Chief executive Graham Holden said cost cutting efforts would help the group tackle the bleak economic conditions.

BBC: Marshalls Maltby plant closure to bring job cuts

In the last quarter, UnitedHealth reported a significant dip of 170 basis-point in medical care ratio, as customers were avoiding medical expenses altogether due to bleak economic conditions.

FORBES: UnitedHealth Earnings Preview: What We Are Watching

The company has significant international exposure, and worsening economic conditions in the U.S. point to a bleak Christmas season.

FORBES: Toned and ready