exclusive of shares repurchased in connection with employee stock plans, expiring on June 30, 2015. Under the current share repurchase authorization, shares may be purchased from time to time at prevailing prices in the open market, by block purchases, or in privately-negotiated transactions, subject to certain regulatory restrictions on volume, pricing, and timing. During the threesix months ended March 31,June 30, 2012, we repurchased 1.152.73 million shares in open market transactions for $100$226 million at an average price of $86.95$82.78 under a previously approved share repurchase authorization.authorizations. During the threesix months ended March 31,June 30, 2013, we repurchased 1.211.22 million shares in open market transactions for $81$82 million at an average price of $67.60$67.59 under a previously approved share repurchase authorization and we repurchased 1.61 million shares in open market transactions for $129 million at an average price of $80.06 under the current authorization. As of May 1,July 31, 2013, the remaining authorized amount under the current authorization totaled $1 billion.$871 million.

In connection with employee stock plans, we acquired 0.2 million shares of our common stock for $13$20 million and 0.6 million shares of our common stock for $51$52 million during the threesix months ended March 31,June 30, 2013 and 2012, respectively.

Accumulated Other Comprehensive Income

Accumulated other comprehensive income included net unrealized gains on our investment securities of $428$217 million at March 31,June 30, 2013 and $462 million at December 31, 2012. In addition, accumulated other comprehensive income included $100$8 million at March 31,June 30, 2013 and $76 million at December 31, 2012, for an additional liability that would exist on our closed block of long-term care policies if unrealized gains on the sale of the investments backing such products had been realized and the proceeds reinvested at then current yields. Refer to Note 17 to the consolidated financial statements in our 2012 Form 10-K for further discussion of our long-term care policies.

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10. INCOME TAXES

The effective income tax rate was 35.2%35.7% for the three months ended March 31,June 30, 2013, comparable to 36.5%36.8% for the three months ended March 31,June 30, 2012. For the six months ended June 30, 2013 the effective tax rate was 35.5%, compared to 36.7% for the six months ended June 30, 2012. The tax rate for the three and six months ended March 31,June 30, 2013 reflects a change in our estimated tax liability associated with limitations on the deductibility of annual compensation in excess of $500,000 per employee as mandated by the Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010 (which we collectively refer to as the Health InsuranceCare Reform Law).

11. DEBT

Credit Agreement

In July 2013, we amended and restated our 5-year $1.0 billion unsecured revolving agreement which was set to expire in November 2016 and replaced it with a new 5-year $1.0 billion unsecured revolving agreement expiring July 2018. Under the new credit agreement, at our option, we can borrow on either a competitive advance basis or a revolving credit basis. The revolving credit portion bears interest at either LIBOR plus a spread or the base rate plus a spread. The LIBOR spread, currently 110 basis points, varies depending on our credit ratings ranging from 90.0 to 150.0 basis points. We also pay an annual facility fee regardless of utilization. This facility fee, currently 15.0 basis points, may fluctuate between 10.0 and 25.0 basis points, depending upon our credit ratings. The competitive advance portion of any borrowings will bear interest at market rates prevailing at the time of borrowing on either a fixed rate or a floating rate based on LIBOR, at our option.

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

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The terms of the credit agreement include standard provisions related to conditions of borrowing, including a customary material adverse effect clause which could limit our ability to borrow additional funds. In addition, the credit agreement contains customary restrictive and financial covenants as well as customary events of default, including financial covenants regarding the maintenance of a minimum level of net worth of $7.1 billion at June 30, 2013 and a maximum leverage ratio of 3.0:1. We are in compliance with the financial covenants, with actual net worth of $9.3 billion and an actual leverage ratio of 0.9:1, as measured in accordance with the credit agreement as of June 30, 2013. In addition, the credit agreement includes an uncommitted $250 million incremental loan facility.

At June 30, 2013, we had no borrowings outstanding under the previous credit agreement and we had outstanding letters of credit of $5.5 million secured under that credit agreement. No amounts have been drawn on these letters of credit. Accordingly, as of June 30, 2013, we had $994.5 million of remaining borrowing capacity under the previous credit agreement, none of which would be restricted by our financial covenant compliance requirement. We have other customary, arms-length relationships, including financial advisory and banking, with some parties to the credit agreement.

12. GUARANTEES AND CONTINGENCIES

Government Contracts

Our Medicare products, which accounted for approximately 74% of our total premiums and services revenue for the threesix months ended March 31,June 30, 2013, primarily consisted of products covered under the Medicare Advantage and Medicare Part D Prescription Drug Plan contracts with the federal government. These contracts are renewed generally for a calendar year term unless CMS notifies us of its decision not to renew by AugustJuly 1 of the calendar year in which the contract would end, or we notify CMS of our decision not to renew by the first Monday in June of the calendar year in which the contract would end. All material contracts between Humana and CMS relating to our Medicare products have been renewed for 2013, and all2014. However, our offerings of our product offerings filed withproducts under those contracts are subject to approval by CMS, for 2013 have been approved.which we expect in the fall of 2013.

CMS uses a risk-adjustment model which apportions premiums paid to Medicare Advantage plans according to health severity. The risk-adjustment model pays more for enrollees with predictably higher costs. Under this model, rates paid to Medicare Advantage plans are based on actuarially determined bids, which include a process whereby our prospective payments are based on a comparison of our beneficiaries’ risk scores, derived from medical diagnoses, to those enrolled in the government’s original Medicare program. Under the risk-adjustment methodology, all Medicare Advantage plans must collect and submit the necessary diagnosis code information from hospital inpatient, hospital outpatient, and physician providers to CMS within prescribed deadlines. The CMS risk-adjustment model uses the diagnosis data to calculate the risk-adjusted premium payment to Medicare Advantage plans, which CMS adjusts for coding pattern differences between the health plans and the government fee-for-service program. We generally rely on providers, including certain providers in our network who are our employees, to code their claim submissions with appropriate diagnoses, which we send to CMS as the basis for our payment received from CMS under the actuarial risk-adjustment model. We also rely on these providers to document appropriately all medical data, including the diagnosis data submitted with claims.

CMS is continuing to perform audits of various companies’ selected Medicare Advantage contracts related to this risk adjustment diagnosis data. We refer to these audits as Risk-Adjustment Data Validation Audits, or RADV audits. RADV audits review medical records in an attempt to validate provider medical record documentation and coding practices which influence the calculation of premium payments to Medicare Advantage plans.

On February 24, 2012, CMS released a “Notice of Final Payment Error Calculation Methodology for Part C Medicare Advantage Risk Adjustment Data Validation (RADV) Contract-Level Audits.” The payment error calculation methodology provides that, in calculating the economic impact of audit results for a Medicare Advantage contract, if any, the results of the audit sample will be extrapolated to the entire Medicare Advantage contract based

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upon a comparison to “benchmark” audit data in the government fee-for-service program. This comparison to the government program benchmark audit is necessary to determine the economic impact, if any, of audit results because the government program data set, including any attendant errors that are present in that data set, provides the basis for Medicare Advantage plans risk adjustment to payment rates. CMS already makes other adjustments to payment rates based on a comparison of coding pattern differences between Medicare Advantage plans and the government fee-for-service program data (such as for frequency of coding for certain diagnoses in Medicare Advantage plan data versus the government program data set).

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The final methodology, including the first application of extrapolated audit results to determine audit settlements, is expected to be applied to the next round of RADV contract level audits to be conducted on 2011 premium payments. Selected Medicare Advantage contracts will be notified of an audit at some point after the close of the final reconciliation for the payment year being audited. The final reconciliation occurs in August of the calendar year following the payment year.

Estimated audit settlements are recorded as a reduction of premiums revenue in our consolidated statements of income, based upon available information. During 2012, we completed internal contract level audits of certain contracts based on the RADV audit methodology prescribed by CMS. Included in these internal contract level audits was an audit of our Private Fee-For-Service business which we used to represent a proxy of the benchmark audit data in the government fee-for-service program which has not yet been released. We based our accrual of estimated audit settlements for contract years 2011 (the first year that application of extrapolated audit results is applicable), 2012, and 2013 on the results of these internal contract level audits. Estimates derived from these results were not material to our results of operations, financial position, or cash flows. However, as indicated, we are awaiting additional guidance from CMS regarding the benchmark audit data in the government fee-for-service program and the identification of our specific Medicare Advantage contracts that will be selected for audit. Accordingly, we cannot determine whether such audits will have a material adverse effect on our results of operations, financial position, or cash flows.

At March 31,June 30, 2013, our military services business, which accounted for approximately 1% of our total premiums and services revenue for the threesix months ended March 31,June 30, 2013, primarily consisted of the TRICARE South Region contract. On April 1, 2012, we began delivering services under the new TRICARE South Region contract that the Department of Defense TRICARE Management Activity, or TMA, awarded to us on February 25, 2011. The new 5-year South Region contract, which expires March 31, 2017, is subject to annual renewals on April 1 of each year during its term at the government’s option. The TMA has exercised its option to extend the TRICARE South Region contract through March 31, 2014.

Our Medicaid business, which accounted for approximately 3% of our total premiums and services revenue for the three months ended March 31, 2013, primarily consists of contracts in Puerto Rico, Florida, and Kentucky, with the vast majority in Puerto Rico. Effective October 1, 2010, as amended in May 2011, the Puerto Rico Health Insurance Administration, or PRHIA, awarded us contracts for the East, Southeast, and Southwest regions for a three-year term through June 30, 2013. We are currently in negotiations with PRHIA regarding a one-year contract extension of these contracts.

The loss of any of the contracts above or significant changes in these programs as a result of legislative or regulatory action, including reductions in premium payments to us, or increases in member benefits without corresponding increases in premium payments to us, may have a material adverse effect on our results of operations, financial position, and cash flows.

Our Medicaid business, which accounted for approximately 3% of our total premiums and services revenue for the six months ended June 30, 2013, primarily consists of contracts in Puerto Rico, Florida, and Kentucky, with the vast majority in Puerto Rico. On June 26, 2013, the Puerto Rico Health Insurance Administration notified us of its election not to renew our three-year Medicaid contracts for the East, Southeast, and Southwest regions which ended June 30, 2013. Contractual transition provisions require the continuation of insurance coverage for beneficiaries through September 30, 2013 and an additional period of time thereafter to process claims. During the second quarter of 2013, we recorded a loss of $31.0 million on these contracts primarily related to premium deficiency and employee termination costs.

Humana Inc.

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Legal Proceedings and Certain Regulatory Matters

Florida Matters

On December 16, 2010, an individual filed a qui tam suit captionedUnited States of America ex rel. Marc Osheroff v. Humana et al.in the Southern District of Florida, against us, several of our health plan subsidiaries, and certain other companies that operate medical centers in Miami-Dade County, Florida. After the U.S. government declined to intervene, the Court ordered the complaint unsealed, and the individual plaintiff amended his complaint and served the Company on December 8, 2011. The amended complaint alleges certain civil violations by our CAC Medical Centers in Florida, including offering various amenities such as transportation and meals, to Medicare and dual eligible individuals in our community center settings. The amended complaint also alleges civil violations by our Medicare Advantage health plans in Florida, arising from the alleged activities of our CAC Medical Centers and the codefendants in the complaint. The amended complaint seeks damages and penalties on behalf of the United States under the Anti-Inducement and Anti-Kickback Statutes and the False Claims Act. On September 28, 2012, the

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Court dismissed, with prejudice, all causes of action that were asserted in the suit. On January 31, 2013, the Court denied a motion for reconsideration filed by the individual plaintiff. The deadline for the individual plaintiff to appeal will be set following resolution of certain motions in the district court relating to a co-defendant.

On January 6, 2012, the Civil Division of the United States Attorney’s Office for the Southern District of Florida advised our legal counselus that it is seeking documents and information from us and several of our affiliates relating to several matters including the coding of medical claims by one or more South Florida medical providers, and loans to physician practices. We are responding to the information requests.

Other Lawsuits and Regulatory Matters

Our current and past business practices are subject to review or other investigations by various state insurance and health care regulatory authorities and other state and federal regulatory authorities. These authorities regularly scrutinize the business practices of health insurance and benefits companies. These reviews focus on numerous facets of our business, including claims payment practices, provider contracting, risk adjustment, competitive practices, commission payments, privacy issues, utilization management practices, and sales practices, among others. Some of these reviews have historically resulted in fines imposed on us and some have required changes to some of our practices. We continue to be subject to these reviews, which could result in additional fines or other sanctions being imposed on us or additional changes in some of our practices.

We also are involved in various other lawsuits that arise, for the most part, in the ordinary course of our business operations, certain of which may be styled as class-action lawsuits. Among other matters, this litigation may include employment matters, claims of medical malpractice, bad faith, nonacceptance or termination of providers, anticompetitive practices, improper rate setting, provider contract rate disputes, failure to disclose network discounts and various other provider arrangements, general contractual matters, intellectual property matters, and challenges to subrogation practices. A number of hospitals and other providers have also asserted that, under their network provider contracts, we are not entitled to adjust Medicare Advantage payments in connection with changes in Medicare payment systems in accordance with the Balanced Budget and Emergency Deficit Control Act of 1985, as amended (commonly referred to as “sequestration”). Those challenges could lead to arbitration or litigation. Under state guaranty assessment laws, we may be assessed (up to prescribed limits) for certain obligations to the policyholders and claimants of insolvent insurance companies that write the same line or lines of business as we do. As a government contractor, we may also be subject to qui tam litigation brought by individuals who seek to sue on behalf of the government, alleging that the government contractor submitted false claims to the government including, among other allegations, resulting from coding and review practices under the Medicare risk-adjustment model. Qui tam litigation is filed under seal to allow the government an opportunity to investigate and to decide if it wishes to intervene and assume control of the

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litigation. If the government does not intervene, the lawsuit is unsealed, and the individual may continue to prosecute the action on his or her own.own, on behalf of the government. We also are subject to allegations of non-performance of contractual obligations to providers, members, and others, including failure to properly pay claims, improper policy terminations, challenges to our implementation of the Medicare Part D prescription drug program and other litigation.

Personal injury claims, and claims for extracontractual damages, care delivery malpractice, and claims arising from medical benefit denials are covered by insurance from our wholly owned captive insurance subsidiary and excess carriers, except to the extent that claimants seek punitive damages, which may not be covered by insurance in certain states in which insurance coverage for punitive damages is not permitted. In addition, insurance coverage for all or certain forms of liability has become increasingly costly and may become unavailable or prohibitively expensive in the future.

We record accruals for such contingencies to the extent that we conclude it is probable that a liability has been incurred and the amount of the loss can be reasonably estimated. No estimate of the possible loss or range of loss in excess of amounts accrued, if any, can be made at this time regarding the matters specifically described above because of the inherently unpredictable nature of legal proceedings, which also may be exacerbated by various factors, including: (i) the damages sought in the proceedings are unsubstantiated or indeterminate; (ii) discovery is not complete; (iii) the proceeding is in its early stages; (iv) the matters present legal uncertainties; (v) there are significant facts in dispute; (vi) there are a large number of parties (including where it is uncertain how liability, if any, will be shared among multiple defendants); or (vii) there is a wide range of potential outcomes.

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NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

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The outcome of any current or future litigation or governmental or internal investigations, including the matters described above, cannot be accurately predicted, nor can we predict any resulting penalties, fines or other sanctions that may be imposed at the discretion of federal or state regulatory authorities. Nevertheless, it is reasonably possible that any such outcome of litigation, penalties, fines or other sanctions could be substantial, and the outcome of these matters may have a material adverse effect on our results of operations, financial position, and cash flows, and may also affect our reputation.

12.13. SEGMENT INFORMATION

On January 1, 2013, we reclassified certain of our businesses to correspond with internal management reporting changes and renamed our Health and Well-Being Services segment as Healthcare Services. Our Employer Group segment now includes our health and productivity solutionswellness businesses, including HumanaVitality and Lifesynch’s employee assistance programs, which had historically been reported in our Healthcare Services segment. The Retail segment now includes our contract with CMS to administer the LI-NET program as well as our state-based Medicaid businesses, which had historically been reported in our Other Businesses category. Prior period segment financial information has been recast to conform to the 2013 presentation.

We manage our business with three reportable segments: Retail, Employer Group, and Healthcare Services. In addition, the Other Businesses category includes businesses that are not individually reportable because they do not meet the quantitative thresholds required by generally accepted accounting principles. These segments are based on a combination of the type of health plan customer and adjacent businesses centered on integrated care delivery for our health plans and other customers, as described below. These segment groupings are consistent with information used by our Chief Executive Officer to assess performance and allocate resources.

The Retail segment consists of Medicare and commercial fully-insured medical and specialty health insurance benefits, including dental, vision, and other supplemental health and financial protection products, marketed directly to individuals, and includes our contract with CMS to administer the LI-NET program and state-based Medicaid businesses. The Employer Group segment consists of Medicare and commercial fully-insured medical and specialty health insurance benefits, including dental, vision, and other supplemental health and financial protection products, as well as administrative services only, or ASO, products and our health and productivity solutionswellness products

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primarily marketed to employer groups. The Healthcare Services segment includes services offered to our health plan members as well as to third parties including provider services, pharmacy, integrated behavioral health services, and home care services. The Other Businesses category consists of our military services, primarily our TRICARE South Region contract, Puerto Rico Medicaid, and closed-block long-term care businesses.

Our Healthcare Services intersegment revenues primarily relate to managing prescription drug coverage for members of our other segments through Humana Pharmacy Solutions®, or HPS, and includes the operations ofRightSourceRx®, our mail order pharmacy business. These revenues consist of the prescription price (ingredient cost plus dispensing fee), including the portion to be settled with the member (co-share) or with the government (subsidies), plus any associated administrative fees. Services revenues related to the distribution of prescriptions by third party retail pharmacies in our networks are recognized when the claim is processed and product revenues from dispensing prescriptions from our mail order pharmacies are recorded when the prescription or product is shipped. Our pharmacy operations, which are responsible for designing pharmacy benefits, including defining member co-share responsibilities, determining formulary listings, selecting and establishing prices charged by retail pharmacies, confirming member eligibility, reviewing drug utilization, and processing claims, act as a principal in the arrangement on behalf of members in our other segments. As principal, our Healthcare Services segment reports revenues on a gross basis including co-share amounts from members collected by third party retail pharmacies at the point of service.

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In addition, our Healthcare Services intersegment revenues include revenues earned by certain owned providers derived from risk-based managed care agreements with our health plans. Under these agreements, the provider receives a monthly capitated fee that varies depending on the demographics and health status of the member for each member assigned to these owned providers by our health plans. The owned provider assumes the economic risk of funding the assigned members’ healthcare services and related administrative costs. Accordingly, our Healthcare Services segment reports provider services related revenues on a gross basis. Capitation fee revenue is recognized in the period in which the assigned members are entitled to receive healthcare services.

We present our consolidated results of operations from the perspective of the health plans. As a result, the cost of providing benefits to our members, whether provided via a third party provider or internally through a stand-alone subsidiary, is classified as benefits expense and excludes the portion of the cost for which the health plans do not bear responsibility, including member co-share amounts and government subsidies of $1.3 billion and $1.2 billion for the three months ended March 31,June 30, 2013 and 2012. For the six months ended June 30, 2013 and 2012, these amounts were $2.5 billion and $2.4 billion, respectively. In addition, depreciation and amortization expense associated with certain businesses in our Healthcare Services segment delivering benefits to our members, primarily associated with our provider services and pharmacy operations, are included with benefits expense. The amount of this expense was $22$24 million and $8$9 million for the three months ended March 31,June 30, 2013 and 2012, respectively. The increaseFor the six months ended June 30, 2013 and 2012, the amount of this expense was $46 and $17 million, respectively. These increases primarily were due to amortization expense associated with the December 21, 2012 acquisition of Metropolitan Health Networks, Inc.

Other than those described previously, the accounting policies of each segment are the same and are described in Note 2 to the consolidated financial statements included in our 2012 Form 10-K. Transactions between reportable segments consist of sales of services rendered by our Healthcare Services segment, primarily pharmacy, provider, and behavioral health services, to our Retail and Employer Group customers. Intersegment sales and expenses are recorded at fair value and eliminated in consolidation. Members served by our segments often utilize the same provider networks, enabling us in some instances to obtain more favorable contract terms with providers. Our segments also share indirect costs and assets. As a result, the profitability of each segment is interdependent. We allocate most operating expenses to our segments. Assets and certain corporate income and expenses are not allocated to the segments, including the portion of investment income not supporting segment operations, interest expense on corporate debt, and certain other corporate expenses. These items are managed at a corporate level. These corporate amounts are reported separately from our reportable segments and included with intersegment eliminations in the tables presenting segment results below.

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Our segment results were as follows for the three and six months ended March 31,June 30, 2013 and 2012, respectively:

 

  Retail   Employer
Group
   Healthcare
Services
   Other
Businesses
   Eliminations/
Corporate
 Consolidated   Retail   Employer
Group
   Healthcare
Services
   Other
Businesses
 Eliminations/
Corporate
 Consolidated 
          (in millions)                 (in millions)     

Three months ended March 31, 2013

           

Three months ended June 30, 2013

          

Revenues—external customers

                     

Premiums:

                     

Medicare Advantage

  $5,736    $1,190    $0    $0    $0   $6,926    $5,572    $1,160    $0    $0   $0   $6,732  

Medicare stand-alone PDP

   761     2     0     0     0    763     785     2     0     0    0    787  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total Medicare

   6,497     1,192     0     0     0    7,689     6,357     1,162     0     0    0    7,519  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Fully-insured

   279     1,268     0     0     0    1,547     285     1,273     0     0    0    1,558  

Specialty

   49     275     0     0     0    324     52     275     0     0    0    327  

Military services

   0     0     0     11     0    11     0     0     0     5    0    5  

Medicaid and other

   79     0     0     218     0    297     72     0     0     220    0    292  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total premiums

   6,904     2,735     0     229     0    9,868     6,766     2,710     0     225    0    9,701  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Services revenue:

                     

Provider

   0     4     306     0     0    310     0     4     313     0    0    317  

ASO and other

   2     84     0     120     0    206     2     82     0     114    0    198  

Pharmacy

   0     0     9     0     0    9     0     0     13     0    0    13  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total services revenue

   2     88     315     120     0    525     2     86     326     114    0    528  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total revenues—external customers

   6,906     2,823     315     349     0    10,393     6,768     2,796     326     339    0    10,229  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Intersegment revenues

                     

Services

   0     11     2,749     0     (2,760  0     0     12     2,858     0    (2,870  0  

Products

   0     0     654     0     (654  0     0     0     680     0    (680  0  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total intersegment revenues

   0     11     3,403     0     (3,414  0     0     12     3,538     0    (3,550  0  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Investment income

   18     11     0     15     49    93     18     10     0     15    49    92  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total revenues

   6,924     2,845     3,718     364     (3,365  10,486     6,786     2,818     3,864     354    (3,501  10,321  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Operating expenses:

                     

Benefits

   5,929     2,177     0     187     (98  8,195     5,696     2,235     0     251    (91  8,091  

Operating costs

   613     440     3,557     115     (3,279  1,446     640     429     3,697     129    (3,434  1,461  

Depreciation and amortization

   32     23     36     4     (15  80     32     27     36     4    (19  80  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total operating expenses

   6,574     2,640     3,593     306     (3,392  9,721     6,368     2,691     3,733     384    (3,544  9,632  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Income from operations

   350     205     125     58     27    765  

Income (loss) from operations

   418     127     131     (30  43    689  

Interest expense

   0     0     0     0     35    35     0     0     0     0    35    35  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Income (loss) before income taxes

  $350    $205    $125    $58    $(8 $730    $418    $127    $131    $(30 $8   $654  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

 

  Retail   Employer
Group
   Healthcare
Services
   Other
Businesses
   Eliminations/
Corporate
 Consolidated   Retail   Employer
Group
   Healthcare
Services
   Other
Businesses
 Eliminations/
Corporate
 Consolidated 
          (in millions)                 (in millions)     

Three months ended March 31, 2012

           

Three months ended June 30, 2012

          

Revenues—external customers

                     

Premiums:

                     

Medicare Advantage

  $5,093    $1,025    $0    $0    $0   $6,118    $5,308    $1,011    $0    $0   $0   $6,319  

Medicare stand-alone PDP

   726     2     0     0     0    728     745     2     0     0    0    747  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total Medicare

   5,819     1,027     0     0     0    6,846     6,053     1,013     0     0    0    7,066  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Fully-insured

   244     1,242     0     0     0    1,486     250     1,247     0     0    0    1,497  

Specialty

   38     260     0     0     0    298     42     262     0     0    0    304  

Military services

   0     0     0     893     0    893     0     0     0     44    0    44  

Medicaid and other

   46     0     0     206     0    252     45     0     0     210    0    255  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total premiums

   6,147     2,529     0     1,099     0    9,775     6,390     2,522     0     254    0    9,166  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Services revenue:

                     

Provider

   0     2     231     0     0    233     0     2     243     0    0    245  

ASO and other

   6     89     0     18     0    113     5     89     0     91    0    185  

Pharmacy

   0     0     4     0     0    4     0     0     4     0    0    4  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total services revenue

   6     91     235     18     0    350     5     91     247     91    0    434  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total revenues—external customers

   6,153     2,620     235     1,117     0    10,125     6,395     2,613     247     345    0    9,600  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Intersegment revenues

                     

Services

   0     10     2,465     0     (2,475  0     1     7     2,359     0    (2,367  0  

Products

   0     0     584     0     (584  0     0     0     591     0    (591  0  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total intersegment revenues

   0     10     3,049     0     (3,059  0     1     7     2,950     0    (2,958  0  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Investment income

   19     10     0     14     51    94     20     10     0     15    54    99  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total revenues

   6,172     2,640     3,284     1,131     (3,008  10,219     6,416     2,630     3,197     360    (2,904  9,699  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Operating expenses:

                     

Benefits

   5,377     2,053     0     1,016     (96  8,350     5,378     2,063     0     301    (90  7,652  

Operating costs

   637     436     3,140     106     (2,936  1,383     638     428     3,049     111    (2,842  1,384  

Depreciation and amortization

   30     22     19     4     (5  70     33     22     20     4    (6  73  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Total operating expenses

   6,044     2,511     3,159     1,126     (3,037  9,803     6,049     2,513     3,069     416    (2,938  9,109  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Income from operations

   128     129     125     5     29    416  

Income (loss) from operations

   367     117     128     (56  34    590  

Interest expense

   0     0     0     0     26    26     0     0     0     0    26    26  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Income before income taxes

  $128    $129    $125    $5    $3   $390  

Income (loss) before income taxes

  $367    $117    $128    $(56 $8   $564  
  

 

   

 

   

 

   

 

   

 

  

 

   

 

   

 

   

 

   

 

  

 

  

 

 

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

   Retail   Employer
Group
   Healthcare
Services
   Other
Businesses
   Eliminations/
Corporate
  Consolidated 
           (in millions)        

Six months ended June 30, 2013

           

Revenues—external customers

           

Premiums:

           

Medicare Advantage

  $11,308    $2,350    $0    $0    $0   $13,658  

Medicare stand-alone PDP

   1,546     4     0     0     0    1,550  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Total Medicare

   12,854     2,354     0     0     0    15,208  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Fully-insured

   564     2,541     0     0     0    3,105  

Specialty

   101     550     0     0     0    651  

Military services

   0     0     0     16     0    16  

Medicaid and other

   151     0     0     438     0    589  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Total premiums

   13,670     5,445     0     454     0    19,569  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Services revenue:

           

Provider

   0     8     619     0     0    627  

ASO and other

   4     166     0     234     0    404  

Pharmacy

   0     0     22     0     0    22  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Total services revenue

   4     174     641     234     0    1,053  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Total revenues—external customers

   13,674     5,619     641     688     0    20,622  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Intersegment revenues

           

Services

   0     23     5,607     0     (5,630  0  

Products

   0     0     1,334     0     (1,334  0  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Total intersegment revenues

   0     23     6,941     0     (6,964  0  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Investment income

   36     21     0     30     98    185  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Total revenues

   13,710     5,663     7,582     718     (6,866  20,807  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Operating expenses:

           

Benefits

   11,625     4,412     0     438     (189  16,286  

Operating costs

   1,253     869     7,254     244     (6,713  2,907  

Depreciation and amortization

   64     50     72     8     (34  160  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Total operating expenses

   12,942     5,331     7,326     690     (6,936  19,353  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Income from operations

   768     332     256     28     70    1,454  

Interest expense

   0     0     0     0     70    70  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Income before income taxes

  $768    $332    $256    $28    $0   $1,384  
  

 

 

   

 

 

   

 

 

   

 

 

   

 

 

  

 

 

 

Humana Inc.

NOTES TO CONDENSED CONSOLIDATED FINANCIAL STATEMENTS—(Continued)

Unaudited

   Retail   Employer
Group
   Healthcare
Services
   Other
Businesses
  Eliminations/
Corporate
  Consolidated 
           (in millions)       

Six months ended June 30, 2012

          

Revenues—external customers

          

Premiums:

          

Medicare Advantage

  $10,401    $2,036    $0    $0   $0   $12,437  

Medicare stand-alone PDP

   1,471     4     0     0    0    1,475  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Total Medicare

   11,872     2,040     0     0    0    13,912  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Fully-insured

   494     2,489     0     0    0    2,983  

Specialty

   80     522     0     0    0    602  

Military services

   0     0     0     937    0    937  

Medicaid and other

   91     0     0     416    0    507  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Total premiums

   12,537     5,051     0     1,353    0    18,941  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Services revenue:

          

Provider

   0     4     474     0    0    478  

ASO and other

   11     178     0     109    0    298  

Pharmacy

   0     0     8     0    0    8  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Total services revenue

   11     182     482     109    0    784  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Total revenues—external customers

   12,548     5,233     482     1,462    0    19,725  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Intersegment revenues

          

Services

   1     17     4,824     0    (4,842  0  

Products

   0     0     1,175     0    (1,175  0  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Total intersegment revenues

   1     17     5,999     0    (6,017  0  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Investment income

   39     20     0     29    105    193  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Total revenues

   12,588     5,270     6,481     1,491    (5,912  19,918  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Operating expenses:

          

Benefits

   10,755     4,116     0     1,317    (186  16,002  

Operating costs

   1,275     864     6,189     217    (5,778  2,767  

Depreciation and amortization

   63     44     39     8    (11  143  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Total operating expenses

   12,093     5,024     6,228     1,542    (5,975  18,912  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Income (loss) from operations

   495     246     253     (51  63    1,006  

Interest expense

   0     0     0     0    52    52  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

Income (loss) before income taxes

  $495    $246    $253    $(51 $11   $954  
  

 

 

   

 

 

   

 

 

   

 

 

  

 

 

  

 

 

 

ITEM 2. MANAGEMENT’S DISCUSSION AND ANALYSIS OF

FINANCIAL CONDITION AND RESULTS OF OPERATIONS

The condensed consolidated financial statements of Humana Inc. in this document present the Company’s financial position, results of operations and cash flows, and should be read in conjunction with the following discussion and analysis. References to “we,” “us,” “our,” “Company,” and “Humana” mean Humana Inc. and its subsidiaries. This discussion includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. When used in filings with the SEC, in our press releases, investor presentations, and in oral statements made by or with the approval of one of our executive officers, the words or phrases like “expects,” “believes,” “anticipates,” “intends,” “likely will result,” “estimates,” “projects” or variations of such words and similar expressions are intended to identify such forward–looking statements. These forward–looking statements are not guarantees of future performance and are subject to risks, uncertainties and assumptions, including, among other things, information set forth in Item 1A. – Risk Factors in our 2012 Form 10-K, as modified by any changes to those risk factors included in this document and in other reports we filed subsequent to February 21, 2013, in each case incorporated by reference herein. In making these statements, we are not undertaking to address or update such forward-looking statements in future filings or communications regarding our business or results. In light of these risks, uncertainties and assumptions, the forward–looking events discussed in this document might not occur. There may also be other risks that we are unable to predict at this time. Any of these risks and uncertainties may cause actual results to differ materially from the results discussed in the forward–looking statements.

Executive Overview

General

Headquartered in Louisville, Kentucky, Humana is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of our core businesses, we believe that we can better explore opportunities for existing and emerging adjacencies in health care that can further enhance wellness opportunities for the millions of people across the nation with whom we have relationships.

Our industry relies on two key statistics to measure performance. The benefit ratio, which is computed by taking total benefits expense as a percentage of premiums revenue, represents a statistic used to measure underwriting profitability. The operating cost ratio, which is computed by taking total operating costs as a percentage of total revenue less investment income, represents a statistic used to measure administrative spending efficiency.

Business Segments

On January 1, 2013, we reclassified certain of our businesses to correspond with internal management reporting changes and renamed our Health and Well-Being Services segment as Healthcare Services as further described in Note 1 to the condensed consolidated financial statements. Prior period segment financial information has been recast to conform to the 2013 presentation.

We manage our business with three reportable segments: Retail, Employer Group, and Healthcare Services. In addition, the Other Businesses category includes businesses that are not individually reportable because they do not meet the quantitative thresholds required by generally accepted accounting principles. These segments are based on a combination of the type of health plan customer and adjacent businesses centered on integrated care delivery for our health plans and other customers, as described below. These segment groupings are consistent with information used by our Chief Executive Officer to assess performance and allocate resources.

The Retail segment consists of Medicare and commercial fully-insured medical and specialty health insurance benefits, including dental, vision, and other supplemental health and financial protection products, marketed directly to individuals, and includes our contract with Centers for Medicare and Medicaid Services, or CMS, to administer the Limited Income Newly Eligible Transition program, or the LI-NET program, and state-based Medicaid businesses. The Employer Group segment consists of Medicare and commercial fully-insured medical and specialty health insurance benefits, including dental, vision, and other supplemental health and financial protection products, as well

as administrative services only products, or ASO, and our health and productivity solutionswellness products primarily marketed to employer groups. The Healthcare Services segment includes services offered to our health

plan members as well as to third parties, including provider services, pharmacy, integrated behavioral health services, and home care services. The Other Businesses category consists of our military services, primarily our TRICARE South Region contract, Puerto Rico Medicaid, and closed-block long-term care businesses.

The results of each segment are measured by income before income taxes. Transactions between reportable segments consist of sales of services rendered by our Healthcare Services segment, primarily pharmacy, provider, and behavioral health, to our Retail and Employer Group customers. Intersegment sales and expenses are recorded at fair value and eliminated in consolidation. Members served by our segments often utilize the same provider networks, enabling us in some instances to obtain more favorable contract terms with providers. Our segments also share indirect costs and assets. As a result, the profitability of each segment is interdependent. We allocate most operating expenses to our segments. Assets and certain corporate income and expenses are not allocated to the segments, including the portion of investment income not supporting segment operations, interest expense on corporate debt, and certain other corporate expenses. These items are managed at the corporate level. These corporate amounts are reported separately from our reportable segments and included with intersegment eliminations.

Seasonality

One of the product offerings of our Retail segment is Medicare stand-alone prescription drug plans, or PDPs, under the Medicare Part D program. These plans provide varying degrees of coverage. Our quarterly Retail segment earnings and operating cash flows are impacted by the Medicare Part D benefit design and changes in the composition of our membership. The Medicare Part D benefit design results in coverage that varies as a member’s cumulative out-of-pocket costs pass through successive stages of a member’s plan period which begins annually on January 1 for renewals. These plan designs generally result in us sharing a greater portion of the responsibility for total prescription drug costs in the early stages and less in the latter stages. As a result, the PDP benefit ratio generally decreases as the year progresses. In addition, the number of low-income senior members as well as year-over-year changes in the mix of membership in our stand-alone PDP products affects the quarterly benefit ratio pattern.

Our Employer Group segment also experiences seasonality in the benefit ratio pattern. However, the effect is opposite of the Retail segment, with the Employer Group’s benefit ratio increasing as fully-insured members progress through their annual deductible and maximum out-of-pocket expenses.

2013 Highlights

Consolidated

 

Our results for the three months ended March 31, 2013 were impacted by a lower benefit ratio in most of our major business lines and a lower operating cost ratio in our Retail and Employer Group segments due to continued operating cost efficiencies. The decline in the benefit ratio primarily was due to higher favorable prior-period medical claims reserve development year-over-year mainly resulting from a lower claims trend across most of our major business lines, and favorable weekday seasonality (the number of business days in the period), including the impact of an extra day’s claims for leap year in 2012. In addition, the benefit ratio for the three months ended March 31, 2013 includes the beneficial effect of a favorable settlement of contract claims with the Department of Defense, or DoD, primarily associated with previously disclosed litigation settled in the second quarter of 2012. As more fully described under “Benefits Expense Recognition” in Item 7 of our 2012 Form 10-K, actuarial standards require the use of assumptions based on moderately adverse experience, which generally results in favorable reserve development, or reserves that are considered redundant. We experienced favorable medical claims reserve development related to prior fiscal years of $266 million for the three months ended March 31, 2013 compared to $141 million for the three months ended March 31, 2012.

In addition, our 2013 results reflect the continued implementation of our strategy to offer our members affordable health care combined with a positive consumer experience in growing markets. At the core of this strategy is our integrated care delivery model, which unites quality care, high member engagement, and sophisticated data analytics. Our approach to primary, physician-directed care for our members aims to provide quality care that is consistent, integrated, cost-effective, and member-focused. The model is designed to improve health outcomes and affordability for individuals and for the health system as a whole, while offering our members a simple, seamless healthcare experience. We believe this strategy is positioning us for long-term growth in both membership and earnings. At June 30, 2013, approximately 541,400 members, or 26.7%, of our individual Medicare Advantage membership were in risk arrangements under our integrated care delivery model, as compared to 511,700 members at December 31, 2012 and 502,500 members at June 30, 2012.

designed to improve health outcomes and affordability for individuals and for the health system as a whole, while offering our members a simple, seamless healthcare experience. We believe this strategy is positioning us for long-term growth in both membership and earnings. At March 31, 2013, approximately 530,300 members, or 26.4%, of our individual Medicare Advantage membership were in risk arrangements under our integrated care delivery model, as compared to 511,700 members at December 31, 2012 and 497,900 members at March 31, 2012.

In addition, our pretax results for the three and six months ended June 30, 2013 reflect improved operating performance across our major business lines, including membership growth in our individual and group Medicare Advantage products, as described below. The improved operating performance reflects our continued focus and executional discipline involved in key initiatives like our chronic care program, including increased care management professional staffing and clinical assessments.

 

Comparisons to our 2012 consolidatedof the benefit ratioratios and operating cost ratioratios for the six months ended June 30, 2013 and June 30, 2012 are impacted by the transition to the newcurrent TRICARE South Region contract on April 1, 2012, which is accounted for similar to an administrative services fee only agreement as described in Note 2 to the consolidated financial statements included in our 2012 Form 10-K. Our previous contract was accounted for similar to our fully-insured products. In addition, comparisons of the benefit ratios for the six months ended June 30, 2013 and June 30, 2012 are impacted by the beneficial effect of a favorable settlement of contract claims with the Department of Defense, or DoD, in the first quarter of 2013 primarily associated with previously disclosed litigation settled in the second quarter of 2012.

Year-over-year comparisons of diluted earnings per common share are favorably impacted by a lower number of shares used to compute diluted earnings per common share primarily reflecting the impact of share repurchases.

 

During the threesix months ended March 31,June 30, 2013, we repurchased 1.212.83 million shares in open market transactions for $81$211 million and declaredpaid dividends to stockholders of $0.26 per share for an aggregate amount of $41$83 million.

In July 2013, we amended and restated our 5-year $1.0 billion unsecured revolving agreement which was set to expire in November 2016 and replaced it with a new 5-year $1.0 billion unsecured revolving agreement expiring July 2018 as described under the section titled “Credit Agreement.”

Retail

 

On April 1, 2013, CMS issued its final Announcement of Calendar Year 2014 Medicare Advantage Benchmark Rates and Payment Policies, which we refer to as the CMS Final Announcement. Based on the benchmark rates and payment policies published in the CMS Final Announcement, we estimate that our 2014 Medicare bid benchmark payment rates will decline by 2.8% in the aggregate, including the negative impact of risk coding recalibration and county rebasing. The 2014 bid benchmark payment rate reductions for certain of our key markets are anticipated to be in the mid to upper single digits, primarily due to the risk coding recalibration in 2014. Including the health insurance industry fee associated with the Health InsuranceCare Reform Law, we anticipate we will need to address government funding reductions of more than 4% in the aggregate in 2014. While we believe our senior members’ benefits may be adversely impacted, we believe we can effectively design Medicare Advantage products based upon these levels of rate reduction while continuing to remain competitive compared to both the combination of original Medicare with a supplement policy as well as Medicare Advantage products offered by our competitors. Nonetheless, there can be no assurance that we will be able to successfully execute operational and strategic initiatives that we have assumed when designing our plan benefit offerings and premiums for 2014. Failure to execute these strategies may result in a material adverse effect on our results of operations, financial position, and cash flows.

 

As discussed in the detailed Retail segment results of operations discussion that follows, we experienced a decline in the Retail segment benefit ratio infor the Retail segment,six months ended June 30, 2013, with the segment’s benefit ratio decreasing 16080 basis points to 85.9%85.0%. Our Retail segment benefit ratio for the three months ended March 31,June 30, 2013 primarily dueof 84.2% was comparable to the factors described above under our consolidated highlights.benefit ratio for the three months ended June 30, 2012.

 

Individual Medicare Advantage membership of 2,012,1002,029,700 at March 31,June 30, 2013 increased 84,500,102,100, or 4.4%5.3%, from 1,927,600 at December 31, 2012 and increased 128,300133,900 members, or 6.8%7.1%, from 1,883,8001,895,800 at March 31,June 30, 2012 reflecting net membership additions for the 2013 enrollment season.season and new sales to members aging-in to the Medicare program. Effective January 1, 2013, we divested approximately 12,600 members acquired with Arcadian Management Services, Inc. in accordance with our previously disclosed agreement with the United States Department of Justice.

 

Medicare stand-alone PDP membership of 3,202,3003,220,600 at March 31,June 30, 2013 increased 149,600167,900 members, or 4.9%5.5%, from 3,052,700 at December 31, 2012 and increased 261,700250,500 members, or 8.9%8.4%, from 2,940,6002,970,100 at March 31,June 30, 2012 reflecting net membership additions, primarily for our Humana-Walmart plan offering for the 2013 enrollment season.

 

During 2012, we were successful in our bids for Medicaid business in Ohio, Illinois, and Kentucky, includingKentucky. Ohio and Illinois include individuals dually eligible for both the federal Medicare program and the state-based Medicaid program in both Ohio and Illinois.program. We partnered with CareSource Management Group Company to serve the Ohio and Kentucky individuals under a March 2012 strategic alliance agreement. Medicaid membership in our Retail Segment at June 30, 2013 increased 21,20018,500 members from December 31, 2012, and increased 27,20024,100 members from March 31,June 30, 2012 primarily driven by the addition of our recently awarded Kentucky Medicaid contract effective January 1, 2013. We expect to begin serving members under contracts with Ohio and Illinois on January 1,in the first quarter of 2014. While we expect the dual-eligible business to result in pretax income growth, the mix of lower margin dual-eligible business with the higher margin Medicare Advantage business may result in a decline in Retail Segment margins over time.

On July 24, 2013, we announced that we had entered into a definitive agreement to acquire American Eldercare Inc., or American Eldercare, the largest provider of nursing home diversion services in the state of Florida (serving frail and elderly individuals in home and community-based settings). American Eldercare complements our core capabilities and strength in serving seniors and disabled individuals with a unique focus on individualized and integrated care, and was selected to provide Medicaid long-term care services across the entire state of Florida. The enrollment effective dates for the various regions range from August 2013 to March 2014. The transaction is subject to state regulatory approvals and is anticipated to close by the fourth quarter of 2013.

Employer Group Segment

 

As discussed in the detailed Employer Group segment results of operations discussion that follows, the Employer Group segment benefit ratio increased 70 basis points to 82.5% for the three months ended June 30, 2013. For the six months ended June 30, 2013, we experienced a decline in the benefit ratio in the Employer Group segment, with the segment’s benefit ratio decreasing 16050 basis points to 79.6% for the three months ended March 31, 2013 primarily due to the factors described above under our consolidated highlights.81.0%.

 

Fully-insured group Medicare Advantage membership of 412,800416,600 at March 31,June 30, 2013 increased 42,00045,800 members, or 11.3%12.4%, from 370,800 at December 31, 2012 and increased 55,10056,100 members, or 15.4%15.6%, from 357,700360,500 at March 31,June 30, 2012 primarily due to the January 2013 addition of a new large group retirement account.

Healthcare Services Segment

On December 21, 2012, we acquired Metropolitan Health Networks, Inc., or Metropolitan, a Medical Services Organization, or MSO, that coordinates medical care for Medicare Advantage beneficiaries and Medicaid recipients, primarily in Florida. We acquired all of the outstanding shares of Metropolitan and repaid all outstanding debt of Metropolitan for a transaction value of $851 million, plus transaction expenses.

On October 29, 2012, we acquired a noncontrolling equity interest in MCCI Holdings, LLC, or MCCI, a privately held MSO headquartered in Miami, Florida that coordinates medical care for Medicare Advantage beneficiaries and Medicaid recipients, primarily in Florida and Texas.

The Metropolitan and MCCI transactions provide us with components of a successful integrated care delivery model that has demonstrated scalability to new markets. A substantial portion of the revenues for both Metropolitan and MCCI are derived from services provided to Humana Medicare Advantage members under capitation contracts with our health plans. In addition, Metropolitan and MCCI provide services to Medicare Advantage and Medicaid members under capitation contracts with third party health plans. Under these capitation agreements with Humana and third party health plans, Metropolitan and MCCI assume financial risk associated with these Medicare Advantage and Medicaid members.

On July 6, 2012, we acquired SeniorBridge Family Companies, Inc., or SeniorBridge, a chronic-care provider of in-home care for seniors, expanding our existing clinical and home health capabilities and strengthening our offerings for members with complex chronic-care needs.

Other Businesses

 

Year-over-year comparisonsComparisons of the benefit ratios for the six months ended June 30, 2013 and June 30, 2012 within Other Businesses are impacted by the transition to the newcurrent TRICARE South Region contract on April 1, 2012, including a changedecrease in profitability under the newcurrent contract in connection with our bid strategy, and a reduction in benefits expensethe beneficial effect of approximately $48 million during the three months ended March 31, 2013 related to a favorable settlement of contract claims with the Department of Defense, or DoD, in the first quarter of 2013 primarily associated with previously disclosed litigation settled in the second quarter of 2012.

On June 26, 2013, the Puerto Rico Health Insurance Administration notified us of its election not to renew our three-year Medicaid contracts for the East, Southeast, and Southwest regions which ended June 30, 2013. Contractual transition provisions require the continuation of insurance coverage for beneficiaries through September 30, 2013 and an additional period of time thereafter to process claims. During the second quarter of 2013, we recorded a loss of $31.0 million on these contracts primarily related to premium deficiency and employee termination costs.

Health InsuranceCare Reform

The Patient Protection and Affordable Care Act and The Health Care and Education Reconciliation Act of 2010 (which we collectively refer to as the Health InsuranceCare Reform Law) enacted significant reforms to various aspects of the U.S. health insurance industry. While regulations and interpretive guidance on somemany provisions of the Health InsuranceCare Reform Law have been issued to date by the Department of Health and Human Services, or HHS, the Department of Labor, the Treasury Department, and the National Association of Insurance Commissioners, or NAIC, there are manycertain provisions of the legislationlaw that will require additional guidance and clarification in the form of regulations and interpretations in order to fully understand the impacts of the legislationlaw on our overall business, which we expect to occur over the next several years.

Implementation dates of the Health InsuranceCare Reform Law began in September 2010 and continue through 2018. The following outlines certain provisions of the Health InsuranceCare Reform Law:

 

  

Currently Effective: Many changes are already effective and have been implemented by the Company, including: elimination of pre-existing condition limits for enrollees under age 19, elimination of certain annual and lifetime caps on the dollar value of benefits, expansion of dependent coverage to include adult children until age 26, a requirement to provide coverage for prescribed preventive services without cost to members, new claim appeal requirements, and the establishment of an interim high risk program for those unable to obtain coverage due to a pre-existing condition or health status.

Commercial fully-insured medical plans with actual benefit ratios below certain targets (85% for large employer groups, 80% for small employer groups, and 80% for individuals, calculated in a manner prescribed by HHS) are required to rebate ratable portions of their premiums to customers annually. We began accruing for rebates in 2011, based on the manner prescribed by HHS, with initial rebate payments made inannually each July 2012.of the following calendar year. Our benefit ratios reported herein, calculated from financial statements prepared in accordance with accounting principles generally accepted in the United States of America, or GAAP, differ from the benefit ratios calculated as prescribed by HHS under the Health InsuranceCare Reform Law. The more noteworthy differences include the fact that the benefit ratio calculations prescribed by HHS are calculated separately by state and legal entity; independently for individual, small group, and large group fully-insured products; reflect actuarial adjustments where the membership levels are not large enough to create credible size; exclude some of our health insurance products; include taxes and fees as reductions of premium; and treat changes in reserves differently than GAAP.

HHS has also established, as required under the Health InsuranceCare Reform Law, a federal premium rate review process, which generally applies to proposed rate increases equal to or exceeding 10%, and regulations require commercial plans to provide to the states and HHS supporting information with respect to any rate increases that are subject to the federal review process.

 

  

Currently Effective with Phased-In Implementation: In 2012, additional cuts to Medicare Advantage plan payment benchmarks began to take effect (with plan payment benchmarks ultimately ranging from 95% in high-cost

areas to 115% in low-cost areas of Medicare fee-for-service rates), with changes being phased-in over two to six years, depending on the level of payment reduction in a county. In addition, since 2011 the gap in coverage for Medicare Part D prescription drug coverage has been incrementally closing.

In addition, certain provisions in the Health InsuranceCare Reform Law tie Medicare Advantage premiums to the achievement of certain quality performance measures (Star Ratings). Beginning in 2012, Medicare Advantage plans with an overall Star Rating of three or more stars (out of five) were eligible for a quality bonus in their basic premium rates. Initially,By law, quality bonuses were limited to the few plans that achieved four or more stars as an overall rating, but CMS, hasthrough its demonstration authority, expanded the quality bonus to three Star plans for a three year period through 2014. Star Ratings issued by CMS in October 2012 indicated that 99% of our Medicare Advantage members are now in plans that will qualify for quality bonus payments in 2014, up from 98% in 2013. Further, the percentage of our Medicare Advantage members in plans with an overall Star Rating of four or more stars, including one five star plan, increased to 40%. Plans that earn an overall Star Rating of five are immediately eligible to enroll members year round. Beginning in 2015, plans must have a Star Rating of four or higher to qualify for bonus money. Notwithstanding successful historical efforts to improve our Star Ratings and other quality measures for 2012 and 2013 and the continuation of such efforts, there can be no assurances that we will be successful in maintaining or improving our Star Ratings in future years. Accordingly, our plans may not be eligible for full level quality bonuses, which could adversely affect the benefits such plans can offer, reduce membership, and/or reduce profit margins.

  

Effective in 2014: Beginning in 2014, the Health InsuranceCare Reform Law requires: all individual and group health plans to guarantee issuance and renew coverage without pre-existing condition exclusions or health-status rating adjustments; the elimination of annual limits on coverage on certain plans;benefits; the establishment of federally facilitated, federal-state partnerships or state-based exchanges for individuals and small employers (with up to 100 employees) coupled with programs designed to spread risk among insurers; the introduction of plan designs based on set actuarial values; the establishment of a minimum benefit ratio of 85% for Medicare Advantage plans; and insurance industry assessments, including an annual health insurance industry fee and a three-year $25 billion commercial reinsurance fee. The annual health insurance industry fee levied on the insurance industry is $8 billion in 2014 with increasing annual amounts thereafter, growing to $14 billion by 2017, and is not deductible for income tax purposes, which will significantly increase our effective income tax rate in 2014. The NAIC is continuing discussions regarding the accounting for the health insurance industry fee and may require accrual and associated subsidiary funding consideration forsurplus reductions in the first two years of the assessmentyear preceding payment, beginning in 2014. Accordingly, in 2014 followed by annual accruals thereafter.we may be required to reduce surplus for both the 2014 and 2015 assessments. The NAIC guidance is contradictory to final GAAP guidance issued by the FASB in July 2011, which requires annual accrual of the health insurance industry fee in the year in which it is payable.

The Health InsuranceCare Reform Law also specifies benefit design guidelines, limits rating and pricing practices, encourages additional competition (including potential incentives for new market entrants),from the establishment of two multi-state plans (one not-for-profit; one for-profit) administered through the Office of Personnel Management, and expands eligibility for Medicaid programs. In addition, the law will increase federal oversight of health plan premium rates and could adversely affect our ability to appropriately adjust health plan premiums on a timely basis. Financing for these reforms will come, in part, from material additional fees and taxes on us (as discussed above) and other health plans and individuals beginning in 2014, as well as reductions in certain levels of payments to us and other health plans under Medicare as described herein.

As discussed above, implementing regulations and related interpretive guidance continue to be issued on several significantcertain provisions of the Health InsuranceCare Reform Law. Congress may also withhold the funding necessary to implement the Health InsuranceCare Reform Law, or may attempt to replace the legislationlaw with amended provisions. The implementation of certain provisions of Health Care Reform Law has been delayed. Given the breadth of possible changes and the uncertainties of interpretation, implementation, and timing of these changes, which we expect to occur over the next several years, the Health InsuranceCare Reform Law will change the way we do business, potentially impacting our pricing, benefit design, product mix, geographic mix, and distribution channels. In particular, final implementing regulations and related guidance are forthcoming on various aspects of the minimum benefit ratio requirement’s applicability to Medicare, including aggregation, credibility thresholds, and its application to prescription drug plans. The response of other companies to the Health InsuranceCare Reform Law and adjustments to their offerings, if any, could cause meaningful disruption in the local health care markets. It is reasonably possible that the Health InsuranceCare Reform Law and related regulations, as well as future legislative changes, in the aggregate may have a material adverse effect on our results of operations, including restricting revenue, enrollment and premium growth in certain products and market segments, restricting our ability to expand into new markets, increasing our medical and operating costs,

lowering our Medicare payment rates and increasing our expenses associated with the non-deductible health insurance industry fee and other assessments; our financial position, including our ability to maintain the value of our goodwill; and our cash flows. If the new non-deductible health insurance industry fee and other assessments, including a three-year commercial reinsurance fee, were imposed as enacted, and if we are unable to adjust our business model to address these new taxes and assessments, such as through the reduction of our operating costs or adjustments to premium pricing or benefit design, there can be no assurance that the non-deductible health insurance industry fee and other assessments would not have a material adverse effect on our results of operations, financial position, and cash flows.

We intend for the discussion of our financial condition and results of operations that follows to assist in the understanding of our financial statements and related changes in certain key items in those financial statements from year to year, including the primary factors that accounted for those changes. Transactions between reportable segments consist of sales of services rendered by our Healthcare Services segment, primarily pharmacy, provider, and behavioral health services, to our Retail and Employer Group customers and are described in Note 1213 to the condensed consolidated financial statements.

Comparison of Results of Operations for 2013 and 2012

The following discussion primarily deals with our results of operations for the three months ended March 31,June 30, 2013, or the 2013 quarter, and the three months ended March 31,June 30, 2012, or the 2012 quarter.quarter, the six months ended June 30, 2013, or the 2013 period, and the six month ended June 30, 2012 or the 2012 period.

Consolidated

 

  For the three months ended
March 31,
 Change   For the three months ended
June 30,
 Change 
  2013 2012 Dollars Percentage   2013 2012 Dollars Percentage 
  (dollars in millions, except per common share results)     (dollars in millions, except per common share results)   

Revenues:

          

Premiums:

          

Retail

  $6,904   $6,147   $757    12.3  $6,766   $6,390   $376    5.9

Employer Group

   2,735    2,529    206    8.1   2,710    2,522    188    7.5

Other Businesses

   229    1,099    (870  (79.2)%    225    254    (29  (11.4)% 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total premiums

   9,868    9,775    93    1.0   9,701    9,166    535    5.8
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Services:

          

Retail

   2    6    (4  (66.7)%    2    5    (3  (60.0)% 

Employer Group

   88    91    (3  (3.3)%    86    91    (5  (5.5)% 

Healthcare Services

   315    235    80    34.0   326    247    79    32.0

Other Businesses

   120    18    102    566.7   114    91    23    25.3
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total services

   525    350    175    50.0   528    434    94    21.7
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Investment income

   93    94    (1  (1.1)%    92    99    (7  (7.1)% 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total revenues

   10,486    10,219    267    2.6   10,321    9,699    622    6.4
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Operating expenses:

          

Benefits

   8,195    8,350    (155  (1.9)%    8,091    7,652    439    5.7

Operating costs

   1,446    1,383    63    4.6   1,461    1,384    77    5.6

Depreciation and amortization

   80    70    10    14.3   80    73    7    9.6
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total operating expenses

   9,721    9,803    (82  (0.8)%    9,632    9,109    523    5.7
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Income from operations

   765    416    349    83.9   689    590    99    16.8

Interest expense

   35    26    9    34.6   35    26    9    34.6
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Income before income taxes

   730    390    340    87.2   654    564    90    16.0

Provision for income taxes

   257    142    115    81.0   234    208    26    12.5
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Net income

  $473   $248   $225    90.7  $420   $356   $64    18.0
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Diluted earnings per common share

  $2.95   $1.49   $1.46    98.0  $2.63   $2.16   $0.47    21.8

Benefit ratio(a)

   83.0  85.4   (2.4)%    83.4  83.5   (0.1)% 

Operating cost ratio(b)

   13.9  13.7   0.2   14.3  14.4   (0.1)% 

Effective tax rate

   35.2  36.5   (1.3)%    35.7  36.8   (1.1)% 

(a)Represents total benefits expense as a percentage of premiums revenue.
(b)Represents total operating costs as a percentage of total revenues less investment income.

   For the six months  ended
June 30,
  Change 
   2013  2012  Dollars  Percentage 
   (dollars in millions, except per common share results)    

Revenues:

     

Premiums:

     

Retail

  $13,670   $12,537   $1,133    9.0

Employer Group

   5,445    5,051    394    7.8

Other Businesses

   454    1,353    (899  (66.4)% 
  

 

 

  

 

 

  

 

 

  

 

 

 

Total premiums

   19,569    18,941    628    3.3
  

 

 

  

 

 

  

 

 

  

 

 

 

Services:

     

Retail

   4    11    (7  (63.6)% 

Employer Group

   174    182    (8  (4.4)% 

Healthcare Services

   641    482    159    33.0

Other Businesses

   234    109    125    114.7
  

 

 

  

 

 

  

 

 

  

 

 

 

Total services

   1,053    784    269    34.3
  

 

 

  

 

 

  

 

 

  

 

 

 

Investment income

   185    193    (8  (4.1)% 
  

 

 

  

 

 

  

 

 

  

 

 

 

Total revenues

   20,807    19,918    889    4.5
  

 

 

  

 

 

  

 

 

  

 

 

 

Operating expenses:

     

Benefits

   16,286    16,002    284    1.8

Operating costs

   2,907    2,767    140    5.1

Depreciation and amortization

   160    143    17    11.9
  

 

 

  

 

 

  

 

 

  

 

 

 

Total operating expenses

   19,353    18,912    441    2.3
  

 

 

  

 

 

  

 

 

  

 

 

 

Income from operations

   1,454    1,006    448    44.5

Interest expense

   70    52    18    34.6
  

 

 

  

 

 

  

 

 

  

 

 

 

Income before income taxes

   1,384    954    430    45.1

Provision for income taxes

   491    350    141    40.3
  

 

 

  

 

 

  

 

 

  

 

 

 

Net income

  $893   $604   $289    47.8
  

 

 

  

 

 

  

 

 

  

 

 

 

Diluted earnings per common share

  $5.58   $3.65   $1.93    52.9

Benefit ratio(a)

   83.2  84.5   (1.3)% 

Operating cost ratio(b)

   14.1  14.0   0.1

Effective tax rate

   35.5  36.7   (1.2)% 

 

(a)Represents total benefits expense as a percentage of premiums revenue.
(b)Represents total operating costs as a percentage of total revenues less investment income.

Summary

Net income was $473$420 million, or $2.95$2.63 per diluted common share, in the 2013 quarter compared to $248$356 million, or $1.49$2.16 per diluted common share, in the 2012 quarter primarily due to declines in both the benefit ratio and operating cost ratio in both the Retail and Employer Group segments. The declinesquarter. Net income was $893 million, or $5.58 per diluted common share, in the benefit ratio2013 period compared to $604 million, or $3.65 per diluted common share, in the 2012 period. The increases in net income primarily reflect higher favorable prior-period medical claims reserve development year-over-year mainly resulting from a lower claims trendwere driven by improved operating performance across most of our major business lines, and favorable weekday seasonality, including the impact of an extra

day’s claims for leap year in 2012. The lower operating cost ratiosMedicare Advantage membership growth in our Retail and Employer Groupgroup segments, reflect continued administrative cost efficiencies.as well as a benefit in the 2013 period from the delay in the impact of sequestration for our Medicare products. Year-over-year comparisons of diluted earnings per common share are favorably impacted by a lower number of shares used to compute diluted earnings per common share in the 2013 quarter and period primarily reflecting the impact of share repurchases. Our diluted earnings per common share for the 2013 quarter and period included expense of $0.12 per share primarily related to costs associated with the benefitloss of $0.19our Medicaid contracts in Puerto Rico. In addition, comparisons of net income and diluted earnings per diluted common share for a reduction in benefits expense related tothe 2013 and 2012 periods are impacted by the beneficial effect of a favorable settlement of contract claims with the DoD in the first quarter of 2013 primarily associated with previously disclosed litigation settled in the second quarter of 2012.

Premiums

Consolidated premiums increased $93$535 million, or 1.0%5.8%, from the 2012 quarter to $9.9$9.7 billion for the 2013 quarter, and increased $628 million, or 3.3%, from the 2012 period to $19.6 billion for the 2013 period. These increases primarily were due to increases in both Retail and Employer Group segment premiums mainly driven by higher average individual and group Medicare Advantage membership, partially offset by the impact of sequestration which became effective April 1, 2013 and lower premiums for our Other Businesses due to the transition to the newcurrent TRICARE South Region contract. As discussed in Note 2 to the consolidated financial statements included in our 2012 Form 10-K, on April 1, 2012, we began delivering services under the newcurrent TRICARE South Region contract that the TMA awarded to us on February 25, 2011. We account for revenues under the newcurrent contract net of estimated healthcare costs similar to an administrative services fee only agreement, and as such there are no premiums recognized under the newcurrent contract. Our previous contract was accounted for similar to our fully-insured products and as such we recognized premiums under the previous contract. Average membership is calculated by summing the ending membership for each month in a period and dividing the result by the number of months in a period. Premiums revenue reflects changes in membership and average per member premiums. Items impacting average per member premiums include changes in premium rates as well as changes in the geographic mix of membership, the mix of product offerings, and the mix of benefit plans selected by our membership.

Services revenue

Consolidated services revenue increased $175$94 million, or 50.0%21.7%, from the 2012 quarter to $525$528 million for the 2013 quarter and increased $269 million, or 34.3%, from the 2012 period to $1.1 billion for the 2013 period. These increases primarily were due to an increase in services revenue in our Healthcare Services segment and an increase in services revenue for our Other Businesses due to the transition to the newcurrent TRICARE South Region contract on April 1, 2012, and an increase in services revenue in our Healthcare Services segment.2012. The increases in services revenue in our Healthcare Services segment primarily resulted from the acquisition of Metropolitan Health Networks, Inc., or Metropolitan, on December 21, 2012 and SeniorBridge Family Companies, Inc., or SeniorBridge, on July 6, 2012, and growth in our Concentra operations.

Investment income

Investment income totaled $93$92 million for the 2013 quarter compared to $94$99 million for the 2012 quarter and was $185 million for the 2013 period compared to $193 million for the 2012 period as higher average invested balances were more than offset by lower interest rates.rates and lower realized capital gains year-over-year.

Benefits expense

Consolidated benefits expense was $8.2$8.1 billion for the 2013 quarter, a decreasean increase of $155$439 million, or 1.9%5.7%, from the 2012 quarter primarily due to a decrease inquarter. For the 2013 period, consolidated benefits expense for Other Businesseswas $16.3 billion, an increase of $284 million, or 1.8%, from the 2012 period. These increases primarily were due to the transition to the new administrative services only TRICARE South Region contract on April 1, 2012, partially offset by a year-over-year increase in Retail segment benefits expense, primarily driven by an increase in the average number of Medicare members.members, partially offset by a decrease in benefits expense for Other Businesses in the 2013 period primarily due to the transition to the current administrative services only TRICARE South Region contract on April 1, 2012. We do not record benefits expense under the newcurrent TRICARE South Region contract. Our previous contract was accounted for similar to our fully-insured products and as such we recorded benefits expense under the previous contract. Retail segment benefits expense increased $552$318 million, or 10.3%5.9%, from the 2012 quarter to the 2013 quarter, and increased $870 million, or 8.1%, from the 2012 period to the 2013 period primarily due to membership growth. As more fully described under “Benefits Expense Recognition” in Item 7 of our 2012 Form 10-K, actuarial standards require the use of assumptions based on moderately adverse experience, which generally results in favorable reserve development, or reserves that are considered redundant. We experienced favorable medical claims reserve development related to prior fiscal years of $266$100 million in the 2013 quarter and $141$40 million in the 2012 quarter,quarter. During the 2013 period, we experienced favorable medical claims reserve development related to prior fiscal years of $366 million compared to $181 million in the 2012 period. These increases in favorable medical claims reserve development primarily resultingresulted from a lower claims trend for prior year ultimately developing more favorably than originally expected across most of our major business lines.

The consolidated benefit ratio for the 2013 quarter was 83.0%83.4%, a 24010 basis point decrease from the 2012 quarterquarter. The consolidated benefit ratio for the 2013 period was 83.2%, a 130 basis point decrease from the 2012 period primarily due to decreases in both the Retail and Employer Group segments benefit ratios in the 2013 period as described further in our segment results discussion that follows, as well as the beneficial effect in the 2013 quarterperiod of a favorable settlement of contract claims with the DoD primarily associated with previously disclosed litigation settled in the second quarter of 2012. The $125 million increase in favorable prior-periodprior-year medical claims reserve development of $60 million from the 2012 quarter to the 2013 quarter and $185 million from the 2012 period to the 2013 period positively impacted year-over-year comparisons of the benefit ratio.

Operating costs

Our segments incur both direct and shared indirect operating costs. We allocate the indirect costs shared by the segments primarily as a function of revenues. As a result, the profitability of each segment is interdependent.

Consolidated operating costs increased $63$77 million, or 4.6%5.6%, during the 2013 quarter compared to the 2012 quarter and increased $140 million, or 5.1%, in the 2013 period compared to the 2012 period. These increases primarily were due to an increase in operating costs in our Healthcare Services segment as a result the acquisition of Metropolitan on December 21, 2012 and SeniorBridge on July 6, 2012.

The consolidated operating cost ratio for the 2013 quarter was 13.9%14.3%, increasing 20decreasing 10 basis points from the 2012 quarter primarily due to improved operating leverage in our Retail and Employer Group segments that more than offset the impact of costs associated with the loss of our Medicaid contracts in Puerto Rico. The consolidated operating cost ratio for the 2013 period was 14.1%, increasing 10 basis points from the 2012 period as the negative impact of the newcurrent TRICARE South Region contract being accounted for as an administrative services fee only arrangement wasbeginning April 1, 2012 and costs associated with the loss of our Medicaid contracts in Puerto Rico were partially offset by improved operating leverage in our Retail and Employer Group segments.

Depreciation and amortization

Depreciation and amortization for the 2013 quarter totaled $80 million, an increase of $10$7 million, or 14.3%9.6%, from the 2012 quarterquarter. For the 2013 period, depreciation and amortization of $160 million increased $17 million, or 11.9%, from the 2012 period. These increases are primarily due to increasedcapital expenditures and depreciation and amortization expense in the 2013 quarter from the acquisition of Metropolitan in the fourth quarter of 2012.associated with 2012 acquisitions.

Interest expense

Interest expense was $35 million for the 2013 quarter compared to $26 million for the 2012 quarter, an increase of $9 million, or 34.6%. Interest expense was $70 million for the 2013 period compared to $52 million for the 2012 period, an increase of $18 million, or 34.6%. In December 2012, we issued $600 million of 3.15% senior notes due December 1, 2022 and $400 million of 4.625% senior notes due December 1, 2042. The increase in interest expense associated with these senior note issuances was partially offset by the repayment of $36 million of junior subordinated debt in March 2012 that carried a higher interest rate than our senior notes.

Income Taxes

Our effective tax rate during the 2013 quarter was 35.2%35.7% compared to the effective tax rate of 36.5%36.8% in the 2012 quarterquarter. For the 2013 period, our effective tax rate was 35.5%, comparable to the effective tax rate of 36.7% in the 2012 period. This change is primarily due to a change in our estimated tax liability associated with limitations on the deductibility of annual compensation in excess of $500,000 per employee as mandated by the Health InsuranceCare Reform Law.

Retail Segment

 

  March 31,   Change   June 30,   Change 
  2013   2012   Members   Percentage   2013   2012   Members   Percentage 

Membership:

                

Medical membership:

                

Individual Medicare Advantage

   2,012,100     1,883,800     128,300     6.8   2,029,700     1,895,800     133,900     7.1

Medicare stand-alone PDP

   3,202,300     2,940,600     261,700     8.9   3,220,600     2,970,100     250,500     8.4
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Total Retail Medicare

   5,214,400     4,824,400     390,000     8.1   5,250,300     4,865,900     384,400     7.9

Individual commercial

   548,400     509,300     39,100     7.7   568,300     514,300     54,000     10.5

State-based Medicaid

   73,300     46,100     27,200     59.0   70,600     46,500     24,100     51.8
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Total Retail medical members

   5,836,100     5,379,800     456,300     8.5   5,889,200     5,426,700     462,500     8.5
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

Individual specialty membership (a)

   959,600     847,900     111,700     13.2   1,011,700     906,200     105,500     11.6
  

 

   

 

   

 

   

 

   

 

   

 

   

 

   

 

 

 

(a)Specialty products include dental, vision, and other supplemental health and financial protection products. Members included in these products may not be unique to each product since members have the ability to enroll in multiple products.

 

  For the three  months
ended
March 31,
 Change   For the three months
ended
June 30,
 Change 
  2013 2012 Dollars Percentage   2013 2012 Dollars Percentage 
    (in millions)         (in millions)     

Premiums and Services Revenue:

          

Premiums:

          

Individual Medicare Advantage

  $5,736   $5,093   $643    12.6  $5,572   $5,308   $264    5.0

Medicare stand-alone PDP

   761    726    35    4.8   785    745    40    5.4
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total Retail Medicare

   6,497    5,819    678    11.7   6,357    6,053    304    5.0

Individual commercial

   279    244    35    14.3   285    250    35    14.0

State-based Medicaid

   79    46    33    71.7   72    45    27    60.0

Individual specialty

   49    38    11    28.9   52    42    10    23.8
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total premiums

   6,904    6,147    757    12.3   6,766    6,390    376    5.9
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Services

   2    6    (4  (66.7)%    2    5    (3  (60.0)% 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total premiums and services revenue

  $6,906   $6,153   $753    12.2  $6,768   $6,395   $373    5.8
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Income before income taxes

  $350   $128   $222    173.4  $418   $367   $51    13.9

Benefit ratio

   85.9  87.5   (1.6)%    84.2  84.2   0.0

Operating cost ratio

   8.9  10.4   (1.5)%    9.5  10.0   (0.5)% 

   For the six months
ended
June 30,
  Change 
   2013  2012  Dollars  Percentage 
      (in millions)       

Premiums and Services Revenue:

     

Premiums:

     

Individual Medicare Advantage

  $11,308   $10,401   $907    8.7

Medicare stand-alone PDP

   1,546    1,471    75    5.1
  

 

 

  

 

 

  

 

 

  

 

 

 

Total Retail Medicare

   12,854    11,872    982    8.3

Individual commercial

   564    494    70    14.2

State-based Medicaid

   151    91    60    65.9

Individual specialty

   101    80    21    26.3
  

 

 

  

 

 

  

 

 

  

 

 

 

Total premiums

   13,670    12,537    1,133    9.0
  

 

 

  

 

 

  

 

 

  

 

 

 

Services

   4    11    (7  (63.6)% 
  

 

 

  

 

 

  

 

 

  

 

 

 

Total premiums and services revenue

  $13,674   $12,548   $1,126    9.0
  

 

 

  

 

 

  

 

 

  

 

 

 

Income before income taxes

  $768   $495   $273    55.2

Benefit ratio

   85.0  85.8   (0.8)% 

Operating cost ratio

   9.2  10.2   (1.0)% 

Pretax Results

 

Retail segment pretax income was $350$418 million in the 2013 quarter, an increase of $222$51 million, or 173.4%13.9%, compared to $128the 2012 quarter. Retail segment pretax income was $768 million in the 2013 period, an increase of $273 million, or 55.2%, compared to the 2012 quarterperiod. These increases reflect improved operating performance over the prior year and were primarily driven by membership and premium growth as well as a 160 basis point decrease in the benefit ratio together with a 150 basis point decrease in the operating cost ratio bothas favorable outcomes from clinical initiatives were generally offset by related investment spending, as described below. In addition, the increase in the 2013 period reflects a decline in the benefit ratio also described below.

Enrollment

 

Individual Medicare Advantage membership increased 128,300133,900 members, or 6.8%7.1%, from March 31,June 30, 2012 to March 31,June 30, 2013 reflecting net membership additions for the 2013 enrollment season.season and new sales to members aging-in to the Medicare program. Effective January 1, 2013, we divested approximately 12,600 members acquired with Arcadian Management Services, Inc. in accordance with our previously disclosed agreement with the United States Department of Justice.

 

Medicare stand-alone PDP membership increased 261,700250,500 members, or 8.9%8.4%, from March 31,June 30, 2012 to March 31,June 30, 2013 reflecting net membership additions, primarily for our Humana-Walmart plan offering, for the 2013 enrollment season.

 

Individual commercial medical membership increased 39,10054,000 members, or 7.7%10.5%, from March 31,June 30, 2012 to March 31, 2013.June 30, 2013 primarily driven by favorable member retention and new sales.

 

State-based Medicaid membership increased 27,20024,100 members, or 59.0%51.8%, from March 31,June 30, 2012 to March 31,June 30, 2013, primarily driven by the addition of our recently awarded Kentucky Medicaid contract effective January 1, 2013 as discussed previously.

 

Individual specialty membership increased 111,700105,500 members, or 13.2%11.6%, from March 31,June 30, 2012 to March 31,June 30, 2013 primarily driven by increased membership in dental and vision offerings.

Premiums

 

Retail segment premiums increased $757$376 million, or 12.3%5.9%, from the 2012 quarter to the 2013 quarter and increased $1.1 billion, or 9.0%, from the 2012 period to the 2013 period primarily due to a 9.4%7.0% and 8.2% increase in average individual Medicare Advantage membership.membership in the 2013 quarter and period, respectively. Individual Medicare Advantage per member premiums increaseddecreased approximately 2.9%1.9% in the 2013 quarter compared to the 2012 quarter, includingand increased approximately 0.5% in the 2013 period compared to the 2012 period, primarily reflecting the impact of membership acquired with Arcadiansequestration which became effective on March 31, 2012.April 1, 2013.

Benefits expense

 

The Retail segment benefit ratio of 84.2% in the 2013 quarter was comparable to that of the 2012 quarter as year-over-year timing differences primarily associated with clinical investment spending and weekday seasonality (the number of business days in the period) generally offset the impact of favorable outcomes associated with clinical programs and higher prior-year medical claims reserve development. The Retail segment benefit ratio decreased 16080 basis points from 87.5%85.8% in the 2012 quarterperiod to 85.9%85.0% in the 2013 quarterperiod primarily due to a decline in the benefit ratios associated with our individual Medicare Advantage and Medicare stand-alone PDP products primarily driven by higher favorable prior-periodprior-year medical claims reserve development in the 2013 quarterperiod than in the 2012 quarter, and favorable weekday seasonality, including the impact of an extra day’s claims from leap year in the 2012 quarter.period. The Retail segment’s pretax incomebenefits expense for the 2013 quarter included the beneficial effect of $193$72 million in favorable prior-periodprior-year medical claims reserve development versus $116$24 million in the 2012 quarterquarter. For the 2013 period, the Retail segment’s benefits expense included the beneficial effect of $265 million in favorable prior-year medical claims reserve development versus $140 million in the 2012 period. These increases in favorable prior-year medical claims reserve development primarily were driven by a lower claims trend year-over-year.for prior year ultimately developing more favorably than originally expected. This favorable prior-periodprior-year medical claims reserve development decreased the Retail segment benefit ratio by approximately 280110 basis points in the 2013 quarter versus approximately 40 basis points in the 2012 quarter, and by approximately 190 basis points in the 2013 period versus approximately 110 basis points in the 2012 quarter.period.

Operating costs

 

The Retail segment operating cost ratio of 8.9%9.5% for the 2013 quarter decreased 15050 basis points from 10.4%the 2012 quarter. The Retail segment operating cost ratio of 9.2% for the 2013 period decreased 100 basis points from 2012 quarter reflectingperiod. These decreases reflect scale efficiencies associated with servicing higher year-over-year membership together with our continued focus on operating cost efficiencies.

Employer Group Segment

 

  March 31,   Change   June 30,   Change 
  2013   2012   Members Percentage   2013   2012   Members Percentage 

Membership:

              

Medical membership:

              

Fully-insured commercial group

   1,197,800     1,182,800     15,000    1.3   1,196,100     1,196,900     (800  (0.1)% 

ASO

   1,200,800     1,236,600     (35,800  (2.9)%    1,199,600     1,228,800     (29,200  (2.4)% 

Group Medicare Advantage

   412,800     357,700     55,100    15.4   416,600     360,500     56,100    15.6

Medicare Advantage ASO

   0     28,100     (28,100  (100.0)%    0     27,900     (27,900  (100.0)% 
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

Total group Medicare Advantage

   412,800     385,800     27,000    7.0   416,600     388,400     28,200    7.3
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

Group Medicare stand-alone PDP

   3,800     4,200     (400  (9.5)%    3,700     4,400     (700  (15.9)% 
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

Total group Medicare

   416,600     390,000     26,600    6.8   420,300     392,800     27,500    7.0
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

Total group medical members

   2,815,200     2,809,400     5,800    0.2   2,816,000     2,818,500     (2,500  (0.1)% 
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

Group specialty membership (a)

   7,274,000     6,849,300     424,700    6.2   7,256,800     6,957,800     299,000    4.3
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

 

(a)Specialty products include dental, vision, and other supplemental health and financial protection products. Members included in these products may not be unique to each product since members have the ability to enroll in multiple products.

   For the three months ended
March 31,
  Change 
   2013  2012  Dollars  Percentage 
      (in millions)       

Premiums and Services Revenue:

     

Premiums:

     

Fully-insured commercial group

  $1,268   $1,242   $26    2.1

Group Medicare Advantage

   1,190    1,025    165    16.1

Group Medicare stand-alone PDP

   2    2    0    0.0
  

 

 

  

 

 

  

 

 

  

 

 

 

Total group Medicare

   1,192    1,027    165    16.1

Group specialty

   275    260    15    5.8
  

 

 

  

 

 

  

 

 

  

 

 

 

Total premiums

   2,735    2,529    206    8.1
  

 

 

  

 

 

  

 

 

  

 

 

 

Services

   88    91    (3  (3.3)% 
  

 

 

  

 

 

  

 

 

  

 

 

 

Total premiums and services revenue

  $2,823   $2,620   $203    7.7
  

 

 

  

 

 

  

 

 

  

 

 

 

Income before income taxes

  $205   $129   $76    58.9

Benefit ratio

   79.6  81.2   (1.6)% 

Operating cost ratio

   15.5  16.6   (1.1)% 

   For the three months ended
June 30,
  Change 
   2013  2012  Dollars  Percentage 
      (in millions)       

Premiums and Services Revenue:

     

Premiums:

     

Fully-insured commercial group

  $1,273   $1,247   $26    2.1

Group Medicare Advantage

   1,160    1,011    149    14.7

Group Medicare stand-alone PDP

   2    2    0    0
  

 

 

  

 

 

  

 

 

  

 

 

 

Total group Medicare

   1,162    1,013    149    14.7

Group specialty

   275    262    13    5.0
  

 

 

  

 

 

  

 

 

  

 

 

 

Total premiums

   2,710    2,522    188    7.5
  

 

 

  

 

 

  

 

 

  

 

 

 

Services

   86    91    (5  (5.5)% 
  

 

 

  

 

 

  

 

 

  

 

 

 

Total premiums and services revenue

  $2,796   $2,613   $183    7.0
  

 

 

  

 

 

  

 

 

  

 

 

 

Income before income taxes

  $127   $117   $10    8.5

Benefit ratio

   82.5  81.8   0.7

Operating cost ratio

   15.3  16.3   (1.0)% 
   For the six months  ended
June 30,
  Change 
   2013  2012  Dollars  Percentage 
      (in millions)       

Premiums and Services Revenue:

     

Premiums:

     

Fully-insured commercial group

  $2,541   $2,489   $52    2.1

Group Medicare Advantage

   2,350    2,036    314    15.4

Group Medicare stand-alone PDP

   4    4    0    0
  

 

 

  

 

 

  

 

 

  

 

 

 

Total group Medicare

   2,354    2,040    314    15.4

Group specialty

   550    522    28    5.4
  

 

 

  

 

 

  

 

 

  

 

 

 

Total premiums

   5,445    5,051    394    7.8
  

 

 

  

 

 

  

 

 

  

 

 

 

Services

   174    182    (8  (4.4)% 
  

 

 

  

 

 

  

 

 

  

 

 

 

Total premiums and services revenue

  $5,619   $5,233   $386    7.4
  

 

 

  

 

 

  

 

 

  

 

 

 

Income before income taxes

  $332   $246   $86    35.0

Benefit ratio

   81.0  81.5   (0.5)% 

Operating cost ratio

   15.4  16.5   (1.1)% 

Pretax Results

 

Employer Group segment pretax income increased $76$10 million, or 58.9%8.5%, to $205$127 million in the 2013 quarter, and increased $86 million, or 35.0%, to $332 million in the 2013 period reflecting improved operating performance over the prior year. This improvement primarily was due to group Medicare Advantage membership growth and a 160 basis point decrease in the benefit ratio together with a 110 basis point improvement in thelower operating cost ratio, as described below. In addition, the 2013 period reflects a lower benefit ratio, also described below.

Enrollment

 

Fully-insured commercial group medical membership of 1,196,100 remained relatively unchanged increasing 15,000 members, or 1.3%, from March 31,June 30, 2012 to March 31,June 30, 2013 as an increase in small group business membership was generally offset by lower membership in large group accounts.

 

Fully-insured group Medicare Advantage membership increased 55,10056,100 members, or 15.4%15.6%, from March 31,June 30, 2012 to March 31,June 30, 2013 primarily due to the January 2013 addition of a new large group retirement account.

 

Effective January 1, 2013 we lost our sole group Medicare Advantage ASO account which had 28,10027,900 members at March 31,June 30, 2012.

 

Group ASO commercial medical membership decreased 35,80029,200 members, or 2.9%2.4%, from March 31,June 30, 2012 to March 31,June 30, 2013 primarily due to continued pricing discipline in a highly competitive environment for self-funded accounts.

 

Group specialty membership increased 424,700299,000 members, or 6.2%4.3%, from March 31,June 30, 2012 to March 31,June 30, 2013 primarily due to increased cross-selling of our specialty products to our medical membership and growth in stand-alone specialty product sales.

Premiums

 

Employer Group segment premiums increased $206$188 million, or 8.1%7.5%, from the 2012 quarter to $2.7 billion for the 2013 quarter, and increased $394 million, or 7.8%, from the 2012 period to the 2013 period primarily due to higher average group Medicare Advantage and fully-insured commercial group medical membership.

Benefits expense

 

The Employer Group segment benefit ratio decreased 160increased 70 basis points from 81.2%81.8% in the 2012 quarter to 79.6%82.5% in the 2013 quarter primarily due to growth in our group Medicare Advantage products which generally carry a higher benefit ratio than our fully-insured commercial group products, partially offset by higher favorable prior-periodprior-year medical claims reserve development. In addition, unfavorable timing differences for weekday seasonality for the 2013 quarter versus the 2012 quarter negatively impacted the benefit ratio comparison year-over-year. The Employer Group segment benefit ratio decreased 50 basis points from 81.5% in the 2012 period to 81.0% in the 2013 period primarily due to higher favorable prior-year medical claims reserve development in the 2013 quarterperiod than in the 2012 quarter and favorable weekday seasonality, including the impact of an extra day’s claims from leap yearperiod, partially offset by growth in the 2012 quarter.our group Medicare Advantage products as described above. The Employer Group segment’s pretax incomebenefits expense for the 2013 quarter included the beneficial effect of $76$27 million in favorable prior-periodprior-year medical claims reserve development versus $15$12 million in the 2012 quarterquarter. For the 2013 period, the Employer Group segment’s benefits expense included the beneficial effect of $103 million in favorable prior-year medical claims reserve development versus $27 million in the 2012 period. These increases in favorable prior-year medical claims reserve development primarily were driven by a lower claims trend year-over-year.for prior year ultimately developing more favorably than originally expected. This favorable prior-periodprior-year medical claims reserve development decreased the Employer Group segment benefit ratio by approximately 280100 basis points in the 2013 quarter versus approximately 6050 basis points in the 2012 quarter.quarter, and by approximately 190 basis points in the 2013 period versus approximately 50 basis points in the 2012 period.

Operating costs

 

The Employer Group segment operating cost ratio of 15.5%15.3% for the 2013 quarter decreased 100 basis points from the 2012 quarter. For the 2013 period, the Employer Group segment operating cost ratio of 15.4% decreased 110 basis points from 16.6% for the 2012 quarterperiod. These decreases primarily reflectingreflect continued savings as a result of our operating cost reduction initiatives and growth in our group Medicare Advantage products which generally carry a lower operating cost ratio than our fully-insured commercial group products and continued savings as a result of our operating cost reduction initiatives.products.

Healthcare Services Segment

 

  For the three months ended
June 30,
 Change 
  2013 2012 Dollars Percentage 
    (in millions)     

Revenues:

     

Services:

     

Provider services

  $290   $243   $47    19.3

Home care services

   23    0    23    100.0

Pharmacy solutions

   13    4    9    225.0
  

 

  

 

  

 

  

 

 

Total services revenues

   326    247    79    32.0
  

 

  

 

  

 

  

 

 

Intersegment revenues:

     

Pharmacy solutions

   3,212    2,829    383    13.5

Provider services

   223    49    174    355.1

Home care services

   72    42    30    71.4

Integrated behavioral health services

   31    30    1    3.3
  

 

  

 

  

 

  

 

 

Total intersegment revenues

   3,538    2,950    588    19.9
  

 

  

 

  

 

  

 

 

Total services and intersegment revenues

  $3,864   $3,197   $667    20.9
  

 

  

 

  

 

  

 

 

Income before income taxes

  $131   $128   $3    2.3

Operating cost ratio

   95.7  95.4   0.3
  For the three months ended
March 31,
 Change   For the six months  ended
June 30,
 Change 
  2013 2012 Dollars Percentage   2013 2012 Dollars Percentage 
    (in millions)         (in millions)     

Revenues:

          

Services:

          

Provider services

  $282   $231   $51    22.1  $572   $474   $98    20.7

Home care services

   23    0    23    100.0   46    0    46    100.0

Pharmacy solutions

   9    4    5    125.0   22    8    14    175.0

Integrated behavioral health services

   1    0    1    100.0   1    0    1    100.0
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total services revenues

   315    235    80    34.0   641    482    159    33.0
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Intersegment revenues:

          

Pharmacy solutions

   3,085    2,929    156    5.3   6,297    5,758    539    9.4

Provider services

   227    50    177    354.0   450    99    351    354.5

Home care services

   60    36    24    66.7   132    78    54    69.2

Integrated behavioral health services

   31    34    (3  (8.8)%    62    64    (2  (3.1)% 
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total intersegment revenues

   3,403    3,049    354    11.6   6,941    5,999    942    15.7
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total services and intersegment revenues

  $3,718   $3,284   $434    13.2  $7,582   $6,481   $1,101    17.0
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Income before income taxes

  $125   $125   $0    0.0  $256   $253   $3    1.2

Operating cost ratio

   95.7  95.6   0.1   95.7  95.5   0.2

Pretax results

 

Healthcare Services segment pretax income of $125$131 million for the 2013 quarter was comparable to that ofincreased $3 million from the 2012 quarter as revenuequarter. For the 2013 period, Healthcare Services segment pretax income of $256 million increased $3 million from the 2012 period. Revenue growth and the pretax income contribution from the acquisition of Metropolitan and our home care services business were generally offset by costs incurred in expanding our integratedpreviously-planned investment spending associated with the integration and build-out of provider practices and chronic care delivery model.centers.

Script Volume

 

Script volumes for the Retail and Employer Group segment membership increased to approximately 6768 million in the 2013 quarter, up 14%15% versus scripts of approximately 5859 million in the 2012 quarter. For the 2013 period, script volumes for the Retail and Employer Group segment membership increased to approximately 134 million, up 15% versus scripts of approximately 117 million in the 2012 period. The year-over-year increase primarily reflects growth associated with higher average medical membership for the 2013 quarter and period than in the 2012 quarter.quarter and period.

Services revenue

 

Provider servicesServices revenue increased $51$79 million, or 22.1%32.0%, from the 2012 quarter to $282$326 million for the 2013 quarter and increased $159 million, or 33.0% from the 2012 period to $641 million for the 2013 period. These increases are primarily due to the acquisitions of Metropolitan and SeniorBridge.SeniorBridge as well as growth in our provider services operations.

Intersegment revenues

 

Intersegment revenues increased $354$588 million, or 11.6%19.9%, from the 2012 quarter to $3.4$3.5 billion for the 2013 quarter and increased $942 million, or 15.7%, from the 2012 period to $6.9 billion for the 2013 period. These increases are primarily due to the acquisitions of Metropolitan in the fourth quarter of 2012 and SeniorBridge in the third quarter of 2012, as well as growth in our pharmacy solutions business as it serves our growing membership, particularly Medicare stand-alone PDP.PDP, and the acquisition of Metropolitan in the fourth quarter of 2012.

Operating costs

 

The Healthcare Services segment operating cost ratio of 95.7% for the 2013 quarter increased 10 basis pointswas relatively unchanged from 95.6%95.4% for the 2012 quarter. The segment’s operating cost ratio of 95.7% for the 2013 period was relatively unchanged from 95.5% for the 2012 period.

Other Businesses

Pretax loss for our Other Businesses of $30 million for the 2013 quarter declined $26 million from a pretax loss of $56 million for the 2012 quarter. The pretax loss in the 2013 quarter primarily was due to costs associated with the loss of our Medicaid contracts in Puerto Rico described previously. The pretax loss in the 2012 quarter primarily was due to costs incurred in connection with a litigation settlement associated with our military services business. Pretax income for our Other Businesses of $58$28 million for the 2013 quarterperiod increased $53$79 million compared to $5a loss of $51 million for the 2012 quarter primarily due to a reduction in benefits expense inperiod. The 2013 period includes the 2013 quarter related tobeneficial effect of a favorable settlement of contract claims with the DoD primarily associated with previously disclosedthe litigation settled in the second quarter of 2012.2012 period as described above.

Liquidity

Our primary sources of cash include receipts of premiums, services revenues, and investment and other income, as well as proceeds from the sale or maturity of our investment securities and borrowings. Our primary uses of cash include disbursements for claims payments, operating costs, interest on borrowings, taxes, purchases of investment securities, acquisitions, capital expenditures, repayments on borrowings, dividends, and share repurchases. Because premiums generally are collected in advance of claim payments by a period of up to several months, our business normally should produce positive cash flows during periods of increasing premiums and enrollment. Conversely, cash flows would be negatively impacted during periods of decreasing premiums and enrollment. From period to period, our cash flows may also be affected by the timing of working capital items. The use of operating cash flows may be limited by regulatory requirements which require, among other items, that our regulated subsidiaries maintain minimum levels of capital and seek approval before paying dividends from the subsidiaries to the parent.

For additional information on our liquidity risk, please refer to the section entitled “Risk Factors” in our 2012 Form 10-K.

Cash and cash equivalents increased to $1.4$1.5 billion at March 31,June, 2013 from $1.3 billion at December 31, 2012. The change in cash and cash equivalents for the threesix months ended March 31,June 30, 2013 and 2012 is summarized as follows:

 

  2013 2012   2013 2012 
  (in millions)   (in millions) 

Net cash provided by operating activities

  $412   $2,346    $585   $3,052  

Net cash used in investing activities

   (392  (190   (148  (339

Net cash provided by financing activities

   72    123     (224  (221
  

 

  

 

   

 

  

 

 

Increase in cash and cash equivalents

  $92   $2,279    $213   $2,492  
  

 

  

 

   

 

  

 

 

Cash Flow from Operating Activities

Our operating cash flows for the 2012 quarterperiod were significantly impacted by the early receipt of the Medicare premium remittance for AprilJuly 2012 of $2.0$2.1 billion in MarchJune 2012 because the payment date of AprilJuly 1, 2012 fell on a weekend. Generally, when the first day of a month falls on a weekend or holiday, with the exception of January 1 (New Year’s Day), we receive this payment at the end of the previous month. Therefore, the 2012 quarterperiod included fourseven monthly Medicare payments compared to only threesix monthly Medicare payments during the 2013 quarter.period. This also resulted in an increase to unearned revenues in our condensed consolidated balance sheet at March 31,June 30, 2012.

Excluding the impact from the timing of the Medicare premium receipt, the increasedecrease in operating cash flows from the 2012 quarterperiod to the 2013 quarterperiod primarily results from higher earnings and the timing of working capital items, including favorable weekday seasonality, which includes the impact of an extra day’s claims for leap year in the 2012 quarter.partially offset by higher earnings.

Comparisons of our operating cash flows also are impacted by other changes in our working capital. The most significant drivers of changes in our working capital are typically the timing of payments of benefits expense and receipts for premiums. We illustrate these changes with the following summaries of benefits payable and receivables.

The detail of benefits payable was as follows at March 31,June 30, 2013 and December 31, 2012:

 

  March 31,
2013
   December 31,
2012
   2013
Quarter
Change
 2012
Quarter
Change
   June 30,
2013
   December 31,
2012
   2013
Period
Change
 2012
Period
Change
 
  (in millions)   (in millions) 

IBNR (1)

  $2,696    $2,552    $144   $235    $2,767    $2,552    $215   $385  

Reported claims in process (2)

   493     315     178    85     483     315     168    146  

Other benefits payable (3)

   901     912     (11  34     907     912     (5  (291
  

 

   

 

   

 

  

 

   

 

   

 

   

 

  

 

 

Total benefits payable

  $4,090    $3,779     311    354    $4,157    $3,779     378    240  
  

 

   

 

      

 

   

 

    

Reconciliation to cash flow statement:

              

Payables from acquisition

       0    (70       0    (70
      

 

  

 

       

 

  

 

 

Change in benefits payable per cash flow statement resulting in cash from operations

      $311   $284        $378   $170  
      

 

  

 

       

 

  

 

 

 

(1)IBNR represents an estimate of benefits payable for claims incurred but not reported (IBNR) at the balance sheet date. The level of IBNR is primarily impacted by membership levels, medical claim trends and the receipt cycle time, which represents the length of time between when a claim is initially incurred and when the claim form is received (i.e. a shorter time span results in a lower IBNR).
(2)Reported claims in process represents the estimated valuation of processed claims that are in the post claim adjudication process, which consists of administrative functions such as audit and check batching and handling, as well as amounts owed to our pharmacy benefit administrator which fluctuate due to bi-weekly payments and the month-end cutoff.
(3)Other benefits payable include amounts owed to providers under capitated and risk sharing arrangements.

The increase in benefits payable from December 31, 2012 to March 31,June 30, 2013 primarily was due to an increase in IBNR, primarily as a result of Medicare Advantage membership growth, and an increase in the amount of processed but unpaid claims, including amounts due to our pharmacy benefit administrator which fluctuate due to month-end

cutoff. The increase in benefits payable from December 31, 2011 to March 31,June 30, 2012 primarily was due to the same factors resulting in the increase in benefits payable from December 31, 2012 to June 30, 2013 described above, as well as a $262 million decrease in the Military services benefits payable due to the run-out of claims under the previous TRICARE South Region contract that expired on March 31, 2013 described above.2012. Under the current contract effective April 1, 2012, the federal government retains the risk of the cost of health benefits and related benefit obligation.

The detail of total net receivables was as follows at March 31,June 30, 2013 and December 31, 2012:

 

  March 31,
2013
 December 31,
2012
 2013
Quarter
Change
 2012
Quarter
Change
   June 30,
2013
 December 31,
2012
 2013
Period
Change
 2012
Period
Change
 
  (in millions)   (in millions) 

Medicare

  $809   $422   $387   $223    $1,208   $422   $786   $140  

Commercial and other

   461    346    115    60  

Healthcare services and other

   388    346    42    28  

Military services

   156    59    97    17     106    59    47    (300

Allowance for doubtful accounts

   (105  (94  (11  (4   (109  (94  (15  (4
  

 

  

 

  

 

  

 

   

 

  

 

  

 

  

 

 

Total net receivables

  $1,321   $733    588    296    $1,593   $733    860    (136
  

 

  

 

     

 

  

 

   

Reconciliation to cash flow statement:

          

Receivables from acquisition

     0    (41     0    (41
    

 

  

 

     

 

  

 

 

Change in receivables per cash flow statement resulting in cash from operations

    $588   $255      $860   $(177
    

 

  

 

     

 

  

 

 

Medicare receivables are impacted by the timing of accruals and related collections associated with the CMS risk-adjustment model. The increase in Medicare receivables at March 31,June 30, 2013 reflects an increase in Medicare risk-adjustment revenue receivable. In the 2012 period, we received the mid-year Medicare risk-adjustment payment early in June 2012 due to the early receipt of the July 2012 CMS payment as discussed previously, reducing our receivable balance. This early receipt impacts the comparison of the 2013 period change in Medicare receivables of $786 million to the 2012 period change of $140 million in the table above. In connection with our July 2013 payment from CMS, we collected $494 million associated with the mid-year Medicare risk-adjustment payment.

Military services receivables at March 31,June 30, 2013 and December 31, 2012 consist of administrative services only fees owed from the federal government for administrative services provided under our newcurrent TRICARE South Region contract and final settlement balances due under our previous TRICARE South Region contract that expired on March 31, 2012. The March$300 million decrease in Military services receivables from December 31, 2013 receivable also includes $48 million related2011 to a favorable settlement of

contract claims withJune 30, 2012 primarily resulted from the DoD previously discussed.transition to our current TRICARE South Region contract. As disclosed previously, we account for our newcurrent TRICARE South Region contract similar to an administrative services fee only agreement. As such, beginning April 1, 2012, payments of the federal government’s claims and related reimbursements for the newcurrent TRICARE South Region contract are classified with receipts (withdrawals) from contract deposits as a financing item in our consolidated statements of cash flows.

Commercial and other receivables reflect the timing of reimbursements from the Puerto Rico Health Insurance Administration for our Medicaid business.

In addition to the timing of receipts for premiums and services revenues and payments of benefits expense, other working capital items impacting operating cash flows primarily resulted from the timing of payments for the Medicare Part D risk corridor provisions of our contracts with CMS and changes in the timing of the collection of pharmacy rebates.

Cash Flow from Investing Activities

We reinvested a portion of our operating cash flows in investment securities, primarily investment-grade fixed income securities, totaling $297 million in the 2013 quarter and $48 million in the 2012 quarter.

Our ongoing capital expenditures primarily relate to our information technology initiatives, support of services in our provider services operations including medical and administrative facility improvements necessary for activities such as the provision of care to members, claims processing, billing and collections, wellness solutions, care coordination, regulatory compliance and customer service. Total capital expenditures, excluding acquisitions, were $90$187 million in the 2013 quarterperiod and $86$185 million in the 2012 quarter reflecting increased spending associated with growth in our provider services and pharmacy businesses in our Healthcare Services segment.period. Excluding acquisitions, we expect total capital expenditures in 2013 in a range of approximately $425 million to $450 million.

Cash consideration paid for acquisitions, net of cash acquired, of $56$76 million in the 2012 quarterperiod primarily relates to the acquisition of Arcadian.

Cash Flow from Financing Activities

Receipts from CMS associated with Medicare Part D claim subsidies for which we do not assume risk were $249$144 million higher than claims payments during the 2013 quarterperiod and $298$208 million higher than claims payments during the 2012 quarter.period. Under our newcurrent administrative services only TRICARE South Region contract that began April 1, 2012, health care cost payments for which we do not assume risk exceeded reimbursements from the federal government by $13$12 million during the 2013 quarter.period and $56 million during the 2012 period.

We repurchased 1.212.83 million shares of our common stock for $81$211 million in the 2013 quarterperiod and 1.152.73 million shares of our common stock for $100$226 million in the 2012 quarterperiod under share repurchase plans authorized by the Board of Directors. We also acquired shares of our common stock in connection with employee stock plans for an aggregate cost of $13$20 million in the 2013 quarterperiod and $51$52 million in the 2012 quarter.period.

During the 2013 quarter,period, we paid dividends to stockholders of $42$83 million compared to $41$82 million in the 2012 quarterperiod as discussed further below.

In March 2012, we repaid, without penalty, junior subordinated long-term debt of $36 million.

Future Sources and Uses of Liquidity

Dividends

Our Board of Directors has approved a quarterly cash dividend policy. Declaration and payment of future quarterly dividends is at the discretion of the Board and may be adjusted as business needs or market conditions change.

The following table provides details of dividend payments in 2012 and 2013:

 

Record Payment  Amount  Total 

Date

 Date  per Share  Amount 
        (in millions) 
2012 payments   
12/30/2011  1/31/2012   $0.25   $41  
3/30/2012  4/27/2012   $0.25   $41  
6/29/2012  7/27/2012   $0.26   $42  
9/28/2012  10/26/2012   $0.26   $41  
2013 payments   
12/31/2012  1/25/2013   $0.26   $42  
3/28/2013  4/26/2013   $0.26   $41  

In April 2013, the Board of Directors declared a cash dividend of $0.27 per share payable on July 26, 2013 to stockholders of record on June 28, 2013.

Record Payment  Amount  Total 

Date

 Date  per Share  Amount 
        (in millions) 
2012 payments   
12/30/2011  1/31/2012   $0.25   $41  
3/30/2012  4/27/2012   $0.25   $41  
6/29/2012  7/27/2012   $0.26   $42  
9/28/2012  10/26/2012   $0.26   $41  
2013 payments   
12/31/2012  1/25/2013   $0.26   $42  
3/28/2013  4/26/2013   $0.26   $41  
6/28/2013  7/26/2013   $0.27   $42  

Stock Repurchases

In April 2013, the Board of Directors replaced its previously approved share repurchase authorization of up to $1 billion (of which $557 million remained unused) with the current authorization for repurchases of up to $1 billion of our common shares exclusive of shares repurchased in connection with employee stock plans, expiring on June 30, 2015. Under the current share repurchase authorization, shares may be purchased from time to time at prevailing prices in the open market, by block purchases, or in privately-negotiated transactions, subject to certain regulatory restrictions on volume, pricing, and timing. During the 2012 quarter,period, we repurchased 1.152.73 million shares in open market transactions for $100$226 million at an average price of $86.95$82.78 under a previously approved share repurchase authorization.authorizations. During the 2013 quarter,period, we repurchased 1.211.22 million shares in open market transactions for $81$82 million at an average price of $67.60$67.59 under a previously approved share repurchase authorization and we repurchased 1.61 million shares in open market transactions for $129 million at an average price of $80.06 under the current authorization. As of May 1,July 31, 2013, the remaining authorized amount under the current authorization totaled $1 billion.$871 million.

In connection with employee stock plans, we acquired 0.2 million shares of our common sharesstock for $13$20 million and 0.6 million shares of our common sharesstock for $51$52 million during the threesix months ended March 31,June 30, 2013 and 2012, respectively.

Senior Notes

In December 2012, we issued $600 million of 3.15% senior notes due December 1, 2022 and $400 million of 4.625% senior notes due December 1, 2042. Our net proceeds, reduced for the discount and cost of the offering, were $990 million. We used the proceeds from the offering primarily to finance the acquisition of Metropolitan, including the retirement of Metropolitan’s indebtedness, and to pay related fees and expenses. We previously issued $500 million of 6.45% senior notes due June 1, 2016, $500 million of 7.20% senior notes due June 15, 2018, $300 million of 6.30% senior notes due August 1, 2018, and $250 million of 8.15% senior notes due June 15, 2038. The 7.20% and 8.15% senior notes are subject to an interest rate adjustment if the debt ratings assigned to the notes are downgraded (or subsequently upgraded). In addition, our 7.20%, 8.15%, 3.15%, and 4.625% senior notes contain a change of control provision that may require us to purchase the notes under certain circumstances. All six series of our senior notes, which are unsecured, may be redeemed at our option at any time at 100% of the principal amount plus accrued interest and a specified make-whole amount.

Credit Agreement

OurIn July 2013, we amended and restated our 5-year $1.0 billion unsecured revolving agreement expireswhich was set to expire in November 2016.2016 and replaced it with a new 5-year $1.0 billion unsecured revolving agreement expiring July 2018. Under the new credit agreement, at our option, we can borrow on either a competitive advance basis or a revolving credit basis. The revolving credit portion bears interest at either LIBOR plus a spread or the base rate plus a spread. The LIBOR spread, currently 120110 basis points, varies depending on our credit ratings ranging from 87.590.0 to 147.5150.0 basis points. We also pay an annual facility fee regardless of utilization. This facility fee, currently 17.515.0 basis points, may fluctuate between 12.510.0 and 27.525.0 basis points, depending upon our credit ratings. The competitive advance portion of any borrowings will bear interest at market rates prevailing at the time of borrowing on either a fixed rate or a floating rate based on LIBOR, at our option.

The terms of the credit agreement include standard provisions related to conditions of borrowing, including a customary material adverse effect clause which could limit our ability to borrow additional funds. In addition, the credit agreement contains customary restrictive and financial covenants as well as customary events of default, including financial covenants regarding the maintenance of a minimum level of net worth of $6.8$7.1 billion at March 31,June 30, 2013 and a maximum leverage ratio of 3.0:1. We are in compliance with the financial covenants, with actual net worth of $9.2$9.3 billion and an actual leverage ratio of 0.9:1, as measured in accordance with the credit agreement as of March 31,June 30, 2013. In addition, the credit agreement includes an uncommitted $250 million incremental loan facility.

At March 31,June 30, 2013, we had no borrowings outstanding under the previous credit agreement. We haveagreement and we had outstanding letters of credit of $5$5.5 million secured under thethat credit agreement. No amounts have been drawn on these letters of credit. Accordingly, as of March 31,June 30, 2013, we had $995$994.5 million of remaining borrowing capacity under the previous credit agreement, none of which would be restricted by our financial covenant compliance requirement. We have other customary, arms-length relationships, including financial advisory and banking, with some parties to the credit agreement.

Other Long-Term Borrowings

In March 2012, we repaid, without penalty, junior subordinated debt of $36 million. Prior to repayment, the junior subordinated debt bore a fixed annual interest rate of 8.02% payable quarterly until 2012, and then payable at a floating rate based on LIBOR plus 310 basis points.

Liquidity Requirements

We believe our cash balances, investment securities, operating cash flows, and funds available under our credit agreement or from other public or private financing sources, taken together, provide adequate resources to fund ongoing operating and regulatory requirements, acquisitions, future expansion opportunities, and capital expenditures for at least the next twelve months, as well as to refinance or repay debt, and repurchase shares.

Adverse changes in our credit rating may increase the rate of interest we pay and may impact the amount of credit available to us in the future. Our investment-grade credit rating at March 31, 2013 was BBB according to Standard & Poor’s Rating Services, or S&P, and Baa3 according to Moody’s Investors Services, Inc., or Moody’s. A downgrade by S&P to BB+ or by Moody’s to Ba1 triggers an interest rate increase of 25 basis points with respect to $750 million of our senior notes. Successive one notch downgrades increase the interest rate an additional 25 basis points, or annual interest expense by $2 million, up to a maximum 100 basis points, or annual interest expense by $8 million. Our investment-grade credit rating at June 30, 2013 was BBB according to Standard & Poor’s Rating Services, or S&P, and Baa3 according to Moody’s Investors Services, Inc., or Moody’s. On July 17, 2013, S&P raised our investment-grade credit rating to BBB+.

In addition, we operate as a holding company in a highly regulated industry. Humana Inc., our parent company, is dependent upon dividends and administrative expense reimbursements from our subsidiaries, most of which are subject to regulatory restrictions. We continue to maintain significant levels of aggregate excess statutory capital and surplus in our state-regulated operating subsidiaries. Cash, cash equivalents, and short-term investments at the parent company were $202$883 million at March 31,June 30, 2013 compared to $346 million at December 31, 2012. As described above in the section titled “Health InsuranceCare Reform,” the NAIC is continuing discussions regarding the accounting for the health insurance industry fee required by the Health InsuranceCare Reform Law and may require accrual and associated subsidiary funding consideration forsurplus reductions in the first two years of the assessmentyear preceding payment, beginning in 2014. Accordingly, in 2014 followed by annual accruals thereafter.we may be required to reduce surplus for both the 2014 and 2015 assessments. The NAIC guidance is contradictory to final GAAP guidance issued by the FASB in July 2011, which requires annual accrual of the health insurance industry fee in the year in which it is payable.

Regulatory Requirements

Certain of our subsidiaries operate in states that regulate the payment of dividends, loans, or other cash transfers to Humana Inc., our parent company, and require minimum levels of equity as well as limit investments to approved securities. The amount of dividends that may be paid to Humana Inc. by these subsidiaries, without prior approval by state regulatory authorities, or ordinary dividends, is limited based on the entity’s level of statutory income and statutory capital and surplus. In most states, prior notification is provided before paying a dividend even if approval is not required. Actual dividends paid may vary due to consideration of excess statutory capital and surplus and expected future surplus requirements related to, for example, premium volume and product mix.

Although minimum required levels of equity are largely based on premium volume, product mix, and the quality of assets held, minimum requirements vary significantly at the state level. Based on the most recently filed statutory financial statements as of DecemberMarch 31, 2012,2013, our state regulated subsidiaries had aggregate statutory capital and surplus of approximately $5.1$5.6 billion, which exceeded aggregate minimum regulatory requirements.requirements of $3.2 billion. The amount of dividends that we expect to bewere paid to our parent company in the 2013 isperiod was approximately $970$967 million, in the aggregate, subject to state regulatory approval. This comparesa decrease of approximately $230 million compared to dividends that were paid infor the full year 2012 of approximately $1.2 billion. The year-over-year decline primarily is a result of higher surplus requirements associated with premium growth.

Item 3. Quantitative and Qualitative Disclosures about Market Risk

Our earnings and financial position are exposed to financial market risk, including those resulting from changes in interest rates.

Interest rate risk also represents a market risk factor affecting our consolidated financial position due to our significant investment portfolio, consisting primarily of fixed maturity securities of investment-grade quality with a weighted average S&P credit rating of AA- at March 31,June 30, 2013. Our net unrealized position declined $53$386 million from a net unrealized gain position of $728 million at December 31, 2012 to a net unrealized gain position of $675$342 million at March 31,June 30, 2013. At March 31,June 30, 2013, we had gross unrealized losses of $13$88 million on our investment portfolio primarily due to an increase in market interest rates and tighter liquidity conditions in the current markets than when the securities were purchased, and as such, there were no material other-than-temporary impairments during the three months ended March 31,June 30, 2013. While we believe that these impairments are temporary and we currently do not have the intent to sell such securities, given the current market conditions and the significant judgments involved, there is a continuing risk that future declines in fair value may occur and material realized losses from sales or other-than-temporary impairments may be recorded in future periods.

Duration is the time-weighted average of the present value of the bond portfolio’s cash flow. Duration is indicative of the relationship between changes in fair value and changes in interest rates, providing a general indication of the sensitivity of the fair values of our fixed maturity securities to changes in interest rates. However, actual fair values may differ significantly from estimates based on duration. The average duration of our investment portfolio, including cash and cash equivalents, was approximately 4.24.1 years as of March 31,June 30, 2013 and 4.0 years as of December 31, 2012. Based on the duration including cash equivalents, a 1% increase in interest rates would generally decrease the fair value of our securities by approximately $465$443 million.

Item 4. Controls and Procedures

Under the supervision and with the participation of our Chief Executive Officer, or CEO, our Chief Financial Officer, or CFO, and our Principal Accounting Officer, we carried out an evaluation of the effectiveness of the design and operation of our disclosure controls and procedures for the quarter ended March 31,June 30, 2013.

Based on our evaluation, our CEO, CFO, and Principal Accounting Officer concluded that our disclosure controls and procedures are effective to provide reasonable assurance that information the Company is required to disclose in its reports under the Securities Exchange Act of 1934 is recorded, processed, summarized and reported within the time periods specified in SEC rules and forms, including, without limitation, ensuring that such information is accumulated and communicated to the Company’s management, including its principal executive and principal financial officers, or persons performing similar functions, as appropriate to allow timely decisions regarding required disclosure.

There have been no changes in the Company’s internal control over financial reporting during the quarter ended March 31,June 30, 2013 that have materially affected, or are reasonably likely to materially affect, the Company’s internal control over financial reporting.

Part II. Other Information

Item 1. Legal Proceedings

For a description of the legal proceedings pending against us, see “Legal Proceedings and Certain Regulatory Matters” in Note 1112 to the condensed consolidated financial statements beginning on page 1820 of this Form 10-Q.

Item 1A. Risk Factors

There have been no material changes to the risk factors included in our Annual Report on2012 Form 10-K for the year ended December 31, 2012, filed with the SEC on February 21, 2013.10-K.

Item 2: Unregistered Sales of Equity Securities and Use of Proceeds

 

 (a)None.

 

 (b)N/A

 

 (c)The following table provides information about purchases by us during the three months ended March 31,June 30, 2013 of equity securities that are registered by us pursuant to Section 12 of the Exchange Act:

 

Period

  Total Number
of  Shares
Purchased (1)
   Average
Price Paid
per Share
   Total Number  of
Shares Purchased
as Part of Publicly
Announced Plans
or Programs (1)(2)
   Dollar Value of
Shares  that May
Yet Be Purchased
Under the Plans
or Programs (1)
 

January 2013

   0    $0     0    $639,572,119  

February 2013

   0     0     0     639,572,119  

March 2013

   1,205,600     67.60     1,205,600     558,112,805  
  

 

 

   

 

 

   

 

 

   

Total

   1,205,600    $67.60     1,205,600    $558,112,805  
  

 

 

   

 

 

   

 

 

   

Period

  Total Number
of Shares
Purchased (1)
   Average
Price Paid
per Share
   Total Number of
Shares Purchased
as Part of Publicly
Announced Plans
or Programs (1)(2)
   Dollar Value of
Shares that May
Yet Be Purchased
Under the Plans
or Programs (1)
 

April 2013

   17,223    $67.14     17,223    $556,956,917  

May 2013

   484,614     79.66     484,614     961,409,221  

June 2013

   1,121,522     80.23     1,121,522     871,459,332  
  

 

 

   

 

 

   

 

 

   

Total

   1,623,359    $79.92     1,623,359    $871,459,332  
  

 

 

   

 

 

   

 

 

   

 

(1)As announced on May 1, 2013, in April 2013, the Board of Directors replaced its previously approved share repurchase authorization of up to $1 billion with a newcurrent authorization for repurchases of up to $1 billion of our common shares exclusive of shares repurchased in connection with employee stock plans, expiring on June 30, 2015. Under the current share repurchase authorization, shares may be purchased from time to time at prevailing prices in the open market, by block purchases, or in privately-negotiated transactions, subject to certain regulatory restrictions on volume, pricing, and timing. As of May 1,July 31, 2013, the remaining authorized amount under the current authorization totaled $1 billion.$871 million.
(2)Excludes 0.20.1 million shares repurchased in connection with employee stock plans.

Item 3: Defaults Upon Senior Securities

None.

Item 4: Mine Safety Disclosures

Not applicable.

Item 5: Other Information

None.

Item 6: Exhibits

 

3(i)

 Restated Certificate of Incorporation of Humana Inc. filed with the Secretary of State of Delaware on November 9, 1989, as restated to incorporate the amendment of January 9, 1992, and the correction of March 23, 1992 (incorporated herein by reference to Exhibit 4(i) to Humana Inc.’s Post-Effective Amendment No. 1 to the Registration Statement on Form S-8 (Reg. No. 33-49305) filed February 2, 1994).

3(ii)

 By-Laws of Humana Inc., as amended on January 4, 2007 (incorporated herein by reference to Exhibit 3 to Humana Inc.’s Annual Report on Form 10-K for the year ended December 31, 2006).

12

 Computation of ratio of earnings to fixed charges.

31.1

 Principal Executive Officer certification pursuant to Section 302 of Sarbanes–Oxley Act of 2002.

31.2

 Principal Financial Officer certification pursuant to Section 302 of Sarbanes–Oxley Act of 2002.

32

 Principal Executive Officer and Principal Financial Officer certification pursuant to 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of the Sarbanes-Oxley Act of 2002.

101.INS**

 XBRL Instance Document

101.SCH**

 XBRL Taxonomy Extension Schema Document

101.CAL**

 XBRL Taxonomy Calculation Linkbase Document

101.DEF**

 XBRL Taxonomy Definition Linkbase Document

101.LAB**

 XBRL Taxonomy Label Linkbase Document

101.PRE**

 XBRL Taxonomy Presentation Linkbase Document

 

**Submitted electronically with this report.

Attached as Exhibit 101 to this report are the following documents formatted in XBRL (Extensible Business Reporting Language): (i) the Consolidated Balance Sheets at March 31,June 30, 2013 and December 31, 2012; (ii) the Consolidated Statements of Income for the three and six months ended March 31,June 30, 2013 and 2012; (iii) the Consolidated Statements of Comprehensive Income for the three and six months ended March 31,June 30, 2013 and 2012; (iv) the Consolidated Statements of Cash Flows for the three and six months ended March 31,June 30, 2013 and 2012; and (v) Notes to Consolidated Financial Statements.

SIGNATURES

Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned thereunto duly authorized.

 

  HUMANA INC.
  (Registrant)
Date: 

May 1,July 31, 2013

  By: 

/S/ JAMES H. BLOEM

    James H. Bloem
    Senior Vice President, Chief Financial
    Officer and Treasurer
    (Principal Financial Officer)
Date: 

May 1,July 31, 2013

  By: 

/S/ STEVEN E. MCCULLEY

    Steven E. McCulley
    Vice President and Controller
    (Principal Accounting Officer)

 

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