When federal judges hear arguments over the proposed mergers of Aetna and Humana and Anthem and Cigna, they will have to consider two distinct allegations made by the U.S. Department of Justice, which is attempting to block the two deals.

On one hand, argues the Obama administration, the megamergers will leave consumers with fewer insurance options and significantly reducing competition in certain parts of the country.

On the other hand, mega-insurance companies seeking to merge with other industry giants have strived mightily to convince federal and state regulators that the newly formed companies won't be that big.

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