Humana 2013 Annual Report Download - page 67
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Employer Group Segment
Change
2013 2012 Members Percentage
Membership:
Medical membership:
Fully-insured commercial group ....................... 1,237,000 1,211,800 25,200 2.1%
ASO............................................. 1,162,800 1,237,700 (74,900) (6.1)%
Group Medicare Advantage .......................... 429,100 370,800 58,300 15.7%
Medicare Advantage ASO ........................... 0 27,700 (27,700) (100.0)%
Total group Medicare Advantage .................. 429,100 398,500 30,600 7.7%
Group Medicare stand-alone PDP ...................... 4,200 4,400 (200) (4.5)%
Total group Medicare ........................... 433,300 402,900 30,400 7.5%
Total group medical members ..................... 2,833,100 2,852,400 (19,300) (0.7)%
Group specialty membership (a) ........................... 6,780,800 7,136,200 (355,400) (5.0)%
(a) Specialty products include dental, vision, and other supplemental health and voluntary benefit products.
Members included in these products may not be unique to each product since members have the ability to
enroll in multiple products.
Change
2013 2012 Dollars Percentage
(in millions)
Premiums and Services Revenue:
Premiums:
Fully-insured commercial group ....................... $ 5,117 $ 4,996 $121 2.4%
Group Medicare Advantage ........................... 4,710 4,064 646 15.9%
Group Medicare stand-alone PDP ...................... 8 8 0 0.0%
Total group Medicare ............................ 4,718 4,072 646 15.9%
Group specialty .................................... 1,095 1,070 25 2.3%
Total premiums ................................ 10,930 10,138 792 7.8%
Services .............................................. 357 370 (13) (3.5)%
Total premiums and services revenue ............... $11,287 $10,508 $779 7.4%
Income before income taxes $ 322 $ 277 $ 45 16.2%
Benefit ratio ............................................... 83.5% 83.6% (0.1)%
Operating cost ratio ......................................... 16.2% 16.5% (0.3)%
Pretax Results
• Employer Group segment pretax income increased $45 million, or 16.2%, to $322 million in 2013
reflecting improved operating performance primarily due to group Medicare Advantage membership
growth and lower benefit and operating cost ratios, as described below.
Enrollment
• Fully-insured commercial group medical membership increased 25,200 members, or 2.1% from
December 31, 2012 as higher small group business membership was partially offset by lower
membership in large group accounts. Approximately 61% of our fully-insured commercial group
medical membership was in small group accounts at December 31, 2013 compared to 59% at
December 31, 2012.
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