Financials of America’s Largest Health Insurers Market Value, Net Sales, and Earnings April 27, 2016 Producer: Emilia Varrone Edited by: Alex Perry Director:

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Financials of America’s Largest Health Insurers Market Value, Net Sales, and Earnings April 27, 2016 Producer: Emilia Varrone Edited by: Alex Perry Director: Afzal Bari

United Health Group Dominates Market Share in Health Insurance April 27, 2016 | Emilia Varrone Source: "The Biggest Health Insurers in the US", Forbes, April 27, HEALTH INSURANCE COMPANIES BY MARKET VALUE Net Sales and Market Value of Top Six Health Insurance Companies, in Billions ■ Market value (in billions) ■ Net Sales (in billions)

UnitedHealthcare’s Earnings from Operations Decrease, Blames ACA Health Exchanges UNITED HEALTH TO PULL FROM EXCHANGES CITING LOSSES April 27, 2016 | Emilia Varrone Sources: Elizabeth Whitman, "UnitedHealth Group (UNH) Q1 Earnings: Major Insurer Beats Estimates But Says it Will remain in 'a Handful' of Obamacare Exchanges in 2017" International Business Times; Susan Morse, "UnitedHealth Profits Weighed Down by $720 Million Loss from Exchange Product", Health Care, January 19, 2016; "United Health Group 2015 Results Highlighted by Continued Strong and Diversified Growth," Business Wire, January 19, 2016; Press Release, "Anthem Reports Fourth Quarter and Full Year 2015 Results", Anthem, January 27, United Healthcare Operation Earnings and Expected Earnings, in billions USD Exit of ACA Health Exchanges UnitedHealthcare made waves announcing that the insurer was exiting ACA health exchanges in most states. They announced losses of $720 million due to ACA exchanges. UnitedHealth said their earnings would have been much higher without the losses from ACA exchanges 2015 Expected Earnings Without ACA Losses

Anthem Operating Income with ACA Health Exchanges ANTHEM LOSS OF PROFIT DUE TO ACA EXCHANGE April 27, 2016 | Emilia Varrone Sources: Bruce Japsen, "Insurer Obamacare Losses Reach Billions of Dollars After Two Years", Forbes, February 7, 2016; "Anthem Income Statement", Amigobulls.com, April 27, 2016; Ana Mulero, "Anthem Q1 Earnings Drop 19% year-over-year", HealthcareDive, April 27, Anthem Operating Income, in billions USD Anthem Financials in 2015 Anthem said ACA plans caused profits to fall 64% in Q4 of 2015 Anthem acquired Cigna in the summer of 2015; however, the deal is subject to government approval.

Aetna Operating Earnings ACA Health Exchanges AETNA OPERATING EARNINGS – ACA REMAINS UNPROFITABLE April 27, 2016 | Emilia Varrone Sources: Bruce Japsen, "Insurer Obamacare Losses Reach Billions of Dollars After Two Years", Forbes, February 7, 2016; "2015 Aetna Annual Report to Shareholders", Aetna, April Aetna Operating Earnings, in billions USD Aetna Financials in 2015 Aetna said the individual coverage sold under the health law “remained unprofitable.” Aetna is in the process of acquiring Humana this year.