Notes to the consolidated financial statements of Aegon N.V.  Note 5 204 Annual Report 2013 Income statement ­ Underlying earnings Americas The  Netherlands United  Kingdom New  Markets Holding  and other  activities Elimina- tions Segment  total Joint  ventures and  associates  eliminations Consoli­ dated 2013 Underlying earnings  before tax 1,369 355 98 236 (109) (3) 1,945 (50) 1,895 Fair value items (971) (240) (16) (21) (61) - (1,309) 37 (1,272) Realized gains / (losses) on  investments 111 342 48 - - - 502 - 502 Impairment charges (109) (40) (31) (16) - - (196) - (196) Impairment reversals 67 8 - - - - 75 - 75 Other income / (charges) 72 (36) (45) (33) (11) - (52) 6 (47) Run-off businesses 14 - - - - - 14 - 14 Income before tax 553 388 55 167 (181) (3) 979 (8) 971 Income tax (expense) / benefit (107) (97) 65 (34) 42 - (130) 8 (123) Net income 446 292 120 133 (139) (3) 849 ­ 849 Intersegment underlying  earnings (173) (54) (59) 257 29 Revenues 2013 Life insurance gross premiums 6,187 3,515 6,537 1,349 14 (73) 17,529 (416) 17,112 Accident and health insurance 1,787 243 - 170 8 (8) 2,200 (10) 2,190 General insurance - 487 - 194 - - 681 (44) 637 Total gross premiums 7,975 4,245 6,537 1,713 22 (82) 20,410 (471) 19,939 Investment income 3,370 2,310 2,054 233 336 (336) 7,968 (58) 7,909 Fee and commission income 1,273 328 80 583 - (238) 2,026 (76) 1,950 Other revenues 4 - - 2 4 - 10 (3) 6 Total revenues 12,622 6,883 8,670 2,531 362 (656) 30,413 (608) 29,805 Inter-segment revenues 20 1 1 292 342 Earnings from Aegon’s joint ventures in Spain, China and Japan and Aegon’s associates in insurance companies in India, Brazil and  Mexico are reported on an underlying earnings basis. Share in earnings of joint ventures and associates