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Humana Reports Third Quarter 2015 Financial Results; Reaffirms 2015 Adjusted EPS Guidance

November 6, 2015 6:00 AM

LOUISVILLE, Ky.--(BUSINESS WIRE)-- Humana Inc. (NYSE: HUM) today reported diluted earnings per common share (EPS) for the quarter ended September 30, 2015 (3Q 2015) of $2.09 compared to $1.85 for the quarter ended September 30, 2014 (3Q 2014). For the nine months ended September 30, 2015 (YTD 2015) the company reported EPS of $7.77 compared to $6.39 in the nine months ended September 30, 2014 (YTD 2014).

The company has included certain adjusted financial measures throughout this earnings press release. Adjusted pretax income and Adjusted EPS for 3Q 2015 and YTD 2015 were as follows (a):

Consolidated pretax income (in millions) 3Q 2015 3Q 2014 YTD 2015 YTD 2014
GAAP $648 $551 $2,185 $1,883
Costs associated with proposed transaction with Aetna 11 - 11 -
Gain related to sale of Concentra Inc. (Concentra) - - (267) -
Adjusted (non-GAAP) $659 $551 $1,929 $1,883
Diluted earnings per common share 3Q 2015 3Q 2014 YTD 2015 YTD 2014
GAAP $2.09 $1.85 $7.77 $6.39
Costs associated with proposed transaction with Aetna 0.07 - 0.07 -
Gain related to sale of Concentra - - (1.53) -
Adjusted (non-GAAP) $2.16 $1.85 $6.31 $6.39

The higher year-over-year Adjusted pretax income for the quarter and year to date reflected higher operating results from the Group and Healthcare Services segments and higher investment income associated with repositioning of the investment portfolio, partially offset by lower operating results in the Retail segment. Further discussion of the drivers of the business segment operating results are discussed in the sections below highlighting each segment.

The higher year-over-year Adjusted EPS for the quarter reflected the same factors impacting Adjusted pretax income and the favorable impact of share repurchase activity in the first half of 2015, partially offset by a higher effective tax rate associated with the expected increase in the non-deductible health insurance industry fee. The lower year-over year Adjusted EPS year to date also reflected the same factors impacting Adjusted pretax income for the quarter and the favorable impact of share repurchase activity, but these favorable factors were more than offset by the higher effective tax rate on a year-to-date basis.

“Our third quarter results included operating performance for our Medicare businesses that was generally in line with our expectations and continuing momentum in our Healthcare Services segment, but were challenged by our individual commercial business,” said Bruce D. Broussard, Humana’s President and Chief Executive Officer. “With all this, consumers have been and continue to be at the forefront of our integrated care delivery model, which produces quality care for our members through clinical excellence and a superior consumer experience. Our proposed transaction with Aetna will provide millions more consumers with a new opportunity to engage with innovative wellness and chronic-care programs that have a proven record of measurably improving people’s health and well-being.”

Earnings Guidance

The company reaffirms Adjusted EPS guidance for the year ending December 31, 2015 (FY 2015) of approximately $7.75 as noted below:

Diluted earnings per common share FY 2015
GAAP $9.18
Estimated costs associated with proposed transaction with Aetna 0.10
Gain related to sale of Concentra (1.53)
Adjusted (non-GAAP) $7.75

“As we look to 2016, we anticipate marked improvement in our Medicare and individual commercial businesses as a result of actions taken during 2015,” added Brian A. Kane, Senior Vice President and Chief Financial Officer. “However, we remain cautious with regard to our expectations around 2016 earnings growth due to the ongoing challenges in the individual commercial business and as we continue to evaluate the impact of the Medicare financial recovery process changes made during 2014.”

A listing of items expected to significantly impact the company’s 2016 earnings are discussed throughout this press release and on page S-24 of the statistical supplement included herein.

The company’s FY 2015 Adjusted EPS guidance includes the following changes from its previous expectations:

Adjusted EPS FY 2015
Guidance – July 2015 $7.75
Medicare Advantage underwriting performance (individual and group) 0.10
Healthcare Services segment operating performance 0.38
Administrative cost efficiencies, other discretionary cost reductions and investment income associated with investment portfolio rebalancing 0.43
Individual commercial medical underwriting performance (0.91)
Guidance – November 2015 $7.75

Proposed Transaction

As previously announced, Humana has entered into a definitive merger agreement with Aetna Inc. (Aetna) on July 2, 2015 under which, at the closing, Aetna will acquire each outstanding common share of Humana for $125 in cash and 0.8375 of an Aetna common share. At separate special stockholder meetings each held on October 19, 2015, Humana stockholders approved the adoption of the Aetna merger agreement and Aetna shareholders approved the issuance of the Aetna common stock in the transaction.

The transaction is subject to customary closing conditions, including the expiration of the Hart-Scott-Rodino anti-trust waiting period and approvals of certain state Departments of Insurance and other regulators. The company expects the transaction to close in the second half of 2016.

CONSOLIDATED HIGHLIGHTS

Consolidated revenues

Consolidated revenues (including investment income) for 3Q 2015 were $13.36 billion, an increase of $1.13 billion, or 9 percent, from $12.24 billion in 3Q 2014, with total premiums and services revenues for 3Q 2015 of $13.23 billion increasing $1.09 billion, or 9 percent, from $12.14 billion in 3Q 2014. The year-over-year increase in premiums and services revenues primarily reflected higher Retail and Group segment totals.

Consolidated revenues for YTD 2015 increased $4.76 billion, or 13 percent, to $40.93 billion from $36.17 billion in YTD 2014 with total premiums and services revenues for YTD 2015 of $40.59 billion also up 13 percent, increasing $4.70 billion from $35.89 billion in YTD 2014. Higher Retail and Group segment premiums and services revenues also drove the year-over-year change in YTD 2015.

Investment income for 3Q 2015 of $130 million increased by $35 million from 3Q 2014 due to a repositioning of the investment portfolio as the company took advantage of recent market volatility and anticipated changes to interest rates. This investment portfolio repositioning is expected to be completed by the end of 2015.

Consolidated benefits expense

The 3Q 2015 consolidated benefit ratio (benefits expense as a percent of premiums) of 83.9 percent increased by 60 basis points from 83.3 percent for the prior year’s quarter primarily reflecting higher ratios in both the Retail and Group segments. Prior period medical claims development (Prior Period Development) decreased the 3Q 2015 consolidated benefit ratio by 50 basis points versus 80 basis points in the prior year’s quarter. Excluding Prior Period Development, the consolidated benefit ratios were 84.4 percent and 84.1 percent for 3Q 2015 and 3Q 2014, respectively. Drivers of the segment-level ratios are discussed in the sections below highlighting each segment.

The YTD 2015 consolidated benefit ratio of 84.0 percent increased by 110 basis points from 82.9 percent in YTD 2014. The increase primarily reflects the same factors impacting the third quarter year-over-year comparison. Prior Period Development lowered the YTD 2015 consolidated benefit ratio by 60 basis points versus 130 basis points in YTD 2014. Excluding Prior Period Development, the consolidated benefit ratios were 84.6 percent and 84.2 percent for YTD 2015 and YTD 2014, respectively.

As discussed in the Retail segment highlights below, the company’s consolidated Prior Period Development was primarily from positive Medicare Advantage claims development, partially offset by negative individual commercial claims development. Consolidated Prior Period Development was as follows:

Consolidated Prior Period Development First quarter Second quarter Third quarter YTD
(in millions)
Favorable (unfavorable)
Prior Period Development from 2014 and prior years recognized in FY 2015 $194 ($16) $67 $245
Prior Period Development from 2013 and prior years recognized in FY 2014 $297 $49 $94 $440

Consolidated operating expenses

The consolidated operating cost ratio (operating costs as a percent of total revenues less investment income) of 12.8 percent for 3Q 2015 decreased 280 basis points from 15.6 percent in 3Q 2014, primarily reflecting lower ratios in the Retail and Group segments as well as the sale of Concentra in June 2015. Drivers of the segment-level ratios are discussed in the sections below highlighting each segment.

The YTD 2015 consolidated operating cost ratio of 13.4 percent decreased 200 basis points from 15.4 percent in YTD 2014, primarily reflecting the same factors impacting the year-over-year comparisons for the third quarter.

Consolidated operating expenses included amortization expense for intangible assets of approximately $22 million and $29 million for 3Q 2015 and 3Q 2014, respectively, and approximately $72 million and $85 million for YTD 2015 and YTD 2014, respectively.

For 2016, the company anticipates higher consolidated operating expenses as discretionary cost reductions implemented in 2015 are expected to return to normal levels in 2016.

Balance sheet

At September 30, 2015, the company had cash, cash equivalents, and investment securities of $10.90 billion, down $231 million from $11.13 billion at June 30, 2015 primarily reflecting net commercial paper repayments of $290 million.

Cash and short-term investments held at the parent company of $1.03 billion at September 30, 2015 decreased $830 million from $1.86 billion at June 30, 2015, primarily reflecting the commercial paper repayment, capital expenditures, payment of stockholder dividends, and the funding of subsidiary working capital requirements.

At September 30, 2015, net receivables of $808 million were associated with premium stabilization programs established under health care reform, commonly referred to as the 3Rs(b). Approximately 51 percent of the total net 3Rs receivables were related to reinsurance recoverables. At September 30, 2015, net receivables (payables) for the 3Rs were as follows:

Net Amounts Accrued for the 3Rs Balances Related Balances Related to Total Balances at
(in millions)

to 2014 plan year

2015 plan year

9/30/15
Assets (liabilities)
Reinsurance recoverables $40 $371 $411
Net risk adjustment settlement 10 (59) (49)
Net risk corridor settlement(c) 241 205 446
Total Net Amounts Accrued for the 3Rs $291 $517 $808

Reinsurance recoverables for the 2015 plan year are anticipated to be primarily collected in the third quarter of 2016. Net risk corridor receivables are now anticipated to be primarily collected in future years and thus the related amounts have been classified as long-term receivables as of September 30, 2015.

Days in claims payable of 43.4 at September 30, 2015 increased 2.3 days from 41.1 at June 30, 2015. This change was primarily driven by higher balances in unprocessed claims inventories associated with slower claims processing speed during 3Q 2015 versus the second quarter of 2015.

Debt-to-total capitalization at September 30, 2015 was 27.0 percent, down from 29.0 percent at June 30, 2015 primarily reflecting lower commercial paper balances outstanding at the end of 3Q 2015. Increases in capital associated with 3Q 2015 earnings were partially offset by cash dividends paid during the quarter. As of September 30, 2015, the company had approximately $11 million outstanding on its commercial paper program compared to $300 million at June 30, 2015.

Cash flows from operations

Cash flows provided by operations for 3Q 2015 were $1.03 billion compared to cash flows provided by operations of $954 million in 3Q 2014. This year-over-year change in operating cash flows primarily reflected higher net income as well as changes in working capital items with the favorable impact of net 3Rs receivables collected in the quarter partially offset by payment of the higher non-deductible health insurance industry fee.

For YTD 2015, cash flows provided by operations totaled $531 million versus $1.43 billion of cash flows provided by operations during YTD 2014. This year-over-year decline primarily reflected lower net income excluding the gain on the Concentra sale (proceeds from the sale are recognized in investing cash flows) and the unfavorable impact of changes in working capital items, primarily driven by the cash flow impact of lower membership growth YTD 2015 compared to YTD 2014. Membership growth rates have a positive cash flow impact because premiums are generally collected in advance of claim payments.

Fourth quarter 2015 cash flows from operations are anticipated to be lower than previously expected primarily due to the delay in collection of risk corridor receivables associated with the 3Rs. Additionally, fourth quarter cash flows are anticipated to be impacted by normal fluctuation in working capital balances.

Share repurchases

In September 2014, the company’s Board of Directors approved a new $2 billion share repurchase authorization with an expiration date of December 31, 2016 that replaced its previous $1 billion share repurchase authorization. Approximately $1.04 billion of the current $2 billion repurchase authorization remains outstanding.

As a result of the proposed transaction with Aetna, the company has suspended its share repurchase program. Consequently, the company did not repurchase shares during 3Q 2015. The company executed repurchases of 967,200 shares for approximately $118 million during 3Q 2014.

Year to date through July 2, 2015 (the date of the merger agreement), the company had repurchased approximately 1,849,800 shares for $329 million. The company repurchased approximately 1,872,600 shares for $230 million during YTD 2014.

In light of the suspension of the company’s share repurchase program discussed above, 2016 EPS is not expected to include any benefit from share repurchases versus an active share repurchase program in the first half of 2015.

Cash dividends

The company paid cash dividends to its stockholders of $43 million in each of 3Q 2015 and 3Q 2014. Cash dividends of $129 million were paid to the company’s stockholders during each of YTD 2015 and YTD 2014. In August 2015, the company’s Board of Directors declared a cash dividend of $0.29 per share, totaling $43 million in the aggregate, which was paid on October 30, 2015 to stockholders of record on September 30, 2015.

The company’s ability and intent to continue its quarterly dividend policy is not impacted by the proposed transaction with Aetna, although the company has agreed with Aetna that its quarterly dividend will not exceed $0.29 per share prior to closing the transaction.

RETAIL SEGMENT(d)

This segment consists of Medicare benefits, marketed to individuals or directly via group accounts, as well as individual commercial fully-insured medical and specialty health insurance benefits, including dental, vision, and other supplemental health and financial protection products. In addition, this segment also includes the company’s contract with the Centers for Medicare and Medicaid Services (CMS) to administer the Limited Income Newly Eligible Transition (LI-NET) prescription drug plan program and contracts with various states to provide Medicaid, dual eligible, and Long-Term Support Services (LTSS) benefits. These contracts are collectively referred to as state-based contracts(e).

Retail Segment Highlights

While operating performance for the company’s stand-alone PDP and group Medicare Advantage businesses are performing in line with the company’s expectations, as previously disclosed, its individual commercial and Medicare Advantage businesses are facing certain challenges in 2015.

Medicare businesses

The company’s Medicare Advantage operating results year over year reflect significant growth in membership but were negatively impacted by certain pricing assumptions in Humana’s plan designs for 2015 primarily related to lower-than-expected 2015 financial claim recovery levels (included in Prior Period Development) and lower-than-anticipated reductions in inpatient admissions from its clinical programs. Overall, year-over-year hospital admissions have decreased from 2014 and are running slightly favorable versus the company’s expectations as revised in July 2015. The company continues to manage the impact of financial recovery process changes made during 2014.

For 2016, Humana believes it has largely captured the 2015 medical cost experience in its Medicare plan designs submitted to CMS in June 2015. However, the financial recovery process changes discussed above and their potential impact on reserve development may negatively affect the company’s anticipated growth in earnings for 2016.

2016 individual Medicare Advantage net membership growth is anticipated to be in line with overall market growth and is projected to be in the mid to upper single digits on a percentage basis, excluding the loss of approximately 35,000 members from the discontinuance of a product offering in Puerto Rico. Group Medicare Advantage membership for 2016 is projected to be down due to a large account (approximately 145,000 members) converting to a private exchange offering.

Individual commercial business

Operating results for the company’s individual commercial medical business continue to be challenged primarily due to the volatility related to the start of the healthcare exchange program created under the Affordable Care Act (ACA) as well as the morbidity of membership served under this relatively new program. The benefit ratio associated with many of the company’s individual products, in particular ACA-compliant offerings, continue to exceed prior expectations for FY 2015 driven primarily by product designs which attracted a higher-utilizing member base than was assumed when the 2015 plan offerings were priced, in part due to the on-going impact of the transitional policies associated with the program. The transitory nature of the population served has also contributed to use of emergency room services and non-participating providers above priced-for levels.

During 2015, the company has taken a number of actions that are anticipated to improve the profitability of the individual commercial business in 2016. However, the deterioration in claims experience for this business in 3Q 2015, if it continues, would reduce the likelihood of achieving the level of profitability the company had previously anticipated for this business in 2016. The company continues to evaluate its participation in this line of business for 2017.

Steps taken to address challenges in this business during 2015 include:

State-based contracts business

In total, the company’s state-based contracts business continues to perform in line with management’s expectations. State-based business associated with the company’s dual eligible membership is outperforming expectations while its Medicaid Temporary Assistance for Needy Families (TANF) products are underperforming expectations.

For 2016, the company’s state-based contracts business is expected to benefit from the full-year effect of rate increases and operational improvements implemented in 2015.

Retail segment premiums and services revenue:

Retail segment enrollment:

Retail segment benefits expense:

Retail Segment Prior Period Development First quarter Second quarter Third quarter YTD
(in millions)
Favorable (unfavorable)
Prior Period Development from 2014 and prior years recognized in FY 2015 $188 ($11) $65 $242
Prior Period Development from 2013 and prior years recognized in FY 2014 $277 $58 $83 $418

Retail segment operating costs:

Retail segment pretax results:

GROUP SEGMENT(d)

This segment consists of employer group commercial fully-insured medical and specialty health insurance benefits, including dental, vision, and other supplemental health and voluntary insurance benefits, as well as Administrative Services Only (ASO) products. In addition, the Group segment includes health and wellness products (primarily marketed to employer groups) and military services business, primarily the TRICARE South Region contract.

Group Segment Highlights

The Group segment’s operating performance is generally in line with company expectations as fully-insured medical operating results were substantially offset by performance in the company’s specialty, wellness and TRICARE operations.

Group segment premiums and services revenue:

Group segment enrollment:

Group segment benefits expense:

Group segment operating costs:

Group segment pretax results:

HEALTHCARE SERVICES SEGMENT(d)

This segment includes services offered to the company’s health plan members as well as to third parties, including pharmacy solutions, provider services, home based services, and clinical programs, as well as services and capabilities to advance population health.

Healthcare Services Segment Highlights

Operating performance for the Healthcare Services segment continues to exceed previous expectations, primarily driven by pharmacy related cost reduction initiatives as well as higher mail order and specialty pharmacy usage. Additionally, high levels of Medicare membership growth as well as increased engagement of members in clinical programs, have resulted in higher usage of services across this segment. The segment’s YTD 2015 results reflect the sale of Concentra on June 1, 2015, with the gain on that sale being reported in the Corporate results.

For 2016, the company anticipates continued segment profit growth at a somewhat slower rate due primarily to an expectation for individual Medicare Advantage membership to grow in line with the overall market (versus outsized growth in prior years), the negative impact on the company’s provider businesses of CMS’ 2016 risk coding recalibration and loss of earnings from Concentra due to the sale of that business in June 2015.

Healthcare Services segment revenues:

Healthcare Services segment operating costs:

Healthcare Services segment operating statistics:

Healthcare Services segment pretax results:

Footnotes

(a) Adjusted pretax income and Adjusted EPS for 3Q 2015 excludes pretax transaction costs of $11 million, or $0.07 per share, associated with the proposed transaction with Aetna. Adjusted pretax income and Adjusted EPS for YTD 2015 excludes the Aetna transaction costs as well as a pretax gain of approximately $267 million, or $1.53 per share, associated with the completion of the company’s sale of its wholly-owned subsidiary, Concentra Inc. on June 1, 2015.
The company has included these financial measures (which are not in accordance with Generally Accepted Accounting Principles (GAAP)) in its summary of financial results within this earnings press release as management believes that these measures, when presented in conjunction with the comparable GAAP measures, are useful to both management and its investors in analyzing the company’s ongoing business and operating performance. The excluded items described herein are not a recurring part of the company’s operating plan. Consequently, management uses these non-GAAP financial measures as indicators of business performance, as well as for operational planning and decision making purposes. Non-GAAP financial measures should be considered in addition to, but not as a substitute for, or superior to, financial measures prepared in accordance with GAAP.
(b) Under health care reform, premium stabilization programs, commonly referred to as the 3Rs, became effective January 1, 2014. These programs include a permanent risk adjustment program, a transitional reinsurance program, and a temporary risk corridors program designed to more evenly spread the financial risk borne by issuers and to mitigate the risk that issuers would have mispriced products. In each case, operation of the program is subject to appropriation or other federal administrative action.
(c) On October 1, 2015, Humana and other industry participants received notification from CMS that 12.6 percent of risk corridor receivables for the 2014 coverage year would be paid between December 2015 and January 2016 based on expected risk corridor collections for the 2014 coverage year. The risk corridor program is a three-year program and guidance from the Department of Health and Human Services (HHS) provides that risk corridor collections over the life of the three-year program will first be applied to any shortfalls from previous benefit years before application to current year obligations. Subsequent to the October 1, 2015 notification from CMS, HHS reiterated its recognition that the ACA requires the Secretary of HHS to make full payments to issuers, and that amounts unpaid following the 12.6 percent payment will be recorded as obligations of the United States Government for which full payment is required. In the event of a shortfall for the 2016 program year, HHS has asserted it will explore other sources of funding for risk corridors payments, subject to the availability of appropriations, including working with Congress on the necessary funding for outstanding risk corridor payments.
(d) On January 1, 2015, the company realigned certain of its businesses among its financial reporting segments to correspond with internal management reporting changes and renamed its Employer Group segment the Group segment. The company’s three reportable segments remain Retail, Group, and Healthcare Services.
(e) State-based contracts include the company’s operations and membership associated with Medicaid benefits provided for dual-eligible demonstration, Temporary Assistance for Needy Families (TANF), and Long-Term Support Services (LTSS) programs.
(f) The company provides a full range of insured specialty products including dental, vision, other supplemental health, financial protection, and voluntary insurance benefits. Members included in these products may not be unique to each product since members have the ability to enroll in multiple products. Other supplemental benefits include life, disability, and fixed benefit products including cancer and critical illness policies.

Conference Call

Given the proposed transaction with Aetna, the company is not hosting a conference call in conjunction with its 3Q 2015 earnings release and does not expect to do so for future quarters. Please direct any questions regarding this earnings press release to Humana Investor Relations or Humana Corporate Communications.

Cautionary Statement

This news release includes forward-looking statements within the meaning of the Private Securities Litigation Reform Act of 1995. When used in investor presentations, press releases, Securities and Exchange Commission (SEC) filings, and in oral statements made by or with the approval of one of Humana’s 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 the “Risk Factors” section of the company’s SEC filings, a summary of which includes but is not limited to the following:

In making forward-looking statements, Humana is not undertaking to address or update them in future filings or communications regarding its business or results. In light of these risks, uncertainties, and assumptions, the forward-looking events discussed herein may or may not occur. There also may be other risks that the company is 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.

Humana advises investors to read the following documents as filed by the company with the SEC for further discussion both of the risks it faces and its historical performance:

About Humana

Humana Inc., headquartered in Louisville, Ky., is a leading health and well-being company focused on making it easy for people to achieve their best health with clinical excellence through coordinated care. The company’s strategy integrates care delivery, the member experience, and clinical and consumer insights to encourage engagement, behavior change, proactive clinical outreach and wellness for the millions of people we serve across the country.

More information regarding Humana is available to investors via the Investor Relations page of the company’s web site at www.humana.com, including copies of:

Humana Inc.

Statistical Schedules

And

Supplementary Information

3Q15 Earnings Release

S-1

Humana Inc.

Statistical Schedules and Supplementary Information

3Q15 Earnings Release

Contents

Page

Description

S-3-4 Consolidated Statements of Income
S-5-6 Quarterly Segment Financial Information
S-7-8 YTD Segment Financial Information
S-9 Consolidated Balance Sheets
S-10-11 Consolidated Statements of Cash Flows
S-12 Key Income Statement Ratios and Segment Operating Results
S-13-15 Healthcare Services Segment Metrics
S-16 Ending Membership Detail
S-17-18 Premiums and Services Revenue Detail
S-19 Medicare Summary
S-20 Investments
S-21-23 Benefits Payable Detail and Statistics
S-24 Items Expected to Significantly Impact 2016 Humana Inc. Earnings
S-25 Footnotes

S-2

Humana Inc.

Consolidated Statements of Income

Dollars in millions, except per common share results

Three Months Ended September 30,
Dollar Percentage
2015 2014 Change Change
Revenues:
Premiums $ 12,987 $ 11,607 $ 1,380 11.9 %
Services 246 536 (290 ) -54.1 %
Investment income 130 95 35 36.8 %
Total revenues 13,363 12,238 1,125 9.2 %
Operating expenses:
Benefits 10,896 9,666 1,230 12.7 %
Operating costs 1,688 1,898 (210 ) -11.1 %
Depreciation and amortization 84 85 (1 ) -1.2 %
Total operating expenses 12,668 11,649 1,019 8.7 %
Income from operations 695 589 106 18.0 %
Interest expense 47 38 9 23.7 %
Income before income taxes 648 551 97 17.6 %
Provision for income taxes 334 261 73 28.0 %
Net income $ 314 $ 290 $ 24 8.3 %
Basic earnings per common share $ 2.11 $ 1.87 $ 0.24 12.8 %
Diluted earnings per common share $ 2.09 $ 1.85 $ 0.24 13.0 %
Shares used in computing basic earnings per common share (000's) 148,889 154,502
Shares used in computing diluted earnings per common share (000's) 150,466 156,230

S-3

Humana Inc.

Consolidated Statements of Income

Dollars in millions, except per common share results
Nine months ended September 30,
Dollar Percentage
2015 2014 Change Change
Revenues:
Premiums $ 39,447 $ 34,274 $ 5,173 15.1 %
Services 1,143 1,620 (477 ) -29.4 %
Investment income 338 278 60 21.6 %
Total revenues 40,928 36,172 4,756 13.1 %
Operating expenses:
Benefits 33,153 28,417 4,736 16.7 %
Operating costs 5,450 5,518 (68 ) -1.2 %
Depreciation and amortization 267 246 21 8.5 %
Total operating expenses 38,870 34,181 4,689 13.7 %
Income from operations 2,058 1,991 67 3.4 %
Gain on sale of business 267 - 267 n/a
Interest expense 140 108 32 29.6 %
Income before income taxes 2,185 1,883 302 16.0 %
Provision for income taxes 1,010 881 129 14.6 %
Net income $ 1,175 $ 1,002 $ 173 17.3 %
Basic earnings per common share $ 7.85 $ 6.46 $ 1.39 21.5 %
Diluted earnings per common share $ 7.77 $ 6.39 $ 1.38 21.6 %
Shares used in computing basic earnings per common share (000's) 149,617 155,006
Shares used in computing diluted earnings per common share (000's) 151,321 156,641

S-4

Humana Inc.

3Q15 Segment Financial Information

In millions
Healthcare Other Eliminations/
Retail Group Services Businesses Corporate Consolidated
Revenues - external customers
Premiums:
Individual Medicare Advantage $ 7,316 $ - $ - $ - $ - $ 7,316
Group Medicare Advantage 1,396 - - - - 1,396
Medicare stand-alone PDP 927 - - - - 927
Total Medicare 9,639 - - - - 9,639
Fully-insured 1,056 1,362 - - - 2,418
Specialty 66 260 - - - 326
Medicaid and other (A) 592 6 - 6 - 604
Total premiums 11,353 1,628 - 6 - 12,987
Services revenue:
Provider - 9 61 - - 70
ASO and other (B) 1 162 - 5 - 168
Pharmacy - - 8 - - 8
Total services revenue 1 171 69 5 - 246
Total revenues - external customers 11,354 1,799 69 11 - 13,233
Intersegment revenues
Services - 24 4,633 - (4,657 ) -
Products - - 1,271 - (1,271 ) -
Total intersegment revenues - 24 5,904 - (5,928 ) -
Investment income 38 7 - 16 69 130
Total revenues 11,392 1,830 5,973 27 (5,859 ) 13,363
Operating expenses:
Benefits 9,777 1,341 - 22 (244 ) 10,896
Operating costs 1,241 426 5,659 3 (5,641 ) 1,688
Depreciation and amortization 49 24 30 - (19 ) 84
Total operating expenses 11,067 1,791 5,689 25 (5,904 ) 12,668
Income from operations 325 39 284 2 45 695
Interest expense - - - - 47 47
Income (loss) before income taxes $ 325 $ 39 $ 284 $ 2 $ (2 ) $ 648
Benefit ratio 86.1 % 82.4 % 83.9 %
Operating cost ratio 10.9 % 23.4 % 94.7 % 12.8 %

S-5

Humana Inc.

3Q14 Segment Financial Information (Recast) (C)

In millions
Healthcare Other Eliminations/
Retail Group Services Businesses Corporate Consolidated
Revenues - external customers
Premiums:
Individual Medicare Advantage $ 6,448 $ - $ - $ - $ - $ 6,448
Group Medicare Advantage 1,381 - - - - 1,381
Medicare stand-alone PDP 806 - - - - 806
Total Medicare 8,635 - - - - 8,635
Fully-insured 926 1,335 - - - 2,261
Specialty 67 274 - - - 341
Medicaid and other (A) 352 5 - 13 - 370
Total premiums 9,980 1,614 - 13 - 11,607
Services revenue:
Provider - 6 320 - - 326
ASO and other (B) 10 172 - 2 - 184
Pharmacy - - 26 - - 26
Total services revenue 10 178 346 2 - 536
Total revenues - external customers 9,990 1,792 346 15 - 12,143
Intersegment revenues
Services - 22 3,879 - (3,901 ) -
Products - - 968 - (968 ) -
Total intersegment revenues - 22 4,847 - (4,869 ) -
Investment income 24 6 - 15 50 95
Total revenues 10,014 1,820 5,193 30 (4,819 ) 12,238
Operating expenses:
Benefits 8,469 1,324 - 24 (151 ) 9,666
Operating costs 1,156 468 4,953 5 (4,684 ) 1,898
Depreciation and amortization 43 27 37 - (22 ) 85
Total operating expenses 9,668 1,819 4,990 29 (4,857 ) 11,649
Income from operations 346 1 203 1 38 589
Interest expense - - - - 38 38
Income before income taxes $ 346 $ 1 $ 203 $ 1 $ - $ 551
Benefit ratio 84.9 % 82.0 % 83.3 %
Operating cost ratio 11.6 % 25.8 % 95.4 % 15.6 %

S-6

Humana Inc.

YTD 3Q15 Segment Financial Information

In millions
Healthcare Other Eliminations/
Retail Group Services Businesses Corporate Consolidated
Revenues - external customers
Premiums:
Individual Medicare Advantage $ 22,183 $ - $ - $ - $ - $ 22,183
Group Medicare Advantage 4,188 - - - - 4,188
Medicare stand-alone PDP 2,915 - - - - 2,915
Total Medicare 29,286 - - - - 29,286
Fully-insured 3,263 4,125 - - - 7,388
Specialty 195 795 - - - 990
Medicaid and other (A) 1,742 16 - 25 - 1,783
Total premiums 34,486 4,936 - 25 - 39,447
Services revenue:
Provider - 29 590 - - 619
ASO and other (B) 7 485 - 10 - 502
Pharmacy - - 22 - - 22
Total services revenue 7 514 612 10 - 1,143
Total revenues - external customers 34,493 5,450 612 35 - 40,590
Intersegment revenues
Services - 68 13,561 - (13,629 ) -
Products - - 3,654 - (3,654 ) -
Total intersegment revenues - 68 17,215 - (17,283 ) -
Investment income 96 18 - 53 171 338
Total revenues 34,589 5,536 17,827 88 (17,112 ) 40,928
Operating expenses:
Benefits 29,781 3,908 - 66 (602 ) 33,153
Operating costs 3,708 1,323 16,978 10 (16,569 ) 5,450
Depreciation and amortization 140 69 112 - (54 ) 267
Total operating expenses 33,629 5,300 17,090 76 (17,225 ) 38,870
Income from operations 960 236 737 12 113 2,058
Gain on sale of business - - - - 267 267
Interest expense - - - - 140 140
Income before income taxes $ 960 $ 236 $ 737 $ 12 $ 240 $ 2,185
Benefit ratio 86.4 % 79.2 % 84.0 %
Operating cost ratio 10.8 % 24.0 % 95.2 % 13.4 %

S-7

Humana Inc.

YTD 3Q14 Segment Financial Information (C)

In millions
Healthcare Other Eliminations/
Retail Group Services Businesses Corporate Consolidated
Revenues - external customers
Premiums:
Individual Medicare Advantage $ 19,375 $ - $ - $ - $ - $ 19,375
Group Medicare Advantage 4,131 - - - - 4,131
Medicare stand-alone PDP 2,612 - - - - 2,612
Total Medicare 26,118 - - - - 26,118
Fully-insured 2,363 3,985 - - - 6,348
Specialty 192 824 - - - 1,016
Medicaid and other (A) 735 15 - 42 - 792
Total premiums 29,408 4,824 - 42 - 34,274
Services revenue:
Provider - 17 951 - - 968
ASO and other (B) 37 535 - 8 - 580
Pharmacy - - 72 - - 72
Total services revenue 37 552 1,023 8 - 1,620
Total revenues - external customers 29,445 5,376 1,023 50 - 35,894
Intersegment revenues
Services - 57 11,084 - (11,141 ) -
Products - - 2,752 - (2,752 ) -
Total intersegment revenues - 57 13,836 - (13,893 ) -
Investment income 71 17 - 45 145 278
Total revenues 29,516 5,450 14,859 95 (13,748 ) 36,172
Operating expenses:
Benefits 25,044 3,753 - 73 (453 ) 28,417
Operating costs 3,237 1,445 14,157 14 (13,335 ) 5,518
Depreciation and amortization 120 77 108 2 (61 ) 246
Total operating expenses 28,401 5,275 14,265 89 (13,849 ) 34,181
Income from operations 1,115 175 594 6 101 1,991
Interest expense - - - - 108 108
Income (loss) before income taxes $ 1,115 $ 175 $ 594 $ 6 $ (7 ) $ 1,883
Benefit ratio 85.2 % 77.8 % 82.9 %
Operating cost ratio 11.0 % 26.6 % 95.3 % 15.4 %

S-8

Humana Inc.

Consolidated Balance Sheets

Dollars in millions, except share amounts
September 30, December 31, YTD Change
2015 2014 Dollar Percent
Assets
Current assets:
Cash and cash equivalents $ 1,597 $ 1,935
Investment securities 7,423 7,598
Receivables, net 986 1,053
Other current assets 5,767 4,007
Assets held-for-sale - 943
Total current assets 15,773 15,536 $ 237 1.5 %
Property and equipment, net 1,343 1,228
Long-term investment securities 1,879 1,949
Goodwill 3,266 3,231
Other long-term assets 2,035 1,583
Total assets $ 24,296 $ 23,527 $ 769 3.3 %
Liabilities and Stockholders' Equity
Current liabilities:
Benefits payable $ 4,922 $ 4,475
Trade accounts payable and accrued expenses 2,216 2,095
Book overdraft 296 334
Unearned revenues 297 361
Short-term borrowings 11 -
Liabilities held-for-sale - 206
Total current liabilities 7,742 7,471 $ 271 3.6 %
Long-term debt 3,822 3,825
Future policy benefits payable 2,154 2,349
Other long-term liabilities 225 236
Total liabilities 13,943 13,881 $ 62 0.4 %
Commitments and contingencies
Stockholders' equity:
Preferred stock, $1 par; 10,000,000 shares authorized, none issued - -
Common stock, $0.16 2/3 par; 300,000,000 shares authorized;
198,350,100 issued at September 30, 2015 33 33
Capital in excess of par value 2,515 2,330
Retained earnings 10,960 9,916
Accumulated other comprehensive income 137 223
Treasury stock, at cost, 50,126,173 shares at September 30, 2015 (3,292 ) (2,856 )
Total stockholders' equity 10,353 9,646 $ 707 7.3 %
Total liabilities and stockholders' equity $ 24,296 $ 23,527 $ 769 3.3 %
Debt-to-total capitalization ratio 27.0 % 28.4 %

Return on Invested Capital (ROIC) based on Net Operating Profit After Tax (NOPAT) - trailing 12 months

10.2 % 10.0 %

S-9

Humana Inc.

Consolidated Statements of Cash Flows

Dollars in millions
Three Months Ended September 30,
Dollar Percentage
2015 2014 Change Change
Cash flows from operating activities
Net income $ 314 $ 290
Adjustments to reconcile net income to net cash provided by operating activities:
Depreciation 85 83
Other intangible amortization 22 29
Net realized capital gains (51 ) (6 )
Stock-based compensation 23 21
Provision for deferred income taxes 41 9

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

Receivables 1,143 1,069
Other assets 357 (46 )
Benefits payable 141 (102 )
Other liabilities (1,063 ) (403 )
Unearned revenues 6 (2 )
Other, net 14 12
Net cash provided by operating activities 1,032 954 $ 78 8.2 %
Cash flows from investing activities
Purchases of property and equipment (125 ) (145 )
Purchases of investment securities (2,624 ) (981 )
Maturities of investment securities 266 190
Proceeds from sales of investment securities 1,878 164
Net cash used in investing activities (605 ) (772 ) $ 167 21.6 %
Cash flows from financing activities
Receipts (withdrawals) from contract deposits, net (725 ) (616 )
Proceeds from issuance of senior notes, net - 1,733
Repayments from issuance of commercial paper, net (290 ) -
Change in book overdraft (13 ) (27 )
Common stock repurchases (9 ) (118 )
Excess tax benefit from stock-based compensation 1 1
Dividends paid (43 ) (43 )
Proceeds from stock option exercises and other (1 ) -
Net cash (used in) provided by financing activities (1,080 ) 930 ($2,010 ) -216.1 %
(Decrease) increase in cash and cash equivalents (653 ) 1,112
Cash and cash equivalents at beginning of period 2,250 1,593
Cash and cash equivalents at end of period $ 1,597 $ 2,705

S-10

Humana Inc.

Consolidated Statements of Cash Flows

Dollars in millions
Nine Months Ended September 30,
Dollar Percentage
2015 2014 Change Change
Cash flows from operating activities
Net income $ 1,175 $ 1,002

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

Gain on sale of business (267 ) -
Depreciation 263 240
Other intangible amortization 72 85
Net realized capital gains (88 ) (9 )
Stock-based compensation 92 76
Provision (benefit) for deferred income taxes 13 (30 )

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

Receivables 56 (68 )
Other assets (1,080 ) (960 )
Benefits payable 447 783
Other liabilities (140 ) 238
Unearned revenues (64 ) 40
Other, net 52 28
Net cash provided by operating activities 531 1,425 ($894 ) -62.7 %
Cash flows from investing activities
Proceeds from sale of business 1,055 72
Acquisitions, net of cash acquired (38 ) (3 )
Purchases of property and equipment (384 ) (361 )
Purchases of investment securities (4,345 ) (1,949 )
Maturities of investment securities 881 702
Proceeds from sales of investment securities 3,448 1,171
Net cash provided by (used in) investing activities 617 (368 ) $ 985 267.7 %
Cash flows from financing activities
Receipts (withdrawals) from contract deposits, net (984 ) (743 )
Proceeds from issuance of senior notes, net - 1,733
Proceeds from issuance of commercial paper, net 10 -
Change in book overdraft (38 ) (136 )
Common stock repurchases (380 ) (270 )
Excess tax benefit from stock-based compensation 15 10
Dividends paid (129 ) (129 )
Proceeds from stock option exercises and other 20 45
Net cash (used in) provided by financing activities (1,486 ) 510 ($1,996 ) -391.4 %
(Decrease) increase in cash and cash equivalents (338 ) 1,567
Cash and cash equivalents at beginning of period 1,935 1,138
Cash and cash equivalents at end of period $ 1,597 $ 2,705

S-11

Humana Inc.

Key Income Statement Ratios and Segment Operating Results

Dollars in millions
Three Months Ended September 30, Nine Months Ended September 30,
Percentage Percentage
2015 2014 Difference Change 2015 2014 Difference Change
Benefit ratio
Retail 86.1 % 84.9 % 1.2 % 86.4 % 85.2 % 1.2 %
Group 82.4 % 82.0 % 0.4 % 79.2 % 77.8 % 1.4 %
Consolidated 83.9 % 83.3 % 0.6 % 84.0 % 82.9 % 1.1 %
Operating cost ratio
Retail 10.9 % 11.6 % -0.7 % 10.8 % 11.0 % -0.2 %
Group 23.4 % 25.8 % -2.4 % 24.0 % 26.6 % -2.6 %
Healthcare Services 94.7 % 95.4 % -0.7 % 95.2 % 95.3 % -0.1 %
Consolidated 12.8 % 15.6 % -2.8 % 13.4 % 15.4 % -2.0 %
Detail of pretax income
Retail $ 325 $ 346 ($21 ) -6.1 % $ 960 $ 1,115 ($155 ) -13.9 %
Group $ 39 $ 1 $ 38 3800.0 % $ 236 $ 175 $ 61 34.9 %
Healthcare Services $ 284 $ 203 $ 81 39.9 % $ 737 $ 594 $ 143 24.1 %
Consolidated $ 648 $ 551 $ 97 17.6 % $ 2,185 $ 1,883 $ 302 16.0 %

S-12

Humana Inc.

Healthcare Services Segment Metrics

Quarter Ended Quarter Ended Quarter Ended
September 30, 2015 September 30, 2014 Difference June 30, 2015 Difference
Primary Care Providers:
Shared Risk (D)
Owned / JV 1,700 2,700 (1,000 ) -37.0 % 1,600 100 6.3 %
Contracted 15,300 10,600 4,700 44.3 % 15,100 200 1.3 %
Path to Risk (E) 27,200 25,200 2,000 7.9 % 26,300 900 3.4 %
Total Value-based 44,200 38,500 5,700 14.8 % 43,000 1,200 2.8 %
Medicare Care Management Professionals:
Employed (F) 6,500 5,500 1,000 18.2 % 6,200 300 4.8 %
Contracted (G) 12,500 12,200 300 2.5 % 11,900 600 5.0 %
Total 19,000 17,700 1,300 7.3 % 18,100 900 5.0 %
Care Management Statistics:

Number of Medicare Advantage members with complex chronic conditions in Humana Chronic Care Program

548,000 379,900 168,100 44.2 % 512,000 36,000 7.0 %

Number of high-risk discharges enrolled in Humana Transitions Program (H)

55,900 39,700 16,200 40.8 % 55,900 - 0.0 %

S-13

Humana Inc.

Healthcare Services Segment Metrics (Continued)

Script volume in thousands
Quarter Ended Quarter Ended Year-over-Year Quarter Ended Sequential
September 30, 2015 September 30, 2014 Difference June 30, 2015 Difference
Pharmacy:
Generic Dispense Rate
Retail 89.9% 88.7% 1.2% 89.7% 0.2%
Group 83.0% 81.3% 1.7% 83.0% 0.0%
Total 89.5% 88.3% 1.2% 89.3% 0.2%
Mail-Order Penetration
Retail 26.2% 24.0% 2.2% 25.7% 0.5%
Group 8.8% 9.3% -0.5% 8.6% 0.2%
Total 25.2% 23.1% 2.1% 24.8% 0.4%
Percentage Percentage
Difference Change Difference Change
Script volume (I)
Retail 95,500 78,200 17,300 22.1% 93,200 2,300 2.5%
Group 5,100 5,300 (200) -3.8% 5,200 (100) -1.9%
Total 100,600 83,500 17,100 20.5% 98,400 2,200 2.2%

S-14

Humana Inc.

Healthcare Services Segment Metrics (Continued)

Script volume in thousands

Nine months ended Nine months ended Year-over-Year
September 30, 2015 September 30, 2014 Difference
Pharmacy:
Generic Dispense Rate
Retail 89.7 % 88.5 % 1.2 %
Group 83.0 % 81.0 % 2.0 %
Total 89.4 % 88.0 % 1.4 %
Mail-Order Penetration
Retail 25.9 % 24.1 % 1.8 %
Group 8.6 % 9.3 % -0.7 %
Total 24.9 % 23.1 % 1.8 %
Percentage
Difference Change
Script volume (I)
Retail 279,700 228,000 51,700 22.7 %
Group 15,400 15,700 (300 ) -1.9 %
Total 295,100 243,700 51,400 21.1 %

S-15

Humana Inc.

Ending Membership Detail

In thousands

Average

Year-over-Year Change YTD Change
September 30, 2015

3Q15

September 30, 2014 Amount Percent December 31, 2014 Amount Percent
Medical Membership:
Retail
Individual Medicare Advantage 2,737.1 2,729.0 2,402.8 334.3 13.9 % 2,427.9 309.2 12.7 %
Group Medicare Advantage 481.3 479.7 484.9 (3.6 ) -0.7 % 489.7 (8.4 ) -1.7 %
Medicare stand-alone PDPs 4,509.6 4,488.1 3,940.8 568.8 14.4 % 3,994.0 515.6 12.9 %
Total Medicare 7,728.0 7,696.8 6,828.5 899.5 13.2 % 6,911.6 816.4 11.8 %
Individual commercial 963.7 978.6 1,085.8 (122.1 ) -11.2 % 1,016.2 (52.5 ) -5.2 %
State-based Medicaid (J) 368.4 365.8 296.3 72.1 24.3 % 316.8 51.6 16.3 %
Medicare Supplement 157.1 156.4 129.2 27.9 21.6 % 131.9 25.2 19.1 %
Total Retail 9,217.2 9,197.6 8,339.8 877.4 10.5 % 8,376.5 840.7 10.0 %
Group
Fully-insured medical commercial 1,167.4 1,173.4 1,212.3 (44.9 ) -3.7 % 1,235.5 (68.1 ) -5.5 %
ASO commercial 709.8 728.4 1,111.9 (402.1 ) -36.2 % 1,104.3 (394.5 ) -35.7 %
Military services 3,082.7 3,076.9 3,085.6 (2.9 ) -0.1 % 3,090.4 (7.7 ) -0.2 %
Total Group 4,959.9 4,978.7 5,409.8 (449.9 ) -8.3 % 5,430.2 (470.3 ) -8.7 %
Other Businesses
Long-term care and other 33.0 33.2 36.0 (3.0 ) -8.3 % 35.0 (2.0 ) -5.7 %
Total Other Businesses 33.0 33.2 36.0 (3.0 ) -8.3 % 35.0 (2.0 ) -5.7 %
Total Medical Membership 14,210.1 14,209.5 13,785.6 424.5 3.1 % 13,841.7 368.4 2.7 %

Detail of Individual commercial

ACA compliant:
On-Exchange 609.6 620.6 601.4 8.2 1.4 % 554.8 54.8 9.9 %
Off-Exchange 204.8 206.0 126.4 78.4 62.0 % 131.5 73.3 55.7 %
Non-ACA compliant (legacy) 149.3 152.0 358.0 (208.7 ) -58.3 % 329.9 (180.6 ) -54.7 %
Total individual commercial 963.7 978.6 1,085.8 (122.1 ) -11.2 % 1,016.2 (52.5 ) -5.2 %
Specialty Membership:
Retail
Dental - fully-insured 873.9 880.2 876.4 (2.5 ) -0.3 % 828.5 45.4 5.5 %
Vision 199.3 199.6 209.0 (9.7 ) -4.6 % 208.4 (9.1 ) -4.4 %
Other supplemental benefits (K) 114.1 116.0 134.1 (20.0 ) -14.9 % 128.9 (14.8 ) -11.5 %
Total Retail 1,187.3 1,195.8 1,219.5 (32.2 ) -2.6 % 1,165.8 21.5 1.8 %
Group
Dental - fully-insured 2,204.1 2,220.1 2,379.7 (175.6 ) -7.4 % 2,370.5 (166.4 ) -7.0 %
Dental - ASO 764.6 755.1 783.7 (19.1 ) -2.4 % 772.4 (7.8 ) -1.0 %
Vision 1,978.6 1,983.1 2,074.7 (96.1 ) -4.6 % 2,103.3 (124.7 ) -5.9 %
Other supplemental benefits (K) 1,143.4 1,151.4 1,287.2 (143.8 ) -11.2 % 1,256.5 (113.1 ) -9.0 %
Total Group 6,090.7 6,109.7 6,525.3 (434.6 ) -6.7 % 6,502.7 (412.0 ) -6.3 %
Total Specialty Membership 7,278.0 7,305.5 7,744.8 (466.8 ) -6.0 % 7,668.5 (390.5 ) -5.1 %

S-16

Humana Inc.

Premiums and Services Revenue Detail

Dollars in millions, except per member per month
Per Member per Month (L)
Three Months Ended September 30, Three Months Ended September 30,
Dollar Percentage
2015 2014 Change Change 2015 2014
Premiums and Services Revenue
Retail:
Individual Medicare Advantage $ 7,316 $ 6,448 $ 868 13.5 % $ 894 $ 898
Group Medicare Advantage 1,396 1,381 15 1.1 % 970 953
Medicare stand-alone PDPs 927 806 121 15.0 % 69 68
Individual commercial 978 863 115 13.3 % 333 262
State-based Medicaid (J) 592 352 240 68.2 % 539 468
Medicare Supplemental 78 63 15 23.8 % 166 165
Specialty 66 67 (1 ) -1.5 % 18 18
Other services 1 10 (9 ) -90.0 %
Total Retail 11,354 9,990 1,364 13.7 %
Group:
Fully-insured medical commercial 1,362 1,335 27 2.0 % 387 367
Specialty 260 274 (14 ) -5.1 % 16 16
Commercial ASO & other services (B) 104 114 (10 ) -8.8 %
Military services (M) 97 91 6 6.6 %
Total Group 1,823 1,814 9 0.5 %
Healthcare Services:
Pharmacy solutions 5,229 4,373 856 19.6 %
Provider services 428 583 (155 ) -26.6 %
Home based services 263 184 79 42.9 %
Clinical programs 53 53 - 0.0 %
Total Healthcare Services 5,973 5,193 780 15.0 %

S-17

Humana Inc.

Premiums and Services Revenue Detail

Dollars in millions, except per member per month
Per Member per Month (L)
Nine Months Ended September 30, Nine Months Ended September 30,
Dollar Percentage
2015 2014 Change Change 2015 2014
Premiums and Services Revenue
Retail:
Individual Medicare Advantage $ 22,183 $ 19,375 $ 2,808 14.5 % $ 912 $ 914
Group Medicare Advantage 4,188 4,131 57 1.4 % 982 958
Medicare stand-alone PDPs 2,915 2,612 303 11.6 % 73 75
Individual commercial 3,038 2,183 855 39.2 % 332 262
State-based Medicaid (J) 1,742 735 1,007

137.0

% 555 474
Medicare Supplemental 225 180 45 25.0 % 164 163
Specialty 195 192 3 1.6 % 18 18
Other services 7 37 (30 ) -81.1 %
Total Retail 34,493 29,445 5,048 17.1 %
Group:
Fully-insured medical commercial 4,125 3,985 140 3.5 % 387 367
Specialty 795 824 (29 ) -3.5 % 16 16
Commercial ASO & other services (B) 302 327 (25 ) -7.6 %
Military services (M) 296 297 (1 ) -0.3 %
Total Group 5,518 5,433 85 1.6 %
Healthcare Services:
Pharmacy solutions 15,280 12,480 2,800 22.4 %
Provider services 1,659 1,737 (78 ) -4.5 %
Home based services 736 488 248 50.8 %
Clinical programs 152 154 (2 ) -1.3 %
Total Healthcare Services 17,827 14,859 2,968 20.0 %

S-18

Humana Inc.

Medicare Summary

Premiums in millions, except per member per month
Membership in thousands
Per Member per Month (L)
Three Months Ended September 30, Year-over-year Change Three Months Ended September 30,
2015 2014 Amount Percent

2015

2014

Premiums
Medicare Advantage $ 8,712 $ 7,829 $ 883 11.3 % $ 905 $ 907
Medicare stand-alone PDPs 927 806 121 15.0 % 69 68
Total Medicare $ 9,639 $ 8,635 $ 1,004 11.6 %
Per Member per Month (L)
Nine Months Ended September 30, Year-over-year Change Nine Months Ended September 30,
2015 2014 Amount Percent

2015

2014

Premiums
Medicare Advantage $ 26,371 $ 23,506 $ 2,865 12.2 % $ 922 $ 921
Medicare stand-alone PDPs 2,915 2,612 303 11.6 % 73 75
Total Medicare $ 29,286 $ 26,118 $ 3,168 12.1 %
Year-over-year Change
September 30, 2015 September 30, 2014 Amount Percent
Fully-Insured Membership
Medicare Advantage 3,218.4 2,887.7 330.7 11.5 %
Medicare stand-alone PDPs 4,509.6 3,940.8 568.8 14.4 %
Total Medicare 7,728.0 6,828.5 899.5 13.2 %
Member Mix
September 30, September 30,
September 30, 2015 September 30, 2014 2015 2014
Individual Medicare Advantage Membership
HMO 1,551.8 1,287.8 56.7 % 53.6 %
PPO 1,185.3 1,115.0 43.3 % 46.4 %
Total Individual Medicare Advantage 2,737.1 2,402.8 100.0 % 100.0 %
Individual Medicare Advantage Membership
Shared Risk (D) 860.5 689.9 31.4 % 28.7 %
Path to Risk (E) 745.6 583.2 27.2 % 24.3 %
Total Value-based 1,606.1 1,273.1 58.6 % 53.0 %
Other 1,131.0 1,129.7 41.4 % 47.0 %
Total Individual Medicare Advantage 2,737.1 2,402.8 100.0 % 100.0 %

S-19

Humana Inc.

Fair value

Investments

Dollars in millions
9/30/2015 6/30/2015 12/31/2014
Investment Portfolio:
Cash & cash equivalents $ 1,597 $ 2,250 $ 1,935
Investment securities 7,423 7,041 7,598
Long-term investment securities 1,879 1,839 1,949
Total investment portfolio $ 10,899 $ 11,130 $ 11,482
Duration (N) 4.27 4.19 4.14
Average Credit Rating AA- AA- AA-
Investment Portfolio Detail:
Cash and cash equivalents $ 1,597 $ 2,250 $ 1,935
U.S. Government and agency obligations
U.S. Treasury and agency obligations 328 337 374
U.S. Government residential mortgage-backed 1,550 1,344 1,477
U.S. Government commercial mortgage-backed 17 18 21
Total U.S. Government and agency obligations 1,895 1,699 1,872
Tax-exempt municipal securities
Pre-refunded 251 181 199
Insured 250 453 484
Other 2,245 2,002 2,376
Auction rate securities 5 5 9
Total tax-exempt municipal securities 2,751 2,641 3,068
Residential mortgage-backed 13 14 17
Commercial mortgage-backed 1,031 944 843
Asset-backed securities 273 163 29
Corporate securities
Financial services 835 793 772
Other 2,504 2,626 2,946
Total corporate securities 3,339 3,419 3,718
Total investment portfolio $ 10,899 $ 11,130 $ 11,482

S-20

Humana Inc.

Detail of Benefits Payable Balance and Year-to-Date Changes

Dollars in millions
September 30, June 30, March 31, December 31, September 30, June 30, March 31,
2015 2015 2015 2014 2014 2014 2014
Detail of benefits payable
IBNR (O) $ 3,667 $ 3,376 $ 3,398 $ 3,254 $ 3,412 $ 3,242 $ 2,940
Reported Claims in Process (P) 576 522 553 475 476 635 545
Other Benefits Payable (Q) 679 883 813 746 788 901 947
Total Benefits Payable $ 4,922 $ 4,781 $ 4,764 $ 4,475 $ 4,676 $ 4,778 $ 4,432
Nine Months Ended Nine Months Ended Year Ended
September 30, 2015 September 30, 2014 December 31, 2014

Year-to-date changes in benefits payable, excluding military services (R)

Balances at January 1 $ 4,475 $ 3,893 $ 3,893
Less: Reinsurance recoverables (S) (78 ) - -
Balances at January 1, net 4,397 3,893 3,893
Incurred related to:
Current year 33,482 28,827 38,641
Prior years (T) (245 ) (440 ) (518 )
Total incurred 33,237 28,387 38,123
Paid related to:
Current year (28,828 ) (24,399 ) (34,357 )
Prior years (3,982 ) (3,270 ) (3,262 )
Total paid (32,810 ) (27,669 ) (37,619 )
Reinsurance recoverables (S) 98 65 78
Balances at end of period $ 4,922 $ 4,676 $ 4,475
Nine Months Ended Nine Months Ended Year Ended
September 30, 2015 September 30, 2014 December 31, 2014
Summary of Consolidated Benefit Expense:
Total benefit expense incurred, per above $ 33,237 $ 28,387 $ 38,123
Military services benefit expense 9 7 11
Future policy benefit expense (U) (93 ) 23 32
Consolidated Benefit Expense $ 33,153 $ 28,417 $ 38,166

S-21

Humana Inc.

Benefits Payable Statistics (V)

Receipt Cycle Time (W)
2015 2014 Change

Percentage

Change

1st Quarter Average 13.9 13.6 0.3 2.2%
2nd Quarter Average 14.0 13.5 0.5 3.7%
3rd Quarter Average 13.8 13.4 0.4 3.0%
4th Quarter Average n/a 13.5 n/a n/a
Full Year Average 13.9 13.5 0.4 3.0%
Unprocessed Claims Inventories (X)
Date

Estimated Valuation

(millions)

Number of Days

on Hand

3/31/2014 $688 6.9
6/30/2014 $817 7.3
9/30/2014 $823 7.1
12/31/2014 $782 6.4
3/31/2015 $862 6.7
6/30/2015 $779 5.6
9/30/2015 $920 6.8

S-22

Humana Inc.

Benefits Payable Statistics (Continued) (V)

Days in Claims Payable (Y)

Quarter Ended

Days in Claims

Payable (DCP)

Change Last 4

Quarters

Percentage

Change

9/30/2013 49.5 (2.1 ) -4.1 %
12/31/2013 47.8 (0.7 ) -1.4 %
3/31/2014 47.7 (1.3 ) -2.7 %
6/30/2014 48.7 (2.0 ) -3.9 %
9/30/2014 46.6 (2.9 ) -5.9 %
12/31/2014 43.5 (4.3 ) -9.0 %
3/31/2015 42.8 (4.9 ) -10.3 %
6/30/2015 41.1 (7.6 ) -15.6 %
9/30/2015 43.4 (3.2 ) -6.9 %
Change in Days in Claims Payable (Z) 1Q 2Q 3Q YTD 3Q YTD 3Q FY
2015 2015 2015 2015 2014 2014
DCP - beginning of period 43.5 42.8 41.1 43.5 47.8 47.8
Components of change in DCP:
Change in unprocessed claims inventories 0.7 (0.7 ) 1.2 1.2 2.0 1.5
Change in processed claims inventories 0.2 - 0.4 0.6 0.7 0.4
Change in pharmacy payment cutoff 0.2 (0.1 ) - 0.1 0.1 -
Change in capitation/provider settlements (0.4 ) 0.9 (1.0 ) (0.5 ) (3.2 ) (3.8 )
All other (AA) (1.4 ) (1.8 ) 1.7 (1.5 ) (0.8 ) (2.4 )
DCP - end of period 42.8 41.1 43.4 43.4 46.6 43.5

S-23

Items Expected to Significantly Impact 2016 Humana Inc. Earnings

Items Expected to Pressure Earnings Growth in 2016

Items Expected to Facilitate Earnings Growth in 2016

Individual commercial business:

  • Deterioration in claims experience during 3Q 2015, which if it continues, would reduce the likelihood of achieving the level of profitability the company had previously anticipated for this business in 2016
  • Reduction in reliance on premium stabilization programs

The company continues to evaluate its participation in this line of business for 2017.

Medicare businesses:

  • Repositioning of 2016 plan designs for Medicare Advantage
  • On a percentage basis, individual Medicare Advantage net membership growth in line with the overall market; expected growth in the mid to upper single digits (excludes approximately 35k-member loss associated with a product discontinuance in Puerto Rico)
Healthcare Services segment:

  • Slower growth due to individual Medicare Advantage membership growth in line with the overall market (versus outsized growth in prior years)
  • Impact on the company’s provider businesses of 2016 risk coding recalibration
  • Loss of Concentra earnings due to June 2015 sale of that business

Individual commercial business:

  • Premium increases for 2016 including the impact of early 2015 claims experience and June 2015 updated risk adjustment data from CMS
  • Products to be discontinued and market exits; no market expansions
    • Impacts approximately 100k members, though approximately 88% of those will have other Humana options from which they can choose in addition to offerings in the open market
    • Primarily focuses on off-exchange, platinum metal-tier and broad-network products both on and off exchange
    • Offerings to be discontinued in 2016 account for a significant portion of the 2015 pretax losses for the individual commercial business
  • Network improvements, enhancements to claims and clinical processes and administrative cost right-sizing

Medicare businesses:

  • Continued evaluation of potential impact from financial recovery process changes made during 2014
  • Loss of 145k-member profitable group Medicare Advantage account due to movement to private exchange
State-based contracts business:

  • Full-year effect of rate increases and operational improvements implemented in 2015
Operating expenses and investment income:

  • Higher consolidated operating expenses as reductions implemented in 2015 are expected to return to normal levels in 2016
  • Lower investment income due to completion of 2015 portfolio repositioning
Share repurchase:

  • Lack of share repurchase for full year 2016 versus active repurchase program in first half of 2015

S-24

Humana Inc.Footnotes to Statistical Schedules and Supplementary Information3Q 2015 Earnings Release

(A) The Medicaid and other category include the company’s Medicaid and military services businesses as well as the closed block of long-term care insurance policies.
(B) The ASO and other category is primarily comprised of ASO fees and other ancillary services fees.
(C) On January 1, 2015, the company realigned certain of its businesses among its financial reporting segments to correspond with internal management reporting changes and renamed its Employer Group segment the Group segment. The company’s three reportable segments remain Retail, Group, and Healthcare Services.
(D) In certain circumstances, the company contracts with providers to accept financial risk for a defined set of Medicare Advantage membership. In transferring this risk, the company prepays these providers a monthly fixed-fee per member to coordinate substantially all of the medical care for their Medicare Advantage members assigned or attributed to their provider panel, including some health benefit administrative functions and claims processing. For these capitated Shared Risk arrangements, the company generally agrees to payment rates that target a benefit expense ratio. The result is a high level of engagement on the part of the provider.
(E) A Path to Risk provider is one who has a high level of engagement and participates in one of Humana’s pay-for-performance programs (Model Practice or Medical Home) or has a risk contract in place with a trigger (future date or membership threshold) which has not yet been met. In addition to earning incentives, these providers may also have a shared savings component by which they can share in achieved surpluses when the actual cost of the medical services provided to patients assigned or attributed to their panel is less than the agreed upon medical expense target.
(F) Based on full-time employee equivalent counts that include clinicians responsible for managing and coordinating member care. Excludes professionals that support the non-clinical aspects of care.
(G) Based on employee headcount figures that include clinicians responsible for managing and coordinating member care. Excludes professionals that support the non-clinical aspects of care.
(H) Includes the number of high-risk discharges enrolled in the Humana Transitions Program over the last 12 months.
(I) Script volume is presented on an adjusted 30-day equivalent basis.
(J) Includes Medicaid Temporary Assistance for Needy Families (TANF), which contracts are generally reinsured through partnering relationships, dual-eligible demonstration, and Long-Term Support Services (LTSS) from state-based contracts.
(K) Other supplemental benefits include life, disability, and fixed benefit products including cancer and critical illness policies.
(L) Computed based on average membership for the period (i.e., monthly ending membership during the period divided by the number of months in the period).
(M) The majority of Military services revenues are generally not contracted on a per-member basis.
(N) Duration is the time-weighted average of the present value of the fixed income portfolio cash flows.
(O) IBNR represents an estimate of benefits expense 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). IBNR includes unprocessed claims inventories.
(P) 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 the company’s pharmacy benefit administrator, which fluctuate due to bi-weekly payments and the month-end cutoff.
(Q) Other benefits payable primarily include amounts owed to providers under capitated and risk sharing arrangements.
(R) The table excludes activity associated with military services benefits payable related to the previous contract that expired March 31, 2012.
(S) Represents reinsurance recoverables associated with the company’s state-based Medicaid contract in Kentucky.
(T) Amounts incurred related to prior years vary from previously estimated liabilities as the claims ultimately are settled. Negative amounts reported for incurred related to prior years result from claims being ultimately settled for amounts less than originally estimated (favorable development). There were no changes in the approach used to determine the company's estimate of medical claim reserves during the quarter.
(U) Future policy benefit expense has a related liability classified as a long-term liability on the balance sheet.
(V) Benefits payable statistics represents fully-insured medical claims data and exclude military services claims data and specialty benefits.
(W) The receipt cycle time measures the average length of time between when a claim was initially incurred and when the claim form was received. Receipt cycle time data for the company's largest claim processing platforms represent approximately 99% of the company's fully-insured medical claims volume. Pharmacy and specialty claims, including dental, vision and other supplemental benefits are excluded from this measurement.
(X) Unprocessed claim inventories, included in IBNR, represent fully-insured medical claims which have not been adjudicated and completely processed. These claims can be received but not entered into the claims system, pended for further review prior to final processing, or held due to prepay edits. Number of days on hand represents the estimated unprocessed inventory value divided by the average processed dollars per day for the quarter. Prior period days on hand have been recast to calculate based on claim valuations in lieu of claim counts previously presented.
(Y) A common metric for monitoring benefits payable levels relative to the benefit expense is days in claims payable, or DCP, which represents the benefits payable at the end of the period divided by average benefits expense per day in the quarterly period. This metric excludes military services, Medicare stand-alone PDPs, and reinsurance expense related to commercial individual and long duration products.
(Z) DCP fluctuates due to a number of factors, the more significant of which are detailed in this roll forward. Growth in certain product lines can also impact DCP for the quarter since a provision for claims would not have been recorded for members that had not yet enrolled earlier in the quarter, yet those members would have a provision and corresponding medical claims reserve recorded upon enrollment later in the quarter. This metric excludes military services, Medicare stand-alone PDPs, and reinsurance expense relate to commercial individual and long-duration products.

(AA)

The “All Other” component in the DCP rollforward primarily includes items related to claim payment processes, the impact of pharmacy costs, and other expenses that impact benefits expense differently than the liability. Changes in claim payment-processes would primarily include (1) gradual implementation during 2014 of inpatient authorization review prior to admission as opposed to post adjudication and (2) changes in certain components of claim payment cycle time.

S-25

Humana Inc.

Investor Relations:

Regina Nethery, 502-580-3644

[email protected]

or

Corporate Communications:

Tom Noland, 502-580-3674

[email protected]

Source: Humana Inc.

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