Health insurers Aetna Inc. (AET) and WellPoint Inc. (WLP) reported second-quarter results that diverged as the former continued to benefit from lower use of medical services, but the latter was hurt by investment impacts and as it used a larger portion of premiums to cover medical costs.

Aetna's profit rose 9.3% as it continued to benefit from consumers using fewer health-care services amid a shaky economy. For the year, the company again raised its per-share earnings forecast, this time by 40 cents, to $4.60 to $4.70 a share.

Meanwhile, WellPoint's earnings were down 2.9% on investment impacts and as its medical benefits ratio was hurt by higher than expected costs in its senior business and other impacts. For the year, the company raised its per-share earnings forecast to $6.90 to $7.10, including investment impacts of 15 cents a share, from its prior projection of $6.60.

Aetna has been tacking on acquisitions this year as it diversifies its operations, including its deal to acquire Prodigy Health Group, an administrator of self-funded health-care plans. Providing self-funded options for mid-sized and small businesses is an area where health insurers have been seeking growth.

Aetna reported that its total medical cost ratio, or the amount of premiums used to pay patient medical costs, declined to 79.7% from 81.8% a year earlier but edged up from 79.2% in the first quarter.

Aetna reported a profit of $536.7 million, or $1.39 a share, up from $491 million, or $1.14 a share, a year earlier. The latest period included favorable reserve development impacts of 31 cents, while the prior year included 30 cents.

Revenue, excluding capital gains, decreased 2.1% to $8.32 billion. Premium revenue was down 2.6%

Analysts polled by Thomson Reuters most recently forecast earnings of $1.08 on revenue of $8.31 billion.

Total medical membership fell 1.9% to 18.2 million as of June 30 from 18.6 million a year earlier, but was up 447,000 from 17.8 million as of March 31.

WellPoint also has been making acquisitions to diversify its operations, including a deal for senior-citizen healthcare benefits provider CareMore that will expand its presence in the growing Medicare market.

The medical loss ratio--the percentage of premium revenue used on patient care--rose to 85.7% from 82.9% a year earlier--amid higher expenses in its senior business and--and also was up from 82.1% in the first quarter.

The nation's largest health-benefits provider by membership reported a profit of $701.6 million, or $1.89 a share, down from $722.4 million, or $1.71 a share, a year earlier. Excluding investment impacts, earnings were up at $1.83 from $1.67.

Operating revenue was up 4.8% to $14.9 billion while total revenue increased 4.6% to 15.1 billion.

Analysts polled by Thomson Reuters most recently forecast earnings of $1.80 on operating revenue of $14.67 billion.

Medical enrollment was up 2.1 at 34.2 million as of June 30 from 33.5 million a year earlier, and eased by 40,000 from the prior quarter.

Shares of Aetna and WellPoint closed Monday at $42.62 and $73.56, respectively. Neither was active premarket.

-By Tess Stynes, Dow Jones Newswires; 212-416-2481; Tess.Stynes@dowjones.com

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