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The outside of Anthem's headquarters building Overall, the company’s ratio of medical claims to revenue, or medical cost ratio, actually fell to 88.9% during the fourth quarter. (Photo: Shutterstock)

The COVID-19 pandemic and changes in federal laws bit into Anthem Inc.’s earnings in the fourth quarter of 2020.

The Indianapolis-based health insurer is reporting $551 million in net income for the quarter on $32 billion in revenue, down from $934 million in net income on $27 billion in revenue for the fourth quarter of 2019.

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