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Humana Inc HUM (XNYS)
Humana Inc HUM (XNYS)
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
Price/Earnings 13.7 24.1 26.5 20.1 experience easy to navigate for end users. Perhaps not As of Nov. 8, two major U.S. election scenarios remain
Forward P/E 19.8 — 11.3 13.9 surprisingly, given its founding as a nursing home in the possible for the federal government, but we think a split
Price/Cash Flow 9.7 19.2 18.4 13.1 1960s, the firm focuses on serving the elderly population government appears most likely, which would not change
Price/Free Cash Flow 11.5 58.2 27.3 19.5
Trailing Dividend Yield% 0.57 0.63 1.50 2.35
through its top-tier position in administering Medicare our view of the healthcare industry's moats or valuations.
Source: Morningstar Advantage plans. Given U.S. demographic trends and the
increasing penetration of Medicare Advantage plans in Currently, major news outlets have projected that the
Bulls Say the eligible population, Humana remains at the forefront Democrats will control the White House and the House of
OWith its prowess in Medicare Advantage plans, of one of the fastest-growing products in the U.S. health Representatives, but key elections in the Senate appear
Humana looks likely to benefit from strong insurance industry. up for grabs. Based on recent vote counts, Republicans
demographic trends and could even benefit from a will probably control 50 seats and the Democratic caucus
Democratic sweep scenario, assuming a potential Within Medicare Advantage, insurers like Humana are will probably control 48 seats, before Georgia holds run-off
public option includes Medicare Advantage plans. paid the same amount that the traditional Medicare elections in January for the two remaining Senate seats.
OHumana enjoys industry-leading customer program pays to provide benefits for its consumers; then Given the November votes and Georgia's history as a
satisfaction metrics that positively influence its the insurer aims to lower the costs associated with caring Republican-leaning state, we would be surprised if a
brand and reputation in the consumer-driven for users by making them healthier while also providing Republican does not win at least one of those seats, which
Medicare Advantage and Medicaid insurance them additional benefits and generating a profit. Given would keep the Senate's control in Republican hands. In
sectors. that dynamic, incentive alignment with care providers this most likely scenario, major healthcare policy reforms
OHumana's growth trajectory looks strong, with remains more important in this product than in other are unlikely through the legislative branch, which would
management aiming for 11%-15% EPS growth in the health insurance products, in our opinion, and Humana largely maintain the status quo from a moat and valuation
long run. sees this alignment as its key differentiator from other perspective in the healthcare industry.
health insurance players. For example, about two thirds
of its Medicare Advantage members have primary-care Such a split scenario would increase the importance of
Bears Say
physicians that operate in value-based arrangements, the Supreme Court case scheduled to be heard on Nov.
OHealthcare reform is likely to be a recurring topic
which encourage those caregivers to improve quality and 10, though. If the judicial branch fully strikes down the
throughout the 2020 election cycle, which could pose
costs. Humana owns some of these caregivers, including Affordable Care Act, millions of Americans would lose
a real fundamental threat.
primary-care practices and a minority interest in the health insurance through various ACA channels, including
OThe insurance and PBM industries are likely to
largest home healthcare provider in the United States, Medicaid expansion and the individual exchanges. This
remain large targets of regulators aiming to reduce
Kindred at Home. Also, Humana provides pharmacy scenario could have negative effects for pockets of the
the healthcare cost burden on society, even if they
benefit management functions, managing that key health healthcare industry, such as managed care companies
make it through the 2020 election largely unscathed.
input in an integrated fashion primarily for internal with significant Medicaid and individual exchange
OWith its relatively concentrated operations, any members. exposure like Centene and hospitals like HCA and Tenet.
missteps or significant regulatory changes in its If the ACA is struck down without an adequate
target markets could have an amplified effect on While especially powerful in the Medicare Advantage replacement in this scenario, we see downside risks of
Humana's bottom line relative to peers. market, this integrated approach benefits Humana in its 35% at Centene, 25% at Tenet, and 15% at HCA from our
other target markets too, including Medicaid, military, and fair value estimates. The earnings power of other
small-employer plans. With large opportunities in its managed care providers could be mildly affected, as well,
target markets, management aims to continue growing at but based on our analysis, we do not think they would be
a fast pace with a long-term annual earnings per share material to valuation.
growth goal of 11%-15%. While Humana appears focused
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© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 2 of 15
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
Close Competitors Currency (Mil) Market Cap TTM Sales Operating Margin TTM/PE plans with 18% of that program’s enrollees in 2019, behind
UnitedHealth Group Inc UNH USD 334,080 251,085 8.96 20.24 only UnitedHealth. While Humana’s national scale is
generally impressive in this program, that scale is even
CVS Health Corp CVS USD 87,880 266,041 5.42 11.10
more admirable considering it competes primarily in 18
Anthem Inc ANTM USD 82,033 117,450 0.00 17.01
states with a concentration in retiree-friendly Sunbelt
Cigna Corp CI USD 77,604 157,050 0.00 15.06
states, including Florida and Texas. Humana is typically
Economic Moat the number-one or -two Medicare Advantage insurer in
Julie Utterback, Sr. Eq. Analyst, 03 November 2020 the counties in which it offers plans, and Medicare
Humana earns a narrow moat rating from us, which Advantage enrollment share can rise closer to 30% and
reflects its top-tier position in the U.S. private health above in those core local markets. This local scale is
insurance market. Like many of its peers, Humana benefits important in developing a broader local membership base
from local scale-related advantages, although its focus as it creates efficiencies in that population and creates
on Medicare-related plans makes it somewhat unique in negotiating power over local service providers. For
the industry. Overall, with its ongoing competitive example, for small employers, Humana is typically able to
advantages in the U.S. health insurance industry, we price its plans significantly lower than the average
expect Humana to consistently produce excess returns of employer-based premium in the U.S., which we believe is
at least 2 times capital costs during the next 10 years even related to Humana’s local scale advantages.
if a public option that steals significant share from
employer-based plans is added to the existing U.S. Where local scale advantages are significant enough, we
healthcare system. think Humana’s insurance operations benefit from a
network effect. For example, in communities where
Our narrow moat rating for Humana is informed by an Humana already has substantial market share, it is able
analysis of potential changes to the U.S. healthcare to offer lower-priced products or more benefits per
system. During the next 10 years, we view scenarios member to existing and potential clients than its peers. If
where Humana provides medical and pharmaceutical that offering is compelling enough, more customers will
benefits through employers and government programs, be attracted to Humana’s insurance plans in those
such as Medicare Advantage and Medicaid managed-care communities, and local service providers, such as
plans, as much more likely than a "Medicare for All" hospitals and physician groups, will have more incentive
scenario where the private insurance industry no longer to work with Humana’s insurance networks to gain access
exists. In these more likely scenarios, we suspect there to its large membership rolls. As Humana’s local market
will be a place for private health insurers and related share rises, its negotiating leverage with healthcare
pharmacy benefit managers, like Humana, in the U.S. suppliers also rises, which can create a virtuous cycle
healthcare system for a relatively long time. Humana where Humana attracts even more clients and more
could even be a key beneficiary of a Medicare providers to its insurance network. In general, we think
Advantage-based public option if the primary result of network effects like these create barriers to entry for new
adding that option is the reduction of the uninsured competitors in local markets where Humana already
population rather than a significant shift away from enjoys significant scale advantages.
employer-based insurance.
We believe the network effect is so strong at Humana that
We continue to see two major moat sources--cost about two thirds of its Medicare Advantage beneficiaries
advantage and network effect--at top-tier insurance use primary-care physicians paid through value-based
companies like Humana. Humana’s cost advantages arrangements, or well above the national average of
relate primarily to scale in its local markets. While the around half of Medicare Advantage enrollees.
firm's medical membership rolls are smaller than some of Value-based arrangements are crucial to aligning
its more integrated peers, the development of a core incentives in Humana’s Medicare Advantage plans and
competency in Medicare-related products, particularly the general healthcare system, in our opinion. For
Medicare Advantage, combined with its geographic example, service providers that share risk completely with
concentration has been difficult to replicate. Humana Humana, representing about one third of its Medicare
enjoys the number-two position in Medicare Advantage Advantage enrollees, can boost their inflows per member
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© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 3 of 15
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
served by 2.4 times compared with fee-for-service-only differentiated services play a stronger role for these plans,
providers. In these risk-sharing arrangements, quality of which are typically sold directly to consumers rather than
care can rise while cost of care falls, which is important through intermediaries, like employers. From a retention
for Humana and society as a whole, in our opinion. perspective, the company claims that once a customer is
Incentive payments from the government in Medicare are on one of its Medicare Advantage plans for two years,
related to star ratings (1 being the worst and 5 being the that person is usually a customer for life, and retention
best) on measures of outcomes, processes, patient rates for Humana’s plans average about seven years per
experience, and access. Humana recently announced that beneficiary, including involuntary terminations. Profitability
about 92% of its enrollees for the 2021 bonus year are in tends to rise with time during that retention period, so
4-star plans or above, which remains the highest maintaining those relationships is especially important to
percentage of the major five managed-care organizations Humana.
that we cover and compares with about 77% in 4-star
plans or above on average for the nation. That means While not moatworthy on a stand-alone basis, in our
providers that work with these Humana plans should be opinion, Humana's ownership of the fourth-largest
able to generate higher inflows from star-related bonuses pharmacy benefit manager and its growing presence in
with Humana plans going forward than the average plan, the provider space help support the strong outcomes and
which gives providers continued incentive to work with cost management needed to run successful health
Humana. insurance plans. Through both direct ownership and
partnerships, Humana remains at the forefront of
Within Medicare Advantage specifically, insurers like encouraging value-based offerings in order to boost health
Humana are paid roughly the same amount as the outcomes and better manage costs. Notably, management
traditional Medicare program pays to provide benefits for recently highlighted that just under one third of Humana's
its consumers on a risk-adjusted basis; then the insurer members are currently managed under full-risk
needs to lower the costs associated with caring for users arrangements with providers, which leads to significantly
by making them healthier in order to provide additional higher profits and better health outcomes than unaligned
benefits (dental, vision, pharmacy, and so on) while also relationships. Its proprietary provider relationships (which
generating a profit. Within this framework, insurers like include fully owned and other partnerships) enjoy even
Humana need specialized expertise in managing the higher profitability and better health outcomes than those
needs of seniors to improve their health outcomes and full-risk relationships.
ultimately lower costs. Humana has built up this expertise
over decades, which helps it create a better experience Fair Value & Profit Drivers
for end users from beginning to end. For example, Humana Julie Utterback, Sr. Eq. Analyst, 03 November 2020
devotes significant resources to helping seniors navigate We are keeping our fair value estimate for Humana at
the complex Medicare system to choose a plan that is $395 per share, which implies a 21 times multiple on 2020
right for them through both technology- and human-based expected earnings.
interfaces. Once on a Humana Medicare Advantage plan,
the company encourages preventative care, medication During the next five years, we assume Humana's revenue
adherence, and improvement of other determinants of grows about 9% compounded annually. In line with
care, such as food insecurity and transportation concerns, demographic trends, most of the company's membership
to control chronic conditions better and prevent a cascade growth will probably come from its fully insured business,
of more costly interventions. With its focus on making the particularly the fast-growing Medicare Advantage
complex healthcare system simpler and driving better business, which can have an amplified effect on revenue
health outcomes for end users, Humana generally leads growth. We expect mild operating margin contraction
the health insurance group in terms of customer during the next five years, as lower-margin government
satisfaction, which contributes to some intangible assets, plans and pharmacy benefit management business
in our opinion. Although we do not view intangible assets continue to largely outpace growth in Humana's other
as a primary moat source for Humana overall, they can be segments. However, we think Humana will repurchase
important in the more concentrated Medicare Advantage shares enough to boost adjusted EPS growth above
marketplace because factors like brand, reputation, and revenue growth. In total, we expect EPS to grow about
?
© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 4 of 15
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
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© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 5 of 15
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
Analyst Notes Archive Healthcare policy remains a key debate in the upcoming
election, but we have made no changes to our moat ratings
Raising Humana's Fair Value After It Beats Q2 or fair value estimates based on potential changes after
Expectations and Maintains EPS Guidance for 2020 this election. Positive for the healthcare industry, a
Julie Utterback, Sr. Eq. Analyst, 05 August 2020 "Medicare for All" scenario appears dead during this
Narrow-moat Humana delivered second-quarter operating election cycle. However, we still see a path to
results that significantly beat consensus from Capital IQ. more-affordable insurance options that could help the U.S.
Based on these strong trends and recently generated cash almost reach universal coverage if Democrats sweep the
flows, we are raising our fair value estimate to $395 per electable bodies of the federal government. Proposed
share, and we think shares are about fairly valued. changes by Joe Biden's campaign look likely to expand
Investors should know that despite these strong results, the existing safety nets within the U.S., and we think a
Humana only maintained its EPS guidance for 2020, public option has the most potential to alter the U.S.
despite the first-half results nearly reaching its full-year healthcare system. However, we suspect it would be much
expectations. more likely to influence the individual exchanges than the
employer-sponsored insurance that covers roughly half of
In the quarter, Humana beat expectations on the Americans. Based on our projected pricing of a public
bottom-line primarily on reduced medical utilization costs, option, we suspect that any shifts from employer-based
but it did not change its full-year guidance. Specifically, insurance would be limited to very small employers with
the company reported adjusted EPS of $12.56, or well a risk up to about 10% of the employer-based market.
above Capital IQ consensus of $10.12. Despite generating
nearly $18 per share of adjusted EPS in the first half of Overall, for key industry players, including the undervalued
2020, management still expects to generate only managed-care sector, we see a spectrum of opportunities
$18.25-$18.75 of adjusted EPS in 2020, or growth of and risks from proposed policy changes even in a
2%-5% over 2019. Management highlighted that it Democratic sweep scenario. Specifically in managed-care,
expects to be profitable in the third quarter (about 15% we see upside valuation scenarios in the mid- to high
of full year EPS guide), but it will likely generate a loss in single digits and downside scenarios that max out at
the fourth quarter. around 20% below our fair value estimates based on
potential policy changes in that election outcome. The
Several factors could create headwinds for Humana in the more diverse players—Cigna, CVS, and UnitedHealth—
second half of the year. First, medical utilization will likely would probably fare better in downside scenarios in which
return to more normalized levels than during the new government programs steal some share from existing
pandemic-related shutdowns in the second quarter. Also, insurance options, and the more concentrated insurers—
even if utilization does not return to more normal levels, Anthem, Centene, and Humana—face more downside
rebating mechanisms are in place when Humana does not risks in that scenario. Notably though, Anthem, Cigna,
meet minimum medical loss ratios. The company also Centene, and CVS recently traded well below fair value
expects to provide significant support to its constituents. and below our policy bear scenarios, giving their shares
Those supports include eliminating copays for primary significant margins of safety heading into this election, in
care, increasing access to telehealth visits, covering direct our opinion.
testing and treatment costs for COVID-19, and investing
in its Medicare broker distribution channels to help those Supreme Court Shakeup Adds Another Layer of
stakeholders engage with clients outside the office. Much Complexity to Election Year for Healthcare Industry
of those costs will be recognized in the latter half of the Julie Utterback, Sr. Eq. Analyst, 20 September 2020
year, which could constrain the company's profits during With Justice Ruth Bader Ginsburg's death Sept. 18,
the rest of 2020. another layer of complexity has been added to this election
year for the healthcare industry. The Supreme Court is
Election Impact on U.S. Healthcare Looks Modest, scheduled to hear oral arguments on the Affordable Care
Supporting Industry Moats and Undervalued MCO Act on Nov. 10, a week after the U.S. election. Prior to
View Ginsburg's death, the court looked likely to uphold the ACA
?
© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 6 of 15
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
at least along the previous voting lines (5-4), but without Specifically, Humana reported adjusted EPS of $3.08, or
her vote, the path to upholding the law just got more slightly above consensus of $2.80. Although Humana has
complicated, creating the potential for the millions of generated roughly $21 per share of adjusted EPS so far in
Americans who gained access to insurance through the 2020, management only increased the bottom end of its
ACA to lose that coverage. For now, we are not changing guidance to $18.50 to $18.75 from $18.25-$18.75
our views on any moats or valuations in the industry, but previously.
investors should be aware of the various scenarios that
could influence the U.S. healthcare system over the next Management expects several headwinds to drive a loss
several weeks. in the fourth quarter. First, medical utilization looks likely
to continue normalizing versus the trough levels of the
Importantly, the Supreme Court has a couple of options second quarter. The company also expects to provide
related to hearing oral arguments on the ACA. First, the significant support to its constituents, including coverage
court could decide to hear the arguments with only eight of direct testing and treatment costs for COVID-19 and
justices. In the event of a 4-4 tie, the court could turn the investing in its Medicare broker distribution channels to
case back to the original district court to decide which help those stakeholders engage with clients outside the
parts of the law could be upheld without the individual office. Much of those costs will be recognized in the fourth
mandate that is in question. In that case, further appeals quarter, which could constrain the company's profits
of that court's decision-making process could be possible during the rest of 2020.
while the ACA remains the law of the land. To avoid such
uncertainty related to a potential tie vote, though, the Beyond 2020, Humana's business may be affected by
Supreme Court could wait to hear oral arguments until potential policy changes after the U.S. election. Valuations
another justice is named to the court, which would lead recently appeared bifurcated in the managed care sector
to a definitive vote. with Medicare Advantage leaders--Humana (22 times
2020 earnings as of Monday's close) and UnitedHealth (19
Despite previous precedent from Republican leadership times)--trading close to fair value. These two firms appear
in the Senate that delayed voting on an Obama nominee to be benefiting from the potential of Medicare Advantage
in 2016 because it was an election year, President Trump plans to participate in a public option, which is possible
and Senate leadership appear intent on voting on a new in a Democrat sweep election scenario.
justice before the end of the year. If that is the case, there
is a chance that a 5-4 vote upholding the ACA could turn U.S. Election Results Still Uncertain and All
to a 5-4 vote against the law, assuming the new justice Scenarios for Healthcare Policy Changes Still
votes in line with most of the other conservative jurists. Possible
Julie Utterback, Sr. Eq. Analyst, 04 November 2020
Humana Delivers Strong Q3 and Boosts Bottom End As of the morning of Nov. 4, control of the major U.S.
of Its 2020 Outlook; Maintaining Our FVE federal electable bodies still remains uncertain. For now,
Julie Utterback, Sr. Eq. Analyst, 03 November 2020 most news outlets project that the U.S. House of
Narrow-moat Humana delivered third-quarter operating Representatives will remain in the Democratic party's
results that beat consensus from Capital IQ, allowing control. However, control of the White House and Senate
management to increase the bottom end of its outlook still remain up in the air, as several states continue to
range for 2020. Our estimate remains at the high end of process votes and appear too close to call. We reiterate
that range, and we are keeping our fair value estimate our undervalued call on the managed care sector and see
intact. Notably, Humana expects a rare loss in the fourth significant margins of safety built into most of those
quarter, but we believe that relates more to the players' stocks even in our valuation downside policy
uniqueness of this year rather than a reduction in scenarios, which are possible only in a Democratic sweep
long-term prospects. scenario.
In the quarter, Humana beat expectations on the bottom However, investors should know that we would be unlikely
line primarily on strong demand for its Medicare-related to change our moat ratings or valuations even in a
products, despite normalizing medical utilization trends. Democratic sweep scenario until legislative plans are
?
© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 7 of 15
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
more certain. The U.S. still remains in increasing access Such a split scenario would increase the importance of
mode, and current initiatives to expand the insured the Supreme Court case scheduled to be heard on Nov.
population create a spectrum of risks and opportunities, 10, though. If the judicial branch fully strikes down the
with the public option representing the major wildcard. Affordable Care Act, millions of Americans would lose
Based on our pricing estimates for the public option, health insurance through various ACA channels, including
though, we see the potential for major changes on the Medicaid expansion and the individual exchanges. This
individual exchanges but only minor changes in the scenario could have negative effects for pockets of the
important employer-based market even at the low end of healthcare industry, such as managed care companies
our estimated pricing range. The role of private insurers with significant Medicaid and individual exchange
in the public option could also be a point of compromise exposure like Centene and hospitals like HCA and Tenet.
in the legislative process since plans from private insurers, If the ACA is struck down without an adequate
like Medicare Advantage, could play a role. replacement in this scenario, we see downside risks of
35% at Centene, 25% at Tenet, and 15% at HCA from our
Split control of the U.S. government's federal electable fair value estimates. The earnings power of other
bodies also remains possible, and policy changes that managed care providers could be mildly affected, as well,
meaningfully change our moat or valuations in the but based on our analysis, we do not think they would be
healthcare industry appear unlikely in this scenario. Split material to valuation.
control of the U.S. federal electable bodies would likely
result in a business as usual regulatory environment for
the healthcare industry. However, we think executive
orders could create mildly positive effects on the number
of insured Americans with a Democrat in the White House
and mildly negative effects with Republican control.
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© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
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Quantitative Equity Report | Release: 17 Nov 2020, 17:44, GMT-06:00 | Reporting Currency: USD | Trading Currency: USD | Exchange:XNYS Page
Page 8 of1 15
of 1
There is no one analyst in which a Quantitative Fair Value Estimate and Quantitative
Star Rating are attributed to; however, Mr. Lee Davidson, Head of Quantitative
Price vs. Quantitative Fair Value
Research for Morningstar, Inc., is responsible for overseeing the methodology that 2016 2017 2018 2019 2020 2021 Quantitative Fair Value Estimate
supports the quantitative fair value. As an employee of Morningstar, Inc., Mr. Total Return
Davidson is guided by Morningstar, Inc.’s Code of Ethics and Personal Securities
Trading Policy in carrying out his responsibilities. For information regarding Conflicts Sales/Share
580
of Interests, visit http://global.morningstar.com/equitydisclosures Forecast Range
Forcasted Price
464 Dividend
Company Profile
Split
Humana is one of the largest private health insurers in the Momentum: Neutral
348
U.S. with a focus on administering Medicare Advantage plans. Standard Deviation: 27.83
The firm has built a niche specializing in government- Liquidity: High
232
sponsored programs, with nearly all its medical membership
stemming from individual and group Medicare Advantage, 208.25 52-Wk 474.70
Medicaid, and the military's Tricare program. The firm is also 116
a leader in stand-alone prescription drug plans for seniors 150.00 5-Yr 474.70
enrolled in traditional fee-for-service Medicare. Humana
14.8 22.5 16.3 28.7 15.7 Total Return %
offers employer-based plans primarily for small businesses
2.3 1.0 21.3 -2.5 0.7 +/– Market (Morningstar US Index)
Quantitative Scores Scores 0.57 0.64 0.70 0.60 0.57 Trailing Dividend Yield %
All Rel Sector Rel Country 0.57 0.64 0.70 0.60 0.58 Forward Dividend Yield %
Quantitative Moat Narrow 99 98 97 27.5 19.4 26.2 19.5 13.7 Price/Earnings
Valuation Fairly Valued 8 10 12 0.6 0.7 0.7 0.8 0.8 Price/Revenue
Quantitative Uncertainty High 98 98 96 Morningstar RatingQ
Financial Health Moderate 80 54 80 QQQQQ
QQQQ
QQQ
HUM QQ
Q
d
USA
2015 2016 2017 2018 2019 TTM Financials (Fiscal Year in Mil)
Undervalued Fairly Valued Overvalued 54,289 54,379 53,767 56,912 64,888 74,388 Revenue
Source: Morningstar Equity Research 11.9 0.2 -1.1 5.8 14.0 14.6 % Change
— — — — — — Operating Income
— — — — — — % Change
Valuation Sector Country
Current 5-Yr Avg Median Median 1,276 614 2,448 1,683 2,707 4,153 Net Income
Price/Quant Fair Value 1.05 1.11 0.82 0.83 868 1,936 4,051 2,173 5,284 5,868 Operating Cash Flow
Price/Earnings 13.7 24.1 26.5 20.1 -523 -527 -526 -612 -736 -898 Capital Spending
Forward P/E 19.8 — 11.3 13.9 345 1,409 3,525 1,561 4,548 4,970 Free Cash Flow
Price/Cash Flow 9.7 19.2 18.4 13.1 0.6 2.6 6.6 2.7 7.0 6.7 % Sales
Price/Free Cash Flow 11.5 58.2 27.3 19.5 8.44 4.07 16.81 12.16 20.10 31.23 EPS
Trailing Dividend Yield % 0.57 0.63 1.50 2.35 14.7 -51.8 313.0 -27.7 65.3 55.4 % Change
Price/Book 3.6 3.1 3.4 2.4 1.14 29.92 24.92 -7.10 27.67 42.29 Free Cash Flow/Share
Price/Sales 0.8 0.6 4.2 2.4 1.15 0.87 1.89 2.00 2.20 2.43 Dividends/Share
69.82 75.58 81.43 78.14 87.82 108.93 Book Value/Share
Profitability Sector Country 148,288 149,305 137,679 135,567 132,105 132,341 Shares Outstanding (K)
Current 5-Yr Avg Median Median
Profitability
Return on Equity % 30.4 16.7 12.4 12.9
12.8 5.8 23.9 16.8 24.4 30.4 Return on Equity %
Return on Assets % 12.3 6.7 6.2 5.2
5.3 2.5 9.3 6.4 9.9 12.3 Return on Assets %
Revenue/Employee (Mil) 1.6 1.2 0.3 0.3
2.4 1.1 4.6 3.0 4.2 5.6 Net Margin %
2.25 2.17 2.05 2.16 2.38 2.20 Asset Turnover
Financial Health Sector Country
Current 5-Yr Avg Median Median 2.4 2.4 2.8 2.5 2.4 2.4 Financial Leverage
Distance to Default 0.6 0.8 0.6 0.5 — — — — — — Gross Margin %
Solvency Score — — 494.6 552.4 — — — — — — Operating Margin %
Assets/Equity 2.4 2.5 1.4 1.7 3,821 3,792 4,770 4,375 4,967 6,059 Long-Term Debt
Long-Term Debt/Equity 0.4 0.4 0.1 0.4 10,346 10,685 9,842 10,161 12,037 15,768 Total Equity
38.7 37.6 34.8 34.3 35.2 36.4 Fixed Asset Turns
Growth Per Share Quarterly Revenue & EPS Revenue Growth Year On Year %
1-Year 3-Year 5-Year 10-Year Revenue (Mil) Mar Jun Sep Dec Total
23.6
Revenue % 14.0 6.1 6.0 7.7 2020 18,935.0 19,083.0 20,075.0 — —
Operating Income % — — — — 2019 16,107.0 16,245.0 16,241.0 16,295.0 64,888.0 17.6 17.5
Earnings % 65.3 70.3 22.3 12.6 2018 14,279.0 14,259.0 14,206.0 14,168.0 56,912.0 14.3 15.0
13.9
2017 13,762.0 13,534.0 13,282.0 13,189.0 53,767.0 12.8
Dividends % 10.0 36.2 14.7 —
Book Value % 21.6 8.4 7.2 10.4 Earnings Per Share () 7.0 7.4
Stock Total Return % 26.6 22.5 20.5 22.3 2020 3.56 13.75 10.05 — —
2019 4.16 6.94 5.14 3.84 20.10
2018 3.53 1.39 4.65 2.58 12.16
2018 2019 2020
2017 7.49 4.46 3.44 1.29 16.81
© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and ®
opinions presented herein do not constitute investment advice; are provided solely for informational purposes and therefore is not an offer to buy or sell a security; are not warranted to be correct, complete or accurate; and
are subject to change without notice. Except as otherwise required by law, Morningstar shall not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, ß
analyses or opinions or their use. The information herein may not be reproduced, in any manner without the prior written consent of Morningstar. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 9 of 15
Morningstar Research Methodology for Valuing Companies Because a dollar earned today is worth more than a
dollar earned tomorrow, we discount our projections of
cash flows in stages I, II, and III to arrive at a total
present value of expected future cash flows. Because we
are modeling free cash flow to the firm—representing cash
available to provide a return to all capital providers—we
discount future cash flows using the WACC, which is a
weighted average of the costs of equity, debt, and preferred
stock (and any other funding sources), using expected
future proportionate long-term market-value weights.
?
© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 10 of 15
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© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 11 of 15
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© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
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Morningstar Equity Analyst Report |Page 12 of 15
This Report has not been made available to the issuer of the
security prior to publication.
Risk Warning
Please note that investments in securities are subject to
market and other risks and there is no assurance or
guarantee that the intended investment objectives will be
achieved. Past performance of a security may or may not be
sustained in future and is no indication of future
performance. A security investment return and an investor's
principal value will fluctuate so that, when redeemed, an
investor's shares may be worth more or less than their
original cost. A security's current investment performance
may be lower or higher than the investment performance
noted within the report.
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© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
solely for informational purposes and therefore are not an offer to buy or sell a security; and are not warranted to be correct, complete or accurate. The opinions expressed are as of the date written and are subject to change without notice. Except as otherwise required by law, Morningstar shall
not be responsible for any trading decisions, damages or other losses resulting from, or related to, the information, data, analyses or opinions or their use. The information contained herein is the proprietary property of Morningstar and may not be reproduced, in whole or in part, or used in any
manner, without the prior written consent of Morningstar. Investment research is produced and issued by subsidiaries of Morningstar, Inc. including, but not limited to, Morningstar Research Services LLC, registered with and governed by the U.S. Securities and Exchange Commission. To order
reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869. Please see important disclosures at the end of this report.
Morningstar Equity Analyst Report |Page 13 of 15
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
General Disclosure
The analysis within this report is prepared by the person
(s) noted in their capacity as an analyst for Morningstar’s
equity research group. The equity research group
consists of various Morningstar, Inc. subsidiaries
(“Equity Research Group)”. In the United States, that
subsidiary is Morningstar Research Services LLC, which
is registered with and governed by the U.S. Securities
and Exchange Commission.
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© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
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reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869.
Morningstar Equity Analyst Report |Page 14 of 15
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
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Morningstar Equity Analyst Report |Page 15 of 15
QQQ 422.23 USD 395.00 USD 1.07 0.57 0.59 55.88 Healthcare Plans Exemplary
17 Nov 2020 17 Nov 2020 05 Aug 2020 17 Nov 2020 17 Nov 2020 17 Nov 2020
22:22, UTC 17:39, UTC
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© Morningstar 2020. All Rights Reserved. Unless otherwise provided in a separate agreement, you may use this report only in the country in which its original distributor is based. The information, data, analyses and opinions presented herein do not constitute investment advice; are provided
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reprints, call +1 312-696-6100. To license the research, call +1 312-696-6869.