Humana 2013 Annual Report Download - page 75
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Employer Group Segment
Change
2012 2011 Members Percentage
Membership:
Medical membership:
Fully-insured commercial group ........... 1,211,800 1,180,200 31,600 2.7%
ASO................................. 1,237,700 1,292,300 (54,600) (4.2)%
Group Medicare Advantage .............. 370,800 290,600 80,200 27.6%
Medicare Advantage ASO ............... 27,700 27,600 100 0.4%
Total group Medicare Advantage ...... 398,500 318,200 80,300 25.2%
Group Medicare stand-alone PDP .......... 4,400 4,200 200 4.8%
Total group Medicare ............... 402,900 322,400 80,500 25.0%
Total group medical members ......... 2,852,400 2,794,900 57,500 2.1%
Group specialty membership (a) ............... 7,136,200 6,532,600 603,600 9.2%
(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
2012 2011 Dollars Percentage
(in millions)
Premiums and Services Revenue:
Premiums:
Fully-insured commercial group ............ $ 4,996 $4,782 $ 214 4.5%
Group Medicare Advantage ............... 4,064 3,152 912 28.9%
Group Medicare stand-alone PDP ........... 8 8 0 0.0%
Total group Medicare ................ 4,072 3,160 912 28.9%
Group specialty ......................... 1,070 935 135 14.4%
Total premiums ..................... 10,138 8,877 1,261 14.2%
Services ................................... 370 356 14 3.9%
Total premiums and services revenue .... $10,508 $9,233 $1,275 13.8%
Income before income taxes $ 277 $ 218 $ 59 27.1%
Benefit ratio .................................... 83.6% 82.4% 1.2%
Operating cost ratio .............................. 16.5% 18.1% (1.6)%
Pretax Results
• Employer Group segment pretax income increased $59 million, or 27.1%, to $277 million in 2012
primarily due to improvement in the operating cost ratio partially offset by an increase in the benefit
ratio as described below.
Enrollment
• Fully-insured commercial group medical membership increased 31,600 members, or 2.7%, from
December 31, 2011 to December 31, 2012 primarily due to growth in small group membership
partially offset by declines in large group business. Approximately 59% of our fully-insured
commercial group medical membership was in small group accounts at December 31, 2012 compared
to 56% at December 31, 2011.
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