Operating earnings were 10 % higher in the third quarter of 2013 because of the acquisition of Coventry partially offset by lower underwriting margins mainly inside our underlying Medicare business. Net gain was $549.1 million for the third quarter of 2013 weighed against $532.3 million for the third quarter of 2012.3 billion for the third quarter of 2013 weighed against $8.2 billion for the third one fourth of 2012. The 49-% increase is due primarily to the inclusion of Coventry revenue in addition to growth in our underlying Medicare membership. Total revenue for the third one fourth of 2013 was $12.3 billion weighed against $8.3 billion for the third one fourth of 2012.The 2 2 episodes of erythema migrans due to the same ospC genotype were both solitary erythema migrans skin lesions located at different body sites , and these episodes were 5 years apart. Furthermore, a punctum was noticed at the guts of the lesion in the recurrent bout of erythema migrans. A punctum is certainly a little, usually erythematous central area that is often raised from the surrounding skin and is certainly suggestive of a recently available preceding bite by an arthropod .21-23 Moreover, it really is unlikely that insensitivity of our lifestyle techniques is the reason for the failure to recognize ospC genotype K during the various other 2 episodes of erythema migrans in this individual.