(Bloomberg) — UnitedHealth Group Inc., the biggest U.S. medical insurer, reported earnings that matched analyst estimates, as higher premiums and a surge in enrollment outweighed rising medical costs.

Fourth-quarter earnings of $1.20 a share met the average of 19 analyst estimates tracked by Bloomberg. Enrollment increased as the Minnetonka, Minn.-based insurer added 6.4 million members after a Brazilian acquisition, according to a company statement last week.

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